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HOW TO CONDUCT A BRIEF INTERVENTION

FOR AT-RISK DRINKING (no abuse or dependence)

Step 3 Advise and Assist

  • State your conclusion and recommendation clearly and relate them to medical concerns or findings.
  • Gauge readiness to change drinking habits.
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Is patient ready to commit to change?
No or Yes
No
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Yes
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  • Restate your concern.
  • Encourage reflection.
  • Address barriers to change.
  • Reaffirm your willingness to help.

STEP 4 At Followup: Continue Support

REMINDER: Document alcohol use and review goals at each visit.
Was patient able to meet and sustain drinking goal?
No or Yes
No
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Yes
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  • Acknowledge that change is difficult.
  • Support positive change and address barriers.
  • Renegotiate goal and plan; consider a trial of abstinence.
  • Consider engaging significant others.
  • Reassess diagnosis if patient is unable to either cut down or abstain.
  • Reinforce and support continued adherence to recommendations.
  • Renegotiate drinking goals as indicated (e.g., if the medical condition changes or if an abstaining patient wishes to resume drinking).
  • Encourage to return if unable to maintain adherence.
  • Rescreen at least annually.

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