Medications used:
- Acamprosate: Reduces cravings by balancing brain chemicals.
- Disulfiram: Creates unpleasant effects when alcohol is consumed (used as deterrent).
- Naltrexone & Nalmefene: Reduce pleasure and urges associated with drinking.
- Thiamine (Vitamin B1): Prevents neurological damage like Wernicke-Korsakoff syndrome.
Hospital and detox care:
- Planned withdrawal using benzodiazepines: to reduce withdrawal symptoms.
- Acute care for conditions like alcoholic liver disease or pancreatitis.
- Nutritional support with folate, multivitamins, and thiamine.
- Use of diagnostic codes (ICD-10) to classify conditions.
Therapy and behavioral support:
- Alcohol Brief Interventions (ABIs): Short, structured motivation sessions.
- Cognitive Behavioral Therapy and motivational interviewing.
- Group therapy, family counselling, and relapse prevention strategies.
- Residential rehab programs for severe dependency.
Outreach and local support:
- Alcohol and Drug Partnerships (ADPs) provide local services.
- Recovery communities and peer-led groups.
- Community pharmacies and social care teams assist with diagnosis and referrals.
Ongoing support:
- Monthly reviews with GP or addiction specialists.
- Long-term medication support and counseling.
- Collaboration between NHS Scotland and third-sector organizations.