This activity is designed to change: Competence, Performance.3hr(s)
Activity Format:

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Overview

Goal: To provide health profession students with the necessary knowledge and skills training to be able to confidently interview, assess, and counsel patients with alcohol use disorders.

Professional Practice GapsAlcohol use continues to be a widespread public and social health problem. The health care provider needs to be able to screen for drinking in patients and assess, provide brief interventions, and/or make appropriate referrals when screening results are positive. The reality is that few physicians or other health care providers are routinely providing screening or intervention with their patients (D'Amico et al., 2005).
D'Amico EJ, Paddock SM, Burnam A, Kung FY. Identification of and guidance for problem drinking by general medical providers: results from a national survey. Medical Care. 2005; 43(3): 229-236.

Educational Objectives:

After completing this activity participants will be able to:

  • Confidently conduct a basic patient interview assessing for alcohol use disorders.

  • Choose and implement an appropriate screening instrument.

  • Correctly identify the different criteria and distinguishing factors between abuse and dependence in patients.

  • Outline a preliminary diagnosis for patients with abuse or dependence.

  • Assess a patient's willingness to change and use this assessment to motivate the patient towards treatment.

  • Perform a brief intervention to patients who misuse alcohol.

  • Assess and refer those patients who are at a higher risk level to a specialist's care.

  • Manage patients who have relapsed, encouraging those patients to attempt treatment again.

  • Describe how to confidently interview patients for alcohol use.

  • Recommend to patients a treatment plan that coordinates patient care with other health professionals.

  • Facilitate treatment confidentiality in multiple contexts with multiple parties in a coordinated care effort.

Authors

As an ACCME accredited provider of continuing medical education, Clinical Tools, Inc.complies with the Standards for Commercial Support issued by the ACCME and requires disclosure of and resolution of any conflicts of interest for those in control of content.
Clinical Tools, MD, MD (Company, CTI)Clinical Tools, Inc. (CTI) is a small, physician-run business dedicated to harnessing the potential of the Internet to create scalable, usable, and broadly available tools to improve the ability of physicians and other health care providers to care for patients. We achieve this goal by providing education and training to students and professionals and creating Web-based support tools for clinicians, researchers, and consumers. Information technology can and should serve as a stable framework that supports researchers and clinicians in their roles. We provide dissemination and management tools that empower clinicians and consumers to understand and control the vast amount of information related to making individual health choices. We serve our clients creatively, effectively, and with the highest quality of service.
Disclosure: Has disclosed no relevant financial relationships.

Reviewers

Mark Gold, MD (Chief, Division of Addiction Medicine , University of Florida College of Medicine)Dr. Gold has made a number of important contributions to the field of addiction science: his research was instrumental in advancing the norepinepherine hyperactivity theory of opiate withdrawal and in understanding the relationship between dopamine and cocaine addiction; he also holds a U.S. patent for the use of clonidine to treat opioid withdrawal. Most recently his nanotechnology research has focused on second hand drug exposure as a cause of drug abuse among health professionals. Dr. Gold has worked recently to understand the fMRI and other similarities between food and substances of abuse, and he has a new book on food addiction. He has written a prodigious number of articles, monographs, and books on the prevention, detection, and treatment of substance use disorders. His primary interest is educating addiction professionals, and he has mentored many of the nation's current leaders in tobacco, alcohol and other drug education and research.
Disclosure: Has disclosed no relevant financial relationships.
Steve Applegate, MEd, MEdMr. Applegate has experience in substance use counseling, state initiatives impacting substance use, and professional training. His prior positions include director of higher education and instructional design at the North Carolina Governor's Institute on Alcohol and Substance Abuse, project director of the North Carolina Initiative of the Mid-Atlantic Addiction Technology Transfer Center, and program director of the Addiction Sciences Center (an outpatient substance abuse treatment center at the University of Virginia Health Sciences Center). Mr. Applegate works as an on-site consultant and travels to the Clinical Tools (CTI) office on a monthly basis from his office in Richmond, VA. Mr. Applegate helped design the CTI Instructional Manual and works to continue to revise it as we expand our Instructional Design methodology. Mr. Applegate has extensive experience with online education and training, especially in the area of substance abuse. He often pushes the envelope of technology and brainstorms with Clinical Tools how we can utilize new technology within our products. He helped guide development of the curriculum plan and assessments in Phase I of the current project.
Disclosure: Has disclosed no relevant financial relationships.
Ashley Crimmins, MD (Resident, Yale School of Medicine, Emergency Medicine )Dr. Crimmins received an undergraduate degree from Davidson College, and afterwards worked in HIV research at UNC. She worked at Clinical Tools, Inc. as a Research Assistant prior to attending medical school at New York Medical College (2005). She is currently a resident at the Yale School of Medicine. Her professional goal is to become a clinical educator in Emergency Medicine. Her areas of interest in Emergency Medicine include toxicology and critical care.
Disclosure: Has disclosed no relevant financial relationships.
Ted Diedrich, MSc (SBIRT Progarm Coordinator; PhD Student, Denver Health and Hospital Authority, Denver, CO University of Colorado at Denver)
Disclosure: Has disclosed no relevant financial relationships.
Timothy John McGrath, MD, MBA (Family Physician, Private Practice )Dr. McGrath is currently in private practice in Mebane, North Carolina. He earned his undergraduate degree at Drew University and his medical degree at the Medical College of Georgia. He completed his residency at the University of North Carolina at Chapel Hill, where he served as Chief Resident in the Department of Family Medicine. His interests include preventive medicine and disease modifying lifestyles, medical delivery systems, and medical economics. He is currently enrolled in the Kenan Flagler executive master of business administration program at UNC. Dr. McGrath is an active member of the NCAFP, AAFP, and AMA.
Disclosure: Has disclosed no relevant financial relationships.

Review Dates

Content Review:Editorial Review:
Mon, 1/3/2011Mon, 1/3/2011

Modules in this Training Activity

  • Alcohol: Screening, Assessment, and Diagnosis of Alcohol Use Disorder

  • Alcohol Use Disorder: Brief Intervention and Treatment Referral

  • Alcohol: Improving Communication and Providing Coordinated Care

Module Practice Gap References
Accord Healthcare, Inc.. Naltrexone Hydrochloride - drug label information. Dailymed. 2014. Available at: http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=49aa3d6d-2270-4615-aafa-b440859ab870 Accessed on: 2015-06-11.
Ager R, Roahen-Harrison S, Toriello PJ, Kissinger P, Morse P, Morse E, Carney L, Rice J. Predictors of adopting motivational enhancement therapy. Research on Social Work Practice. 2011; 21: 65-76. Available at: http://rsw.sagepub.com/content/early/2010/01/20/1049731509353170 Accessed on: 2015-06-16.
Agerwala SM, McCance-Katz EF. Integrating screening, brief intervention, and referral to treatment (SBIRT) into clinical practice settings: A brief review. J Psychoactive Drugs. 2012; 44: 307-317. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3801194/ Accessed on: 2015-06-10.
Alcohol use by youth and adolescents: a pediatric concern. Pediatrics. 2010; 125(5): 1078-1087. Available at: http://pediatrics.aappublications.org/content/125/5/1078 Accessed on: 2010-08-25.
Allan NP, Albanese BJ, Norr AM, Zvolensky MJ, Schmidt NB. Effects of anxiety sensitivity on alcohol problems: evaluating chained mediation through generalized anxiety, depression and drinking motives. Addiction. 2014; 110: 260-268. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25220033 Accessed on: 2015-06-24.
American Academy of Family Physicians. Tips on building doctor/patient relations. . . Available at: http://www.aafp.org/dam/AAFP/documents/medical_education_residency/fmig/tips_relationships.pdf Accessed on: 2015-06-24.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.. 2013.
ASAM. What is an Addiction Specialist?. ASAM. 2015. Available at: http://www.asam.org/for-the-public/what-is-an-addiction-specialist Accessed on: 2015-03-25.
Baker AL, Thornton LK, Hiles S, et al. Psychological interventions for alcohol misuse among people with co-occurring depression or anxity disorders: a systematic review. Journal of Affective Disorders. 2012; 139: 217-229. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21890213 Accessed on: 2015-06-17.
Bakhshi S, While AE. Health professionals' alcohol-related professional practices and the relationship between their personal alcohol attitudes and behavior and professional practices: A systematic review. International Journal of Environmental Research and Public Health. 2014; 11: 218-248. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924442/ Accessed on: 2015-06-26.
Baldisseri MR. Impaired healthcare professional. Crit Care Med. 2007; 35(2): S106-16. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17242598 Accessed on: 2015-06-24.
Barnett E, Spruijt-Metz D, Unger JB, Sun P, Rohrbach LA, Sussman S. Boosting a Teen Substance Use Prevention Program with Motivational Interviewing. Substance Use & Misuse. 2012; 47: 418-28. Available at: http://informahealthcare.com.libproxy.lib.unc.edu/doi/pdf/10.3109/10826084.2011.641057 Accessed on: 2015-04-23.
Blow FC, Brower KJ, Schulenberg JE, Demo-Dananberg LM, Young JP, Beresford TP. The Michigan Alcoholism Screening Test - Geriatric Version (MAST-G): a new elderly-specific screening instrument. Alcoholism: Clinical and Experimental Research. 1992; 16: 372.
Boden JM, Fergusson DM. Alcohol and Depression. Addiction. 2011; 106(5): 906-914. Available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2010.03351.x/full Accessed on: 2015-06-16.
Botelho R, Engle B, Mora JC, Holder C. Brief Interventions for Alcohol Misuse. Prim Care Clin Office Pract. 2011; 38: 105-23. Available at: http://www.primarycare.theclinics.com/article/S0095-4543%2810%2900100-4/abstract Accessed on: 2015-04-27.
Bowen S, Witkiewitz K, Clifasefi SL, Grow J, Chawla N, Hsu SH, Carroll HA, Harrop E, Collins SE, Lustyk MK, Marimer ME. Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders. JAMA Psychiatry. 2014; 71: 547-556. Available at: http://archpsyc.jamanetwork.com/article.aspx?articleid=1839290 Accessed on: 2015-06-24.
BSAS. Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use: Using the CRAFFT Screening Tool. Massachusetts Department of Public Health Bureau of Substance Abuse Service. 2009. Available at: http://www.integration.samhsa.gov/clinical-practice/sbirt/adolescent_screening,_brieft_intervention_and_referral_to_treatment_for_alcohol.pdf Accessed on: 2015-03-11.
BSAS. SBIRT: A Step-By-Step Guide. MASBIRT. 2012. Available at: http://www.masbirt.org/sites/www.masbirt.org/files/documents/toolkit.pdf Accessed on: 2015-03-19.
Bush K, Kivlahan DR, McDonnell MB, et al.. The AUDIT Alcohol Consumption Questions (AUDIT-C): An effective brief screening test for problem drinking. Arch Internal Med. 1998; 3: 1789-1795. Available at: http://www.integration.samhsa.gov/images/res/tool_auditc.pdf Accessed on: 2015-09-25.
Buzza C, Ono SS, Turvey C, et al. Distance is relative: Unpacking a principal barrier in rural healthcare. Journal of General Internal Medicine. 2011; 26: 648-654. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21989617 Accessed on: 2015-06-23.
CASAColumbia. An SBIRT Implementation and Process Change Manual for Practitioners. The National Center on Addiction and Substance Abuse at Columbia University. 2012. Available at: http://www.casacolumbia.org/sites/default/files/files/An-SBIRT-implementation-and-process-change-manual-for-practitioners.pdf Accessed on: 2015-03-19.
CDC. Alcohol screening and brief intervention. CDC. 2014. Available at: http://www.cdc.gov/features/alcoholscreeningintervention/ Accessed on: 2015-06-09.
CDC. Effects of Blood Alcohol Concentration (BAC). Injury Prevention & Control: Motor Vehicle Safety. 2015. Available at: http://www.cdc.gov/motorvehiclesafety/impaired_driving/bac.html Accessed on: 2015-03-13.
CDC. Fact Sheets - Alcohol Use and Your Health. CDC. 2014. Available at: http://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm Accessed on: 2015-04-28.
CDC. Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use A Step-by-Step Guide for Primary Care Practices . National Center on Birth Defects and Developmental Disabilities . 2014. Available at: http://www.cdc.gov/ncbddd/fasd/documents/alcoholsbiimplementationguide.pdf Accessed on: 2015-03-10.
Center for Substance Abuse Treatment. A Guide to Substance Abuse Services for Primary Care Clinicians: TIP 24. Rockville, MD. Center for Substance Abuse Treatment. 1997. Available at: http://www.ncbi.nlm.nih.gov/books/NBK64827/ Accessed on: 2010-06-15.
Center for Substance Abuse Treatment. Detoxification from Alcohol and Other Drugs. Treatment Improvement Protocol (TIP) Series 19. DHHS Publication No. (SMA) 95-3046 . 1995. Available at: http://www.taadas.org/publications/prodimages/TIP%2019.pdf
Chang G. . Screening for Alcohol and Drug Use During Pregnancy. 2014; 41(2): 205-212. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24845485 Accessed on: 2015-06-11.
Chang G. Alcohol-Screening Instruments for Pregnant Women. Alcohol Research and Health. 2001. Available at: http://pubs.niaaa.nih.gov/publications/arh25-3/204-209.htm Accessed on: 2015-03-11.
Chen LY, Strain EC, Crum RM, Mojtabai R. Gender differences in substance abuse treatment and barriers to care among persons with substance use disorders with and without comorbid major depression. J Addict Med. 2013; 7: 325-334. Available at: www.ncbi.nlm.nih.gov/pmc/articles/PMC3791308/ Accessed on: 2015-04-09.
Clinical Tools Inc. . Annoyed?. YouTube. 2010. Available at: https://www.youtube.com/watch?v=NsK_14M-EQw Accessed on: 2015-05-07.
Clinical Tools Inc. . Cut Down? . YouTube. 2010. Available at: https://www.youtube.com/watch?v=RdGl8IRS-XY Accessed on: 2015-05-07.
Clinical Tools Inc. . Eye Opener? . YouTube. 2010. Available at: https://www.youtube.com/watch?v=5VJb_JyBjFU Accessed on: 2015-05-07.
Clinical Tools Inc. . Guilty? . YouTube. 2010. Available at: https://www.youtube.com/watch?v=oGWAREXftQI Accessed on: 2015-05-07.
Clinical Tools Inc. . ML1. YouTube. 2010. Available at: https://www.youtube.com/watch?v=m6foG-iT2vc Accessed on: 2015-05-07.
Clinical Tools Inc. . ML3. YouTube. 2010. Available at: https://www.youtube.com/watch?v=wrb-zToNP6k Accessed on: 2015-05-07.
Clinical Tools Inc. . ML4. YouTube. 2010. Available at: https://www.youtube.com/watch?v=a55-IySPOH4 Accessed on: 2015-05-07.
Clinical Tools Inc. . ML6 . YouTube. 2010. Available at: https://www.youtube.com/watch?v=uXtZ_0TZCyE Accessed on: 2015-05-07.
Clinical Tools, Inc.. AUDIT Screening Tool. Clinical Tools, Inc.. 2015. Available at: https://youtu.be/0mOg2rcCbjM Accessed on: 2015-08-20.
Clinical Tools, Inc.. AUDIT Screening Tool. Clinical Tools, Inc.. 2015. Available at: https://youtu.be/NGMvjjgE6i8 Accessed on: 2015-08-20.
Clinical Tools, Inc.. AUDIT Screening Tool. Clinical Tools, Inc.. 2015. Available at: https://youtu.be/UVy3IKRjUSI Accessed on: 2015-08-20.
Clinical Tools, Inc.. AUDIT Screening Tool. Clinical Tools, Inc.. 2015. Available at: https://youtu.be/Xdsz__MaC1g Accessed on: 2015-08-20.
Clinical Tools, Inc.. Diagnosing Alcohol Use Disorder. Clinical Tools, Inc.. 2016. Available at: https://www.youtube.com/embed/zGuiEbaAk3g Accessed on: 2016-01-08.
Committee on Substance Abuse. Substance use screening, brief intervention, and referral to treatment for pediatricians. Pediatrics. 2011; 128: e1330-e1340. Available at: http://pediatrics.aappublications.org/content/128/5/e1330.full.pdf Accessed on: 2015-06-24.
Detecting alcoholism: the CAGE questionnaire. JAMA. 1984; 252: 1905-1907.
Detecting risk drinking during pregnancy: a comparison of four screening instruments. Am J Public Health. 1996; 86(10): 1435-9. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1380656/ Accessed on: 2010-08-18.
Dieperink E, Fuller B, Isenhart C, McMaken K, Lenox R, Pocha C, Thuras P, Hauser P. Efficacy of motivational enhancement therapy on alcohol use disorders in patients with chronic hepatitis C: a randomized controlled trial. Addiction. 2014; 109: 1869-1877. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25040898 Accessed on: 2015-03-25.
DuPont RL, McLellan AT, White WL, Merlo LJ, Gold MS. Setting the standard for recovery: physicians' health programs. Journal of Substance Abuse Treatment. 2009; 36: 159-171.
eHowhealth. Alcohol & substance abuse: warning signs of an alcoholic. YouTube. 2009. Available at: https://www.youtube.com/watch?v=bx61NXzc3xY Accessed on: 2015-05-07.
eHowhealth. Psychology careers & treatments: About alcohol treatment programs. YouTube. 2009. Available at: https://www.youtube.com/watch?v=KQsWlj2zW80 Accessed on: 2015-05-07.
Emmite D, Swierzewski SJ III. Alcohol Abuse Diagnosis. Remedy Health Medial, LLC. 2011. Available at: http://www.healthcommunities.com/alcohol-abuse/diagnosis.shtml Accessed on: 2015-03-13.
Fiellin DA, Reid MC, O'Connor PG. Screening for alcohol problems in primary care: a systemic review. Archives of Internal Medicine. 2000; 160: 1977-1789.
Finnell DS, Nowzari S. Providing information about the neurobiology of alcohol use disorders to close the 'referral to treatment gap'. Nursing Clinics of North America. 2013; 48: 373-383. Available at: http://www.ncbi.nlm.nih.gov/pubmed/23998764 Accessed on: 2015-06-22.
Fleeter TB. Informed consent: More than just a signature. American Academy of Orthopaedic Surgeons. 2010. Available at: http://www.aaos.org/news/aaosnow/jan10/managing4.asp Accessed on: 2015-04-13.
Fleming, MF, Manwell, LB. Brief intervention in primary care settings: a primary treatment method for at-risk, problem, and dependent drinkers. Alcohol Research and Health. 1999; 23(2): 128-137. Available at: http://pubs.niaaa.nih.gov/publications/arh23-2/128-137.pdf Accessed on: 2010-08-19.
Frank E, Carrera JS, Elon L, Hertzberg VS. Basic demographics, health practices, and health status of US medical students. American Journal of Preventative Medicine. 2006; 31(6): 499-505.
Frank E, Elon L, Naimi T, Brewer R. Alcohol consumption and alcohol counseling behavior among US medical students: cohort study. BMJ. 2008; 337:a2155: 1-10. Available at: https://www.researchgate.net/publication/23461478_Alcohol_consumption_and_alcohol_counselling_behaviour_among_US_medical_students_Cohort_study Accessed on: 2010-08-18.
Friedmann PD. Alcohol use in adults. N Engl J Med. 2013; 368: 365-373. Available at: http://www.nejm.org/doi/full/10.1056/NEJMcp1204714 Accessed on: 2015-06-24.
Galanter M, Dermatis H, Mansky P, McIntyre J, Perez-Fuentes G. Substance-abusing physicians: monitoring and twelve-step-based treatment. American Journal on Addictions. 2007; 16:2: 117-123.
Gentilello LM. Confronting the obstacles to screening and interventions for alcohol problems in trauma centers. The Journal of Trauma, Injury, Infection, and Critical Care. 2005; 59(3): S137-S143.
Goulding E, Fleming M. Strategies to reduce alcohol use in problem drinkers. Current Psychiatry. 2011; 10: . Available at: http://www.currentpsychiatry.com/home/article/strategies-to-reduce-alcohol-use-in-problem-drinkers Accessed on: 2015-03-16.
Graham K, Bernards S, Knibbe R, et al.. Alcohol-related negative consequences among drinkers around the world. Addiction. 2011; 106(8): 1391-405. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682406/ Accessed on: 2015-03-13.
Grover S, Mattoo S, Pendharkar S, et al.. Sexual Dysfunction in Patients with Alcohol and Opioid Dependence. Indian J Psychol Med. 2014; 36(4): 355-365. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4201785/ Accessed on: 2015-03-12.
Gubi PM, Marsden-Hughes H. Exploring the processes involved in long-term recovery from chronic alcohol addiction within an abstinence-based model: Implications for practice. Counselling and Psychotherapy Research. 2013; 13: 201-209. Available at: http://www.tandfonline.com/doi/abs/10.1080/14733145.2012.733716 Accessed on: 2015-06-16.
Gustafson DH, McTavish FM, Chih M, et al. A smartphone application to support recovery for alcoholism: A randomized clinical trial. JAMA Psychiatry. 2014; 71: 566-572. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24671165 Accessed on: 2015-06-25.
Hall DE, Prochazka AV, Fink AS. Informed consent for clinical treatment. CMAJ. 2012; 184: 533-540. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3307558/?tool=pmcentrez Accessed on: 2015-04-23.
Harmon-Jones E, Gable PA, Price TF. The influence of affective states varying in motivational intensity on cognitive scope. Front Integr Neurosci. 2012; 6: . Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437552/ Accessed on: 2015-04-23.
Harvard Health Publications Special Health Reports. Alcohol use and abuse. Harvard Health Publications. 2011. Available at: http://www.health.harvard.edu/addiction/alcohol-use-and-abuse Accessed on: 2015-06-23.
Hendershot CS, Witkiewitz K, George WH, Marlatt GA. Relapse prevention for addictive behaviors. Substance Abuse Treatment, Prevention, and Policy. 2011; 6: . Available at: http://www.substanceabusepolicy.com/content/6/1/17 Accessed on: 2015-06-17.
Heumann D. Alcoholic hepatitis clinical presentation. Medscape Drugs and Diseases. 2014. Available at: http://emedicine.medscape.com/article/170539-clinical Accessed on: 2015-07-27.
Hicks M, Tough SC, Johnston D , et al. T-ACE and predictors of self-reported alcohol use during pregnancy in a large, population-based urban cohort . International Journal of Alcohol and Drug Research . 2014; 3 (1): 51-61. Accessed on: 2015-07-24.
Hillbom M, Saloheimo P, Juvela S. Alcohol Consumption, Blood Pressure, and the Risk of Stroke. Curr. Hypertension Rep.. 2011; 13(3): 208-213. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21327566 Accessed on: 2015-06-17.
How long does it take to assess literacy skills in clinical practice?. Journal of the American Board of Family Medicine. 2008; 21(3): 211-214. Available at: http://www.jabfm.org/content/21/3/211.full Accessed on: 2010-09-15.
Hsiao CR, Miselis KA, Varley CK. Substance abuse and the primary care clinician. Int J Child Adolesc Health. 2014; 7: 369-383. Available at: http://search.proquest.com.libproxy.lib.unc.edu/docview/1655270033 Accessed on: 2015-04-27.
IQWiG. Cognitive behavioral therapy. Institute for Quality and Efficiency in Health Care. 2013. Available at: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072481/ Accessed on: 2015-03-20.
Jackson MK, Burns KK, Richter MS. Confidentiality and treatment decisions of minor clients: a health professional’s dilemma & policy makers challenge. SpringerPlus. 2014; 3: . Available at: http://www.springerplus.com/content/3/1/320 Accessed on: 2015-04-23.
Kaner E, Rapley T, May C. Seeing through the glass darkly? A qualitative exploration of GPs' drinking and their alcohol intervention practices. Family Practice. 2006; 23: 481-487. Available at: http://fampra.oxfordjournals.org/content/23/4/481.full.pdf Accessed on: 2014-09-26.
Kaskutas LA, Borkman TJ, Laudet A, Ritter LA, Witbrodt J, Subbaraman MS, Stunz A, Bond J. Elements that define recovery: The experiential perspective. J Stud Alcohol Drugs. 2014; 75: 999-1010. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25343658 Accessed on: 2015-06-16.
Kavanagh DJ, Proctor DM. The role of assisted self-help in services for alcohol-related disorders. Addictive Behaviors. 2011; 36: 624-629. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21185656 Accessed on: 2015-06-23.
Kazemi DM, Wagenfield M, Van Horn RK, Levine MJ, Dmochowski J. Binge drinking among underage college students: Role of impulsivity and the transtheoretical model. Journal of Nursing Addiction. 2011; 22: 193-199. Available at: http://informahealthcare.com/doi/abs/10.3109/10884602.2011.616605 Accessed on: 2015-06-23.
Kilgour AR, Chudley AE. Fetal Alcohol Spectrum Disorder. Drug Abuse and Addiction in Medical Illness: Causes, Consequences and Treatment. 2012. Available at: http://link.springer.com/chapter/10.1007/978-1-4614-3375-0_36 Accessed on: 2015-06-12.
Knight JR, Sherritt L, Harris SK, Gates EC, Chang G. Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcohol Clin Exp Res. 2003 ; 27(1): 67-73.
Knight JR, Shrier LA, Bravender TD, Farrell M, Vander Bilt J, Shaffer HJ. A new brief screen for adolescent substance abuse. Archives of Pediatric and Adolescent Medicine. 1999; 153(6): 591–596. Available at: http://archpedi.jamanetwork.com/article.aspx?articleid=347094 Accessed on: 2010-08-25.
Lande RG, Marin BA, Chang AS, Mason S, Lande GR. A survey of alcohol consumption among first-year military medical students. Am J Drug Alcohol Abuse. 2007; 33(4): 605-10.
Lang EV. A Better Patient Experience Through Better Communication. Journal of Radiology Nursing. 2012; 31: 114-119. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587056/ Accessed on: 2015-04-28.
Lapham GT, Rubinsky AD, Heagerty PJ, et al. Probability and Predictors of Patients Converting from Negative to Positive Screens for Alcohol Misuse. Alcoholism: Clinical and Experimental Research. 2014; 38(2): 564-571. Available at: http://www.ncbi.nlm.nih.gov Accessed on: 2015-06-24.
Le Berre AP, Vabret F, Cauvin C, Pinon K, Allain P, Pitel AL, Eustache F, Beaunieux H. Cognitive barriers to readiness to change in alcohol-dependent patients. Alcoholism: Clinical and Experimental Research. 2012; 36: 1542-1549. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22458335 Accessed on: 2015-06-18.
Le KB, Johnson AJ, Seale JP, Woodall H, Clark DC, Parish DC, Miller DP. Primary care residents lack comfort and experience with alcohol screening and brief intervention: A multi-site survey. Journal of General Internal Medicine. 2015; 30: 790-796. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25666210 Accessed on: 2015-06-19.
Lee J, Kresina TF, Campopiano M, et al.. Use of Pharmacotherapies in the Treatment of Alcohol Use Disorders and Opioid Dependence in Primary Care. Biomed Research International. 2015. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25629034 Accessed on: 2015-06-09.
Leibson T, Koren G. Informed Consent in Pediatric Research. Pediatr Drugs. 2015; 17: 5-11. Available at: http://link.springer.com/article/10.1007%2Fs40272-014-0108-y Accessed on: 2015-04-23.
Lella A. comScore Reports March 2015 U.S. Smartphone Subscriber Market Share. comScore. 2015. Available at: http://www.comscore.com/Insights/Market-Rankings/comScore-Reports-March-2015-US-Smartphone-Subscriber-Market-Share Accessed on: 2015-06-25.
Maisto SA, Roos CR, O'Sickey AJ, Kirouac M, Conners GJ, Tonigan JS, Witkiewitz K. The Indirect Effect of the Therapeutic Alliance and Alcohol Abstinence Self-Efficacy on Alcohol Use and Alcohol-Related Problems in Project MATCH. Alcohol Clin Exp Res. 2015; 39: 504-13. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25704134 Accessed on: 2015-03-25.
Marino EN, Fromme K. Alcohol-induced blackouts and maternal family history of problematic alcohol use. Addictive Behaviors. 2015; 45: 201-206. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25705013 Accessed on: 2015-06-17.
Martin JF. Privacy and confidentiality. Handbook of Global Bioethics. 2013; 1: 119-137. Available at: http://link.springer.com/referenceworkentry/10.1007%2F978-94-007-2512-6_72#page-1 Accessed on: 2015-06-23.
Mayo Clinic. Diseases and Conditions: Gastritis. Mayo Clinic. 2014. Available at: http://www.mayoclinic.org Accessed on: 2015-03-11.
MDQuit Resource Center. Psychosocial Intervention. Maryland Resource Center for Quitting Use & Initiation of Tobacco. 2015. Available at: http://mdquit.org/cessation-programs/psychosocial-interventions Accessed on: 2015-03-25.
Mee-Lee D, Shulman GD. The ASAM placement criteria and matching patients to treatment. In: Graham AW, Schultz TK, Mayo-Smith MF, Ries RK, Wilford BB, eds. Principles of Addiction Medicine. 3rd ed. Chevy Chase, Md: American Society of Addiction Medicine. 2003.
Mehta MM, Moriarty KJ, Proctor D, Bird M, Darling W. Alcohol misuse in older people: heavy consumption and protean presentations. Journal of Epidemiology Community Health. 2006; 60: 1048-1052.
Merlo LJ, Gold MS. Prescription opioid abuse and dependence among physicians: hypotheses and treatment. Harv Rev Psychiatry. 2008; 16: 181-194.
Merrick EL, Horgan CM, Hodgkins D, Garnick DW, Houghton SF, Panas L, Saitz R, Blow FC. Unhealthy drinking patterns in older adults: prevalence and associated characteristics. JAGS. 2008.
Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. The Guilford Press. 2012. Available at: http://www.amazon.com/Motivational-Interviewing-Third-Edition-Applications/dp/1609182278 Accessed on: 2014-10-10.
Miller WR, Sanchez VC. Motivating Young Adults for Treatment and Lifestyle Change. Howard G, ed. Issues in Alcohol Use and Misuse by Young Adults. Notre Dame, IN. University of Notre Dame Press. 1994.
Monasterio EB. Adolescent substance involvement use and abuse. Primary Care: Clinics in Office Practice. 2014; 41: 567-585. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25124207 Accessed on: 2015-06-17.
Moyers TB. The relationship in motivational interviewing. Psychotherapy. 2014; 51: . Available at: http://psycnet.apa.org/journals/pst/51/3/358 Accessed on: 2015-03-19.
Mylan Pharmaceuticals Inc.. Acamprosate Calcium tablet, delayed release Drug Label Information. Dailymed. 2014. Available at: http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=75ddfd10-55b2-426e-bc74-3413cd0d7c94 Accessed on: 2015-06-09.
NAADAC. Certifications - Types and Eligibility. NAADAC. 2013. Available at: http://www.naadac.org/typeseligibility Accessed on: 2015-03-30.
Naimi TS, Cole TB. Electronic Alcohol Screening and Brief Interventions Expectations and Reality. JAMA. 2014; 311(12): 1207-1208. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24668101 Accessed on: 2015-06-24.
National Institute on Alcohol Abuse and Alcoholism. Alcohol Alert No. 56: Screening for Alcohol Use Problems -- An Update. NIAAA Website. 2002a. Available at: http://pubs.niaaa.nih.gov/publications/aa56.htm Accessed on: 2008-10-10.
National Institute on Alcohol Abuse and Alcoholism. Helping Patients Who Drink Too Much: A Clinician's Guide, Updated 2005 Edition. Bethesda, MD. 2007. Available at: http://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/guide.pdf Accessed on: 2008-10-10.
National Institute on Alcoholism and Alcohol Abuse. TWEAK Instrument Fact Sheet. National Institute on Alcoholism and Alcohol Abuse. 2004. Available at: http://pubs.niaaa.nih.gov/publications/AssessingAlcohol/InstrumentPDFs/74_TWEAK.pdf Accessed on: 2015-03-11.
Nazeer A, Liepman MR. Substance use disorders and psychosocial treatment. International Journal of Child and Adolescent Health. 2014; 7: 263-273. Available at: http://search.proquest.com/docview/1655269868?accountid=14244 Accessed on: 2015-03-25.
New assessment tools for drinking in pregnancy: T-ACE, TWEAK, and others. Alcohol Health and Research World. 1994; 18(1): 55-61.
NIAAA, American Academy of Pediatrics. Alcohol screening and brief intervention for youth. NIAAA. clinical Guides and Manuals. 2011. Available at: http://pubs.niaaa.nih.gov/publications/Practitioner/YouthGuide/YouthGuidePocket.pdf Accessed on: 2014-02-04.
NIAAA. Alcohol Facts and Statistics. NIAAA. 2015. Available at: http://pubs.niaaa.nih.gov/publications/AlcoholFacts&Stats/AlcoholFacts&Stats.pdf Accessed on: 2015-04-29.
NIAAA. Alcohol's Effects on the Body. NIAAA. 2015. Available at: http://www.niaaa.nih.gov/alcohol-health/alcohols-effects-body Accessed on: 2015-04-29.
NIAAA. Beyond hangovers. NIAAA Publications. 2010b. Available at: http://pubs.niaaa.nih.gov/publications/Hangovers/beyondHangovers.htm#chapter03 Accessed on: 2015-07-27.
NIAAA. Treatment for alcohol problems: Finding and getting help. NIH. 2014. Available at: http://pubs.niaaa.nih.gov/publications/Treatment/treatment.htm Accessed on: 2015-05-20.
NIDA. Motivational enhancement therapy (alcohol, marijuana, nicotine). NIDA. 2012. Available at: http://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-2 Accessed on: 2015-06-17.
NIDA. Principles of drug addiction treatment: A research-based guide. NIDA. 2012. Available at: http://www.drugabuse.gov/sites/default/files/podat_1.pdf Accessed on: 2015-03-30.
NIDDK. Gastritis. National Institute of Diabetes and Digestive and Kidney Diseases. 2010. Available at: http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/gastritis/Documents/Gastritis_508.pdf Accessed on: 2015-03-11.
NIH. 12-Step Facilitation Therapy (Alcohol, Stimulants, Opiates). NIH. 2012. Available at: http://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-4 Accessed on: 2015-03-20.
NIH. Alcohol Alert: Screening for Alcohol Use and Alcohol-Related Problems. U.S. Department of Health and Human Services . 2005; 65: . Available at: http://pubs.niaaa.nih.gov/publications/aa65/AA65.htm Accessed on: 2015-03-11.
Niveau G, Burkhardt S, Chiesa S. Medical confidentiality and the competent patient. J Med Ethics. 2012; 39: 686-689. Available at: http://jme.bmj.com.libproxy.lib.unc.edu/content/39/11/686.full Accessed on: 2015-04-23.
Norcross JC, Krebs PM, Prochaska JO. Stages of change. Journal of Clinical Psychology. 2011; 67: 143-154. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21157930 Accessed on: 2015-06-18.
O'Conner PG. Drug Use and Dependence: Alcohol. Merick Manuals. 2008-2013. Available at: http://www.merckmanuals.com/professional/special_subjects/drug_use_and_dependence/alcohol.html Accessed on: 2015-03-11.
Oakey F, Ayoub AF, Goodall CA, Crawford A, Smith I, Russell A, Holland IS. Delivery of a brief motivational intervention to patients with alcohol-related facial injuries: role for a specialist nurse. British Journal of Oral and Maxillofacial Surgery. 2008; 46(2): 102-106.
Pedrelli P, Bentley K, Vitali M, et al. Compulsive use of alcohol among college students. Psychiatry Research. 2013; 205: 95-102. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22951374 Accessed on: 2015-06-16.
PHG Foundation . Informed Consent - Levels of Consent . YouTube. 2008. Available at: https://www.youtube.com/watch?v=2O5QoVv7tts Accessed on: 2015-05-07.
Pilowsky DJ, Wu L. Screening for alcohol and drug use disorders among adults in primary care: a review. Substance Abuse and Rehabilitation. 2012; 3: 25-34. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22553426 Accessed on: 2015-06-16.
Pisinger C, Aadahl M, Toft U, Jørgensen T. Motives to quit smoking and reasons to relapse differ by socioeconomic status. Preventive Medicine. 2011; 52: 48-52. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21047525 Accessed on: 2015-06-25.
Prochaska JO, DiClemente CC. Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research and Practice. 1982; 19: 276-288. Available at: http://psycnet.apa.org/journals/pst/19/3/276/
Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, Goodwin FK. Comorbidity of mental disorders with alcohol and other drug abuse. Journal of the American Medical Association. 1990; 19: 2511-2518. Available at: http://www.ncbi.nlm.nih.gov/pubmed/2232018 Accessed on: 2015-06-25.
Rehm J, Samokhvalov AV, Shield KD. Global burden of alcoholic liver diseases. Journal of Hepatology. 2013; 59: 160-168. Available at: http://www.ncbi.nlm.nih.gov/pubmed/23511777 Accessed on: 2015-06-17.
Reid, MC, Tinetti, ME, Tinetti, ME, Concato, J. Physician awareness of alcohol use disorders among older patients. Journal of General Internal Medicine. 1998; November 13(11): 729-734. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497030/pdf/jgi_223.pdf Accessed on: 2010-08-18.
Resnicow K, McMaster F. Motivational Interviewing: moving from why to how with autonomy support . Int J Behav Nutr Phys Act. 2012; 9: . Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330017/ Accessed on: 2015-03-19.
Richter KP, Faseru B, Mussulman LM, et al. Using "warm handoffs" to link hospitalized smokers with tobacco treatment after discharge: Study protocol of a randomized controlled trial. Trials. 2012; 13: 1-11. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22853047 Accessed on: 2015-06-23.
Robinson LM, Vail SR. An integrative review of adolescent smoking cessation using the transtheoretical model of change. Journal of Pediatric Health Care. 2012; 26: 336-345. Available at: http://www.jpedhc.org/article/S0891-5245(10)00381-0/abstract?cc=y= Accessed on: 2015-06-11.
Rogers J, Wiese BS. Geriatric drinkers: Evaluation and treatment for alcohol overuse. BCMJ. 2011; 53: 353-356. Available at: http://www.bcmj.org/articles/geriatric-drinkers-evaluation-and-treatment-alcohol-overuse Accessed on: 2015-03-13.
Rogers RG, Boardman JD, Pendergast PM, et al. Drinking problems and mortality risk in the United States. Drug and Alcohol Dependence. 2015; 151: 38-46. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25858785 Accessed on: 2015-06-17.
Russell M, Martier SS, Sokol RJ, Mudar P, Bottoms S, Jacobson S, Jacobson J. Screening for pregnancy risk-drinking. Alcohol Clin Exp Res. 1994 ; 18(5): 1156-61.
SAMHSA. Enhancing Motivation For Change in Substance Abuse Treatment. Department of Health and Human Services. 1999-2013. Available at: http://store.samhsa.gov/shin/content/SMA13-4212/SMA13-4212.pdf Accessed on: 2015-03-19.
SAMHSA. Quick Guide For Clinicians Based on TIP 34 . U.S. Department of Health and Human Services. 2001-2011. Available at: https://store.samhsa.gov/shin/content/SMA06-4136/SMA06-4136.pdf Accessed on: 2015-03-19.
SAMHSA. SAMHSA's working definition of recovery. SAMHSA. 2012. Available at: http://store.samhsa.gov/shin/content//PEP12-RECDEF/PEP12-RECDEF.pdf Accessed on: 2015-06-11.
SAMHSA. Screening, Brief Intervention, and Referral to Treatment (SBIRT). SAMHSA. 2014. Available at: http://www.samhsa.gov/sbirt Accessed on: 2015-03-20.
SAMHSA. Treatments for Substance Use Disorders. SAMHSA. 2015. Available at: http://www.samhsa.gov/treatment/substance-use-disorders Accessed on: 2015-03-30.
SAMHSA. White Paper on Screening, Brief Intervention and Referral to Treatment (SBIRT) in Behavioral Healthcare. SAMHSA. 2011. Available at: http://www.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf Accessed on: 2015-04-28.
Sarkar M, Einarson T, Koren G. Comparing the effectiveness of tweak and t-ace in determining problem drinkers in pregnancy. Alcohol Alcohol. 2010; 45(40): 356-360. Available at: http://www.medscape.com/viewarticle/724160 Accessed on: 2015-06-30.
Schleiter KE. Difficult patient-physician relationships and the risk of medical malpractice litigation. Virtual Mentor. 2009; 11: 242-246. Available at: http://journalofethics.ama-assn.org/2009/03/hlaw1-0903.html Accessed on: 2015-06-22.
Shapiro B, Coffa D, McCance-Katz E. A Primary Care Approach to Substance Misuse. Am Fam Physician. 2013; 88(2): 113-121. Available at: http://www.aafp.org/afp/2013/0715/p113.html#sec-1 Accessed on: 2015-06-12.
Sheps S. Does drinking alcohol affect your blood pressure?. Mayo Clinic. 2012. Available at: http://www.mayoclinic.org/diseases-conditions Accessed on: 2015-03-13.
Singh S, Sangam S, Joginapally VR, et al. Alcohol, glycine, and gastritis. International Journal of Nutrition, Pharmacology, Neurological Diseases. 2015; 5(1): 1-5. Available at: http://www.ijnpnd.com/article.asp?issn=2231-0738;year=2015;volume=5;issue=1;spage=1;epage=5;aulast=Singh Accessed on: 2015-06-17.
Sinha R. How Does Stress Lead to Risk of Alcohol Relapse?. Alcohol Research. 2012; 34: 432-440. Available at: http://pubs.niaaa.nih.gov/publications/arcr344/432-440.htm Accessed on: 2015-06-17.
Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. Primary care validation of a single question alcohol screening test. J Gen Intern Med. 2009; 25(4): 375. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695521/ Accessed on: 2017-03-09.
Smyth A, Teo KK, Rangarajan S, O'Donnell M, Zhang X, Rana P, Leong DP, Dagenais G, Seron P, Rosengren A, Schutte AE, Lopez-Jaramillo P, Oguz A, Chifamba J, Diaz R, Lear S, Avezum A, Kumar R, Mohan V, Szuba A, Wei L, Yang W, Jian B, McKee M, Yusuf S. Alcohol Consumption and Cardiovascular Disease, Cancer, Injury, Admission to Hospital, and Mortality: A Prospective Cohort Study. The Lancet. 2015. Available at: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)00235-4/references Accessed on: 2015-09-28.
Sterling S, Valkanoff T, Hinman A, Weisner C. Integrating Substance Use Treatment Into Adolescent Health Care. Curr Psychiatry Rep. 2012; 14: 453-461. Available at: http://sbirtnh.org/wp-content/uploads/2016/05/Integrating-Substance-UseTreatment-Into-Adolescent-Health-Care.pdf Accessed on: 2015-04-28.
Stern TA, Gross AF, Stern TW, et al. Current approaches to the recognition and treatment of alcohol withdrawal and delirium tremens: "old wine in new bottles" or "new wine in old bottles". Primary Care Companion to The Journal of Clinical Psychiatry. 2010; 12(3): . Available at: http://www.psychiatrist.com/PCC/article/Pages/2010/v12n03/10r00991ecr.aspx Accessed on: 2017-03-16.
Strobbe S. Prevention and screening, brief intervention, and referral to treatment for substance use in primary care. Primary Care: Clinics in Office Practice. 2014; 41: 185-213. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24830605 Accessed on: 2015-06-22.
Substance Abuse and Mental Health Services Administration. Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings. NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: Substance Abuse and Mental Health Services Administration. 2014. Available at: http://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.pdf Accessed on: 2015-04-30.
Sullivan JT, Sykora K, Schneiderman J, et al. Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). Br J Addict. 1989; 84(11): 1353-7. Available at: https://www.ncbi.nlm.nih.gov/pubmed/2597811 Accessed on: 2017-03-16.
Swift RM, Aston ER. Pharmacotherapy for alcohol use disorder: Current and emerging therapies. Harv Rev Psychiatry. 2015; 23: 122-133. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25747925 Accessed on: 2015-05-29.
Tan CH, Denny CH, Cheal NE, Sniezek JE, Kanny D. Alcohol Use and Binge Drinking Among Women of Childbearing Age-United States, 2011-2013. Centers for Disease Control and Prevention. 2015; 64(37): 1042-1046. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6437a3.htm?s_cid=mm6437a3_e Accessed on: 2015-09-25.
Thakkar MM , Sharma , Sahota P . Alcohol disrupts sleep homeostasis . Alcohol . 2015; 49(4): 299-310. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25499829 Accessed on: 2015-07-21.
The American College of Obstetricians and Gynecologists. Adolescent Confidentiality and Electronic Health Records. Obstet Gynecol. 2014; 123: 1148-50. Available at: http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescent-Confidentiality-and-Electronic-Health-Records Accessed on: 2015-04-22.
The Michigan Alcoholism Screening Test: the quest for a new diagnostic instrument. American Journal of Psychiatry. 1971; 127(12): 89-94.
Timko C, DeBenedetti A. A randomized controlled trial of intensive referral to 12-step self-help groups: one-year outcomes. Drug Alcohol Depend. 2007; 90(2-3): 270-279. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17524574 Accessed on: 2015-04-28.
U.S. Bureau Of Labor Statistics. What Substance Abuse and Behavioral Disorder Counselors Do. Office of Occupational Statistics and Employment Projections. 2014. Available at: http://www.bls.gov/ooh/community-and-social-service/substance-abuse-and-behavioral-disorder-counselors.htm#tab-2 Accessed on: 2015-03-30.
U.S. Department of Health & Human Services. Health Information Privacy: Guidance Materials for Consumers. U.S. Department of Health & Human Services. 2015. Available at: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html Accessed on: 2015-04-10.
U.S. Department of Health and Human Services. HIPAA Privacy Rule and Sharing Information Related to Mental Health. U.S. Department of Health and Human Services. 2015. Available at: http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/mhguidance.html Accessed on: 2015-04-10.
US Preventive Services Task Force (USPSTF). Screening for Alcohol Misuse. AHRQ Website. 2004.
VA/DoD. VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders. . 2015. Available at: http://www.healthquality.va.gov/guidelines/MH/sud/ Accessed on: 2016-11-15.
Washington State Department of Health (WSDH). Substance abuse during pregnancy: guidelines for screening and management . Office of Healthy Communities . 2015. Available at: http://here.doh.wa.gov/materials/guidelines-substance-abuse-pregnancy/?searchterm=Substance%20abuse%20during%20pregnancy:%20guidelines%20for%20screening%20and%20management Accessed on: 2015-07-24.
Westra HA, Adi A. Core skills in motivational interviewing. Psychotherapy. 2013; 50: . Available at: http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2013-30487-003 Accessed on: 2015-03-19.
White WL. Recovery/remission from substance use disorders: An analysis of reported outcomes in 415 scientific reports, 1868-2011. Philadelphia Department of Behavioral Health and Intellectual disAbility Services. 2012. Available at: http://www.naadac.org/assets/1959/whitewl2012_recoveryremission_from_substance_abuse_disorders.pdf Accessed on: 2015-06-15.
WHO. AUDIT: The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care, 2nd Edition. Department of Mental Health and Substance Use Dependence. 2003. Available at: http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf?ua=1 Accessed on: 2015-03-10.
Wolff JL, Roter DL. Family Presence in Routine Medical Visits: A Meta-Analytical Review. Soc Sci Med. 2011. Available at: www.ncbi.nlm.nih.gov/pmc/articles/PMC3070824/ Accessed on: 2015-04-23.
Wolff, N, Shi J. Screening for Substance Use Disorder Among Incarcerated Men with the Alcohol, Smoking, Substance Involvement Screening Test. Journal of Substance Abuse Treatment. 2015; 53: 22-32. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25659203 Accessed on: 2015-06-16.
Yamuna S. Counseling Adolescents. Indian J Pediatr. 2013; 80: 949-58. Available at: http://link.springer.com/article/10.1007%2Fs12098-013-1104-x Accessed on: 2015-04-23.
Yancey J, McKinnon H. Reaching Out to an Impaired Physician. Fam Pract Manag. 2010; 17(1): 27-31. Available at: http://www.aafp.org/fpm/2010/0100/p27.html Accessed on: 2015-04-28.

Audience and Accreditation

Audience:

Health professional students

A letter of completion for up to 3 hour(s) is available for non-physicians.
A score of 70% on the post-test is required to complete the activity.
Participation Requirements

Activity Credit: Obtaining credit for participation in this activity requires that you complete the pre-assessments, work through the modules (including all in-module interactive activities), complete the post-assessments with a 70% score on the post-test, and then request credit. At the end of the activity, you will be instructed on how to print out a certificate for your records.

Time Requirement: Keep track of the amount of time it takes you to complete this activity. You will be required to spend a set amount of time in order to claim credit. You should claim credit only for the time actually spent in the activity.

Technical Requirement: To participate in this activity, you will need a computer, an Internet connection, and a Web browser. This activity requires Chrome, Firefox, and IE7 or higher.

Training Activity References
Accord Healthcare, Inc.. Naltrexone Hydrochloride - drug label information. Dailymed. 2014. Available at: http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=49aa3d6d-2270-4615-aafa-b440859ab870 Accessed on: 2015-06-11.
Ager R, Roahen-Harrison S, Toriello PJ, Kissinger P, Morse P, Morse E, Carney L, Rice J. Predictors of adopting motivational enhancement therapy. Research on Social Work Practice. 2011; 21: 65-76. Available at: http://rsw.sagepub.com/content/early/2010/01/20/1049731509353170 Accessed on: 2015-06-16.
Agerwala SM, McCance-Katz EF. Integrating screening, brief intervention, and referral to treatment (SBIRT) into clinical practice settings: A brief review. J Psychoactive Drugs. 2012; 44: 307-317. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3801194/ Accessed on: 2015-06-10.
Alcohol use by youth and adolescents: a pediatric concern. Pediatrics. 2010; 125(5): 1078-1087. Available at: http://pediatrics.aappublications.org/content/125/5/1078 Accessed on: 2010-08-25.
Allan NP, Albanese BJ, Norr AM, Zvolensky MJ, Schmidt NB. Effects of anxiety sensitivity on alcohol problems: evaluating chained mediation through generalized anxiety, depression and drinking motives. Addiction. 2014; 110: 260-268. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25220033 Accessed on: 2015-06-24.
American Academy of Family Physicians. Tips on building doctor/patient relations. . . Available at: http://www.aafp.org/dam/AAFP/documents/medical_education_residency/fmig/tips_relationships.pdf Accessed on: 2015-06-24.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.. 2013.
ASAM. What is an Addiction Specialist?. ASAM. 2015. Available at: http://www.asam.org/for-the-public/what-is-an-addiction-specialist Accessed on: 2015-03-25.
Baker AL, Thornton LK, Hiles S, et al. Psychological interventions for alcohol misuse among people with co-occurring depression or anxity disorders: a systematic review. Journal of Affective Disorders. 2012; 139: 217-229. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21890213 Accessed on: 2015-06-17.
Bakhshi S, While AE. Health professionals' alcohol-related professional practices and the relationship between their personal alcohol attitudes and behavior and professional practices: A systematic review. International Journal of Environmental Research and Public Health. 2014; 11: 218-248. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924442/ Accessed on: 2015-06-26.
Baldisseri MR. Impaired healthcare professional. Crit Care Med. 2007; 35(2): S106-16. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17242598 Accessed on: 2015-06-24.
Barnett E, Spruijt-Metz D, Unger JB, Sun P, Rohrbach LA, Sussman S. Boosting a Teen Substance Use Prevention Program with Motivational Interviewing. Substance Use & Misuse. 2012; 47: 418-28. Available at: http://informahealthcare.com.libproxy.lib.unc.edu/doi/pdf/10.3109/10826084.2011.641057 Accessed on: 2015-04-23.
Blow FC, Brower KJ, Schulenberg JE, Demo-Dananberg LM, Young JP, Beresford TP. The Michigan Alcoholism Screening Test - Geriatric Version (MAST-G): a new elderly-specific screening instrument. Alcoholism: Clinical and Experimental Research. 1992; 16: 372.
Boden JM, Fergusson DM. Alcohol and Depression. Addiction. 2011; 106(5): 906-914. Available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2010.03351.x/full Accessed on: 2015-06-16.
Botelho R, Engle B, Mora JC, Holder C. Brief Interventions for Alcohol Misuse. Prim Care Clin Office Pract. 2011; 38: 105-23. Available at: http://www.primarycare.theclinics.com/article/S0095-4543%2810%2900100-4/abstract Accessed on: 2015-04-27.
Bowen S, Witkiewitz K, Clifasefi SL, Grow J, Chawla N, Hsu SH, Carroll HA, Harrop E, Collins SE, Lustyk MK, Marimer ME. Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders. JAMA Psychiatry. 2014; 71: 547-556. Available at: http://archpsyc.jamanetwork.com/article.aspx?articleid=1839290 Accessed on: 2015-06-24.
BSAS. Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use: Using the CRAFFT Screening Tool. Massachusetts Department of Public Health Bureau of Substance Abuse Service. 2009. Available at: http://www.integration.samhsa.gov/clinical-practice/sbirt/adolescent_screening,_brieft_intervention_and_referral_to_treatment_for_alcohol.pdf Accessed on: 2015-03-11.
BSAS. SBIRT: A Step-By-Step Guide. MASBIRT. 2012. Available at: http://www.masbirt.org/sites/www.masbirt.org/files/documents/toolkit.pdf Accessed on: 2015-03-19.
Bush K, Kivlahan DR, McDonnell MB, et al.. The AUDIT Alcohol Consumption Questions (AUDIT-C): An effective brief screening test for problem drinking. Arch Internal Med. 1998; 3: 1789-1795. Available at: http://www.integration.samhsa.gov/images/res/tool_auditc.pdf Accessed on: 2015-09-25.
Buzza C, Ono SS, Turvey C, et al. Distance is relative: Unpacking a principal barrier in rural healthcare. Journal of General Internal Medicine. 2011; 26: 648-654. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21989617 Accessed on: 2015-06-23.
CASAColumbia. An SBIRT Implementation and Process Change Manual for Practitioners. The National Center on Addiction and Substance Abuse at Columbia University. 2012. Available at: http://www.casacolumbia.org/sites/default/files/files/An-SBIRT-implementation-and-process-change-manual-for-practitioners.pdf Accessed on: 2015-03-19.
CDC. Alcohol screening and brief intervention. CDC. 2014. Available at: http://www.cdc.gov/features/alcoholscreeningintervention/ Accessed on: 2015-06-09.
CDC. Effects of Blood Alcohol Concentration (BAC). Injury Prevention & Control: Motor Vehicle Safety. 2015. Available at: http://www.cdc.gov/motorvehiclesafety/impaired_driving/bac.html Accessed on: 2015-03-13.
CDC. Fact Sheets - Alcohol Use and Your Health. CDC. 2014. Available at: http://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm Accessed on: 2015-04-28.
CDC. Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use A Step-by-Step Guide for Primary Care Practices . National Center on Birth Defects and Developmental Disabilities . 2014. Available at: http://www.cdc.gov/ncbddd/fasd/documents/alcoholsbiimplementationguide.pdf Accessed on: 2015-03-10.
Center for Substance Abuse Treatment. A Guide to Substance Abuse Services for Primary Care Clinicians: TIP 24. Rockville, MD. Center for Substance Abuse Treatment. 1997. Available at: http://www.ncbi.nlm.nih.gov/books/NBK64827/ Accessed on: 2010-06-15.
Center for Substance Abuse Treatment. Detoxification from Alcohol and Other Drugs. Treatment Improvement Protocol (TIP) Series 19. DHHS Publication No. (SMA) 95-3046 . 1995. Available at: http://www.taadas.org/publications/prodimages/TIP%2019.pdf
Chang G. . Screening for Alcohol and Drug Use During Pregnancy. 2014; 41(2): 205-212. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24845485 Accessed on: 2015-06-11.
Chang G. Alcohol-Screening Instruments for Pregnant Women. Alcohol Research and Health. 2001. Available at: http://pubs.niaaa.nih.gov/publications/arh25-3/204-209.htm Accessed on: 2015-03-11.
Chen LY, Strain EC, Crum RM, Mojtabai R. Gender differences in substance abuse treatment and barriers to care among persons with substance use disorders with and without comorbid major depression. J Addict Med. 2013; 7: 325-334. Available at: www.ncbi.nlm.nih.gov/pmc/articles/PMC3791308/ Accessed on: 2015-04-09.
Clinical Tools Inc. . Annoyed?. YouTube. 2010. Available at: https://www.youtube.com/watch?v=NsK_14M-EQw Accessed on: 2015-05-07.
Clinical Tools Inc. . Cut Down? . YouTube. 2010. Available at: https://www.youtube.com/watch?v=RdGl8IRS-XY Accessed on: 2015-05-07.
Clinical Tools Inc. . Eye Opener? . YouTube. 2010. Available at: https://www.youtube.com/watch?v=5VJb_JyBjFU Accessed on: 2015-05-07.
Clinical Tools Inc. . Guilty? . YouTube. 2010. Available at: https://www.youtube.com/watch?v=oGWAREXftQI Accessed on: 2015-05-07.
Clinical Tools Inc. . ML1. YouTube. 2010. Available at: https://www.youtube.com/watch?v=m6foG-iT2vc Accessed on: 2015-05-07.
Clinical Tools Inc. . ML3. YouTube. 2010. Available at: https://www.youtube.com/watch?v=wrb-zToNP6k Accessed on: 2015-05-07.
Clinical Tools Inc. . ML4. YouTube. 2010. Available at: https://www.youtube.com/watch?v=a55-IySPOH4 Accessed on: 2015-05-07.
Clinical Tools Inc. . ML6 . YouTube. 2010. Available at: https://www.youtube.com/watch?v=uXtZ_0TZCyE Accessed on: 2015-05-07.
Clinical Tools, Inc.. AUDIT Screening Tool. Clinical Tools, Inc.. 2015. Available at: https://youtu.be/0mOg2rcCbjM Accessed on: 2015-08-20.
Clinical Tools, Inc.. AUDIT Screening Tool. Clinical Tools, Inc.. 2015. Available at: https://youtu.be/NGMvjjgE6i8 Accessed on: 2015-08-20.
Clinical Tools, Inc.. AUDIT Screening Tool. Clinical Tools, Inc.. 2015. Available at: https://youtu.be/UVy3IKRjUSI Accessed on: 2015-08-20.
Clinical Tools, Inc.. AUDIT Screening Tool. Clinical Tools, Inc.. 2015. Available at: https://youtu.be/Xdsz__MaC1g Accessed on: 2015-08-20.
Clinical Tools, Inc.. Diagnosing Alcohol Use Disorder. Clinical Tools, Inc.. 2016. Available at: https://www.youtube.com/embed/zGuiEbaAk3g Accessed on: 2016-01-08.
Committee on Substance Abuse. Substance use screening, brief intervention, and referral to treatment for pediatricians. Pediatrics. 2011; 128: e1330-e1340. Available at: http://pediatrics.aappublications.org/content/128/5/e1330.full.pdf Accessed on: 2015-06-24.
Detecting alcoholism: the CAGE questionnaire. JAMA. 1984; 252: 1905-1907.
Detecting risk drinking during pregnancy: a comparison of four screening instruments. Am J Public Health. 1996; 86(10): 1435-9. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1380656/ Accessed on: 2010-08-18.
Dieperink E, Fuller B, Isenhart C, McMaken K, Lenox R, Pocha C, Thuras P, Hauser P. Efficacy of motivational enhancement therapy on alcohol use disorders in patients with chronic hepatitis C: a randomized controlled trial. Addiction. 2014; 109: 1869-1877. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25040898 Accessed on: 2015-03-25.
DuPont RL, McLellan AT, White WL, Merlo LJ, Gold MS. Setting the standard for recovery: physicians' health programs. Journal of Substance Abuse Treatment. 2009; 36: 159-171.
eHowhealth. Alcohol & substance abuse: warning signs of an alcoholic. YouTube. 2009. Available at: https://www.youtube.com/watch?v=bx61NXzc3xY Accessed on: 2015-05-07.
eHowhealth. Psychology careers & treatments: About alcohol treatment programs. YouTube. 2009. Available at: https://www.youtube.com/watch?v=KQsWlj2zW80 Accessed on: 2015-05-07.
Emmite D, Swierzewski SJ III. Alcohol Abuse Diagnosis. Remedy Health Medial, LLC. 2011. Available at: http://www.healthcommunities.com/alcohol-abuse/diagnosis.shtml Accessed on: 2015-03-13.
Fiellin DA, Reid MC, O'Connor PG. Screening for alcohol problems in primary care: a systemic review. Archives of Internal Medicine. 2000; 160: 1977-1789.
Finnell DS, Nowzari S. Providing information about the neurobiology of alcohol use disorders to close the 'referral to treatment gap'. Nursing Clinics of North America. 2013; 48: 373-383. Available at: http://www.ncbi.nlm.nih.gov/pubmed/23998764 Accessed on: 2015-06-22.
Fleeter TB. Informed consent: More than just a signature. American Academy of Orthopaedic Surgeons. 2010. Available at: http://www.aaos.org/news/aaosnow/jan10/managing4.asp Accessed on: 2015-04-13.
Fleming, MF, Manwell, LB. Brief intervention in primary care settings: a primary treatment method for at-risk, problem, and dependent drinkers. Alcohol Research and Health. 1999; 23(2): 128-137. Available at: http://pubs.niaaa.nih.gov/publications/arh23-2/128-137.pdf Accessed on: 2010-08-19.
Frank E, Carrera JS, Elon L, Hertzberg VS. Basic demographics, health practices, and health status of US medical students. American Journal of Preventative Medicine. 2006; 31(6): 499-505.
Frank E, Elon L, Naimi T, Brewer R. Alcohol consumption and alcohol counseling behavior among US medical students: cohort study. BMJ. 2008; 337:a2155: 1-10. Available at: https://www.researchgate.net/publication/23461478_Alcohol_consumption_and_alcohol_counselling_behaviour_among_US_medical_students_Cohort_study Accessed on: 2010-08-18.
Friedmann PD. Alcohol use in adults. N Engl J Med. 2013; 368: 365-373. Available at: http://www.nejm.org/doi/full/10.1056/NEJMcp1204714 Accessed on: 2015-06-24.
Galanter M, Dermatis H, Mansky P, McIntyre J, Perez-Fuentes G. Substance-abusing physicians: monitoring and twelve-step-based treatment. American Journal on Addictions. 2007; 16:2: 117-123.
Gentilello LM. Confronting the obstacles to screening and interventions for alcohol problems in trauma centers. The Journal of Trauma, Injury, Infection, and Critical Care. 2005; 59(3): S137-S143.
Goulding E, Fleming M. Strategies to reduce alcohol use in problem drinkers. Current Psychiatry. 2011; 10: . Available at: http://www.currentpsychiatry.com/home/article/strategies-to-reduce-alcohol-use-in-problem-drinkers Accessed on: 2015-03-16.
Graham K, Bernards S, Knibbe R, et al.. Alcohol-related negative consequences among drinkers around the world. Addiction. 2011; 106(8): 1391-405. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682406/ Accessed on: 2015-03-13.
Grover S, Mattoo S, Pendharkar S, et al.. Sexual Dysfunction in Patients with Alcohol and Opioid Dependence. Indian J Psychol Med. 2014; 36(4): 355-365. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4201785/ Accessed on: 2015-03-12.
Gubi PM, Marsden-Hughes H. Exploring the processes involved in long-term recovery from chronic alcohol addiction within an abstinence-based model: Implications for practice. Counselling and Psychotherapy Research. 2013; 13: 201-209. Available at: http://www.tandfonline.com/doi/abs/10.1080/14733145.2012.733716 Accessed on: 2015-06-16.
Gustafson DH, McTavish FM, Chih M, et al. A smartphone application to support recovery for alcoholism: A randomized clinical trial. JAMA Psychiatry. 2014; 71: 566-572. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24671165 Accessed on: 2015-06-25.
Hall DE, Prochazka AV, Fink AS. Informed consent for clinical treatment. CMAJ. 2012; 184: 533-540. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3307558/?tool=pmcentrez Accessed on: 2015-04-23.
Harmon-Jones E, Gable PA, Price TF. The influence of affective states varying in motivational intensity on cognitive scope. Front Integr Neurosci. 2012; 6: . Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437552/ Accessed on: 2015-04-23.
Harvard Health Publications Special Health Reports. Alcohol use and abuse. Harvard Health Publications. 2011. Available at: http://www.health.harvard.edu/addiction/alcohol-use-and-abuse Accessed on: 2015-06-23.
Hendershot CS, Witkiewitz K, George WH, Marlatt GA. Relapse prevention for addictive behaviors. Substance Abuse Treatment, Prevention, and Policy. 2011; 6: . Available at: http://www.substanceabusepolicy.com/content/6/1/17 Accessed on: 2015-06-17.
Heumann D. Alcoholic hepatitis clinical presentation. Medscape Drugs and Diseases. 2014. Available at: http://emedicine.medscape.com/article/170539-clinical Accessed on: 2015-07-27.
Hicks M, Tough SC, Johnston D , et al. T-ACE and predictors of self-reported alcohol use during pregnancy in a large, population-based urban cohort . International Journal of Alcohol and Drug Research . 2014; 3 (1): 51-61. Accessed on: 2015-07-24.
Hillbom M, Saloheimo P, Juvela S. Alcohol Consumption, Blood Pressure, and the Risk of Stroke. Curr. Hypertension Rep.. 2011; 13(3): 208-213. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21327566 Accessed on: 2015-06-17.
How long does it take to assess literacy skills in clinical practice?. Journal of the American Board of Family Medicine. 2008; 21(3): 211-214. Available at: http://www.jabfm.org/content/21/3/211.full Accessed on: 2010-09-15.
Hsiao CR, Miselis KA, Varley CK. Substance abuse and the primary care clinician. Int J Child Adolesc Health. 2014; 7: 369-383. Available at: http://search.proquest.com.libproxy.lib.unc.edu/docview/1655270033 Accessed on: 2015-04-27.
IQWiG. Cognitive behavioral therapy. Institute for Quality and Efficiency in Health Care. 2013. Available at: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072481/ Accessed on: 2015-03-20.
Jackson MK, Burns KK, Richter MS. Confidentiality and treatment decisions of minor clients: a health professional’s dilemma & policy makers challenge. SpringerPlus. 2014; 3: . Available at: http://www.springerplus.com/content/3/1/320 Accessed on: 2015-04-23.
Kaner E, Rapley T, May C. Seeing through the glass darkly? A qualitative exploration of GPs' drinking and their alcohol intervention practices. Family Practice. 2006; 23: 481-487. Available at: http://fampra.oxfordjournals.org/content/23/4/481.full.pdf Accessed on: 2014-09-26.
Kaskutas LA, Borkman TJ, Laudet A, Ritter LA, Witbrodt J, Subbaraman MS, Stunz A, Bond J. Elements that define recovery: The experiential perspective. J Stud Alcohol Drugs. 2014; 75: 999-1010. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25343658 Accessed on: 2015-06-16.
Kavanagh DJ, Proctor DM. The role of assisted self-help in services for alcohol-related disorders. Addictive Behaviors. 2011; 36: 624-629. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21185656 Accessed on: 2015-06-23.
Kazemi DM, Wagenfield M, Van Horn RK, Levine MJ, Dmochowski J. Binge drinking among underage college students: Role of impulsivity and the transtheoretical model. Journal of Nursing Addiction. 2011; 22: 193-199. Available at: http://informahealthcare.com/doi/abs/10.3109/10884602.2011.616605 Accessed on: 2015-06-23.
Kilgour AR, Chudley AE. Fetal Alcohol Spectrum Disorder. Drug Abuse and Addiction in Medical Illness: Causes, Consequences and Treatment. 2012. Available at: http://link.springer.com/chapter/10.1007/978-1-4614-3375-0_36 Accessed on: 2015-06-12.
Knight JR, Sherritt L, Harris SK, Gates EC, Chang G. Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcohol Clin Exp Res. 2003 ; 27(1): 67-73.
Knight JR, Shrier LA, Bravender TD, Farrell M, Vander Bilt J, Shaffer HJ. A new brief screen for adolescent substance abuse. Archives of Pediatric and Adolescent Medicine. 1999; 153(6): 591–596. Available at: http://archpedi.jamanetwork.com/article.aspx?articleid=347094 Accessed on: 2010-08-25.
Lande RG, Marin BA, Chang AS, Mason S, Lande GR. A survey of alcohol consumption among first-year military medical students. Am J Drug Alcohol Abuse. 2007; 33(4): 605-10.
Lang EV. A Better Patient Experience Through Better Communication. Journal of Radiology Nursing. 2012; 31: 114-119. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587056/ Accessed on: 2015-04-28.
Lapham GT, Rubinsky AD, Heagerty PJ, et al. Probability and Predictors of Patients Converting from Negative to Positive Screens for Alcohol Misuse. Alcoholism: Clinical and Experimental Research. 2014; 38(2): 564-571. Available at: http://www.ncbi.nlm.nih.gov Accessed on: 2015-06-24.
Le Berre AP, Vabret F, Cauvin C, Pinon K, Allain P, Pitel AL, Eustache F, Beaunieux H. Cognitive barriers to readiness to change in alcohol-dependent patients. Alcoholism: Clinical and Experimental Research. 2012; 36: 1542-1549. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22458335 Accessed on: 2015-06-18.
Le KB, Johnson AJ, Seale JP, Woodall H, Clark DC, Parish DC, Miller DP. Primary care residents lack comfort and experience with alcohol screening and brief intervention: A multi-site survey. Journal of General Internal Medicine. 2015; 30: 790-796. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25666210 Accessed on: 2015-06-19.
Lee J, Kresina TF, Campopiano M, et al.. Use of Pharmacotherapies in the Treatment of Alcohol Use Disorders and Opioid Dependence in Primary Care. Biomed Research International. 2015. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25629034 Accessed on: 2015-06-09.
Leibson T, Koren G. Informed Consent in Pediatric Research. Pediatr Drugs. 2015; 17: 5-11. Available at: http://link.springer.com/article/10.1007%2Fs40272-014-0108-y Accessed on: 2015-04-23.
Lella A. comScore Reports March 2015 U.S. Smartphone Subscriber Market Share. comScore. 2015. Available at: http://www.comscore.com/Insights/Market-Rankings/comScore-Reports-March-2015-US-Smartphone-Subscriber-Market-Share Accessed on: 2015-06-25.
Maisto SA, Roos CR, O'Sickey AJ, Kirouac M, Conners GJ, Tonigan JS, Witkiewitz K. The Indirect Effect of the Therapeutic Alliance and Alcohol Abstinence Self-Efficacy on Alcohol Use and Alcohol-Related Problems in Project MATCH. Alcohol Clin Exp Res. 2015; 39: 504-13. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25704134 Accessed on: 2015-03-25.
Marino EN, Fromme K. Alcohol-induced blackouts and maternal family history of problematic alcohol use. Addictive Behaviors. 2015; 45: 201-206. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25705013 Accessed on: 2015-06-17.
Martin JF. Privacy and confidentiality. Handbook of Global Bioethics. 2013; 1: 119-137. Available at: http://link.springer.com/referenceworkentry/10.1007%2F978-94-007-2512-6_72#page-1 Accessed on: 2015-06-23.
Mayo Clinic. Diseases and Conditions: Gastritis. Mayo Clinic. 2014. Available at: http://www.mayoclinic.org Accessed on: 2015-03-11.
MDQuit Resource Center. Psychosocial Intervention. Maryland Resource Center for Quitting Use & Initiation of Tobacco. 2015. Available at: http://mdquit.org/cessation-programs/psychosocial-interventions Accessed on: 2015-03-25.
Mee-Lee D, Shulman GD. The ASAM placement criteria and matching patients to treatment. In: Graham AW, Schultz TK, Mayo-Smith MF, Ries RK, Wilford BB, eds. Principles of Addiction Medicine. 3rd ed. Chevy Chase, Md: American Society of Addiction Medicine. 2003.
Mehta MM, Moriarty KJ, Proctor D, Bird M, Darling W. Alcohol misuse in older people: heavy consumption and protean presentations. Journal of Epidemiology Community Health. 2006; 60: 1048-1052.
Merlo LJ, Gold MS. Prescription opioid abuse and dependence among physicians: hypotheses and treatment. Harv Rev Psychiatry. 2008; 16: 181-194.
Merrick EL, Horgan CM, Hodgkins D, Garnick DW, Houghton SF, Panas L, Saitz R, Blow FC. Unhealthy drinking patterns in older adults: prevalence and associated characteristics. JAGS. 2008.
Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. The Guilford Press. 2012. Available at: http://www.amazon.com/Motivational-Interviewing-Third-Edition-Applications/dp/1609182278 Accessed on: 2014-10-10.
Miller WR, Sanchez VC. Motivating Young Adults for Treatment and Lifestyle Change. Howard G, ed. Issues in Alcohol Use and Misuse by Young Adults. Notre Dame, IN. University of Notre Dame Press. 1994.
Monasterio EB. Adolescent substance involvement use and abuse. Primary Care: Clinics in Office Practice. 2014; 41: 567-585. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25124207 Accessed on: 2015-06-17.
Moyers TB. The relationship in motivational interviewing. Psychotherapy. 2014; 51: . Available at: http://psycnet.apa.org/journals/pst/51/3/358 Accessed on: 2015-03-19.
Mylan Pharmaceuticals Inc.. Acamprosate Calcium tablet, delayed release Drug Label Information. Dailymed. 2014. Available at: http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=75ddfd10-55b2-426e-bc74-3413cd0d7c94 Accessed on: 2015-06-09.
NAADAC. Certifications - Types and Eligibility. NAADAC. 2013. Available at: http://www.naadac.org/typeseligibility Accessed on: 2015-03-30.
Naimi TS, Cole TB. Electronic Alcohol Screening and Brief Interventions Expectations and Reality. JAMA. 2014; 311(12): 1207-1208. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24668101 Accessed on: 2015-06-24.
National Institute on Alcohol Abuse and Alcoholism. Alcohol Alert No. 56: Screening for Alcohol Use Problems -- An Update. NIAAA Website. 2002a. Available at: http://pubs.niaaa.nih.gov/publications/aa56.htm Accessed on: 2008-10-10.
National Institute on Alcohol Abuse and Alcoholism. Helping Patients Who Drink Too Much: A Clinician's Guide, Updated 2005 Edition. Bethesda, MD. 2007. Available at: http://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/guide.pdf Accessed on: 2008-10-10.
National Institute on Alcoholism and Alcohol Abuse. TWEAK Instrument Fact Sheet. National Institute on Alcoholism and Alcohol Abuse. 2004. Available at: http://pubs.niaaa.nih.gov/publications/AssessingAlcohol/InstrumentPDFs/74_TWEAK.pdf Accessed on: 2015-03-11.
Nazeer A, Liepman MR. Substance use disorders and psychosocial treatment. International Journal of Child and Adolescent Health. 2014; 7: 263-273. Available at: http://search.proquest.com/docview/1655269868?accountid=14244 Accessed on: 2015-03-25.
New assessment tools for drinking in pregnancy: T-ACE, TWEAK, and others. Alcohol Health and Research World. 1994; 18(1): 55-61.
NIAAA, American Academy of Pediatrics. Alcohol screening and brief intervention for youth. NIAAA. clinical Guides and Manuals. 2011. Available at: http://pubs.niaaa.nih.gov/publications/Practitioner/YouthGuide/YouthGuidePocket.pdf Accessed on: 2014-02-04.
NIAAA. Alcohol Facts and Statistics. NIAAA. 2015. Available at: http://pubs.niaaa.nih.gov/publications/AlcoholFacts&Stats/AlcoholFacts&Stats.pdf Accessed on: 2015-04-29.
NIAAA. Alcohol's Effects on the Body. NIAAA. 2015. Available at: http://www.niaaa.nih.gov/alcohol-health/alcohols-effects-body Accessed on: 2015-04-29.
NIAAA. Beyond hangovers. NIAAA Publications. 2010b. Available at: http://pubs.niaaa.nih.gov/publications/Hangovers/beyondHangovers.htm#chapter03 Accessed on: 2015-07-27.
NIAAA. Treatment for alcohol problems: Finding and getting help. NIH. 2014. Available at: http://pubs.niaaa.nih.gov/publications/Treatment/treatment.htm Accessed on: 2015-05-20.
NIDA. Motivational enhancement therapy (alcohol, marijuana, nicotine). NIDA. 2012. Available at: http://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-2 Accessed on: 2015-06-17.
NIDA. Principles of drug addiction treatment: A research-based guide. NIDA. 2012. Available at: http://www.drugabuse.gov/sites/default/files/podat_1.pdf Accessed on: 2015-03-30.
NIDDK. Gastritis. National Institute of Diabetes and Digestive and Kidney Diseases. 2010. Available at: http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/gastritis/Documents/Gastritis_508.pdf Accessed on: 2015-03-11.
NIH. 12-Step Facilitation Therapy (Alcohol, Stimulants, Opiates). NIH. 2012. Available at: http://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-4 Accessed on: 2015-03-20.
NIH. Alcohol Alert: Screening for Alcohol Use and Alcohol-Related Problems. U.S. Department of Health and Human Services . 2005; 65: . Available at: http://pubs.niaaa.nih.gov/publications/aa65/AA65.htm Accessed on: 2015-03-11.
Niveau G, Burkhardt S, Chiesa S. Medical confidentiality and the competent patient. J Med Ethics. 2012; 39: 686-689. Available at: http://jme.bmj.com.libproxy.lib.unc.edu/content/39/11/686.full Accessed on: 2015-04-23.
Norcross JC, Krebs PM, Prochaska JO. Stages of change. Journal of Clinical Psychology. 2011; 67: 143-154. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21157930 Accessed on: 2015-06-18.
O'Conner PG. Drug Use and Dependence: Alcohol. Merick Manuals. 2008-2013. Available at: http://www.merckmanuals.com/professional/special_subjects/drug_use_and_dependence/alcohol.html Accessed on: 2015-03-11.
Oakey F, Ayoub AF, Goodall CA, Crawford A, Smith I, Russell A, Holland IS. Delivery of a brief motivational intervention to patients with alcohol-related facial injuries: role for a specialist nurse. British Journal of Oral and Maxillofacial Surgery. 2008; 46(2): 102-106.
Pedrelli P, Bentley K, Vitali M, et al. Compulsive use of alcohol among college students. Psychiatry Research. 2013; 205: 95-102. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22951374 Accessed on: 2015-06-16.
PHG Foundation . Informed Consent - Levels of Consent . YouTube. 2008. Available at: https://www.youtube.com/watch?v=2O5QoVv7tts Accessed on: 2015-05-07.
Pilowsky DJ, Wu L. Screening for alcohol and drug use disorders among adults in primary care: a review. Substance Abuse and Rehabilitation. 2012; 3: 25-34. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22553426 Accessed on: 2015-06-16.
Pisinger C, Aadahl M, Toft U, Jørgensen T. Motives to quit smoking and reasons to relapse differ by socioeconomic status. Preventive Medicine. 2011; 52: 48-52. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21047525 Accessed on: 2015-06-25.
Prochaska JO, DiClemente CC. Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research and Practice. 1982; 19: 276-288. Available at: http://psycnet.apa.org/journals/pst/19/3/276/
Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, Goodwin FK. Comorbidity of mental disorders with alcohol and other drug abuse. Journal of the American Medical Association. 1990; 19: 2511-2518. Available at: http://www.ncbi.nlm.nih.gov/pubmed/2232018 Accessed on: 2015-06-25.
Rehm J, Samokhvalov AV, Shield KD. Global burden of alcoholic liver diseases. Journal of Hepatology. 2013; 59: 160-168. Available at: http://www.ncbi.nlm.nih.gov/pubmed/23511777 Accessed on: 2015-06-17.
Reid, MC, Tinetti, ME, Tinetti, ME, Concato, J. Physician awareness of alcohol use disorders among older patients. Journal of General Internal Medicine. 1998; November 13(11): 729-734. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497030/pdf/jgi_223.pdf Accessed on: 2010-08-18.
Resnicow K, McMaster F. Motivational Interviewing: moving from why to how with autonomy support . Int J Behav Nutr Phys Act. 2012; 9: . Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330017/ Accessed on: 2015-03-19.
Richter KP, Faseru B, Mussulman LM, et al. Using "warm handoffs" to link hospitalized smokers with tobacco treatment after discharge: Study protocol of a randomized controlled trial. Trials. 2012; 13: 1-11. Available at: http://www.ncbi.nlm.nih.gov/pubmed/22853047 Accessed on: 2015-06-23.
Robinson LM, Vail SR. An integrative review of adolescent smoking cessation using the transtheoretical model of change. Journal of Pediatric Health Care. 2012; 26: 336-345. Available at: http://www.jpedhc.org/article/S0891-5245(10)00381-0/abstract?cc=y= Accessed on: 2015-06-11.
Rogers J, Wiese BS. Geriatric drinkers: Evaluation and treatment for alcohol overuse. BCMJ. 2011; 53: 353-356. Available at: http://www.bcmj.org/articles/geriatric-drinkers-evaluation-and-treatment-alcohol-overuse Accessed on: 2015-03-13.
Rogers RG, Boardman JD, Pendergast PM, et al. Drinking problems and mortality risk in the United States. Drug and Alcohol Dependence. 2015; 151: 38-46. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25858785 Accessed on: 2015-06-17.
Russell M, Martier SS, Sokol RJ, Mudar P, Bottoms S, Jacobson S, Jacobson J. Screening for pregnancy risk-drinking. Alcohol Clin Exp Res. 1994 ; 18(5): 1156-61.
SAMHSA. Enhancing Motivation For Change in Substance Abuse Treatment. Department of Health and Human Services. 1999-2013. Available at: http://store.samhsa.gov/shin/content/SMA13-4212/SMA13-4212.pdf Accessed on: 2015-03-19.
SAMHSA. Quick Guide For Clinicians Based on TIP 34 . U.S. Department of Health and Human Services. 2001-2011. Available at: https://store.samhsa.gov/shin/content/SMA06-4136/SMA06-4136.pdf Accessed on: 2015-03-19.
SAMHSA. SAMHSA's working definition of recovery. SAMHSA. 2012. Available at: http://store.samhsa.gov/shin/content//PEP12-RECDEF/PEP12-RECDEF.pdf Accessed on: 2015-06-11.
SAMHSA. Screening, Brief Intervention, and Referral to Treatment (SBIRT). SAMHSA. 2014. Available at: http://www.samhsa.gov/sbirt Accessed on: 2015-03-20.
SAMHSA. Treatments for Substance Use Disorders. SAMHSA. 2015. Available at: http://www.samhsa.gov/treatment/substance-use-disorders Accessed on: 2015-03-30.
SAMHSA. White Paper on Screening, Brief Intervention and Referral to Treatment (SBIRT) in Behavioral Healthcare. SAMHSA. 2011. Available at: http://www.samhsa.gov/sites/default/files/sbirtwhitepaper_0.pdf Accessed on: 2015-04-28.
Sarkar M, Einarson T, Koren G. Comparing the effectiveness of tweak and t-ace in determining problem drinkers in pregnancy. Alcohol Alcohol. 2010; 45(40): 356-360. Available at: http://www.medscape.com/viewarticle/724160 Accessed on: 2015-06-30.
Schleiter KE. Difficult patient-physician relationships and the risk of medical malpractice litigation. Virtual Mentor. 2009; 11: 242-246. Available at: http://journalofethics.ama-assn.org/2009/03/hlaw1-0903.html Accessed on: 2015-06-22.
Shapiro B, Coffa D, McCance-Katz E. A Primary Care Approach to Substance Misuse. Am Fam Physician. 2013; 88(2): 113-121. Available at: http://www.aafp.org/afp/2013/0715/p113.html#sec-1 Accessed on: 2015-06-12.
Sheps S. Does drinking alcohol affect your blood pressure?. Mayo Clinic. 2012. Available at: http://www.mayoclinic.org/diseases-conditions Accessed on: 2015-03-13.
Singh S, Sangam S, Joginapally VR, et al. Alcohol, glycine, and gastritis. International Journal of Nutrition, Pharmacology, Neurological Diseases. 2015; 5(1): 1-5. Available at: http://www.ijnpnd.com/article.asp?issn=2231-0738;year=2015;volume=5;issue=1;spage=1;epage=5;aulast=Singh Accessed on: 2015-06-17.
Sinha R. How Does Stress Lead to Risk of Alcohol Relapse?. Alcohol Research. 2012; 34: 432-440. Available at: http://pubs.niaaa.nih.gov/publications/arcr344/432-440.htm Accessed on: 2015-06-17.
Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. Primary care validation of a single question alcohol screening test. J Gen Intern Med. 2009; 25(4): 375. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695521/ Accessed on: 2017-03-09.
Smyth A, Teo KK, Rangarajan S, O'Donnell M, Zhang X, Rana P, Leong DP, Dagenais G, Seron P, Rosengren A, Schutte AE, Lopez-Jaramillo P, Oguz A, Chifamba J, Diaz R, Lear S, Avezum A, Kumar R, Mohan V, Szuba A, Wei L, Yang W, Jian B, McKee M, Yusuf S. Alcohol Consumption and Cardiovascular Disease, Cancer, Injury, Admission to Hospital, and Mortality: A Prospective Cohort Study. The Lancet. 2015. Available at: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)00235-4/references Accessed on: 2015-09-28.
Sterling S, Valkanoff T, Hinman A, Weisner C. Integrating Substance Use Treatment Into Adolescent Health Care. Curr Psychiatry Rep. 2012; 14: 453-461. Available at: http://sbirtnh.org/wp-content/uploads/2016/05/Integrating-Substance-UseTreatment-Into-Adolescent-Health-Care.pdf Accessed on: 2015-04-28.
Stern TA, Gross AF, Stern TW, et al. Current approaches to the recognition and treatment of alcohol withdrawal and delirium tremens: "old wine in new bottles" or "new wine in old bottles". Primary Care Companion to The Journal of Clinical Psychiatry. 2010; 12(3): . Available at: http://www.psychiatrist.com/PCC/article/Pages/2010/v12n03/10r00991ecr.aspx Accessed on: 2017-03-16.
Strobbe S. Prevention and screening, brief intervention, and referral to treatment for substance use in primary care. Primary Care: Clinics in Office Practice. 2014; 41: 185-213. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24830605 Accessed on: 2015-06-22.
Substance Abuse and Mental Health Services Administration. Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings. NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: Substance Abuse and Mental Health Services Administration. 2014. Available at: http://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.pdf Accessed on: 2015-04-30.
Sullivan JT, Sykora K, Schneiderman J, et al. Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). Br J Addict. 1989; 84(11): 1353-7. Available at: https://www.ncbi.nlm.nih.gov/pubmed/2597811 Accessed on: 2017-03-16.
Swift RM, Aston ER. Pharmacotherapy for alcohol use disorder: Current and emerging therapies. Harv Rev Psychiatry. 2015; 23: 122-133. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25747925 Accessed on: 2015-05-29.
Tan CH, Denny CH, Cheal NE, Sniezek JE, Kanny D. Alcohol Use and Binge Drinking Among Women of Childbearing Age-United States, 2011-2013. Centers for Disease Control and Prevention. 2015; 64(37): 1042-1046. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6437a3.htm?s_cid=mm6437a3_e Accessed on: 2015-09-25.
Thakkar MM , Sharma , Sahota P . Alcohol disrupts sleep homeostasis . Alcohol . 2015; 49(4): 299-310. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25499829 Accessed on: 2015-07-21.
The American College of Obstetricians and Gynecologists. Adolescent Confidentiality and Electronic Health Records. Obstet Gynecol. 2014; 123: 1148-50. Available at: http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescent-Confidentiality-and-Electronic-Health-Records Accessed on: 2015-04-22.
The Michigan Alcoholism Screening Test: the quest for a new diagnostic instrument. American Journal of Psychiatry. 1971; 127(12): 89-94.
Timko C, DeBenedetti A. A randomized controlled trial of intensive referral to 12-step self-help groups: one-year outcomes. Drug Alcohol Depend. 2007; 90(2-3): 270-279. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17524574 Accessed on: 2015-04-28.
U.S. Bureau Of Labor Statistics. What Substance Abuse and Behavioral Disorder Counselors Do. Office of Occupational Statistics and Employment Projections. 2014. Available at: http://www.bls.gov/ooh/community-and-social-service/substance-abuse-and-behavioral-disorder-counselors.htm#tab-2 Accessed on: 2015-03-30.
U.S. Department of Health & Human Services. Health Information Privacy: Guidance Materials for Consumers. U.S. Department of Health & Human Services. 2015. Available at: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html Accessed on: 2015-04-10.
U.S. Department of Health and Human Services. HIPAA Privacy Rule and Sharing Information Related to Mental Health. U.S. Department of Health and Human Services. 2015. Available at: http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/mhguidance.html Accessed on: 2015-04-10.
US Preventive Services Task Force (USPSTF). Screening for Alcohol Misuse. AHRQ Website. 2004.
VA/DoD. VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders. . 2015. Available at: http://www.healthquality.va.gov/guidelines/MH/sud/ Accessed on: 2016-11-15.
Washington State Department of Health (WSDH). Substance abuse during pregnancy: guidelines for screening and management . Office of Healthy Communities . 2015. Available at: http://here.doh.wa.gov/materials/guidelines-substance-abuse-pregnancy/?searchterm=Substance%20abuse%20during%20pregnancy:%20guidelines%20for%20screening%20and%20management Accessed on: 2015-07-24.
Westra HA, Adi A. Core skills in motivational interviewing. Psychotherapy. 2013; 50: . Available at: http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2013-30487-003 Accessed on: 2015-03-19.
White WL. Recovery/remission from substance use disorders: An analysis of reported outcomes in 415 scientific reports, 1868-2011. Philadelphia Department of Behavioral Health and Intellectual disAbility Services. 2012. Available at: http://www.naadac.org/assets/1959/whitewl2012_recoveryremission_from_substance_abuse_disorders.pdf Accessed on: 2015-06-15.
WHO. AUDIT: The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care, 2nd Edition. Department of Mental Health and Substance Use Dependence. 2003. Available at: http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf?ua=1 Accessed on: 2015-03-10.
Wolff JL, Roter DL. Family Presence in Routine Medical Visits: A Meta-Analytical Review. Soc Sci Med. 2011. Available at: www.ncbi.nlm.nih.gov/pmc/articles/PMC3070824/ Accessed on: 2015-04-23.
Wolff, N, Shi J. Screening for Substance Use Disorder Among Incarcerated Men with the Alcohol, Smoking, Substance Involvement Screening Test. Journal of Substance Abuse Treatment. 2015; 53: 22-32. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25659203 Accessed on: 2015-06-16.
Yamuna S. Counseling Adolescents. Indian J Pediatr. 2013; 80: 949-58. Available at: http://link.springer.com/article/10.1007%2Fs12098-013-1104-x Accessed on: 2015-04-23.
Yancey J, McKinnon H. Reaching Out to an Impaired Physician. Fam Pract Manag. 2010; 17(1): 27-31. Available at: http://www.aafp.org/fpm/2010/0100/p27.html Accessed on: 2015-04-28.
FundingInitial development of this activity was supported by a grant from the National Institute on Alcohol Abuse and Alcoholism (#1R44AA016724-01A1).