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Preventing Disparities in Alcohol Screening and Brief Intervention: The Need to Move Beyond Primary Care

The alcohol treatment field has focused on promoting screening and brief intervention (SBI) in medically based settings, particularly primary care. In this Commentary, we consider the potential unintended consequences for disparities in access to care for alcohol problems. National data show signifi... Full description

Journal Title: Alcoholism: Clinical and Experimental Research September 2011, Vol.35(9), pp.1557-1560
Main Author: Mulia, Nina
Other Authors: Schmidt, Laura A. , Ye, Yu , Greenfield, Thomas K.
Format: Electronic Article Electronic Article
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ID: ISSN: 0145-6008 ; E-ISSN: 1530-0277 ; DOI: 10.1111/j.1530-0277.2011.01501.x
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recordid: wj10.1111/j.1530-0277.2011.01501.x
title: Preventing Disparities in Alcohol Screening and Brief Intervention: The Need to Move Beyond Primary Care
format: Article
creator:
  • Mulia, Nina
  • Schmidt, Laura A.
  • Ye, Yu
  • Greenfield, Thomas K.
subjects:
  • Screening And Brief Intervention
  • Disparities
  • Alcohol Treatment
  • Access To Care
ispartof: Alcoholism: Clinical and Experimental Research, September 2011, Vol.35(9), pp.1557-1560
description: The alcohol treatment field has focused on promoting screening and brief intervention (SBI) in medically based settings, particularly primary care. In this Commentary, we consider the potential unintended consequences for disparities in access to care for alcohol problems. National data show significant racial/ethnic and socioeconomic differences in the rates at which at‐risk drinkers and persons with alcohol use disorders come into contact with primary care providers. This suggests that implementing SBI in mostly primary care settings could inadvertently widen the gap in alcohol‐related health disparities. To ensure that all populations in need benefit from this evidence‐based treatment, SBI should be considered and adapted for a wider range of service venues, including Federally Qualified Health Centers and venues frequented by racial/ethnic minorities and the uninsured.
language:
source:
identifier: ISSN: 0145-6008 ; E-ISSN: 1530-0277 ; DOI: 10.1111/j.1530-0277.2011.01501.x
fulltext: fulltext
issn:
  • 0145-6008
  • 01456008
  • 1530-0277
  • 15300277
url: Link


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descriptionThe alcohol treatment field has focused on promoting screening and brief intervention (SBI) in medically based settings, particularly primary care. In this Commentary, we consider the potential unintended consequences for disparities in access to care for alcohol problems. National data show significant racial/ethnic and socioeconomic differences in the rates at which at‐risk drinkers and persons with alcohol use disorders come into contact with primary care providers. This suggests that implementing SBI in mostly primary care settings could inadvertently widen the gap in alcohol‐related health disparities. To ensure that all populations in need benefit from this evidence‐based treatment, SBI should be considered and adapted for a wider range of service venues, including Federally Qualified Health Centers and venues frequented by racial/ethnic minorities and the uninsured.
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abstractThe alcohol treatment field has focused on promoting screening and brief intervention (SBI) in medically based settings, particularly primary care. In this Commentary, we consider the potential unintended consequences for disparities in access to care for alcohol problems. National data show significant racial/ethnic and socioeconomic differences in the rates at which at‐risk drinkers and persons with alcohol use disorders come into contact with primary care providers. This suggests that implementing SBI in mostly primary care settings could inadvertently widen the gap in alcohol‐related health disparities. To ensure that all populations in need benefit from this evidence‐based treatment, SBI should be considered and adapted for a wider range of service venues, including Federally Qualified Health Centers and venues frequented by racial/ethnic minorities and the uninsured.
copOxford, UK
pubBlackwell Publishing Ltd
doi10.1111/j.1530-0277.2011.01501.x
pages1557-60
date2011-09