{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:03:41Z","timestamp":1771221821843,"version":"3.50.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":44,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR152084"],"award-info":[{"award-number":["NIHR152084"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to identify (i) the number of alcohol care teams (ACTs) in England, (ii) the characteristics of patients supported by ACTs, and (iii) the service structure and care components offered by ACTs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All acute hospitals (i.e. those providing short-term high-dependency medical care) in England were approached to complete a survey of alcohol care provision. Surveys were completed through researcher-guided interviews by staff familiar with the hospital\u2019s alcohol provision. It featured questions on service structure, patient characteristics, service functions, and policies. Data collection took place between May and October 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 170 hospitals approached, 122 completed a survey and 80 reported having an ACT. Most ACT patients were male (mean 64.1%; 95% confidence interval (CI) 61.8\u201366.4), white (mean 79.2%; 95% CI 75.1\u201383.4), aged 45\u201354 (mean 27.8%; 95% CI 25.0\u201330.5), and experiencing severe alcohol dependence (mean 66.2%; 95% CI 36.8\u201395.7). Most services had a clinical lead but only 58% funded this role. Fifty-nine percent of services operated 7\u00a0days per week. Most services reported identification and brief advice, though it was rarely systematized. Nearly all supported medically assisted alcohol withdrawal, though a quarter of patients did not complete medically assisted alcohol withdrawal before discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACT numbers increased significantly between 2019 and 2024. They offer a clinical service to highly vulnerable and complex patients. There is significant variation in ACT operational models, training, and leadership which will impact the effectiveness of identification strategies and management of patients with comorbid alcohol use disorder within acute medical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/alcalc\/agaf082","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T12:35:04Z","timestamp":1764592504000},"source":"Crossref","is-referenced-by-count":0,"title":["Characteristics of alcohol care teams in England: results of the ProACTIVE National Survey"],"prefix":"10.1093","volume":"61","author":[{"given":"Philippa","family":"Case","sequence":"first","affiliation":[{"name":"Centre for Addiction and Mental Health Research, Faculty of Health Sciences, University of Hull , Cottingham Road, Hull, HU6 7RX ,","place":["United 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Neuroscience, Kings College London , Addiction Sciences Building, 4 Windsor Walk, London, SE5 8AF ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0529-4135","authenticated-orcid":false,"given":"Colin","family":"Angus","sequence":"additional","affiliation":[{"name":"School of Medicine and Population Health, University of Sheffield , Beech Hill Road, Sheffield, S10 2RX ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krysia","family":"Canvin","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University , University Road, Staffordshire , ST4 6QG,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Cohen","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health Research, Faculty of Health Sciences, University of Hull , Cottingham Road, Hull, HU6 7RX ,","place":["United Kingdom"]},{"name":"Hull Health Trials Unit, Hull York Medical School , University of Hull, Cottingham Road, Hull, HU6 7RX ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin","family":"Drummond","sequence":"additional","affiliation":[{"name":"National Addiction Centre, Institute of Psychiatry, Psychology & Neuroscience, Kings College London , Addiction Sciences Building, 4 Windsor Walk, London, SE5 8AF ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1041-9844","authenticated-orcid":false,"given":"Steven","family":"Masson","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust , Freeman Hospital, Freeman Road, High Neaton, Newcastle upon Tyne, NE7 7DN ,","place":["United Kingdom"]},{"name":"Faculty of Medical Sciences, The Medical School, Newcastle University , Framlington Place, Newcastle upon Tyne, NE2 4HH ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4071-9434","authenticated-orcid":false,"given":"Amy","family":"O\u2019Donnell","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University , Richardson Road, Newcastle upon Tyne, NE2 4AX ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seilin","family":"Uhm","sequence":"additional","affiliation":[{"name":"Faculty of Environmental and Life Sciences, University of Southampton, University Road , Southampton, SO17 1BJ ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1905-2025","authenticated-orcid":false,"given":"Julia","family":"Sinclair","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Southampton , 12 University Road, 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