Structural Changes
Published by Oxford University Press on behalf of the Medical Council on Alcohol. All rights reserved
Functional Changes
Key cognitive skills affected by ARBI: Memory Executive functions Balance & Coordination These can range from mild to severe.
Whos at Risk?
Men drinking 35 standard drinks per week or women drinking 28 standard drinks per week for 5-10 or more years. Admitted to acute hospital in the past year due to drinking. Those neglecting their nutrition. Those with Alcohol-Related liver damage. Multiple detoxifications. Has a close relative who has a suspected ARBI
Oslin, D., Aktinson, R.M., Smith, D.M. and Hendrie, H. (1998) Alcohol-Related Dementia: Proposed Clinical Criteria. International Journal of Geriatric Psychiatry 13, 203-212.
National Prevalence
Homelessness Population
Prison Population
Dementia Population
10% of Dementia population = 4170 of Irish Dementia Population 12.5% of dementias in under 65's
MacRae, Rhoda, and Sylvia Cox. Meeting the needs of people with alcohol related brain damage: a literature review on the existing and recommended service provision and models of care. Dementia Services Development Centre, 2003.
Key Challenges
CMHT
ARBI Serviceuser
Homelessness Services
ABI Services
Case Study
Matthew Aged 48 Longstanding AlcoholDependence Observations of deterioration in cognitive/functional abilities over 3 years. Admitted to LGH Structured routine of activities including placement in community gardening project 4 days per week Introduction of P.A
Graduated discharge.
Living successfully in the community. Remains abstinent
Impact on Family
The hidden patient of ARBI
Caregiver ambivalence
Ambiguous loss Repeated difficulties accessing services
Impact on Family
Caring for someone with ARBI is a hugely challenging process. But, if well supported can be mutually beneficial. Families need attention, education, guidance and support if they are to survive, regroup and rebuild their lives.
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