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RESOURCES

Quick access to reliable information for health and social care professionals.

GENERAL ALCOHOL-USE DISORDERS GUIDANCE

NICE Guidance CG115

Diagnosis, assessment and management of harmful drinking and alcohol dependence.

This guideline covers identifying, assessing and managing alcohol-use disorders (harmful drinking and alcohol dependence) in people aged 10 and over. It aims to reduce harms (such as liver disease, heart problems, depression and anxiety) from alcohol by improving assessment and setting goals for reducing alcohol consumption.

 

NICE Guidance CG100

Diagnosing and managing the physical complications of alcohol-use disorders covering:

  • acute alcohol withdrawal
  • thiamine (vitamin B1) deficiency, which can cause Wernicke’s encephalopathy
  • alcohol-related liver disease
  • alcohol-related pancreatitis.

 

 

Medical Council on Alcohol (MCA)

The MCA is an independent charity of health professionals from all medical specialties, without links to the government or the alcohol industry. We are dedicated to improving the understanding and management of alcohol-related health harm.

 

NHS Choices

Guide to treating alcohol misuse covering:

  • brief intervention
  • moderation vs abstinence
  • detox and withdrawal symptoms
  • medication for alcohol dependency
  • therapy for alcohol dependency.

 

Public Health England

Guidance on harmful drinking and alcohol dependence covering:

  • The scale of the problem
  • Health inequalities and alcohol dependence
  • Responding to the needs of harmful and alcohol dependent drinkers

WERNICKE-KORSAKOFF SYNDROME & ALCOHOL RELATED BRAIN DAMAGE

Alcohol Related Brain Damage (ARBD)

In-depth information and downloadable pdfs covering information about ARBD from Alcohol Concern

 

ARBD - The case for intervention

 

ARBD Learning Module

Online resource covering what ARBD is, detection and treatment

 

B Vitamin deficiency & neuropsychiatric syndromes in alcohol misuse

This review considers the role of B vitamins in the aetiology and treatment of neuropsychiatric syndromes associated with alcohol misuse, with particular emphasis on Wernicke-Korsakoff syndrome.

 

Mechanisms of vitamin deficiency in chronic alcohol misusers and the development of the Wernicke-Korsakoff syndrome

This paper concentrates mainly on thiamine deficiency, but many of the contributory factors creating this state are common to other vitamins. The problems of absorption of thiamine hydrochloride are reviewed and the best way to provide the brain with an adequate continuous supply of thiamine is considered.

 

Molecular genetics of alcohol related brain damage

The aim of this paper is to review the most recent knowledge on the genetic susceptibility to the development of alcohol-related Wernicke–Korsakoff syndrome (WKS).

 

The Korsakoff syndrome: clinical aspects, psychology and treatment

The Korsakoff syndrome is a preventable memory disorder that usually emerges (although not always) in the aftermath of an episode of Wernicke's encephalopathy. The present paper reviews the clinical and scientific literature on this disorder.

 

The natural history and pathophysiology of Wernicke's encephalopathy and Korsakoff's psychosis

 

The Royal College of Physicians report on alcohol

Guidelines for managing Wernicke's encephalopathy in the accident and emergency department.

 

The Seven Ages of Man ... ( or Woman)

The latest views on alcohol-related brain damage that document the advances that have been made and give considerable optimism for future understanding and prevention of this condition.

 

The treatment of patients at risk of developing Wernicke's encephalopathy in the community

This paper examines the evidence for inadequate treatment of WE in the community and presents guidelines to help identify such patients at risk of developing WE to monitor their ongoing nutritional state and to provide safe prophylactic treatment where indicated.

 

Wernicke-Korsakoff Syndrome: Causal, clinical and legal aspects of a growing problem

In a developed country such as the UK, there are indications that the incidence of Korsakoff 's psychosis may be increasing and that there are wide variations in the management of WE...

 

ALCOHOL WITHDRAWAL

Withdrawal Assessment Tool

Introduction to the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) tool which we use in AlcoPath

 

CIWA-Ar study

In-depth research report on CIWA-Ar

Individualized Treatment for Alcohol Withdrawal

A Randomized Double-blind Controlled Trial using symptom triggered vs standard dosing in alcohol withdrawal

 

 

NICE Guidance CG115

Diagnosis, assessment and management of harmful drinking and alcohol dependence.

This guideline covers identifying, assessing and managing alcohol-use disorders (harmful drinking and alcohol dependence) in people aged 10 and over. It aims to reduce harms (such as liver disease, heart problems, depression and anxiety) from alcohol by improving assessment and setting goals for reducing alcohol consumption.

 

NICE Guidance CG100

Diagnosing and managing the physical complications of alcohol-use disorders covering:

  • acute alcohol withdrawal
  • thiamine (vitamin B1) deficiency, which can cause Wernicke’s encephalopathy
  • alcohol-related liver disease
  • alcohol-related pancreatitis.

 

Medical Council on Alcohol (MCA)

The MCA is an independent charity of health professionals from all medical specialties, without links to the government or the alcohol industry. We are dedicated to improving the understanding and management of alcohol-related health harm.

 

NHS Choices

Guide to treating alcohol misuse covering:

  • brief intervention
  • moderation vs abstinence
  • detox and withdrawal symptoms
  • medication for alcohol dependency
  • therapy for alcohol dependency.

 

Public Health England

Guidance on harmful drinking and alcohol dependence covering:

  • The scale of the problem
  • Health inequalities and alcohol dependence
  • Responding to the needs of harmful and alcohol dependent drinkers

 

GENERAL ALCOHOL-USE DISORDERS GUIDANCE

Alcohol Related Brain Damage (ARBD)

In-depth information and downloadable pdfs covering information about ARBD from Alcohol Concern

 

ARBD - The case for intervention

 

ARBD Learning Module

Online resource covering what ARBD is, detection and treatment

 

B Vitamin deficiency & neuropsychiatric syndromes in alcohol misuse

This review considers the role of B vitamins in the aetiology and treatment of neuropsychiatric syndromes associated with alcohol misuse, with particular emphasis on Wernicke-Korsakoff syndrome.

 

Mechanisms of vitamin deficiency in chronic alcohol misusers and the development of the Wernicke-Korsakoff syndrome

This paper concentrates mainly on thiamine deficiency, but many of the contributory factors creating this state are common to other vitamins. The problems of absorption of thiamine hydrochloride are reviewed and the best way to provide the brain with an adequate continuous supply of thiamine is considered.

 

Molecular genetics of alcohol related brain damage

The aim of this paper is to review the most recent knowledge on the genetic susceptibility to the development of alcohol-related Wernicke–Korsakoff syndrome (WKS).

 

The Korsakoff syndrome: clinical aspects, psychology and treatment

The Korsakoff syndrome is a preventable memory disorder that usually emerges (although not always) in the aftermath of an episode of Wernicke's encephalopathy. The present paper reviews the clinical and scientific literature on this disorder.

 

The natural history and pathophysiology of Wernicke's encephalopathy and Korsakoff's psychosis

 

The Royal College of Physicians report on alcohol

Guidelines for managing Wernicke's encephalopathy in the accident and emergency department.

 

The Seven Ages of Man ... ( or Woman)

The latest views on alcohol-related brain damage that document the advances that have been made and give considerable optimism for future understanding and prevention of this condition.

 

The treatment of patients at risk of developing Wernicke's encephalopathy in the community

This paper examines the evidence for inadequate treatment of WE in the community and presents guidelines to help identify such patients at risk of developing WE to monitor their ongoing nutritional state and to provide safe prophylactic treatment where indicated.

 

Wernicke-Korsakoff Syndrome: Causal, clinical and legal aspects of a growing problem

In a developed country such as the UK, there are indications that the incidence of Korsakoff 's psychosis may be increasing and that there are wide variations in the management of WE...

 

 

Withdrawal Assessment Tool

Introduction to the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) tool which we use in AlcoPath

 

CIWA-Ar study

In-depth research report on CIWA-Ar

 

Individualized Treatment for Alcohol Withdrawal

A Randomized Double-blind Controlled Trial using symptom triggered vs standard dosing in alcohol withdrawal