Community Alcohol Service (CAS)
The Community Alcohol Service (CAS) provided through NHS Herefordshire has been running since 2000 and from their premises on Gaol Street in Hereford, work with patients who have been referred by their GP with moderate to heavy drinking concerns.
CAS offers full assessments to all clients, in order to establish their physical, mental and social needs before determining the best method of treatment. They work with patients to offer structured treatment interventions, including reducing alcohol intake and safe supervised medical withdrawal from alcohol, with a view to helping people control or stop their drinking and improve their overall quality of life.
Although only a small team, they are dedicated to ensuring their clients have the best possible help and will also refer them to other organisations, depending upon their needs, which could include mental health issues or housing concerns.
Along with treatment interventions, CAS also offers other services, such as Alcohol Arrest Referral and the Alcohol Liaison Scheme. The Arrest Referral scheme offers people who have been arrested for alcohol related offences, the opportunity to receive an assessment and advice about alcohol use.
The Alcohol Liaison Scheme, a two year pilot running since March 2008, was set up to specifically reduce alcohol related admissions into the A&E Department at Hereford County Hospital. The scheme was developed following a successful pilot in Paddington, London after research showed that a high percentage of all A&E admissions were alcohol related, costing the NHS approximately £645 million a year.
All people admitted into A&E are provided with a short questionnaire, asking about their drinking habits, whether their visit is alcohol related and if they’d like help. If they would like to speak to someone, they’re given the details for the CAS Alcohol Liaison Nurse, Sarah Lewis.
Sarah’s role is focused around brief intervention work with clients, looking at how much they drink, why they drink and why they were admitted to A&E. She also works with clients to identify the physical, and mental health implications of their drinking, offering structured advice and support.
As the Alcohol Liaison Scheme offers short term interventions only, a full assessment is undertaken to ascertain whether the client needs any other assistance, such as long term support with CAS, before being referred accordingly. Sarah works with numerous other organisations on behalf of her clients, including Hospital Social Workers, GP’s and the Community Mental Health Team.
Sarah said “we’re not telling people not to drink, only to think about how much you do drink and the potential risks to yourself and others”. She added “we want people to have fun and enjoy themselves, but to remain safe at the same time”.
Although clients are unable to self refer to either CAS or the Alcohol Liaison Nurse, they can ask to be referred by either their GP or A&E at Hereford County Hospital.
For further information, you can contact CAS on 01432 357825.