Alcohol screening and brief intervention (SBI) represents an underutilized innovation in primary health care despite its efficacy having been known for over 30 years. Addressing health behavior change in primary care is a complex and multifaceted undertaking, as is instituting systematic clinic processes to facilitate clinicians addressing health behaviors. Special challenges arise when the behavior to be changed is unhealthy alcohol use. This chapter will review the issues that must be addressed for successful clinical implementation of SBI and offer a typical example of one such implementation.
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