Followup

Systematic follow-up has been shown to improve outcome/1, ,79> Early detection of relapse is important, and is aided by regular contact with the family or the workplace, a breathalyser test at interview, and tests for blood markers of drinking (g-glutamyl transferase or carbohydrate-deficient transferrin). (8.9 Objective markers are required when a patient requests a report for a court, the driving licence authority, or an employer. Individualized outcome measures can be used, defined by the patient's own goals. This is particularly relevant when the patient's goal is to avoid further health or family problems, to avoid reoffending, or to stay in employment, rather than abstinence per se.(81>

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