The evolution of methods to estimate specialist alcohol treatment capacity and access in the United Kingdom
This presentation describes the evolution of methods to estimate specialist alcohol treatment capacity and access in the UK , the most recent work in England being the Specialist Treatment for Alcohol Model (STreAM). STreAM uses statistical modelling of local area prevalence rates and specialist alcohol treatment access data from the national treatment database (NDTMS), to yield local treatment access rates, including modelling of the potential population impact of changes in these rates. However, the inputs required for the STreAM model are not available across the whole of the UK, let alone in low resource settings. Recent modelling shows that routine diagnostic data on alcohol related hospital admissions are highly correlated with general population prevalence of alcohol use disorders from general population surveys across European countries. The potential utility of routine data as a proxy measure of the in-need population to compare treatment access rates between different countries and regions will be discussed.