Whole of practice resources



Access AOD training  AOD resource list 

Whole of practice resources



Access AOD training  AOD resource list 
Alcohol and other drugs > Whole of practice resources
Last updated 11 July 2022

The management of all patients in the general practice setting is a collaborative effort. This is especially true with patients who use alcohol and other drugs (AOD).

A whole of practice approach that involves the general practitioner (GP), practice nurse, allied health workers, and practice staff maximises the opportunity for best practice care to occur and breaks down barriers to care. Identification of clinical roles and a tailored approach to a patient’s needs will positively impact outcomes.

The resources in this section are designed for all practice staff in the primary care setting and outlines ways to facilitate best practice outcomes for patients who use alcohol and drugs. They are intended to be used alongside the clinical resources contained on this website and in the AOD Resource List, which can be accessed at the bottom of each webpage.

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Reception staff

Resources for reception staff

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

Practice managers

Resources for practice managers

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

Nursing and clinical staff

Resources for nursing and clinical staff

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

GPs in a leadership or supervisory role

Resources for GPs in a leadership or supervisory role

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

Optimising the MBS for patients who use AOD

Resources for optimising the MBS for patients who use AOD

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

De-escalation flow chart

Pre-planned exit strategies to de-escalate a situation

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

Managing a patient in distress flow chart

Strategies to managing a patient in distress

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

Home-based GP-led alcohol withdrawal guide one page resource

Resource for clinical care

Home-based GP-led alcohol withdrawal patient handout

Resource for patients undergoing alcohol withdrawal

Professional development activities for practice staff

Sample AOD Cases

Sample AOD Cases for Discussion

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

Team based AOD activities

Team-based professional development activities

 
GP          And then, I just wonder what the alcohol is costing you? is that a stress, a financial stress for the family, given your wife is parenting and children, lovely as they are, are expensive?

Dan        Yeah it is expensive and it comes up because I guess it does add up when you think about it in terms of what I might have spent on it, my wife said that, she said, "o you know we can't afford to be spending all of this money", and I try to get good deals on it and all that sort of stuff and sometimes the guys buy the drinks, but yeah it does, it does add up a bit, but it's hard, it's just what we do and just what we do after work, and I wouldn't say I'm drinking any more than any of the other guys and if they buy a round, then I need to buy a round, you know what I mean

GP          Yes, so I'd be concerned about them too. Um so in terms of the physical health matters we do need to measure your blood pressure and examine your stomach and I think probably do some blood tests to check how your liver's doing

Dan        Really? Just having that much can affect my liver?

GP          Yes, yeah it could. It often may not give any symptoms

Dan        it's not as though I'm drinking a bottle of whiskey a day or something like that

GP          No, no, no, I want to absolutely stress that I have no moral view of your drinking, alcohol in moderation can be very pleasant and very safe

Dan        Yep

GP          It's when you're drinking to what we'd call in medical terms, excessive, the effects on your health can be quite significant. We also know it can affect your mental health, um so people sometimes drink when they have depression, to feel better, but the problem is that the alcohol actually compounds the depression

Dan        For me it kind of helps, I kind of see it in the other way, in that, just stress you know, it's full on, the long days at work and then the income and my dad's sick and my wife's not working, and for me it’s like well, it kind of helps to relax you and calm you down a little bit and all of that you know

GP          Yeah, and I guess you have to be out of bed fairly early

Dan        Yeah, yeah, yeah, yeah, really early

GP          To get to work

Dan        Yeah, yeah, yeah

GP          And then a lot of tradies have to do overtime on building sites

Dan        Yeah, we do

GP          Yeah, so I imagine when you get home, the children, you know, they often ark up in the evening and they're a bit tired and cranky and the house often quite a tense place

Dan        Yeah, it is, well sometimes I don't get home in time and they've kind of gone to bed and I miss them a little bit and my wife gets a bit annoyed because I'm not there and that, but they wake up and stuff too, which is hard because I've got to get up early, and I wake up and it's noisy and yeah it's a bit stressful, yeah there's no doubt about that, and I'm trying to get ready in the mornings and I'm trying to go out and it's full on, it's really full on sometimes and I don't think people understand that, I don't think my wife understands that and it's a lot of responsibility and you're trying to juggle everything but you can't, you can’t kind of do it all, you know?

GP          Yes, yes

Dan        So a couple of drinks, I thought that's something just to relax me a little bit

GP          So you've alluded to at times some tensions with your wife. Do you mind if I ask how the relationship's going?

Dan        Yeah, um, I mean yeah just tension I guess, because she just goes on about the fact that I'm coming in late, I’m going out for a drink after work and she's at home and then, "why don't you see the kids?" and but you know it's that whole kind of, it's a tough situation, because I do have to work and as you say I've got to do long hours sometimes and I have to be up early and I have to be onsite and you know, so I can kind of see where she's coming from but yeah no we argue about it and there's money and all that kind of stuff and money strains and then she says you're spending too much money and you shouldn't be drinking. So we have those arguments but I guess that's normal relationships isn't it, I mean, I guess that's what happens?

GP          Are there any plans for her to return to work, because you said your younger child's one?

Dan        yeah

GP          Is she on maternity leave or your plan is for her to stay home? And parent full time

Dan        oh probably parent full time, at least maybe, until school kind of age you know

GP          Ok

Dan        So then maybe she can go back part-time then or something like that

GP          Yes, yes

Dan        So it's just so much like childcare and all that's expensive and yeah it doesn't make sense that you know she might as well just stay at home

GP          Yeah so I can see you're in quite a challenging situation

Dan        Yeah, yeah, yeah, it’s full on, but you know, you’ve just got to get through it

GP          I'd like to talk to you further about some of these matters and I think also we need to do a better job improving your back               
 
 

Further Training

RACGP AOD Program training modules related to this topic are available on gplearning and include:

  • Alcohol and Other Drugs - Essential Skills
  • Alcohol and other drugs: Facilitating behaviour change

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