FLAGS

Brief intervention.

  • Feeback
  • Listen with empathy
  • Advise
  • Goals
  • Strategies

Alcohol example

  • Feedback  
    • Provide individualised feedback about the risks associated with continued drinking, based on current drinking patterns, problem indicators, and health status.
    • Discuss the potential health problems that can arise from risky alcohol use.
  • Listen with empathy
    • Listen to the patient’s response.
    • This should spark a discussion of the patient’s consumption level and how it relates to general population consumption and any false beliefs held by the patient.
  • Advice
    • Give clear advice about the importance of changing current drinking patterns and a recommended level of consumption.
    • A typical five to 10 minute brief intervention should involve advice on reducing consumption in a persuasive but non-judgemental way.
    • Advice can be supported by self-help materials, which provide information about the potential harms of risky alcohol consumption and can provide additional motivation to change.
  • Goals
    • Discuss the safe drinking limits and assist the patient to set specific goals for changing patterns of consumption.
    • Instil optimism in the patient that their chosen goals can be achieved.
    • It is in this step, in particular, that motivation-enhancing techniques are used to encourage patients to develop, implement and commit to plans to stop drinking.
  • Strategies
    • Ask the patient to suggest some strategies for achieving these goals.
    • This approach emphasises the patient’s choice to reduce drinking patterns and allows them to choose the approach best suited to their own situation.
    • The patient might consider setting a specific limit on alcohol consumption, learning to recognise the antecedents of drinking, and developing skills to avoid drinking in high-risk situations, pacing one’s drinking and learning to cope with everyday problems that lead to drinking.