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Regional Innovation Fund 2010/11 Project: MH 30009

Breath Alcohol Meter for Home Detoxification (Drink Down)

Derbyshire Healthcare NHS Foundation Trust
 
The aim of this pilot project is to enable service users to take internal control of their alcohol consumption, thereby taking responsibility of reducing their alcohol intake without the need for any substitute prescribing or an inpatient detoxification admission.
 
High national levels of inpatient detoxification required for alcohol misusing service users. This can cost on average £3000 per admission.
 
Selected service users who meet project criteria will be trained in how to use an Alcometer. Identified service users will be allowed to take an alcometer home, along with the sample breath tubes. 
Participants will be encouraged to drink 2 units of alcohol every time (interval of 1-2 hours approximately) when they breathalyse less than the previous recording, and advised to drink up to 4 units before sleeping at night.  This process would enable people to be alcohol free in seven to ten days without the need for medication and give them a sense of ownership and understanding that they can reduce their alcohol intake at home without the need to go into the hospital.
The additional benefit to service users is the perspective that if they do not want to become abstinent, they could achieve sensible drinking without the accompanying chaos or problems of dependent drinking.
The participants are initially assessed and asked to write a ‘drink diary’ charting their comfort level and score in a 10 point scale.  After few weeks of this diary, they will be asked to drink down with the help of alcometer (usually for a week) to a comfort level that is stable (although this could be higher units of alcohol than the recommended units for men and women).  This shows them that they could drink to a lower level than they think, for their comfort and could scientifically challenge their belief system.  This enables them and prepares for the future prospect of drinking down to abstinence without the need of any medications.
   
Service users who do not want to become abstinent can attempt sensible drinking without the accompanying chaos or problems of dependent drinking. If they want to become abstinent then they could do this without the need of any medications or getting admitted into a hospital. A reduction in alcohol consumption (even without abstinence) would still lead to an improved quality of life.
   
Empowers substance misuse staff with an additional innovative tool that works on internal motivation, rather than external controls via medication.
 
In line with the recovery agenda, this opens up a further option for alcohol services in terms of less reliance on inpatient detoxification and prescribed community detox.
Reduction in the number of inpatient referrals for alcohol detoxification. High cost of inpatient detox and high likelihood of relapse are potentially addressed in the community.
Outpatient model rather than impatient based model.
Potential to increase through put of alcohol service users and lead to improved successful discharges within six month target.
  • Savings for the Mental Health Trust/Primary Care Trust in reduced occupied bed days.
  • Reduced costs in clinician time and associated prescribing costs.
  • One successful non medicated alcohol detoxification without being admitted would save around £2,500 - £3,000 per admission.
  • £60,000 could be saved, for the 20 patients involved in this project.

 

“It would be great to see our project replicated in mainstream alcohol services across the country and for Alcometers to become the first choice regarding community alcohol detoxification rather than prescribed medication.”

Dr Senthil Kumar Mahalingam

 

RIF Project MH 30009 Photo
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Contact the Innovator

Dr Senthil Kumar Mahalingam & Mr David Hurn, Derbyshire Healthcare NHS Foundation Trust

senthil.mahalingam@derbyshcft.nhs.uk

david.hurn@derbyshcft.nhs.uk

 

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 Documents to Download

See the project featured in the East Midlands Regional Innovation Fund Projects Brochure on Page 46

East Midlands EXPO Poster