In an attempt to tackle the growing problem of alcohol misuse, a draft recommendation on screening and behavioral counseling has been issued by the US Preventative Services Task Force (Task Force).

Until October 22, the Task Force is welcoming comments from the public on this issue, which will all be taken into account before the concluding statement is released.

The statement says that screenings and behavioral counseling interventions will take place only in primary care settings, and will not be provided for individuals who are already receiving treatment, or people who have signs and symptoms of alcohol abuse.

Some of the many signs and symptoms that accompany alcohol abuse, which has been defined as continuing to use alcohol, despite negative outcomes, are:

  • chronic fatigue
  • irritability
  • insomnia
  • personal problems at school, work, or home
  • impaired memory
  • liver problems

The new recommendation involves 2 parts:

  • The Task Force believes it is important for all adults over the age of 18, and women who are pregnant, to be screened for misuse of alcohol. If they are found to be participating in dangerous drinking habits, they should be referred to counceling, in order to lower the improper usage of alcohol.
  • Right now, there is not enough evidence to support screening and behavioral counseling for people under the age of 17.

These guidelines confirm the recommendations regarding this issue established in 2004.

Dr. Susan Curry, Ph.D., from the task force, said:

“Clinicians can help men and women to prevent alcohol-related health risks, so we recommend screening adults, including pregnant women, for patterns of unhealthy drinking, and offering brief behavioral counseling to those who report risky or hazardous drinking. While underage drinking is a serious public health problem, we don’t know enough about what works in the primary care setting to help keep teens safe and sober. We need more research on this important topic.”

According to the report, 1/3 of the U.S. population misuses alcohol, with many people drinking more than the amount advised by professionals. A large number of adults are also involved in “risky” use.

The report states that alcohol-related deaths are the third-leading cause of deaths that can be prevented, with 85,000 people dying every year in the U.S.

Dr. Curry continued:

“We recognize that while primary care systems can play an important role in addressing this issue, that there are many community organizations, school-based programs, and federal agencies that are also working to address alcohol misuse. Everyone, including primary care, has a role to play.”

In order to submit comments on the Task Force’s draft recommendation, click here.

Written by Christine Kearney