{"id":11237,"date":"2022-10-11T17:13:58","date_gmt":"2022-10-11T16:13:58","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=11237"},"modified":"2025-04-29T08:51:46","modified_gmt":"2025-04-29T07:51:46","slug":"alcohol","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/alcoholanddruguse\/alcohol\/","title":{"rendered":"Alcohol"},"content":{"rendered":"\n<p>\u200bAlcohol consumption is high in Scotland, with average intake of 18 units per week in adults, but, in practice, higher when those who are abstinent are accounted for. Alcohol-related morbidity and mortality are correspondingly also high, with over a thousand alcohol-specific deaths each year in Scotland. The rates of death in men are over twice those of women, and deaths overall are strongly associated with socioeconomic deprivation.<\/p>\n\n\n\n<p>The&nbsp;<a href=\"https:\/\/www.count14.scot\/\" target=\"_blank\" rel=\"noreferrer noopener\">Count 14<\/a>&nbsp;website gives straight forward instructions on how to assess units, and advice about alcohol intake. <\/p>\n\n\n\n<p>For those drinking more heavily or who are alcohol-dependent, please consider referral (or patients can self-refer) to the locality Hubs &#8211; please see the HSCP locality pages for further detail. The Hubs can arrange further support and, if needed, community detoxification or referral to the Ritson Clinic for an inpatient withdrawal programme.&nbsp;<a href=\"https:\/\/shaap.org.uk\/about.html\" target=\"_blank\" rel=\"noreferrer noopener\">SHAAP<\/a>&nbsp;produces a useful&nbsp;<a href=\"https:\/\/shaap.org.uk\/downloads\/240-advice-for-heavy-drinkers\/viewdocument\/240.html\" target=\"_blank\" rel=\"noreferrer noopener\">patient guide for heavy drinkers<\/a>&nbsp;thinking of cutting back or stopping drinking.<\/p>\n\n\n\n<p>SHAAP also produces guidance for health professionals on:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/shaap.org.uk\/downloads\/208-alcohol-cancer-risks-a-guide-for-health-professionals\/viewdocument\/208.html\" target=\"_blank\" rel=\"noreferrer noopener\">Alcohol and Cancer Risks<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/shaap.org.uk\/downloads\/41-ald-report-v2018-pdf\/viewdocument\/41.html\" target=\"_blank\" rel=\"noreferrer noopener\">Alcohol-related Liver Disease<\/a>.<\/li>\n<\/ul>\n\n\n\n<p>Please see the Resources and Links page for further information on organisations who support those with alcohol problems.&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.edinburghadp.co.uk\/services\/elca-counselling-service\/\" target=\"_blank\">ELCA<\/a>&nbsp;offers help, including counselling, to anyone in Lothian with concerns about their, or someone else&#8217;s, drinking, aged 18 or over.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">\u200bWho to refer:<\/h4>\n\n\n\n<p>Those with problematic drinking, who are alcohol-dependent, or wish support to remain abstinent should access locality Hubs.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<p><strong>Patients with acute medical needs<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>For patients with an urgent medical need please refer to the appropriate acute medical service at the RIE, WGH or St John&#8217;s Hospitals:\n<ul class=\"wp-block-list\">\n<li>acute confusional states<\/li>\n\n\n\n<li>and\/or withdrawal seizure(s),<\/li>\n\n\n\n<li>with or without Wernicke\u2019s encephalopathy,<\/li>\n\n\n\n<li>acute alcoholic hallucinations<\/li>\n\n\n\n<li>or delirium tremens.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Those who wish support with their alcohol intake, but not formal referral \u2013 please see the Resources and Links page.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How&nbsp;to refer:<\/h4>\n\n\n\n<p>Professionals can refer, or patients self-refer, to the locality hubs.<\/p>\n\n\n\n<p>GP teams can also refer via SCI Gateway.<\/p>\n\n\n\n<p>People who wish to be considered for LEAP&#8217;s 3 month residential programme can be referred directly &#8211;&nbsp;<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/SubstanceMisuse\/Leap\" target=\"_blank\" rel=\"noreferrer noopener\">LEAP (nhslothian.scot)<\/a>.<\/p>\n\n\n\n<p>For those with urgent medical needs (see above) including delirium tremens, please refer to acute medical services via the Flow Centre.&nbsp;<br><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>\u200b<a href=\"https:\/\/www.count14.scot\/\" target=\"_blank\" rel=\"noreferrer noopener\">Count 14<\/a>&nbsp;&#8211; enabling people to understand their alcohol intake<\/p>\n\n\n\n<p><a href=\"https:\/\/www.edinburghadp.co.uk\/services\/elca-counselling-service\/\" target=\"_blank\" rel=\"noreferrer noopener\">Edinburgh and Lothian Council on Alcohol<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.alcohol-focus-scotland.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Alcohol Focus Scotland<\/a>&nbsp;<\/p>\n\n\n\n<p><a href=\"https:\/\/www.sfad.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Families affected by Alcohol and Drugs<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.alcoholics-anonymous.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Alcoholics Anonymous<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.al-anonuk.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Al-Anon UK<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.scottishrecoveryconsortium.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Recovery Consortium<\/a>&nbsp;<\/p>\n\n\n\n<p><a href=\"https:\/\/www.adoptionuk.org\/fasd-hub-scotland\" target=\"_blank\" rel=\"noreferrer noopener\">FASD Hub Scotland Adoption UK<\/a>&nbsp;(for families affected by Foetal Alcohol Spectrum Disorder)<\/p>\n\n\n\n<p><a href=\"https:\/\/shaap.org.uk\/about.html\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Health Action on Alcohol Problems<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/shaap.org.uk\/downloads\/240-advice-for-heavy-drinkers\/viewdocument\/240.html\" target=\"_blank\" rel=\"noreferrer noopener\">Advice for heavy drinkers thinking of stopping or cutting back on alcohol<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/shaap.org.uk\/downloads\/208-alcohol-cancer-risks-a-guide-for-health-professionals\/viewdocument\/208.html\" target=\"_blank\" rel=\"noreferrer noopener\">Alcohol and Cancer Risks<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/shaap.org.uk\/downloads\/41-ald-report-v2018-pdf\/viewdocument\/41.html\" target=\"_blank\" rel=\"noreferrer noopener\">Alcohol-related Liver Disease<\/a><\/li>\n<\/ul>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Alcohol consumption is high in Scotland, with average intake of 18 units per week in adults, but, in practice, higher when those who are abstinent are accounted for. Alcohol-related morbidity and mortality are correspondingly also high, with over a thousand alcohol-specific deaths each year in Scotland. The rates of death in men are over twice<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4453,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[826],"class_list":["post-11237","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-alcohol"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/https-apps-nhslothian-scot-refhelp-guidelines-alcoholanddruguse\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-alcohol\/\" rel=\"tag\">Alcohol<\/a>","rttpg_excerpt":"&#8203;Alcohol consumption is high in Scotland, with average intake of 18 units per week in adults, but, in practice, higher when those who are abstinent are accounted for. Alcohol-related morbidity and mortality are correspondingly also high, with over a thousand alcohol-specific deaths each year in Scotland. The rates of death in men are over twice","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/11237","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=11237"}],"version-history":[{"count":5,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/11237\/revisions"}],"predecessor-version":[{"id":23848,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/11237\/revisions\/23848"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4453"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=11237"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=11237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}