FASD Webinar Series: Screening and Brief Intervention: An Overview Presented by: Georgiana Wilton, PhD On: July 10th, 2014 Senior Scientist Department of Family Medicine University of Wisconsin-Madison Scope of the Issues Women’s Bodies and Alcohol Women absorb more alcohol and take longer 50% of US women age 18-44 use alcohol to break it down 33% binge drink Higher proportion of body fat Binge drinking leads to an increase risk of Lower volume of body water (leads to higher unintended pregnancy and alcohol exposure BAC’s) 18% of pregnant women report drinking and Lower first pass metabolism in 6.6% report binge drinking in previous 30 stomach/small intestine results in more days when asked in their 1st trimester alcohol going into the bloodstream Factors to Be Aware of That Are Associated How to find out if a patient is drinking too with Risky Drinking much? ASK – self-report, face-to-face or computer Ethnicity and acculturation – Hispanic women interviews, lab screening tests (GGT and and white women have highest drinking CDT) patterns Screening Tools – T-ACE, TWEAK, AUDIT, Lower socioeconomic status CAGE, RAPS Age of first drink – before 14 is a flag Timeline Follow Back (TLFB) – 30 days back Genetic predisposition to reveal drinking patterns Depression – can increase drinking patterns Trauma Questionnaire – events that would lead to depression, drinking, etc. Efficacy of Brief Alcohol Interventions (BAI) Resources: Meta analyses found reductions in alcohol use for pregnant women Reduced alcohol-related harms and costs SAMHSA TIP 51 – Reduced aggression in adolescents NIAAA Rethinking Drinking– Reduced risk of alcohol-exposed pregnancies Project Healthy Choices – Higher birth weights APHA Alcohol Screening and Brief Lower fetal mortality rates Intervention: A Guide for Public Health Reduced alcohol use in postpartum women Practitioners – and decrease in depressive symptoms Healthy Choices study showed a significant reduction in risk of alcohol-exposed pregnancy using BAI in person or over the phone Contact: Katrina Burkgren, Program Associate Phone: 202.534.3485 Email: burkgren@thearc.org The goal of the webinar series is to increase provider knowledge of the risks alcohol poses to a fetus, the use of prevention strategies, and of consistent messaging with patients: drinking while pregnant can cause FASD. For more webinars or to see the full recording of this one:
FASD Webinar Series: Screening and Brief Intervention: An Overview Presented by: Georgiana Wilton, PhD On: July 10th, 2014 Senior Scientist Department of Family Medicine University of Wisconsin-Madison Scope of the Issues Women’s Bodies and Alcohol 50% of US women age 18-44 use alcohol 33% binge drink Binge drinking leads to an increase risk of unintended pregnancy and alcohol exposure 18% of pregnant women report drinking and 6.6% report binge drinking in previous 30 days when asked in their 1st trimester Women absorb more alcohol and take longer to break it down Higher proportion of body fat Lower volume of body water (leads to higher BAC’s) Lower first pass metabolism in stomach/small intestine results in more alcohol going into the bloodstream Factors to Be Aware of That Are Associated with Risky Drinking How to find out if a patient is drinking too much? Ethnicity and acculturation – Hispanic women and white women have highest drinking patterns Lower socioeconomic status Age of first drink – before 14 is a flag Genetic predisposition Depression – can increase drinking patterns ASK – self-report, face-to-face or computer interviews, lab screening tests (GGT and CDT) Screening Tools – T-ACE, TWEAK, AUDIT, CAGE, RAPS Timeline Follow Back (TLFB) – 30 days back to reveal drinking patterns Trauma Questionnaire – events that would lead to depression, drinking, etc. Efficacy of Brief Alcohol Interventions (BAI) Resources: Meta analyses found reductions in alcohol use for pregnant women Reduced alcohol-related harms and costs Reduced aggression in adolescents Reduced risk of alcohol-exposed pregnancies Higher birth weights Lower fetal mortality rates Reduced alcohol use in postpartum women and decrease in depressive symptoms Healthy Choices study showed a significant reduction in risk of alcohol-exposed pregnancy using BAI in person or over the phone SAMHSA TIP 51 – NIAAA Rethinking Drinking– Project Healthy Choices – APHA Alcohol Screening and Brief Intervention: A Guide for Public Health Practitioners – Contact: Katrina Burkgren, Program Associate Phone: 202.534.3485 Email: burkgren@thearc.org The goal of the webinar series is to increase provider knowledge of the risks alcohol poses to a fetus, the use of prevention strategies, and of consistent messaging with patients: drinking while pregnant can cause FASD. For more webinars or to see the full recording of this one:
FASD-Webinar---Screening-and-Brief-Intervention-An-Overview.docx