Pilot study of Assertive Community Treatment in alcohol dependence

Lead Research Organisation: King's College London
Department Name: Addictions

Abstract

Excessive drinking is increasingly common in the UK and leads to a heavy use of health, social and criminal justice services with considerable costs. It was recently estimated that alcohol misuse costs the UK economy #20bn per annum. About 23% of the adult population in England drinks at a level likely to cause harm, and 4% are dependent on alcohol. Only a minority of the people experiencing alcohol dependence enters treatment each year. Many have severe and complicated problems and have difficulties in making best use of the limited treatment services that are currently available. Many drop out of treatment before they have improved, only to return to a cycle of heavy drinking and unplanned use of hospital and GP and other services.

There is a need for better and more effective treatments for people with alcohol dependence, and there is some evidence that treatments that involve assertive outreach and longer term treatment follow-up are better than standard treatment, which tends to be relatively short term and relies on the patients? motivation to engage with it. There is much stronger evidence that Assertive Community Treatment (ACT), which involves extended and assertive contact with often unmotivated patients, is effective in treating people with severe mental illness (e.g. schizophrenia) improving mental health, contact with treatment and client satisfaction, and reducing admissions to hospital.

In this pilot study we plan to adapt the ACT methods successfully used in severe mental illness to find out if it is more helpful than typically available treatment for people with alcohol dependence. This preliminary work will help us to design and carry out a more extensive study to assess the effectiveness of ACT in alcohol dependence across several centres in England. Further, although ACT will be more expensive to deliver than standard treatment, it will be important to find out if it is more cost effective, i.e. if the greater costs of treatment are offset by greater savings to the wider health service. If so, this could potentially have major implications for the NHS and the way treatment is delivered to this population.

Technical Summary

BACKGROUND: Alcohol dependence causes significant harm to individuals, their families and communities, contributing to morbidity, mortality and health and wider societal costs. Assertive Community Treatment (ACT) is effective in reducing the impact of severe mental illness on symptomatology, hospital bed use and quality of life, and treatment engagement but evidence for ACT for severe alcohol dependence is lacking.

AIMS: This pilot study aims to develop and refine ACT for use in alcohol dependence, including optimal delivery and target population; to conduct a preliminary randomised controlled trial (RCT) to establish the effect size of ACT versus standard treatment and establish potential recruitment across 6 sites, to advise a definitive RCT.

DESIGN: The development phase will be primarily a qualitative study with alcohol service users and clinicians to develop ACT and standard treatment manuals. The pilot RCT is a parallel group design and 1 year follow up to assess efficacy of ACT versus standard care for alcohol dependence.

SETTING AND PARTICIPANTS: Interventions will take place in community based alcohol services in London. The optimal target group will be determined by the development work but participants are likely to include a DSM IV diagnosis of alcohol dependence, referred to a specialist alcohol service, are over the age of 18, have and have had 1 or more previous episodes of unsuccessful alcohol treatment.

MEASURES: Primary: Alcohol consumption using Time Line Follow Back method: percentage of days abstinence and mean drinks per drinking day. Secondary: Severity of Alcohol Dependence Questionnaire (SADQ), Alcohol Problems Questionnaire (APQ), psychiatric symptoms (SF12), quality of life (EQ5D), motivation (RTCQ), therapeutic relationship (STAR), service use questionnaire (SUQ), number of inpatient admissions and measures of social network involvement (IPA ? Important People and Activities Inventory). Qualitative investigation of patient and clinician views and satisfaction with treatment will be used to refine the intervention manuals.

FINDINGS: The study findings will inform the development of a definitive multicentre RCT of ACT versus standard treatment if indicated. Ultimately if the intervention is effective and cost effective this could lead to a conceptual shift in treatment interventions for alcohol dependence. Outputs and aggregate data from the research will be shared and disseminated via peer reviewed publications and conferences.

Publications

10 25 50
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Anderson P (2009) Introduction to the issue--the alcohol industry and alcohol policy. in Addiction (Abingdon, England)

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Drummond C (2009) Effectiveness and cost-effectiveness of a stepped care intervention for alcohol use disorders in primary care: pilot study. in The British journal of psychiatry : the journal of mental science

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Rose AK (2010) The importance of glucocorticoids in alcohol dependence and neurotoxicity. in Alcoholism, clinical and experimental research

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Barbosa C (2010) Modelling lifetime QALYs and health care costs from different drinking patterns over time: a Markov model. in International journal of methods in psychiatric research

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Drummond Colin (2011) ALCOHOL GUIDANCE in PSYCHOLOGIST

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Drummond C (2011) The end of the dependence syndrome as we know it? in Addiction (Abingdon, England)

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Thomson AD (2012) Alcohol-related brain damage: report from a Medical Council on Alcohol Symposium, June 2010. in Alcohol and alcoholism (Oxford, Oxfordshire)

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Coulton S (2012) Screening for alcohol use in criminal justice settings: an exploratory study. in Alcohol and alcoholism (Oxford, Oxfordshire)

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Rice P (2012) The price of a drink: the potential of alcohol minimum unit pricing as a public health measure in the UK. in The British journal of psychiatry : the journal of mental science

 
Description Commissioning of AO service for alcohol in Southwark
Geographic Reach National 
Policy Influence Type Citation in other policy documents
 
Description Kings Health Partners alcohol strategy
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Participation in a advisory committee
 
Guideline Title Alcohol use disorders: assessment and management of alcohol dependence
Description NICE Guidelines: Assertive Outreach described as a promising area in treatment of alcohol dependence
Geographic Reach Multiple continents/international 
Policy Influence Type Citation in clinical guidelines
 
Description Public Health England - alcohol care teams
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
 
Description Public Heath England - working group on adolescent care pathways
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
Impact Improved access of adolescent alcohol misusers to alcohol interventions
 
Description Review of QALY measures for alcohol dependence
Geographic Reach Multiple continents/international 
Policy Influence Type Citation in systematic reviews
 
Description Training on obtaining accurate alcohol histories
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
 
Description ALICE RAP Addictions and Lifestyles in Contemporary Europe - Reframing Addictions Project
Amount £2,504,824 (GBP)
Funding ID 266813 
Organisation European Commission 
Sector Public
Country European Union (EU)
Start 04/2011 
End 03/2016
 
Description Alcohol Research UK
Amount £59,097 (GBP)
Organisation Alcohol Research UK 
Sector Charity/Non Profit
Country United Kingdom
Start 06/2015 
End 03/2016
 
Description An evidence based model for estimating requirements for specialist treatment capacity in England
Amount £250,000 (GBP)
Organisation London School of Hygiene and Tropical Medicine (LSHTM) 
Department Department of Health Services Research and Policy
Sector Academic/University
Country United Kingdom
Start 01/2014 
End 12/2015
 
Description Development and evaluation of an assertive outreach service for alcohol related frequent hospital attenders across King's Health Partners - Phase 2
Amount £1,338,841 (GBP)
Organisation Guy’s & St Thomas’ Charity 
Sector Charity/Non Profit
Country United Kingdom
Start 01/2016 
End 12/2018
 
Description EU FP7
Amount € 2,999,300 (EUR)
Organisation European Commission 
Department Seventh Framework Programme (FP7)
Sector Public
Country European Union (EU)
Start 01/2012 
End 12/2016
 
Description Guy's and St Thomas' Charity (New services and innovations in healthcare)
Amount £35,000 (GBP)
Organisation Guy’s & St Thomas’ Charity 
Sector Charity/Non Profit
Country United Kingdom
Start 09/2009 
End 03/2013
 
Description Innovation Doctoral Research Fellowship' South London Health Innovation Network
Amount £500,000 (GBP)
Organisation NHS England 
Sector Public
Country United Kingdom
Start 01/2014 
End 12/2019
 
Description MRC cluster
Amount £10,000 (GBP)
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 02/2009 
End 12/2011
 
Description Medical Research Council Mental Health and Addictions
Amount £1,800,000 (GBP)
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 01/2016 
End 01/2021
 
Description NIHR CLAHRC
Amount £9,000,000 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 01/2014 
End 12/2019
 
Description NIHR Clinical Doctoral Research Fellowship
Amount £378,609 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 01/2010 
End 12/2015
 
Description NIHR Programme Grant for Applied Research
Amount £1,999,700 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 06/2011 
End 06/2016
 
Description Postgraduate research studentship
Amount £21,000 (GBP)
Organisation Alcohol Research UK 
Sector Charity/Non Profit
Country United Kingdom
Start 09/2010 
End 09/2013
 
Description South London Collaborations in Leadership in Applied Health Research
Amount £9,000,000 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 01/2014 
End 12/2019
 
Description Adolescent alcohol study 
Organisation Imperial College London
Department Faculty of Medicine
Country United Kingdom 
Sector Academic/University 
PI Contribution The team has were successful in applying to NIHR programme grants for applied research arising from our collaboration
Collaborator Contribution Methods utilised successfully in ACTAD has impacted on collaborators choice of alcohol measures and proposd collaboration with service users in the SIPS Jnr study. Members of the ACTAD team have provided training to the SIPS Jnr team using methods developed in ACTAD to maximise the quality of alcohol history data collection. .
Impact A £2,000,000 programme grant has been awarded to conduct multidisciplinary research on alcohol misuse in adolescents led by our team at King's College with collaboration from Imperial College, Kent University
Start Year 2008
 
Description Adolescent alcohol study 
Organisation University of Kent
Department Institute of Medicine and Health Sciences
Country United Kingdom 
Sector Academic/University 
PI Contribution The team has were successful in applying to NIHR programme grants for applied research arising from our collaboration
Collaborator Contribution Methods utilised successfully in ACTAD has impacted on collaborators choice of alcohol measures and proposd collaboration with service users in the SIPS Jnr study. Members of the ACTAD team have provided training to the SIPS Jnr team using methods developed in ACTAD to maximise the quality of alcohol history data collection. .
Impact A £2,000,000 programme grant has been awarded to conduct multidisciplinary research on alcohol misuse in adolescents led by our team at King's College with collaboration from Imperial College, Kent University
Start Year 2008
 
Description Alcohol treatment research cluster 
Organisation Imperial College London
Department Department of Medicine
Country United Kingdom 
Sector Academic/University 
PI Contribution Leading new successful research collaborative research grant applications through a new research network developed as part of the ACTAD study. We led the application for an MRC addiction research cluster.
Collaborator Contribution Development of MRC clinical alcohol research cluster with Dr Mike Crawford, Prof David Nutt, Prof Anne Lingford-HughesDevelopment of the MRC ECTAD addiction research cluster. Dr Ed DayDevelopment of several successful project applications with Prof John Strang including ECTAD
Impact Successful multidisciplinary programme grant application to DH NIHR Programme Grants for Applied Research
Start Year 2008
 
Description Alcohol treatment research cluster 
Organisation King's College London
Department Institute of Psychiatry, Psychology & Neuroscience
Country United Kingdom 
Sector Academic/University 
PI Contribution Leading new successful research collaborative research grant applications through a new research network developed as part of the ACTAD study. We led the application for an MRC addiction research cluster.
Collaborator Contribution Development of MRC clinical alcohol research cluster with Dr Mike Crawford, Prof David Nutt, Prof Anne Lingford-HughesDevelopment of the MRC ECTAD addiction research cluster. Dr Ed DayDevelopment of several successful project applications with Prof John Strang including ECTAD
Impact Successful multidisciplinary programme grant application to DH NIHR Programme Grants for Applied Research
Start Year 2008
 
Description Alcohol treatment research cluster 
Organisation University of Birmingham
Department College of Medical and Dental Sciences
Country United Kingdom 
Sector Academic/University 
PI Contribution Leading new successful research collaborative research grant applications through a new research network developed as part of the ACTAD study. We led the application for an MRC addiction research cluster.
Collaborator Contribution Development of MRC clinical alcohol research cluster with Dr Mike Crawford, Prof David Nutt, Prof Anne Lingford-HughesDevelopment of the MRC ECTAD addiction research cluster. Dr Ed DayDevelopment of several successful project applications with Prof John Strang including ECTAD
Impact Successful multidisciplinary programme grant application to DH NIHR Programme Grants for Applied Research
Start Year 2008
 
Description Assertive outreach service in Southwark 
Organisation South London and Maudsley (SLAM) NHS Foundation Trust
Department Addictions Clinical Academic Group
Country United Kingdom 
Sector Hospitals 
PI Contribution Implementation of the assertive outreach model in Southwark as part of the ACTAD trial has led to support from the Kings Health Partners Addictions Clinical Academic Group, local services and the local commissioners. The commissioners have financially supported setting up an assertive outreach service with local acute hospitals. This service is a direct result of the ACTAD trial.
Collaborator Contribution We will be guiding the model of care and intervention delivery, providing training where appropriate and overseeing clinical supervision of the practitioners.
Impact None as yet, however we will have access to data generated as part of this collaboration.
Start Year 2012
 
Description Assertive outreach service in Southwark 
Organisation Southwark Primary Care Trust (PCT)
Country United Kingdom 
Sector Public 
PI Contribution Implementation of the assertive outreach model in Southwark as part of the ACTAD trial has led to support from the Kings Health Partners Addictions Clinical Academic Group, local services and the local commissioners. The commissioners have financially supported setting up an assertive outreach service with local acute hospitals. This service is a direct result of the ACTAD trial.
Collaborator Contribution We will be guiding the model of care and intervention delivery, providing training where appropriate and overseeing clinical supervision of the practitioners.
Impact None as yet, however we will have access to data generated as part of this collaboration.
Start Year 2012
 
Description South London AHSN 
Organisation Epsom and St Helier University Hospitals NHS Trust
Country United Kingdom 
Sector Public 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation Goldsmiths, University of London
Country United Kingdom 
Sector Academic/University 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation Guy's and St Thomas' NHS Foundation Trust
Country United Kingdom 
Sector Public 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation King's College Hospital NHS Foundation Trust (NCH)
Country United Kingdom 
Sector Academic/University 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation Kingston University London
Country United Kingdom 
Sector Academic/University 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation Queen Elizabeth Hospital Birmingham
Country United Kingdom 
Sector Hospitals 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation Roehampton University
Country United Kingdom 
Sector Academic/University 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation Royal Marsden NHS Foundation Trust
Country United Kingdom 
Sector Public 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation South London Healthcare NHS Trust
Country United Kingdom 
Sector Public 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation St George's Healthcare NHS Trust
Country United Kingdom 
Sector Public 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation St George's University of London
Country United Kingdom 
Sector Academic/University 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description South London AHSN 
Organisation University of Greenwich
Country United Kingdom 
Sector Academic/University 
PI Contribution I have been a vocal advocate for alcohol related activities and together with the strength of the alcohol research team and ongoing projects, alcohol is one of the 4 clinical priority areas of focus.
Collaborator Contribution The AHSN is a broad collaboration of partners contributing to supporting the four themes, including improving alcohol related outcomes for the south London population.
Impact The AHSN is currently developing it's workstreams.
Start Year 2013
 
Description Addictions Masterclass 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Presentation at training masterclass which led to discussion and questions afterwards

Research disseminated internationally and model being considered more widely
Year(s) Of Engagement Activity 2010
 
Description British Society of Gastroenterology conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact National conference which led to questions and discussion afterwards

Led to collaboration on grant application and interest in our research
Year(s) Of Engagement Activity 2011
 
Description KHP alcohol strategy launch 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Local
Primary Audience Health professionals
Results and Impact The ACTAD project was presented as part of the launch of the King's Health Partners alcohol strategy to a meeting of approximately 50 professionals and service users from South London.

The session has led to further interest being expressed in the model locally.
Year(s) Of Engagement Activity 2013
 
Description Liverpool Alcohol conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Talk to professionals in the Trust which sparked questions on service delivery and design.

Professionals expressed interest in new models of service delivery and learning from ACTAD project.

University of Liverpool have subsequently successfully applied for a grant to develop case management for alcohol misuse in Liverpool using key information from the ACTAD study in the development of their intervention.
Year(s) Of Engagement Activity 2011
 
Description London Alcohol Summit 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact Talk to health professionals, commissioners and service users. Panel discussion with audience.

Much expressed interest from audience in the intervention and research outcomes.
Year(s) Of Engagement Activity 2010
 
Description London alcohol strategy conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact Talk at a conference which led to discussion afterwards.

Interest was expressed in the research and future projects
Year(s) Of Engagement Activity 2011
 
Description MHRN Annual Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Mental Health Research Network National Scientific Meeting, 6-8th April 2011, Cambridge, UK.
Presented the research to an audience of 50 people on the topic of current topics in alcohol research. Question session afterwards. Large amount of interest shown in assertive outreach methods in alcohol treatment.

Received subsequent invite to present ACTAD at a national service user event organised by the MHRN on alcohol research.
Year(s) Of Engagement Activity 2011
 
Description Meeting with Wandsworth service commissioners 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Presented the research which sparked questions and discussion afterwards.

Commissioners asked us to keep them updated as we progressed and when we have results. The commissioners have since funded an assertive outreach project in Wandsworth.
Year(s) Of Engagement Activity 2009
 
Description NICE alcohol conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Presentation led to discussion and questions afterwards

Part of dissemination of NICE guidelines and recommendations for consideration in service provision.

NIHR HTA have used the recommendations in NICE on AO as a basis for evidence to commission further research in this area.
Year(s) Of Engagement Activity 2011
 
Description NTA managers training event 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Presented to over 20 people which led to discussion afterwards.

As part of a training event, presentation is likely to have been considered in policy making.
Year(s) Of Engagement Activity 2011
 
Description Parade of the Stars - Institute of Psychiatry 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Local
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Presented to members of the institution on the latest advances in alcohol research, including ACTAD. Research and role of team was applauded.

Podcast of the event including presentation has been uploaded onto the website as an example of research excellence.
Year(s) Of Engagement Activity 2011
 
Description Royal College of Psychiatists clinical training 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact Training session for clinical psychiatrists

Trainees took away information on new models of care with a view to implementing in their own practice.
Year(s) Of Engagement Activity 2011
 
Description Royal College of Psychiatrists Addiction Faculty meeting 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Used the event as a consultation with addiction psychiatrists on the application of Assertive Community Treatment in alcohol dependence

Presented the progress with the trial. Much interest shown in the model of care.

Allowed the development and refinement of a treatment manual for Assertive Community Treatment and the formation of a Delphi Group for further intervention development
Year(s) Of Engagement Activity 2008,2011
 
Description Royal College of Psychiatrists Parliamentary Liaison Committee 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Meeting at Westminister involving discussion on alcohol policy and treatment

Research was considered by the committee considering national alcohol policy and the Alcohol Strategy.
Year(s) Of Engagement Activity 2011
 
Description Royal College of Psychiatrists annual conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Conferences attended by over 100 psychiatrists which sparked questions and debate afterwards.

Members requested further information about the research and opportunities for collaboration.
Year(s) Of Engagement Activity 2010,2011
 
Description SCAN Masterclass in Advanced Clinical Management of Addiction 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact Over 100 healthcare professionals attended. Much interest in outcomes of ACTAD study and advice regarding implementation of assertive outreach approaches.

High level of satisfaction with the masterclass and potential of the research presented. Have been contacted by a number of participants regarding further collaboration.
Year(s) Of Engagement Activity 2011
 
Description Salford Alcohol and Drugs Directorate 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact Presentation of research to health professionals which sparked questions and discussion afterwards.

Collaboration led to a grant application on assertive outreach in acute general hospitals and consideration of the locality and teams as future research sites.
Year(s) Of Engagement Activity 2011
 
Description Visits to service user groups 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach Local
Primary Audience Participants in your research and patient groups
Results and Impact Consultation event held with alcohol service users to develop and refine the assertive community treatment intervention and provide information on the research

This allowed development and refinement of the intervention and treatment manual leading to piloting and implementation of the intervention

Two individuals recruited to contribute further to the study as service user consultants on the ACTAD project management group and steering group.
Year(s) Of Engagement Activity 2008