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Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use

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Author/s: 
Higgins-Biddle, John C., Hungerford, Daniel W., Baker, Susan D., Reynolds, Megan R., Cheal, Nancy E., Weber, Mary Kate, Dang, Elizabeth P.
Date Added: 
December 27, 2018
Publisher: 
National Center on Birth Defects and Developmental Disabilities
Publication Date: 
January 1, 2014
Type: 
Meta-analyses, Reviews, and Guidelines, Practice Management Research Results
Format: 
Slides
Keywords 
alcohol drinking
alcoholism
MeSH 
alcoholism
alcohol drinking
referral and consultation

RPR Commentary

This is a comprehensive set of recommendations from the CDC on how to establish a system for screening for and management of patients with unhealthy alcohol use.

Abstract

Like hypertension or tobacco screening, alcohol screening and brief intervention (alcohol SBI) is a clinical preventative service. It identifies and helps patients who may be drinking too much. It involves:

  • A validated set of screening questions to identify patients' drinking patterns,
  • A short conversation who are drinking to omuch, and for patients with severe risk, a referral to specialized treatment as warranted.

The entire service takes only a few minutes, is inexpensive, and may be reimbursable. Thirty years of resesarch has shown that alcohol SBI is effective at reducing the amount of alcohol consumed by those who are drinking too much. Based on this evidence the U.S. Preventative Services Task Force and many other organizations have recommended that alcohol SBI be implemented for all adults in primary health care settings.

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