This essay will critically review service provision for adult men with alcohol dependence in Hammersmith. The essay will define alcohol dependence, its clinical importance, statistics; national policy will be highlighted and also will define community health profile. It will explore the strengths and weakness of inter-professional working as it is important across the broad spectrum of social care. The services available to meet the needs of this client groups in the National Health Service (NHS), voluntary and private sector at both local and national level will also be discussed.
It will also demonstrate an understanding of cultural, social diversity and the impact they have on health, ...view middle of the document...
Alcohol problems affect the health and well-being of the individual as well as their families, friends and other members of the community in which they live.
The London Borough of Hammersmith and Fulham (LBHF) have a population of 176,000) and it is the fourth most densely populated local authority in England and Wales (LBHF, 2004), in LBHF around 40% of new admissions were alcohol dependent assessment. Within this borough, there is a high incidence of alcohol abuse as well as severe mental illness.
Adult men with alcohol dependence in Hammersmith are chosen as a client group for several reasons. The Department of Health profile (DH, 2007) has indicated that alcohol dependence is becoming a problem and men are mostly affected. This will therefore affect in the role they play within their families and community (DH, 2005).
Association of public health in addressing issues of health inequalities and the empowerment of the wider community (APHO, 2007). The rate of admission to hospitals for alcohol specific condition is nearly double in England average; approximately 5.7% of the adult population in LBHF has an alcohol dependency. This translates to 6,400 people compared to England which estimated that total annual healthcare cost alone related to alcohol misuse add up to £1.7 billion per year. The bulk of these costs are borne by the NHS (Strategy Unit Alcohol Harm Reduction Project (SUAHRP), 2003). However, approximately 8.2 million people in England are drinking above the low risk or sensible level and around 1.1 million people are actually dependent on alcohol. 44% of these men do not know how to obtain information on alcohol dependence due to their mental status (Hammersmith &Fulham PCT, 2006). 1443 male hospital admissions are attributed to alcohol dependence as compared 796 males in London.
There are psychiatric disorders such as anxiety, depression, alcoholic psychosis which is associated with prolonged alcohol dependence. Whether dependency is causative factor to mental illness remains unclear, however, it may precipitate a pre – existing vulnerability to mental illness (Petronis et al, 1990).
There are various implications that can be derived from alcohol dependence both physical and psychological harm. Virtually every system in the body can be damaged by alcohol dependence. Examples are insomnia (sleeplessness), depression, loss of employment, family dynamic, relationship break-up, organ and liver damage, brain disorder, thought disturbances and so forth. They can become a risk to themselves by thinking about self harm or have suicidal thoughts (Petronis et al, 1990).
There are various services that are available in this geographical area for alcohol dependency, which are Community health team, home treatment, community alcohol team, advice and brief intervention, early intervention teams which deals with drug misuse and alcohol. General practitioners provide general healthcare and identified harmful drinkers by delivering brief...