screening and brief intervention

Screening for Alcohol Use and Brief Counseling of Adults — 13 States and the District of Columbia, 2017

Author/s: 
McKnight-Eily, LR, Okoro, CA, Turay, K, Acero, C, Hungerford, D

What is already known about this topic?

Binge drinking increases the risk for adverse health conditions and death. Alcohol screening and brief intervention (SBI), recommended by the U.S. Preventive Services Task Force (USPSTF) for all adults in primary care, is effective in reducing binge drinking.

What is added by this report?

In 2017, 81% of survey respondents were asked by their health care provider about alcohol consumption and 38% about binge drinking at a checkup in the past 2 years. Among those asked about alcohol use and who reported current binge drinking, 80% received no advice to reduce their drinking.

What are the implications for public health practice?

Implementation of alcohol SBI as recommended by USPSTF, coupled with population-level evidence-based interventions, can reduce binge drinking among U.S. adults.

Alcohol Screening and Brief Intervention (SBI) Office Champions Project

Family physicians are in the unique position to address risky alcohol use among women of childbearing age that could lead to fetal alcohol spectrum disorders (FASD), a leading preventable cause of birth defects and developmental disabilities. Research shows that alcohol SBI, which includes short counseling sessions, feedback, advice, and goal-setting conducted by healthcare providers, is effective at reducing alcohol misuse among adults, including pregnant women. Based on efficacy and cost-effectiveness, alcohol SBI is in the top 10 preventive health services. Yet, alcohol SBI remains one of the least adopted of these evidence-based services. 

The AAFP encourages members, especially those serving a significant number of women of childbearing age, to apply for the Alcohol Screening and Brief Intervention (SBI) Office Champions Project. The project, which will accept up to 25 family medicine practices, aims to increase the use of alcohol SBI within primary care settings, utilizing the office champions model. 

Applications are due August 31, 2019.

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