Alcoholism is a disease characterised by continuous heavy drinking. Until people with alcohol use disorder admit to problems with alcohol and stop drinking, the risk of alcohol use disorder continues which affects both physical and mental health.
Alcohol starts to injure the brain once it reaches the bloodstream.
Excessive consumption can lead to Alcohol-Related Brain Damage, or ARBD, which is a type of brain disorder caused by alcohol consumption. Brain shrinkage caused by alcohol abuse is permanent, as alcohol kills brain cells and grey matter.
For more information and effects click ‘Learn More’.
Family Recovery Compass is a newsletter for friends and family members who feel trapped between supporting a loved one in addiction, and protecting their own wellbeing.
Every week, we tackle one specific situation in addiction family dynamics, and deliver practical decision-making frameworks and exact dialogue scripts – that help you respond with confidence instead of reaction.
Every month, we bring you an unfiltered recovery conversation with someone who’s either experienced addiction firsthand, or works closely with those in recovery.
No sanitised success stories – just practical insights on what actually works in recovery, that you can apply, in your life too.
Recovery capital is the internal and external resource used to begin the recovery process and maintain sobriety. This combines personal, social, and community support to provide a joined-up approach that supports the addict through recovery.
Do you or a loved one need addiction treatment for alcohol or drugs? Thousands blindly walk into addiction treatment in expensive rehab centres and find that the reality doesn’t meet expectations.
If you’re considering rehab treatment, first check our ultimate guide for complete instructions on how to find the right rehab centre for you.
Take-home Naloxone kits help families and loved ones respond quickly in an opioid overdose emergency, until emergency services arrive. Kits contain nasal or injectable forms of Naloxone.
Changes in legislation mean Naloxone kits are now more widely available from pharmacies and drug services, including Abbeycare.
For additional information, click ‘Learn More’ below.
Overcoming alcohol addiction means first ceasing alcohol intake, and taking care of physical and chemical withdrawal symptoms.
Detoxing from alcohol means undergoing withdrawal from alcohol, but with the assistance of prescribed medication and detox phase, to substitute in place of the alcohol itself.
Alcohol rehab focuses on tackling the problems underneath alcoholism, such as grief, trauma, depression, and emotional difficulties, in order to reduce continuing drinking after treatment.
Inpatient services at an alcohol rehab programme provides 24 hour access to specialist care.
Alcohol home detox provides a means of semi-supervised addiction treatment in the comfort of your home. It’s often suitable for those with inescapable practical commitments, or where a reduced budget for treatment is available.
An at-home detox is the most basic detox option available from Abbeycare, and assumes you have support available, post-detox, for the other important elements of long-term addiction recovery.
The term alcoholism refers to the consumption of alcohol to the extent that the person is unable to manage their own drinking habits or patterns, resulting in side-effects that are detrimental to the quality of life and health of the alcoholic, or those around them.
An alcoholic is someone who continues to compulsively abuse alcohol in this way, despite the negative consequences to their lives and health.
Immediately following treatment, the early stages of recovery and abstinence are most vulnerable to lapses.
At Abbeycare, a structured and peer-reviewed aftercare plan is usually prepared whilst still in treatment. This comprises social, peer, and therapeutic resources individuals draw upon, following a residential treatment programme for drug or alcohol misuse.
Clinically managed residential detoxification is:
– A structured detox that uses medication-assisted treatment and regular physical health observations
– Takes place in an inpatient rehabilitation unit or hospital
– Typically lasts from 7-10 days, but in Abbeycare, it is incorporated into a 28-day rehab programme
Family Therapy at Abbeycare Scotland or Gloucester is realistic, compassionate, and appropriate for families and loved ones of addicts.
Family therapeutic interventions in residential rehabilitation have been designed to support those living with or caring for participants entering the Abbeycare Programme.
Support for families in a group setting allows for a safe, constructive, and confidential place to listen and share common experiences.
Inpatient rehab is drug and/ or alcohol treatment in a rehab centre, where patients remain on-site for the duration of inpatient rehabilitation.
It includes detoxification from drugs, therapy (group work and 1-2-1 sessions), and aftercare planning. Inpatient rehabs typically last 28 days, but this varies on an individual basis.
Long-term treatment at Abbeycare has been developed for those suffering from alcohol or drug addiction. Completing a long-term drug and alcohol inpatient programme may be the solution to problematic substance use.
Motivational Enhancement Therapy can be used by trained addiction recovery therapists to elicit internal changes within and promote long-term recovery from substance use disorder.
All the answers to addiction can be found within with this comprehensive and successful therapy concept leads to behavioural changes, reflective listening, self-motivational statements, and a comprehensive recovery process.
Outpatient drug or alcohol rehab is daytime treatment as opposed to living in a treatment facility.
Outpatient treatment is similar to inpatient in terms of the methods used to treat substance abuse. Where they differ is in their approach to recovery.
Abbeycare’s prison to rehab is a 12-week structured rehab programme which involves direct transfer from prison. The suitability of the candidate is decided by prison staff.
Short-term residential treatment programmes are the chance to press the reset button and access a therapeutic programme designed to create recovery from the use of alcohol and drugs.
Feeling stuck in a rut. Want to stop but can’t seem to achieve sobriety?
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The 12-step programme was created by alcoholics anonymous (AA), and is specifically designed to aid addicts in achieving and maintaining abstinence.
The central ethos behind the programme is that participants must admit and surrender to a divine power to live happy lives. Ideas and experiences are shared in meetings, and help is sought in an attempt to achieve abstinence.
Abbeycare’s policy to respect your privacy and comply with any applicable law and regulation regarding any personal information we may collect about you, including across our website and other sites we own and operate.
Drug and alcohol misuse in the workplace impairs concentration and performance, with alcohol and substance abuse being linked to 60% of poor performance at work, including a lack of productivity and making mistakes [2].
It also increases the risk of accidents, with 40% of all workplace accidents caused by drinking or drug use [2].
A study in 2007 by Norwich Union Healthcare found that a third of employees had been to work with a hangover and 15% had been drunk at work, reporting that work problems that came from this included difficulty concentrating, mistakes, tiredness and reduced productivity [1].
Effects of Drug And Alcohol Misuse In The Workplace
Workplace Accidents
These accidents are not limited to heavy machinery, as smaller injuries such as falls, cuts or broken bones, with 65% of workplace accidents being caused by drinking and drug use [3].
The Health and Safety Executive Report found that 690,000 workers were involved in a non-fatal workplace accident.
The most common workplace accidents found were:
Falling from a height
Falling or tripping accidents
Using equipment or machinery
Being trapped under a fallen or collapsed item
Coming into contact with electricity [4]
Costs To The Workplace
Alcohol and drug use costs to the workplace include:
The cost of absences or sick leave used, up to 17 million working days are lost each year due to alcohol use with a cost to the economy of £1.7 billion [1]
The cost and inconvenience of missed deadlines, incomplete work or poor quality work, in a study of the association between alcohol consumption and impaired work performance, it was found that 77% of workplaces tested found that higher levels of alcohol consumption led to impaired work performance; with the effects of a hangover [nausea, headaches, drowsiness] causing both short and long term sick leave [5]
Employer Responsibilities
Employers have a responsibility to create a clear policy on the stance of the workplace towards drug and alcohol use.
Drug And Alcohol Policy
A drug and alcohol policy allows the employer to make their expectations clear to employees.
The policy must include:
The rules on drugs and alcohol at work
The consequences and dangers that will occur if a person takes part in drug and alcohol misuse at work or if that use affects work
The full disciplinary procedures that will be followed
Studies have proven that mining and construction industries have a strong culture of abusing drugs or alcohol, with each accounting for 17.5% and 16.5% of alcoholism in all industries surveyed [8].
In a study completed by BMC Public Health in 2021, men were proven to have higher rates of drug and alcohol misuse than women [9].
In a study, female police officers showed low levels of workplace stress but high levels of alcohol consumption, which is attributed to wanting to fit into a male dominated environment [10].
Stress In The Workplace
Alcohol and drug use in the workplace may be an attempt to develop a coping strategy as a means to overcome stress [11].
30% of workers drink as a way to relieve work stress [12].
A study by BMJ in 2015 found that stressful work situations, such as long hours, cause alcohol or drug abuse [13].
How Much of A Problem Is Drug And Alcohol Misuse In The Workplace?
A survey by DrugScope and Alcohol Concern found that 27% of employers had experienced issues due to drug misuse at work and 60% had issues with alcohol misuse [14].
Is It Illegal To Drink Or Use Drugs In The Workplace?
Although drug use is always illegal, there are no employment laws concerning the consumption of alcohol at work [16].
It is an offence to be drunk or or on drugs in some professions, for example, the Transport and Works Act 1992 made it illegal for workers to have used drink and drugs whilst working on transport systems [17].
Can You Be Fired For Drinking Or Using Drugs At Work?
If a company suspects drug use or a drug test is failed, then there are grounds for suspension or removal from the company [18].
There are no laws prohibiting the consumption of alcohol in the workplace, but intoxication will go against the Health and Safety at Work etc Act 1974, highlighting the responsibilities of the employer and employees to consider others safety in the workplace [19].
Intoxication or drug use in the workplace is considered gross misconduct and will lead to disciplinary action or dismissal, dependent on the company policy [16].
In the Attitudes to Addiction report, 1 in 5 workers felt that they would be fired if their employers knew the full extent of their drinking or drug use [20].
Alcohol and drug misuse can be limited inside an organisation by:
Choosing soft drink options in workplace social settings [21]
Speaking to employers if stress is becoming an issue, with solutions such as realistic workload expectations and targets, training and promotion opportunities all decrease stress in the workplace [22]
Find ways to avoid workplace stress, by spending time with family and friends, exercise, meditation and reflecting in a journal [23]
Distancing from co-workers that are drinking or using drugs, or those who are encouraging this behaviour in others [24]
Speaking to supervisors if drinking culture is causing work issues, such as lack of productivity, difficulty concentrating or mistakes [25]
About the author
Harriet Garfoot
Harriet Garfoot BA, MA has an Undergraduate degree in Education Studies and English, and a Master's degree in English Literature, from Bishop Grosseteste University. Harriet writes on stress & mental health, and is a member of the Burney Society. Content reviewed by Laura Morris (Clinical Lead).