Aims

To support the free and open dissemination of research findings and information on alcoholism and alcohol-related problems. To encourage open access to peer-reviewed articles free for all to view.

For full versions of posted research articles readers are encouraged to email requests for "electronic reprints" (text file, PDF files, FAX copies) to the corresponding or lead author, who is highlighted in the posting.

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Saturday, December 27, 2008

Integration of alcohol use disorders identification and management in the tuberculosis programme in Tomsk Oblast, Russia
The European Journal of Public Health Advance Access published online on December 26, 2008


Alcohol use disorders (AUDs) among tuberculosis (TB) patients are associated with nonadherence and poor treatment outcomes.

We developed a multidisciplinary model to manage AUDs among TB patients in Tomsk, Russia.

First, we assessed current standards of care through stakeholder meetings and ethnographic work. The Alcohol Use Disorders Identification Test (AUDIT) was incorporated into routine assessment of all patients starting TB treatment. We established treatment algorithms based on AUDIT scores. We then hired specialists and addressed licensing requirements to provide on-site addictions care.

Our experience offers a successful model in the management of co-occurring AUDs among patients with chronic medical problems.


Request Reprint E-Mail: tmathew@medicine.umsmed.edu

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