Overview of alcohol screening in NT ACCHSs - Dr Ruwani Peiris, public health registrar AMSANT

Overview of alcohol screening in NT ACCHSs Overview of alcohol screening in NT ACCHSs Dr Ruwani Peiris, public health registrar AMSANT CQI Collab 21-22 November 2023 Overview 1. [...] Alcohol screening tools Answer Points Never 0 Monthly or less 1 Two to four times a month 2 A set of questions Two to three times a week 3 Four or more times a week 4 High score = at risk of harm Q2: How many drinks did you have on a typical day when you AUDIT-C were drinking in the past year? Answer Points Short = good for use in clinic None, I do not drink 0 More sensitive scores for Ab. [...] Alcohol screening tools Answer Points Never 0 Monthly or less 1 Two to four times a month 2 Difficulties with screening tools: Two to three times a week 3 Four or more times a week 4 Not ‘validated’ in Aboriginal populations Q2: How many drinks did you have on a typical day when you Not designed for Aboriginal communities were drinking in the past year? Answer Points Language barriers, cult. [...] Alcohol screening as a KPI AUDIT-C was a national AHKPI “Percentage of people with AUDIT-C recorded”: Aboriginal people 15 years and older, NT, 2017- Put in 715 Health check & Communicare 2021 40% BUT retired in 2022: “low uptake” 34.1% 34.0% 34.2% 33.4% 35% 31.9% 29.4% 30.5% 30% 26.5% 25% 19.0% 20.0% In the NT, ~50% of recorded AUDIT-C scores were 20% ‘low-risk’ 15% 10% Are we doing eno. [...] CQI questions to ask next Should alcohol screening be a KPI again… and should it be AUDIT-C? Would a screening tool designed for Aboriginal people improve screening rates? Does more screening → more treatment? (and if not… how to improve treatment rates?) References AIHW (Australian Institute for Health and Welfare), NIAA (National Indigenous Australians Agency) Aboriginal and Torres Strai.