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Alcohol screening & brief intervention

Health Factors: Alcohol & Drug Use
Decision Makers: Educators Healthcare Professionals & Advocates
Evidence Rating: Scientifically Supported
Population Reach: 50-99% of WI's population
Impact on Disparities: No impact on disparities likely

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Description

Alcohol screening and brief intervention programs identify persons with harmful or hazardous alcohol consumption before health and social consequences become pronounced, and motivate individuals to address their existing or potential alcohol problem (WHO-SBI). Such interventions can be administered in person by health care providers, trained counselors, social workers or others or through electronic devices such as computers, telephones, or mobile devices in various settings (CG-Alcohol).

Expected Beneficial Outcomes

Reduced excessive drinking
Reduced alcohol-related harms
Reduced underage drinking

Evidence of Effectiveness

There is strong evidence that alcohol screening and brief interventions reduce excessive drinking among adults when administered in primary care and general hospital settings (WHO-SBI, Cochrane-Kaner 2007, Cochrane-McQueen 2011, IAS-Anderson 2006, NICE-Jackson 2010). Such interventions have also been shown to modestly reduce alcohol-related injuries (NICE-Jackson 2010, Cochrane-Dinh-Zarr 2004). Electronic screening and brief interventions (e-SBI) reduce excessive drinking and alcohol-related harms (CG-Alcohol).

Alcohol screening and brief interventions can reduce alcohol consumption among college students (NIAAA-College drinking 2002, Seigers 2010) and adolescents (Yuma-Guerrero 2012, NICE-Jackson 2010, IOM-Underage drinking 2004); however additional evidence is needed to confirm the strength of this effect. Such interventions appear to be more effective for men and heavy drinkers (Cochrane-Kaner 2007, Cochrane-McQueen 2011) than for women and moderate and dependent drinkers.

Alcohol screening and brief interventions appear to be cost effective approaches to reducing harmful alcohol consumption (IAS-Anderson 2006, WHO-SBI, NICE-Jackson 2010).

Implementation

United States

There are large-scale alcohol screening and brief intervention programs in Brazil, South Africa, Europe, and the US. The Substance Abuse and Mental Health Services Administration (SAMHSA)’s SBIRT program conducts demonstration projects across the country that assess and disseminate information on new SBIRT methods (APHA-SBI Manual 2008, SAMHSA-SBIRT).

Wisconsin

Wisconsin is one of a number of states participating in a federal Screening, Brief Intervention, Referral and Treatment trial which aims to integrate substance abuse screening into regular primary care visits (UWSMPH-SBIRT).

Implementation Resources

APHA-SBI Manual 2008 - American Public Health Association and Education Development Center, Inc (APHA). Alcohol screening and brief intervention: A guide for public health practitioners. Washington, DC: National Highway Traffic Safety Administration (NHTSA), US Department of Transportation (US DOT); 2008. Accessed on January 28, 2016
CDC-Higgins-Biddle 2009 - Higgins-Biddle J, Hungerford D, Cates-Wessel K. Screening and brief interventions (SBI) for unhealthy alcohol use: A step-by-step implementation guide for trauma centers. Atlanta: Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIPC); 2009. Accessed on December 12, 2015
CRR-SBIRT - Community Recovery Resources (CRR). Screening, Brief Intervention, and Referral (SBIRT) program: an early intervention for those at risk of developing substance abuse disorders. Accessed on February 10, 2016
NHMA-SBIRT 2006 - National Hispanic Medical Association (NHMA). NHMA screening and brief intervention toolkit for the Hispanic patient. Washington, DC: National Highway Traffic Safety Administration (NHTSA), US Department of Transportation (US DOT); 2006. Accessed on March 3, 2016

Citations - Description

CG-Alcohol - The Guide to Community Preventive Services (The Community Guide). Excessive alcohol consumption. Accessed on December 19, 2016
WHO-SBI - World Health Organization (WHO). Screening and brief intervention for alcohol problems in primary health care. Accessed on November 10, 2015

Citations - Evidence

CG-Alcohol - The Guide to Community Preventive Services (The Community Guide). Excessive alcohol consumption. Accessed on December 19, 2016
Cochrane-Dinh-Zarr 2004* - Dinh-Zarr TB, Gross CW, Heitman E, Roberts IG, DiGuiseppi C. Interventions for preventing injuries in problem drinkers. Cochrane Database of Systematic Reviews. 2004;(3):CD001857. Accessed on December 8, 2015
Cochrane-Kaner 2007* - Kaner EF, Dickinson HO, Beyer FR, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database of Systematic Reviews. 2007;(2):CD004148. Accessed on December 14, 2015
Cochrane-McQueen 2011* - McQueen J, Howe TE, Allan I, Mains D, Hardy V. Brief interventions for heavy alcohol users admitted to general hospital wards. Cochrane Database of Systematic Reviews. 2011;(8):CD005191. Accessed on December 14, 2015
IAS-Anderson 2006 - Anderson P, Baumberg B. Alcohol in Europe: A public health perspective. London, UK: Institute of Alcohol Studies (IAS); 2006. Accessed on February 17, 2016
IOM-Underage drinking 2004 - Institute of Medicine (IOM), National Research Council (NRC), Committee on Developing a Strategy to Reduce and Prevent Underage Drinking, Board on Children, Youth, and Families (BCYF). Reducing underage drinking: A collective responsibility. (Bonnie RJ, O’Connell ME, eds.). Washington, DC: National Academies Press; 2004. Accessed on February 24, 2016
NIAAA-College drinking 2002 - Task Force of the National Advisory Council on Alcohol Abuse and Alcoholism, National Institutes of Health (NIH). A call to action: Changing the culture of drinking at US colleges. Rockville: National Institute on Alcohol Abuse and Alcoholism (NIAAA); 2002. Accessed on March 1, 2016
NICE-Jackson 2010 - Jackson R, Johnson M, Campbell F, et al. Screening and brief interventions for prevention and early identification of alcohol use disorders in adults and young people. Sheffield: School of Health and Related Research (ScHARR) Public Health Collaborating Centre, University of Sheffield; 2010. Accessed on November 18, 2015
Seigers 2010* - Seigers DKL, Carey KB. Screening and brief interventions for alcohol use in college health centers: A review. Journal of American College Health. 2010;59(3):151-8. Accessed on November 9, 2015
WHO-SBI - World Health Organization (WHO). Screening and brief intervention for alcohol problems in primary health care. Accessed on November 10, 2015
Yuma-Guerrero 2012* - Yuma-Guerrero PJ, Lawson KA, Velasquez MM, et al. Screening, brief intervention, and referral for alcohol use in adolescents: A systematic review. Pediatrics. 2012;130(1). Accessed on November 23, 2015

Citations - Implementation

APHA-SBI Manual 2008 - American Public Health Association and Education Development Center, Inc (APHA). Alcohol screening and brief intervention: A guide for public health practitioners. Washington, DC: National Highway Traffic Safety Administration (NHTSA), US Department of Transportation (US DOT); 2008. Accessed on January 28, 2016
SAMHSA-SBIRT - SAMHSA-HRSA Center for Integrated Health Solutions (CIHS). SBIRT: Screening, brief intervention, and referral to treatment. Accessed on November 9, 2015
UWSMPH-SBIRT - Brown R. Screening, brief intervention and referral to treatment (SBIRT). Madison: University of Wisconsin School of Medicine and Public Health (UWSMPH). Accessed on November 18, 2015

Page Last Updated

November 7, 2013

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