Clinical Strategies to Reduce Excessive Alcohol Use

U.S. Preventive Services Task Force (USPSTF) Recommendations Related to Alcohol Use

Alcohol Misuse: Screening and Behavioral Counseling Interventions in Primary Careexternal icon

“The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.”

Grade: B Recommendation.external icon

Alcohol Screening and Brief Intervention Provided in Clinical Settings

Health care providers can screen adults, including pregnant women, for excessive alcohol use to identify people whose levels or patterns of alcohol use place them at increased risk of alcohol-related harms. Health care providers can then recommend or offer treatment services to those at risk. Brief counseling interventions for adults who drink excessively have been found to positively affect several patterns of excessive drinking, including heavy episodic (binge) drinking and high average weekly intake of alcohol.

Alcohol Screening and Brief Intervention Provided Using Electronic Devices (e-SBI)

The Community Preventive Services Task Force recommends the use of electronic devices such as computers, telephones, or mobile devices to provide screening and brief intervention for excessive alcohol use. Instead of having a clinician offer screening and brief intervention face-to-face, Electronic Screening and Brief Intervention (e-SBI) uses electronic devices such as computers, telephones, or mobile devices to provide information and personalized feedback about the risks and consequences of excessive alcohol use and offer advice designed to reduce excessive alcohol use.

Page last reviewed: November 14, 2019