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The provision and effectiveness of community‐based treatment packages for people with alcohol misuse problems, has been recognised and highlighted in government policy, most recently by The National Assembly for Wales (2000). Responding to ‘problem drinkers’ within the primary health care setting, is a cost‐effective treatment option. The Specialist Community Alcohol CPN Service, within The North West Wales NHS Trust, is part of the Mental Health & Learning Disabilities Directorate. It is also at the forefront of clinical governance measures and the service strives towards clinical excellence through evidence‐based practice. In a recent survey, it was found that 72% of referrals came from general practitioners (Sims et al., 2002). This integrated care pathway, for the ‘problem drinker in the community’ is designed in an attempt to smooth the referral process. Moreover, it is intended as a way of giving information to referrers, regarding the range of clinical interventions available and raising awareness regarding ‘options for change’ with the service user.

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