There is evidence Australian GPs may not be identifying up to 70 per cent of risky/high-risk drinkers. To support early intervention, South Western Sydney PHN (SWSPHN) supports GPs to utilise the 5As framework which encourages screening assessment and brief intervention, and has been proven as an effective approach.
The framework provides health professionals with an evidence-based approach to identifying and supporting high-risk behaviours.
The 5As consist of:
- Ask: systematic identification of risk factors
- Assess: multiple risk, readiness to change, health literacy
- Advise/Agree: tailored information, motivational interviewing, goal setting
- Assist: referral to intensive intervention
- Arrange: follow up, maintenance
AOD localised HealthPathways have been developed to guide health professionals in providing appropriate care through clinical referral pathways and support services. The service directory of local drug and alcohol support services can also help support GPs with the implementation of the 5As framework.
Tools for implementing 5As:
Screening
Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) screening test
The eASSIST is an electronic version of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) which was developed by the World Health Organization. The ASSIST has eight questions and takes approximately 5-10 minutes to complete. The ASSIST helps identify the risks associated with substance use and the personalised feedback helps explore options for change.
Alcohol Use Disorders Identification Test – Consumption (AUDIT-C)
Visit the Department of Health website
Alcohol Use Disorders Identification Test (AUDIT)
World Health Organization Guidelines for primary care [PDF | 41 pages | 172kb]