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A National Survey of Assertive Outreach Treatment Services for People Who Frequently Attend Hospital due to Alcohol-Related Reasons in England

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)277-281
Number of pages5
JournalAlcohol and Alcoholism
Issue number3
Early online date22 Nov 2017
Accepted/In press25 Oct 2017
E-pub ahead of print22 Nov 2017


  • A national survey of assertive_FINCHAM-CAMPBELL_Publishedonline22November2017_GREEN AAM

    A_national_survey_of_assertive_FINCHAM_CAMPBELL_Publishedonline22November2017_GREEN_AAM.pdf, 97.1 KB, application/pdf

    Uploaded date:24 Nov 2017

    Version:Accepted author manuscript

    This is a pre-copyedited, author-produced version of an article accepted for publication in Alcohol and Alcoholism following peer review. The version of record Stephanie Fincham-Campbell, Andreas Kimergård, Amy Wolstenholme, Ros Blackwood, Robert Patton, Jacklyn Dunne, Paolo Deluca, Colin Drummond; A National Survey of Assertive Outreach Treatment Services for People Who Frequently Attend Hospital due to Alcohol-Related Reasons in England, Alcohol and Alcoholism is available online at:

King's Authors



To characterize England’s alcohol assertive outreach treatment (AAOT) services for people who frequently attend hospital due to alcohol-related reasons according to their concordance with six core AAOT components.


A cross-sectional national survey using structured telephone interviews with health professionals examining 6 essential AAOT components. High-level AAOT services were those that delivered 5 or more components, mid-level 3 to 4 components, low-level AAOT services 2 or less.


The analysis included 37 services that were classified according to their concordance with the 6 AAOT components. Six were identified as high-level AAOT services, 13 as mid-level AAOT services and 18 as low-level services. Extended support covering housing, mental and physical health over and above alcohol consumption was the most commonly delivered AAOT component provided. Having a multidisciplinary team was the least observed component, delivered in 33% high-level AAOT services and in 15% mid-level AAOT services. None of the low-level AAOT services had a multidisciplinary team.
Access to AAOT services developed to support high-cost and high-needs frequent hospital attenders varies across the nation. Further research, service evaluation and AAOT implementation should focus on essential AAOT components rather than self-defined labels of AAOT.

Short summary

The study investigated alcohol assertive outreach treatment (AAOT) services in England. The study found variability in service provision across AAOT services when measured against six essential AAOT components. Improvement of AAOT in England’s hospitals should focus on the implementation of essential AAOT components.

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