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| Helping Patients Who Drink Too Much: A Clinician's Guide |
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The updated guide includes a new medications management program that consists of brief, structured outpatient sessions designed for easy use in nonspecialty outpatient settings by physicians, nurses, and other health care professionals. Applying the guide's medication management approach in nonspecialty settings will greatly expand access to effective treatment, since many patients with alcohol dependence either don't have access to specialty treatment or refuse referrals to specialists.
What's the Same, What's New in This Update
Same approach to screening and intervention
The approach to alcohol screening and intervention presented in the original 2005 Guide remains unchanged. That edition established a number of new directions compared with earlier versions, including a simplified, single-question screening question; more guidance for managing alcohol-dependent patients; and an expanded target audience that includes mental health practitioners, since their patients are more likely to have alcohol problems than patients in the general population.
In the "how-to" section, two small revisions are noteworthy. Feedback from Guide users told us that some patients do not consider beer to be an alcoholic beverage, so the prescreening question on page 4 now reads, "Do you sometimes drink beer, wine, or other alcoholic beverages?" And on page 5, the assessment criteria remain the same, but the sequence now better reflects the progression of symptoms in alcohol use disorders.
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