Alcohol Screening and Brief Intervention in Police Custody Suites: Pilot Cluster Randomised Controlled Trial (AcCePT)

Michelle Addison, Ruth McGovern, Colin Angus, Frauke Becker, Alan Brennan, Heather Brown, Simon Coulton, Lisa Crowe, Eilish Gilvarry, Matthew Hickman, Denise Howel, Elaine McColl, Colin Muirhead, Dorothy Newbury-Birch, Muhammad Wagas, Eileen Kaner

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    Abstract

    Aims: There is a clear association between alcohol use and offending behaviour and significant police time is spent on alcohol-related incidents. This study aimed to test the feasibility of a trial of screening and brief intervention in police custody suites to reduce heavy drinking and reoffending behaviour.
    Short summary: We achieved target recruitment and high brief intervention delivery if this occurred immediately after screening. Low rates of return for counselling and retention at followup were challenges for a definitive trial. Conversely, high consent rates for access to police data suggested at least some outcomes could be measured remotely.
    Methods: A three-armed pilot Cluster Randomised Controlled Trial with an embedded qualitative interview-based process evaluation to explore acceptability issues in six police custody suites (north east and south west of the UK). Interventions included: 1. Screening only (Controls), 2. 10 min Brief Advice 3. Brief Advice plus 20 min of brief Counselling.
    Results: Of 3330 arrestees approached: 2228 were eligible for screening (67%) and 720 consented (32%); 386 (54%) scored 8+ on AUDIT; and 205 (53%) were enroled (79 controls, 65 brief advice and 61 brief counselling). Follow-up rates at 6 and 12 months were 29% and 26%, respectively.
    However, routinely collected re-offending data were obtained for 193 (94%) participants. Indices of deprivation data were calculated for 184 (90%) participants; 37.6% of these resided in the 20% most deprived areas of UK. Qualitative data showed that all arrestees reported awareness that participation was voluntary, that the trial was separate from police work, and the majority said trial procedures were acceptable.
    Original languageEnglish
    Pages (from-to)548–559
    JournalAlcohol and Alcoholism
    Volume53
    Issue number5
    Early online date8 Jun 2018
    DOIs
    Publication statusPublished - 1 Sep 2018

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  • Cite this

    Addison, M., McGovern, R., Angus, C., Becker, F., Brennan, A., Brown, H., Coulton, S., Crowe, L., Gilvarry, E., Hickman, M., Howel, D., McColl, E., Muirhead, C., Newbury-Birch, D., Wagas, M., & Kaner, E. (2018). Alcohol Screening and Brief Intervention in Police Custody Suites: Pilot Cluster Randomised Controlled Trial (AcCePT). Alcohol and Alcoholism, 53(5), 548–559. https://doi.org/10.1093/alcalc/agy039