Category Archives: Alcohol research findings and media coverage

Friday Sober Inspiration: Heads Together + Mad World podcast

So this caught my eye over the Easter week-end and struck a cord in so many ways.  The London Marathon is this week-end – Sunday 23rd April and this is the Virgin Money London Marathon chosen charity which is also supported by Prince William & Catherine and Prince Harry.

Here’s what their website says:

ABOUT HEADS TOGETHER

Through our work with young people, emergency response, homeless charities, and with veterans, we have seen time and time again that unresolved mental health problems lie at the heart of some of our greatest social challenges.

Too often, people feel afraid to admit that they are struggling with their mental health. This fear of prejudice and judgement stops people from getting help and can destroy families and end lives. Heads Together wants to help people feel much more comfortable with their everyday mental well-being and have the practical tools to support their friends and family.

The Heads Together campaign will build on the great work being done by our partner charities so that prejudice and fear no longer stand in the way of people getting the help they need.

Being the 2017 Virgin Money London Marathon Charity of the Year is the perfect springboard for the Heads Together campaign. We cannot wait to see hundreds of runners hitting the streets of London this April to end the stigma and change the conversation on mental health once and for all.

Bryony Gordon and The Telegraph have supported them by launching a podcast series discussing mental health with high profile UK figures – the first interview being with Prince Harry himself.  Their website features other well known personalities such as Rio Ferdinand and Lady Gaga.

This is The Telegraph’s brief:

Bryony Gordon’s Mad World is a new ten episode podcast brought to you by The Telegraph. Each week, Bryony will talk to a different guest about how their mental health has been affected by events in their own lives and find out why feeling weird is the most normal thing in the world.

You can listen to Bryony’s podcast interviews and the first one with Prince Harry is well worth your time:

Bryony Gordon’s Mad World

And the impact of this was immediate:

Schoolchildren will get access to NHS mental health workers in wake of Prince Harry’s ‘brave’ intervention

Alcohol dependency is a mental health issue and Prince Harry mentions it specifically in his interview so this is an important new charity both for those suffering because of the devastation of alcohol on them directly and the impact on those around them including children.  The destigmatization and normalisation of the conversation around mental health, and particularly the bolstering of mental health support for children and adolescents, is long overdue and I’m so pleased the Royal Family have got behind the cause and changed the direction of effect!

Bereaved through Drugs and Alcohol (BEAD) website launched

Featured by the Institute of Alcohol Studies in March is the launch of a website called BEAD (Bereaved through Alcohol and Drugs).

Lottery-funded project to offer support to grievers (23 March)

A website has been set up by Cruse Bereavement Care, the UK’s leading bereavement charity, and Adfam, the national voice for families affected by drugs and alcohol to offer support to those who have lost their loved ones as a result of drug and alcohol use.

The new Bereaved through Alcohol and Drugs (BEAD) website provides a wealth of information and resources to those unsure where to turn or what to do in such a difficult situation.

The website’s features include:

  • Outlining where and how to access appropriate support
  • Helping people through the grieving process by looking at the emotions one might be experiencing and how to overcome them
  • Providing practical help with the things one will have to deal with a result of their loss
  • Displaying stories and personal experiences

Linking to useful resources and relevant organisations.

The site was designed and developed in close partnership with a peer support volunteer who understood the needs of people accessing this service.

It is hoped that the website will augment the work they do in improving the emotional wellbeing of individuals bereaved through alcohol, ultimately becoming a vital tool for those in need of information and guidance on how to overcome their difficult situation.

Welcome to the Bereaved through Alcohol and Drugs website

Support Organisations:

Also!

Alcohol Research UK and Alcohol Concern merge

The trustees of Alcohol Research UK and Alcohol Concern are pleased to announce the merger of the two charities following detailed negotiations over the last few months.

The move will place the unified organisation in a much stronger position to achieve its joint mission to reduce the harms caused by alcohol; combining Alcohol Research UK’s long history of research excellence with Alcohol Concern’s strong advocacy work.

Read our news release to find out more.

Government consultation on high strength white ciders

So budget day came and went last month and the only thing of note as regards alcohol was the decision by the Chancellor to commission a consultation on a new rate for cider under 7.5% ABV in view of high strength white ciders.  Good news I agree which both Alcohol Policy UK and Alcohol Research UK shared.

Alcohol Research UK published that they welcomed the consultation saying:

The Chancellor has announced no changes to alcohol duties in the Budget, meaning they will only increase in line with inflation.  However, he has announced that the Government will hold a consultation on revising the low duties that apply to strong ciders at around 7.5% ABV.  This is explicitly designed to target white ciders.

As a previous Alcohol Research UK funded report has shown, white ciders are consumed widely by very heavy drinkers and so we welcome the Government’s decision to look again at the way they are taxed.

Alcohol Policy UK reported:

On the face of it, both industry groups calling for duty cuts and public health group calling for rises may appear disappointed, but health interests will hope the consultation results in action that will significantly curb ‘pocket money’ high strength white ciders. Alcohol bodies and other groups have called for an end to such drinks, often cited to be consumed mainly by those with alcohol dependency and reportedly sold for as little as 16p per unit of alcohol.

The impact of white ciders though has clearly been of concern to services working with dependent drinkers and those calling for pricing levers including minimum pricing.

Unsurprisingly industry bodies wailed and gnashed their teeth and The Scotch Whisky Association (SWA) described the decision as a “major blow.”

To their profitability yes but to the public health of the UK, including 16 year old Megan Craig-Wilkinson? ……

A sixteen-year-old schoolgirl died in her sleep after drinking a cider dubbed ‘the cheapest booze on sale in the UK’.  Megan Craig-Wilkinson was attending a New Year get together, her first big party with friends, where she tried 7.5 per alcohol ‘Frosty Jack’s’ cider – and died within hours.

Campaigners today warned a three-litre bottle of Frosty Jack’s contains the equivalent of 22 SHOTS of vodka… yet costs just 16p per unit of alcohol.

Grieving mum Joanne Good, 38, found Megan – a talented GCSE student who dreamed of being a teacher – dead in bed the morning after drinking it.  She was a victim of pulmonary aspiration – effectively ‘dry drowning’ as her stomach emptied its contents into her lungs.

Joanne had stayed with her daughter as she fell asleep, and put her in the recovery position as she lay in bed. But she was unaware that she had been drinking such a high level of alcohol.

Further coverage:

Cider duty consultation announced: will ‘white cider’ survive?

#alcoholfreekids

This was released by Alcohol Focus Scotland earlier this month.   In the report leading academics and health experts outline how the Scottish Government can reduce the unacceptably high levels of alcohol marketing that children and young people are exposed to. (#alcoholfreekids)

Removing alcohol adverts from streets and public transport, and phasing out alcohol sponsorship in sport are among the steps that should be taken to prevent alcohol companies reaching our children.

Children are very familiar with and influenced by alcohol brands and advertising campaigns, despite codes of practice which are supposed to protect them. There is clear evidence that exposure to alcohol marketing leads children to start drinking at a younger age and to drink more if they are already drinking.

Alcohol Focus Scotland was asked by Ministers to facilitate an international expert group on alcohol marketing to advise on the most effective policy options available and how they might be implemented in Scotland.

The group’s recommendations include:

  • removing alcohol marketing from public spaces such as streets, parks, sports grounds and on public transport
  • ending alcohol sponsorship of sports, music and cultural events
  • pressing the UK Government to introduce restrictions on TV alcohol advertising between 6am and 11pm, and to restrict cinema alcohol advertising to 18-certificate films
  • limiting alcohol advertising in newspapers and magazines to publications aimed at adults
  • restricting alcohol marketing on social networking sites

The report also recommends setting up an independent task force on alcohol marketing to remove the regulatory role of the alcohol industry.

More than 30 organisations, including Children 1st, the Scottish Cancer Prevention Network and the medical Royal Colleges, as well as the majority of MSPs (72), have pledged their support to end alcohol marketing in childhood. This report now outlines specific actions which could be taken to achieve that.

Professor Gerard Hastings, one of the group members and internationally renowned expert on social marketing, said:

“Self-regulation does not work; it will not control dishonest banks, over-claiming MPs – or profit-driven multinational drinks companies. And yet we continue to rely on it to protect our children from alcohol marketing. It is no surprise that study after study has shown that, as a result, children are being put in harm’s way – and that parents want policy makers to be more courageous. Scotland now has a chance to grasp this nettle and show how independent statutory regulation of marketing can provide our young people the protection they deserve. The international community is trusting us to take the same public health lead we took on smoke-free public places and minimum unit pricing; let us show them that we will.”

Alison Douglas, Chief Executive of Alcohol Focus Scotland, said:

“An alcohol-free childhood is the healthiest and best option, yet we allow alcohol companies to reach our children from a young age. They are seeing and hearing positive messages about alcohol when waiting for the school bus, watching the football, at the cinema or using social media. We need to create environments that foster positive choices and support children’s healthy development. We hope Ministers will respond to this report and the groundswell of support for effective alcohol marketing restrictions in Scotland.”

Tam Baillie, Children and Young People’s Commissioner Scotland said:

“I strongly support this report which provides clear evidence on the nature and reach of alcohol marketing and makes welcome and sensible proposals to safeguard our children. All children and young people have the right to good health and that must include the right to grow up free from commercial pressures to drink alcohol. The extent of the actions we take now are a good measure of the value we place on our children for the future.”

Summary (pdf) and full Report (pdf)

Radical ketamine therapy could treat alcohol addiction

This was featured in The Guardian in January whereby a one-off dose of the drug, ketamine could help alcohol addicts reduce their intake by ‘erasing’ drink-related memories, say psychologists testing treatment.

Ketamine is used as an anaesthetic agent and also in terminal care in my professional experience and as a recreational drug in my personal experience.

Here’s what the researchers say:

Scientists believe that a radical treatment involving the tranquilliser ketamine could help overcome alcohol addiction by “erasing” drink-related memories.

Psychologists based at University College London are testing whether a one-off dose of the drug could help hazardous drinkers who are trying to reduce their alcohol intake. Alcohol addiction is notoriously difficult to treat, and there are few effective therapies available.

Using a recreational drug to treat addiction may sound counterintuitive, but the researchers say there is a growing body of research suggesting that ketamine can be used to disrupt harmful patterns of behaviour.

Ravi Das, one of the lead researchers, said: “There is evidence that it could be useful as a treatment for alcoholism.”

Crucially, ketamine can disrupt the formation of memories, and scientists believe that this property could be harnessed to over-write the memories that drive addiction and harmful patterns of behaviour.

“Memories that you form can be hijacked by drugs in some people,” said Das. “If you were an alcoholic you might have a strong memory of being in a certain place and wanting to drink. Those memories get continuously triggered by things in the environment that you can’t avoid.”

For instance, seeing a glass of beer, hearing the clinking of glasses or even arriving home from work may trigger memories of the rewarding sensation of taking a drink – and might prompt a person to follow this urge.

“The main problem is the really high relapse rate after treatment,” said Das. “People can successfully quit using over the short term while they’re being monitored in the hospital … but when they return home they’re exposed to those environmental triggers again.”

There is increasing evidence, however, that memories are less stable than once assumed and may be open to manipulation.

Each time our brain accesses a memory, the neural connections that encode it are temporarily destabilised, meaning that our recollection can be slightly altered before it goes back into storage. This is one reason why, in everyday life, people can recall wildly different versions of the same events.

In the clinic, scientists believe this short period of instability, represents a window of opportunity. Ketamine blocks a brain receptor called NMDA, which is required for the formation of memories. So the logic is that giving someone the drug just as a memory has been destabilised could help weaken the memory, or even erase it.

A similar approach with a different drug was shown to eradicate people’s phobia of spiders. And research in rats that were made to be addicted to cocaine showed that the memories underpinning their addiction could be completely wiped out using a similar strategy (although this involved injecting a chemical into the brain).

In the UCL trial, the scientists will intentionally trigger alcohol-related memories by placing a glass of beer in front of the participants, who are all heavy drinkers. They will then disrupt the memory, by surprising the participant (the team is not disclosing the exact details as this could bias the results).

Participants will then be given either a ketamine infusion, with a concentration equivalent to a high recreational dose, or a placebo. The team will follow up the people for a year and monitor whether their drinking has changed and by how much.

In total the scientists are aiming to include 90 people in the trial and more than 50 have already taken part. It involves people who drink harmful quantities of alcohol, but excludes anyone who meets the clinical criteria for alcoholism. The participants were drinking at least 40 units for men (equivalent to four bottles of strong wine) and 28 units for women, and drinking on at least four days.

Nikki, 31, who works as a consultant in London said she decided to take part in the study when she had some time off between jobs and realised she was drinking more than she wanted to. “It’s just in the culture, that’s what all my friends are like. Everyone drinks to excess,” she said.

She described the experience of being given the ketamine as “overwhelming and intense”, but not unpleasant. “My body felt like it was melting away,” she said. “It was quite psychedelic, I felt untethered from my body.”

In the week after the session, she said, she felt in an “incredibly positive mood” and that since taking part she has been more conscious about deciding whether to have a drink, although said this could also be linked to starting a new job and taking up meditation. “In the past, there were occasions where I would be drinking and I’d be on autopilot ‘Let’s get another drink’,” she said.

If the trial yields promising results, the team hope that the approach could form the basis for therapy sessions targeted at alcoholics and people who are drinking unhealthily. However, they acknowledge that there may be resistance to the use of a recreational drug to treat people with addiction.

“There’s just the general social attitude that everything that’s illegal is terrible. There will obviously be that kind of narrow-sighted pushback,” said Das. “But if it’s safe and effective enough it should be recommended.”

Andrew Misell, a spokesman for Alcohol Concern, said: “The researchers have quite rightly highlighted what a lot of people in recovery from alcohol problems know from experience, namely that cues or triggers like the smell of beer can cause a relapse even after long periods of abstinence. Any work looking at how people can overcome these pitfalls is going to be useful.”

However, he added, no drug-based therapy is risk-free “and that certainly includes ketamine”.

Professor Michael Saladin, of the Medical University of South Carolina, is looking at similar approaches to help people quit smoking. “There is a vast animal research literature that suggests memories can be manipulated following reactivation,” he said. “I am convinced that there is sufficient evidence to believe that memory reconsolidation can be harnessed for clinical purposes.”

The Evening Standard also picked up on the research:

Researchers at University College London are trialling the use of ketamine, a powerful anaesthetic used in the NHS and on animals, to block or dismantle the “alcohol reward” memories that cause cravings and addictions. It is hoped the drug, known as ‘Special K’ on the party scene, will help drinkers “reboot” their brain and get their habit under control.

Well I’m all for research and trying new things if it will potentially help.  Although I’d be slightly concerned about cross-addiction because if it is a very pleasant experience people may wish and seek to repeat it and ketamine is available as a street drug.

NICE guidance on dual diagnosis 2016

This is not the first time that Dual Diagnosis has been discussed on this blog (you can read them all here).  However we now have official guidance from the National Institute of Clinical Excellence (NICE) on the issue.

My lovely friend Libby Ranzetta did an excellent synopsis that garnered praise on Twitter from the NICE guidelines chair themselves no less! 🙂

Over to her summary detailed over at Alcohol Policy UK:

New NICE guidance on dual diagnosis was released in November 2016: Coexisting severe mental illness and substance misuse: community health and social care services.

The guidance and supporting tools and resources sets out how services for those dually diagnosed aged 14 and above should be improved to ‘provide a range of coordinated services that address people’s wider health and social care needs, as well as other issues such as employment and housing.’

NICE has also produced a guideline on coexisting severe mental illness (psychosis) and substance misuse: assessment and management in healthcare settings.

Context and definitions

NICE contextualises the guidance by stating that adults and young people with coexisting severe mental illness and substance misuse have some of the worst health, wellbeing and social outcomes (details here). It is not clear how many people in the UK experience dual diagnosis issues, partly because some people in this group do not use services or get relevant care or treatment (see previous post).

The Department of Health’s Refocusing the Care Programme Approach identifies people with dual diagnosis as one of the groups in need of an enhanced Care Programme Approach. That is because they are not being identified consistently and services are sometimes failing to provide the support they need. The policy highlights the need for a whole systems approach to their care, involving a range of services and organisations working together. This guideline, NICE claims, aims to address this need.

In announcing the guidance, Professor Alan Maryon-Davis, chair of the guideline committee, spoke frankly about the challenges coexisting substance misuse and mental health problems pose for patients and practitioners alike.

“People with dual diagnosis almost always have multiple needs – often with physical health and social issues as well as their dual mental health and substance problem. They are often unemployed or struggling to hold onto a job. They may be in debt, homeless or poorly housed. They could even be in an abusive relationship.

To add to their woes, they are also more likely to be stereotyped and stigmatised. They are often regarded as unreliable, feckless, difficult to engage, aggressive or abusive.

As a result, they tend to get shunted around the various services they need support from with no-one wanting to take responsibility for them. This can all too easily lead to a downward spiral and sooner or later a crisis – perhaps forcing them into A&E, or on the streets. They may even find themselves in the magistrate’s court.

This is why our NICE guideline is so desperately needed.”

For Guideline 58 the age cut-off for young people has been set at 14 to reflect the small numbers affected below this age and the fact that many early intervention services usually start at age 14. ‘Substance misuse’ refers to the use of legal or illicit drugs, including alcohol and medicine, in a way that causes mental or physical damage.

‘Severe mental illness’ includes a clinical diagnosis of:

  • schizophrenia, schizotypal and delusional disorders, or
  • bipolar affective disorder, or
  • severe depressive episodes with or without psychotic episodes.

NICE Recommendations

The guideline is arranged as series of detailed recommendations on the following:

  • first contact with services
  • referral to secondary care mental health services
  • the care plan: multi-agency approach to address physical health, social care, housing and other support needs
  • partnership working between specialist services, health, social care and other support services and commissioners
  • improving service delivery
  • maintaining contact between services and people with coexisting severe mental illness and substance misuse who use them

Drug and Alcohol Findings Bank has provided a summary of the key recommendations here.

Professor Maryon-Davis summed up two main messages from the recommendations:

“First, there has to be much wider recognition that this group of people, despite their complexities, have as much right to dedicated care and support as anyone else. They should not be turned away or left to flounder. Every effort should be made to help them benefit from the services they so badly need. Crucial to this is a non-judgmental, empathetic approach and the building up of mutual respect and trust.

And secondly, good communication is key! Staff working in mental health, substance misuse, primary care, social care, housing, employment, benefits, criminal justice and the voluntary sector need to have strong leadership to ensure that they are all working together as best they can. We recommend that this can be best achieved by having a dedicated care coordinators.”

What happens next

Substance misuse practitioners could be forgiven for saying they have heard these messages before; messages which have not made much difference to the way mental health services respond to dual diagnosis. Last year the Recovery Partnership’s Review of Alcohol Treatment Services found a clear failure of services to meet the needs of people with dual diagnosis, summarising the policy context for such failure as follows:

“National guidance on the management of this [dual diagnosis] group was first published by the Department of Health in 2002. NICE published further guidance on psychosis with coexisting substance misuse in 2011.

However, the… situation has not improved and may be worsening because budgets have been cut in mental health services, and because mental health services are now commissioned by a separate body (Clinical Commissioning Groups) from alcohol services (Public Health). This represents a real blockage in the pathway of care for problem drinkers (and drug users), a blockage that cannot be easily resolved at the local level.”

Other questions may relate to possible missed opportunities to address low level mental health problems and substance misuse. For instance Improving Access to Psychological Therapies (IAPT) services – which exist for those mild to moderate mental health difficulties, such as depression, anxiety and phobias – are not mentioned within the guidance. IAPT though may be considered an ideal setting for brief intervention given the link between alcohol misuse and problems such as anxiety and depression, yet few IAPT services appear to routinely deliver IBA (although guidance was released for IAPT roles in 2012).

In 2014 an analysis suggested cognitive based therapy (CBT) and/or motivational interviewing (MI) for comorbid alcohol use disorder and major depressive disorder produced small but robust beneficial effects on both depression and alcohol consumption – regardless of whether delivered by mental health or subtance misuse roles.

Commissioners and service providers though will now be expected to use Guideline 58 to improve the quality of care given to people with dual diagnosis involving severe mental health problems. The Care Quality Commission (CQC) use NICE guidelines and quality standards as evidence for inspections, to inform the award of good and outstanding ratings. CQC’s inspection regime and associated powers may well provide the impetus needed for real change to happen this time.

Liver Transplantation

So I realised when I read this news story that I hadn’t actually ever detailed the liver and transplantation on the blog!  As reported by Alcohol Policy UK earlier this month: Liver transplants have been highlighted by an Eastenders storyline featuring Phil Mitchell (pictured as played by Steve McFadden) suffering with alcohol-related liver disease, reported the Express. The storyline has been praised by Sally Johnson, Director of Organ Donation and Transplantation for NHS Blood and Transplant, who said it had been portrayed responsibly. The Express followed up with the article Liver disease warning: How much damage are YOU doing to your vital organ?

So firstly lets look at how important the liver is and what function within the body it serves.

Your liver has around 500 different functions.  Importantly it:
  • fights infections and disease (which is why I struggled more with illness when I drank)
  • destroys and deals with poisons and drugs (which alcohol is)
  • filters and cleans the blood
  • controls the amount of cholesterol
  • produces and maintains the balance of hormones (hence why women get an increase in breast cancer rates with drinking and men get gynaecomastia, otherwise known as “man boobs” or “moobs”)
  • produces chemicals – enzymes and other proteins – responsible for most of the chemical reactions in the body, for example , blood clotting and repairing tissue (which is why wound healing is slower)
  • processes food once it has been digested (hence why alcoholics are very often severely malnourished)
  • produces bile to help break down food in the gut (and why jaundice is an early sign of liver distress)
  • stores energy that can be used rapidly when the body needs it most
  • stores sugars, vitamins and minerals, including iron
  • repairs damage and renews itself

So it is a major organ without which we die.

By the time you discover you need a transplant your liver might begin to fail and your quality of life may be very poor. You may have experienced the following symptoms:

  • loss of appetite
  • generally feeling unwell and being tired all the time
  • feeling sick and being sick
  • very itchy skin
  • loss of weight and muscle wasting
  • enlarged and tender liver (you may feel very tender below your right ribs)
  • increased sensitivity to alcohol and drugs (medical and recreational)
  • yellowing of the skin and whites of the eyes (jaundice)
  • swelling of the lower abdomen, or tummy (ascites), or the legs (peripheral oedema)
  • fever with high temperatures and shivers, often caused by an infection
  • vomiting blood
  • dark black tarry stools (faeces) or pale stools, associated with cholestatic disease
  • periods of mental confusion.

What is a liver transplant?

A liver transplant is an operation where your diseased liver is removed and replaced with a healthy donor human liver. Although liver transplants are now quite common, the operation is not undertaken lightly. It is a major operation and the body will always see the ‘new’ liver as a foreign agent and will try to destroy it. This means that if you have a liver transplant you will have to take medication for the rest of your life to stop your body rejecting the donor liver.

If you want to read the award winning leaflet about transplantation you can do so here.
If you want to read how a liver transplant is performed go here.
You will have to abstain from alcohol for at least 6 months prior to transplantation.
You will have to take immuno-suppressant drugs for the rest of your life to stop your body rejecting the new liver and regular blood tests to monitor.  These drugs carry their own risks and side effects such as:
  • kidney damage
  • high blood pressure
  • high cholesterol
  • obesity
  • higher risk of infections

It may restrict your travel options in the future and you will carry a higher risk of skin cancer.

For further information visit: British Liver Trust

And if you want to study the liver further there is a MOOC run by the University of Birmingham you can do free online: Liver Disease: Looking after Your Liver

It is not a miracle cure or the answer to your drinking prayers.  And those alcoholics who drink after receiving a donor liver leave me feeling very conflicted indeed – and yes I have met them ……

 

NICE focuses on improving treatment and diagnosis of liver disease

I have to thank the lovely Prim for forwarding this link to me about NICE and new draft guidance on treatment and diagnosis of liver disease (cue obligatory pictures of liver disease!)

Here’s the NICE report:

People who drink too much should be sent for scans to detect early liver disease, says NICE

Almost 1.9 million harmful drinkers in England could be sent for scans for cirrhosis by their GPs to detect disease early so treatment and lifestyle changes are more effective.

A draft quality standard out for consultation advises GPs to send people for scans for cirrhosis if men are drinking more than 50 units per week or 22 pints and women are drinking more than 35 units per week or 3 ½ bottles of wine.

Access to the two recommended tests, transient elastography and acoustic radiation force impulse imaging is currently varied across England, whilst the first is available in at least 120 UK hospitals, the latter is a newer technology that is not as widespread.

Dr Andrew Fowell, consultant hepatologist at Portsmouth Hospitals NHS Trust and specialist committee member, said: “Identifying people who are at risk of liver disease and offering them non-invasive testing to diagnose cirrhosis is key to ensuring they are given the treatment and support they need early enough to prevent serious complications.”

“Ten years ago diagnosis of cirrhosis would often require a liver biopsy, but now with advances in non-invasive testing it is much easier for patients and health professionals to make a diagnosis.”

Draft guidance also calls for all those diagnosed with non-alcoholic fatty liver disease to be regularly tested for advanced liver fibrosis – so they can manage their condition and prevent it developing into cirrhosis.

Professor Gillian Leng, deputy chief executive of NICE, said: “Many people with liver disease do not show symptoms until it is too late.

“If it is tackled at an early stage, simple lifestyle changes or treatments can be enough for the liver to recover. Early diagnosis is vital, as is action to both prevent and halt the damage that drinking too much alcohol can do.

“This draft quality standard makes a number of important suggestions to improve care for those with liver disease from offering advice to less invasive testing.

NICE is calling for all adults and young people with cirrhosis to go for ultrasound scans every 6 months for hepatocellular carcinoma, in a bid to improve earlier diagnosis.

The draft quality standard also supports improvements in treatment to prevent vein bleeds in some adults and young people with cirrhosis. An estimated 2,687 people could be eligible for treatment each year.

Liver disease is the fifth largest cause of death in England and Wales. It is estimated over 4,000 people die from cirrhosis every year and 700 will need a transplant.

Consultation on the draft quality standard for liver disease is open until 2 February 2017.

I look forward to the new guidelines being published and if you are wanting to find out about liver scans prior to this please go to this blog post.

A retrospective on 2016 (Friday sober jukebox: some riot)

So as I have pared down my blog activity and news sources the one I repeatedly return to is Alcohol Policy UK.  They wrote an excellent retrospective piece about 2016 which you can read here:

 

Alcohol policy in 2016 & what’s in store for 2017?

But what really struck me about this blog were the images featured at the end entitled: Selected alcohol slides from the ‘most interesting things about drugs and alcohol in 2016’ from Andrew Brown:

The top image was the first which highlighted how over half (54%) of strong ciders sold in the off-trade in England and Wales in 2015 were sold at below 20p a unit  <pauses to let that sink in for a minute>  so for less than the cost of a pint of milk! 🙁

Below I share the other three because visual images can be so much more impactful than words.  They all tell a compelling story which as yet is not being addressed by our govt sufficiently to change the trajectory of the graphs.

Association between the experience of physical and sexual abuse in the lives of women and dependence to drugs and alcohol …..

 

 

The number of offences committed pre and post treatment for alcohol use disorders ……

 

 

 

Graphic confirmation that those with the most problems with alcohol are more likely to use the NHS …..

 

 

 

I’ll finish with a haunting performance from Elbow and the BBC Concert Orchestra of Guy Garvey’s ode to a friend lost to alcohol addiction  – some riot.

The impact of alcohol is all too plain to see and hear to those who have eyes and ears.  Shame our govt is looking the other way with its collective fingers in its ears (except perhaps Liam Byrne) …..

PS Yesterday was day 1250!

Risky Drinking

So this premiered on HBO in the US in December 2016.  Luckily for us the documentary Risky Drinking has now appeared on Youtube so we can watch it too 🙂

Here’s a synopsis/review from Esquire:

To qualify as a risky drinker, a woman has to drink more than three drinks in one day, or more than seven drinks in a week. A man must have more than four drinks in one day, or more than 14 in a week. The risk itself from breaching these limits isn’t simply defined; it ranges from increased risk of violence, accidents, and self-injury to increased risk of sexual assault. It means an increased risk that something will happen that will irreversibly change someone’s life.

Or, as the new documentary Risky Drinking from HBO and the National Institute of Alcohol Abuse and Alcoholism shows, risky drinking could have already changed someone’s life. Now, the risk is that their life will spiral completely out of control.

The documentary follows four individuals, each on the spectrum for at-risk drinking, and each on the verge of toppling further into their dependencies. Kenzie is a young professional who parties on weekends; most binge drinkers are in her age group, 18 to 34. She downs shots and dissolves into tears each night out. “We haven’t gotten raped or murdered yet,” says her friend. Then there’s Mike, who is on the verge of domestic violence with his wife, and Noel, whose dependency affects her two daughters. The last is Neal, a grandfather so dependent on alcohol that he thinks he’s going to die (and who violently shakes when off the drink).

Risky Drinking doesn’t finish their stories. All we know is that each tries to get help, whether from medication, support groups, or moderation management, which is a treatment plan that doesn’t require total abstinence. Whether they are successful—whether they can get out of range of “alcohol use disorder,” which makes up one third of the drinking spectrum—is left unanswered. It’s a frustratingly open ending. But then, frustration is what you feel as you watch Kenzie, Mike, Noel, and Neal drink themselves stupid.

As the documentary points out, 70 percent of Americans drink alcohol. It’s worth knowing the risks, even if most Americans aren’t at the disorder stage—at least not yet. Risky Drinking assumes you already know this. It’s just showing you what risky drinking itself looks like for real people, if you care to watch.

Edited because original link to full documentary film on YouTube has now been removed.  Here’s the trailer:

And if you want to watch the full documentary film go here:

http://www.hbo.com/documentaries/risky-drinking

Interestingly in looking for the new link for you to watch I came across this panel interview with the experts featured and this is what they had to say:

“Alcohol is a bigger cost on society than all the rest of the drugs combined.” – George Koob, Ph.D.

“It’s the worst drug of all and it’s hidden in plain sight. – Stephen Ross, M.D.

“People don’t drink because they’re crazy; they drink because it works in some way.” – Carrie Wilkens, Ph.D.

“We do have a large epidemiological study in the field now that is looking at rates of fetal alcohol spectrum disorder and we’re hopeful, but the early evidence is concerning.” – Deidra Roach, M.D.

Here’s the panel discussion in full: