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Adult Alcohol Screening and Intervention Algorithm

Adult Alcohol Screening and Intervention Algorithm - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Alcohol and Tobacco, Related




16
Appendix C.

Screen for alcohol misuse
using the AUDIT-C
Primary Care: Screen New Patients and at Least Annually
Hospital Inpatients: Every Admission
ED: Every Admission
AUDIT-C
Score
0-2
Men over 65 years
and all women
8-12
Men and women
Screening complete
Provide brief
intervention (BI)
ADULT Alcohol
Screening and
Intervention
Algorithm
Give positive reinforcement.
Advise to continue to drink below
recommended limits*:
Men age 65 years or younger: ≤4
standard drinks per day; ≤ 14 per week
Men over 65 year and all women: ≤ 3
drinks per day; ≤ 7 drinks per week
*Abstinence should be recommended to
some patients in certain clinical
situations (e.g., pregnancy, warfarin)
0-3
Men age 65 years
or younger
3-7
Men over 65 years
and all women
4-7
Men age 65 years
or younger
Low Risk
High Risk
Refer to specialist in alcohol/drug
related issues*
*Addiction Medicine consult suggested for
inpatients.
AUD diagnosis and/or referral for additional
outpatient treatment may be made by
consulting service.
Likely Alcohol Use Disorder
Follow up with Primary
Care in about 4 weeks
Follow up with Primary Care in
about 2-8 weeks
Did patient begin
treatment with
referred services?
Consider pharmacotherapy
and/or behavioral
management in Primary Care
Follow up per PCP
discretion
Last Reviewed Nov 2016
Alcohol – Pediatric/Adult –
Ambulatory/Inpatient
No
Yes


Copyright © 201� University of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2016CCKM@uwhealth.org