Through brief conversational interviews with 26 HMong parents (16 mothers and 10 fathers), this qualitative study examined their knowledge, support, confidence in assisting student higher education. Using a multi-step approach, five meta-themes emerged: desire or dream for the future, rau siab (hard work), specifics about schoolwork, help everything, advice encouragement. This study’s findings ...

BACKGROUND Many hazardous and harmful drinkers do not receive clinician advice to reduce their drinking. Previous studies suggest under-detection and clinician reluctance to intervene despite awareness of problem drinking (PD). The Healthy Habits Project previously reported chart review data documenting increased screening and intervention with hazardous and harmful drinkers after training clin...

A multidisciplinary implementation strategy between general practitioners (GPs), pharmacists, and the mental health sector is needed to effectively implement early interventions for risky drinking in the Flanders region of Belgium. An online Delphi study was set up in three rounds starting with open-ended questions on task views among pharmacists, GPs, and mental health professionals in a singl...

A growing body of evidence has shown the efficacy of brief intervention (BI) for hazardous and harmful alcohol use in primary health care settings. Evidence for efficacy in other settings and effectiveness when implemented at larger scale are disappointing. Indeed, BI comprises varying content; exploring BI content and mechanisms of action may be a promising way to enhance efficacy and effectiv...

In 1961, Chafetz [1] reported the results of a randomized trial of brief advice by a psychiatrist to patients with alcoholism in the Massachusetts General Hospital (MGH) emergency department (ED); 42% of patients in the advice arm reported to an alcohol clinic versus only 1% in the control group. Fifty years later, in the Liberty Hotel, the same space as the former Charles Street Jail in Boston...