Addressing Alcohol Use

This article outlines a comprehensive, evidence-based approach to screening, evaluating, and managing unhealthy alcohol use in clinical settings. It describes alcohol use along a spectrum from risky consumption to alcohol use disorder and underscores the role of brief interventions, validated screening tools like the AUDIT-C, and pharmacologic treatments including naltrexone and acamprosate. Practical workflows for primary care are detailed, with emphasis on nonjudgmental, patient-centered engagement. The piece advocates for routine screening, motivational counseling, follow-up, and shared decision-making, while addressing key implementation barriers and gaps in guideline adherence.

This article outlines a comprehensive, evidence-based approach to screening, evaluating, and managing unhealthy alcohol use in clinical settings. It describes alcohol use along a spectrum from risky consumption to alcohol use disorder and underscores the role of brief interventions, validated screening tools like the AUDIT-C, and pharmacologic treatments including naltrexone and acamprosate. Practical workflows for primary care are detailed, with emphasis on nonjudgmental, patient-centered engagement. The piece advocates for routine screening, motivational counseling, follow-up, and shared decision-making, while addressing key implementation barriers and gaps in guideline adherence.