Programme no. 244-OP
Quality Improvement
The 15-method - To have something more to offer when an alcohol problem is suspected
Sven Wåhlin*1
1Riddargatan 1,Centrum för psykiatriforskning,Stockholm,Sweden
* = Presenting author
Objectives: The purpose of 'The 15-method' is to offer a evidence based treatment modality fitted to moderate and mild alcohol dependent patients. The method is adaped to fit in primary care or occupational healt care. 'The 15-method' is a hands-on' manual based steped care method characterized by person centredness, a health perspective and stigma reduction.
Background: Alcohol dependence is a common disease with prevalence similar to diabetes. The vast majority have mild or moderate alcohol dependence. The majority is not attracted to, or helped by the treatments offered from the alcohol clinics, or social services.
Results: Usefulness of 'The 15-method' in primary care is now being evaluated in the TAP study (Treatment of Alcohol Dependence in Primary Care) where 300 patients randomized to treatment at the addiction Centre (Riddargatan 1) or in primary care.
http://riddargatan1.se/TAP
Material/Methods: A manual-based method in three steps: 1) a possible alcohol problem is identified. Short advice is given or a more elaborate 'alcohol health test' is offered. 2) The 'alcohol health test' consists of a test battery that the patient completes at home before next visit, and biological markers. At a second visit feed-back is given on the situation. If the patient desires, treatment is offered. 3) Treatment could include drugs, self help material or 3-4 manual-based CBTsessions with homework (eg. goal setting, handling risk situations, action plans). Each treatment session should take 15 minutes.
Conclusion: 4.5% of our patients are alcohol dependent. There are many GPs who find it difficult to deal with this. The 15 method provides an evidence-based tools for general medical practices. The advantages are stigma reduction, objective assessment of alcohol situation, health perspective and the offering of a menue of treatment alternatives.
Points for discussion: Stigmatisation of alcohol care

Patient centeredness