Title: Management of people with alcohol-related problems
Course: Non-Communicable Diseases, Emergency Care and Mental Health Part 2 - Ethiopia (Full)

Management of people with alcohol-related problems

The goal of treatment is to help the individual live a normal life without alcohol use. This would include the acute phase of withdrawal when medical help is needed and the longer phase of readjustment to normal life and rehabilitation.

The first step is to help the individual and family to accept the problem. In the process, it is important that you understand the patient's perspective and attitude towards drinking. Successful treatment depends on the attitude and confidence of the patient. For patients willing to stop, advise them to set a definite date to quit. The preferred goal of treatment should be abstinence. However, abrupt abstinence for a person with a heavy alcohol drinking habit may lead to severe withdrawal symptoms (as described above).

When you deal with people with alcohol problems, you should explain the benefits of reducing or stopping drinking alcohol to them. Stopping using alcohol can save them money, reduce the risk of liver disease, depression, weight loss, brain damage, sleep disturbances and accidents. There is also the benefit of reducing problems at work with their employer or workmates, reducing criticism and insults from the family, and avoiding legal problems (e.g. being arrested for fighting and other criminal acts while under the influence of alcohol).

The second step for your client is to seek assistance from the nearest health facility. Advise the patient and refer them for medical treatment at the health centre or nearest hospital.

Why should a person withdraw from alcohol under medical supervision in a health facility? Think about what you have read in Section 14.2.3.

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Sudden withdrawal can result in severe symptoms, including delirium tremens. Such patients should be referred because medical supervision is important.