What should be done for adults who are screened positive for alcohol misuse?

For adults who screen positive for alcohol misuse, the recommended approach is to provide brief behavioral counseling interventions. This is supported by evidence that demonstrates these interventions can effectively reduce alcohol consumption and related problems. Brief counseling typically involves motivational interviewing techniques that help individuals recognize their alcohol use patterns, set goals, and develop strategies to reduce consumption.

Implementing this type of intervention is crucial because it provides immediate support and guidance that can lead to positive behavioral changes. Research has shown that brief counseling can be just as effective, if not more so, than more intensive treatments for many individuals with alcohol misuse issues.

In contrast, extended rehabilitation programs may be necessary for those with severe substance use disorders, but they are not the first line of response for individuals identified as misusing alcohol through screening. Referral to addiction specialists is an option but is generally reserved for cases where there is a more significant addiction issue rather than misuse. Not taking any action unless requested can miss the opportunity to intervene effectively and support the individual in making healthier choices. Thus, brief behavioral counseling interventions provide a timely and pragmatic approach for those who screen positive for alcohol misuse.