Prevention, screening, and treatment for heavy drinking and alcohol use disorder

Lancet Psychiatry. 2019 Dec;6(12):1054-1067. doi: 10.1016/S2215-0366(19)30213-5. Epub 2019 Oct 17.

Abstract

Heavy drinking and alcohol use disorder are major public health problems. Practitioners not specialising in alcohol treatment are often unaware of the guidelines for preventing, identifying, and treating heavy drinking and alcohol use disorder. However, a consensus exists that clinically useful and valuable tools are available to address these issues. Here, we review existing information and developments from the past 5 years in these areas. We also include information on heavy drinking and alcohol use disorder among individuals with co-occurring psychiatric disorders, including drug use disorders. Areas covered include prevention; screening, brief intervention, and referral for treatment; evidence-based behavioural interventions; medication-assisted treatment; technology-based interventions (eHealth and mHealth); and population-level interventions. We also discuss the key topics for future research.

Publication types

  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Alcohol-Related Disorders / diagnosis*
  • Alcohol-Related Disorders / therapy*
  • Comorbidity
  • Global Health
  • Humans
  • Mass Screening*
  • Public Health*
  • Referral and Consultation*
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / therapy
  • Surveys and Questionnaires