Brief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutions

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dc.contributor.affiliationCentre for Global Mental Health (CGMH), Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK
dc.contributor.emailabhijit.nadkarni@lshtm.ac.uk
dc.creatorNadkarni, Abhijites_ES
dc.creatorBhatia, Urvitaes_ES
dc.creatorBedendo, Andrees_ES
dc.creatorSantos de Paula, Tassiane Cristinees_ES
dc.creatorGonçalves de Andrade Tostes, Joannaes_ES
dc.creatorSegura-Garcia, Lidiaes_ES
dc.creatorTiburcio, Marcelaes_ES
dc.creatorAndréasson, Svenes_ES
dc.date2022
dc.date.accessioned2024-11-12T20:52:01Z
dc.date.accessioned2026-03-27T15:30:32Z
dc.date.available2024-11-12T20:52:01Z
dc.date.issued2022
dc.date.published2022
dc.descriptionGlobal alcohol consumption and harmful use of alcohol is projected to increase in the coming decades, and most of the increase will occur in low- and middle-income countries (LMICs); which calls for cost-effective measures to reduce alcohol exposure in these countries. One such evidence based measure is screening and brief intervention (BI) for alcohol problems. Some of the characteristics of BI make them a particularly appealing choice of interventions in low-resource settings. However, despite evidence of effectiveness, implementation of BI in LMICs is rare. In this paper we discuss barriers to implementation of BI in LMICs, with examples from Latin America and India. Key barriers to implementation of BI in LMICs are the lack of financial and structural resources. Specialized services for alcohol use disorders are limited or non-existent. Hence primary care is often the only possible alternative to implement BI. However, health professionals in such settings generally lack training to deal with these disorders. In our review of BI research in these countries, we find some promising results, primarily in countries from Latin America, but so far there is limited research on effectiveness. Appropriate evaluation of efficacy and effectiveness of BI is undermined by lack of generalisability and methodological limitations. No systematic and scientific efforts to explore the implementation and evaluation of BI in primary and community platforms of care have been published in India. Innovative strategies need to be deployed to overcome supply side barriers related to specialist manpower shortages in LMICs. There is a growing evidence on the effectiveness of non-specialist health workers, including lay counsellors, in delivering frontline psychological interventions for a range of disorders including alcohol use disorders in LMICs. This paper is intended to stimulate discussion among researchers, practitioners and policy-makers in LMICs because increasing access to evidence based care for alcohol use disorders in LMICs would need a concerted effort from all these stakeholders.es_ES
dc.formatPDFes_ES
dc.identifierJC57DIEP22es_ES
dc.identifier.doi10.1186/s13033-022-00548-5
dc.identifier.eissn1752-4458
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeInglaterra
dc.identifier.urihttps://doi.org/10.1186/s13033-022-00548-5
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/8105
dc.language.isoenges_ES
dc.publisherBioMed Centrales_ES
dc.relation16(1):36
dc.relation.jnabreviadoINT J MENT HEALTH SYST
dc.relation.journalInternational Journal of Mental Health Systems
dc.rightsAcceso Cerradoes_ES
dc.subject.kwBrief interventions
dc.subject.kwAlcohol use disorders
dc.subject.kwLow- and middle- income countries
dc.subject.kwIndia
dc.subject.kwLatin America
dc.titleBrief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutionses_ES
dc.typeArtículoes_ES

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