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Screening and brief intervention for underage drinkers.

Duncan B Clark¹, Adam J Gordon, Lorraine R Ettaro

¹Division of Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. clarkdb@upmc.edu

Mayo Clinic Proceedings

|April 3, 2010

Summary

Health professionals can now more effectively screen adolescents for underage drinking and provide brief interventions. Advances in clinical methods and insurance reimbursement make early alcohol use disorder detection and treatment more feasible.

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Area of Science:

Public Health
Adolescent Medicine
Addiction Medicine

Background:

Underage drinking remains a significant public health concern, as highlighted by a 2007 US Surgeon General report.
Healthcare professionals play a crucial role in addressing adolescent alcohol use.
Effective strategies are needed to identify and manage alcohol-related issues in young patients.

Purpose of the Study:

To provide healthcare professionals with evidence-based recommendations for screening, brief intervention, and referral to treatment (SBIRT) for underage drinking in adolescents.
To review current literature and resources available for addressing adolescent alcohol use.
To discuss the impact of reimbursement policies on the implementation of SBIRT.

Main Methods:

A comprehensive literature search was conducted using MEDLINE and published reviews.
Identified relevant studies focused on screening tools, intervention strategies, and treatment options for adolescent alcohol use.
Examined current federal and commercial insurance reimbursement policies related to SBIRT services.

Main Results:

Several brief screening methods effectively identify underage drinkers at risk for alcohol use disorders.
Interventions typically involve education, motivation for change, and treatment considerations.
Internet-based resources and parental guidance tools are available.
Recent insurance policy changes offer some financial support for these services.

Conclusions:

Screening and brief intervention for underage drinking are increasingly feasible in general healthcare settings.
Further improvements in reimbursement rates and applicability are needed to encourage wider practitioner participation.
Integrating SBIRT into routine adolescent care is essential for early detection and management of alcohol-related problems.