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Alcohol Use and Management

  • Evan GouldingEmail author
Chapter

Abstract

Unhealthy alcohol use is a leading cause of preventable morbidity and mortality that can be addressed in the primary-care setting. All individuals seeking medical care should be screened for unhealthy alcohol use and provided feedback based on their level of use. Brief interventions for those who are drinking excessively can lead to reductions in drinking levels, and for those who meet the criteria for alcohol use disorder, brief interventions can assist in the referral to specialty treatment. Treatment recommendations should be provided in a clear and nonjudgmental manner, and options for reducing alcohol use or seeking additional treatment should be provided. Assessing willingness to change and working collaboratively can facilitate engagement and guide treatment recommendations. The use of pharmacological treatment can assist in reducing unhealthy alcohol use.

Keywords

Screening Brief intervention Referral to treatment Unhealthy alcohol use Alcohol use disorder 

Abbreviations

AUD

Alcohol use disorder

AUDIT

Alcohol Use Disorders Identification Test

CAGE

Cut down, Annoyed, Guilty, Eye opener

HCP

Health-care professional

IM

Intramuscular

NIAAA

National Institute on Alcohol Abuse and Alcoholism

NIDA

National Institute on Drug Abuse

NMDA

N-methyl-D-aspartate

NNT

Number needed to treat

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral Sciences, Feinberg School of MedicineNorthwestern UniversityChicagoUSA

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