Despite the fact that most alcohol related facial injuries are successfully managed surgically, the underlying cause, which is often alcohol misuse, is not adequately addressed. A recent study has demonstrated that a nurse delivered brief intervention in a maxillofacial unit is more effective than no intervention in encouraging patients with facial injuries to reduce their alcohol consumption.
A Randomised Controlled Trial of Brief Intervention Strategies in Patients with Alcohol Related Facial Injury
The effectiveness of interventions in the alcohol server setting for preventing injuries: findings from a Cochrane Systematic Review
Increasing attention is being given to supply-side interventions, which attempt to alter the environment and the context within which alcohol is supplied and consumed; the aim being to modify the drinking and/or the drinking environment so that potential harm is minimised.
In this study we set out to examine the effects and cost effectiveness of referral to an alcohol health worker by randomising patients who consented to take part in the study to either an appointment with an alcohol health worker or an information leaflet on alcohol and health.
Maxillo-facial surgeons see a regular stream of young male casualties with alcohol related facial injuries. The majority of them have been involved in a fight, usually on a Friday or Saturday night. They attend an A&E department, receive appropriate treatment and are given an appointment for a follow-up clinic within the next 10 days. This clinic provides an ideal opportunity to influence the drinking patterns of these young men. Can a brief alcohol intervention, given at this point, influence future alcohol consumption?