Assessment of Unhealthy Alcohol Use in Primary Care
In this chapter, we will discuss the components of an assessment, including how to make a differential diagnosis for unhealthy alcohol use, the features of diagnoses particularly relevant for primary care clinicians, and available tools to help with diagnosis , including assessing the severity of the unhealthy alcohol use and its consequences . We will also discuss the importance of assessing the patient’s ‘readiness.’ The final goal of the assessment is to help the clinician ascertain what advice to give or treatment recommendations to make, and to enable him/her to deliver an appropriate and tailored intervention.
KeywordsDepression Naltrexone Acamprosate
- 2.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. (text revision). Washington, DC: American Psychiatric Association; 2000.Google Scholar
- 4.National Institute on Alcohol Abuse and Alcoholism. Helping patients who drink too much, A clinician’s guide, 2005 edition. U.S. Department of Health & Human Services, National Institutes of Health; 2007. http://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/clinicians_guide.htm. Accessed 2 June 2011.
- 7.Humeniuk RE, Henry-Edwards S, Ali R, Poznyak V, Monteiro M. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): manual for use in primary care. Geneva: World Health Organization; 2010. http://whqlibdoc.who.int/publications/2010/9789241599382_eng.pdf. Accessed 2 June 2011.Google Scholar
- 10.Miller W, Tonigan J, Longabaugh R. The Drinker Inventory of Consequences (DrInC): an instrument for assessing adverse consequences of alcohol abuse (test manual). Bethesda: National Institute on Alcohol Abuse and Alcoholism; 1995.Google Scholar
- 11.Rollnick S, Mason P, Butler C. Health behavior change: a guide for practitioners. Edinburgh: Churchill Livingstone; 1999.Google Scholar
- 12.DiClemente CC, Prochaska JO. Toward a comprehensive, transtheoretical model of change: stages of change and addictive behaviors. In: Miller WR, Heather N, editors. Treating addictive behaviors. 2nd ed. New York: Plenum; 1998.p. 3–24.Google Scholar
- 14.Miller WR, Rollnick SP. Motivational interviewing, second edition: preparing people for change. 2nd ed. New York: Guilford; 2002.Google Scholar