Intended for healthcare professionals

Education And Debate

Doctors neglect their own alcohol problems as well as those of their patients

BMJ 1997; 315 doi: (Published 15 November 1997) Cite this as: BMJ 1997;315:1299
  1. Deborah Brooke, senior lecturer and consultant in forensic psychiatrya
  1. a Bexley Hospital, Bexley, Kent DA5 2BW

    The scenario set out by Dale and Barton is the stuff of sleepless nights. Assuming that the history, examination, and investigations all confirm the suspicions of alcohol dependency syndrome, then the patient's behaviour shows that he poses a risk to the safety of others, and to himself.

    Three features are central to risk management: security, supervision, and support1. This patient may agree to notify the Driver and Vehicle Licensing Agency and engage with alcohol …

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