Screening, Feedback and Information

Brief screening tools, are used to identify people who may benefit from a brief intervention (see Chapter 4). They can also provide valuable information on the frequency and consequences of alcohol use. The delivery of personalised, informal feedback on the screening tools, is a key component of brief interventions. This may include information on the frequency/quantity or severity of alcohol use and related-problems, as well as how they compare with clinical or population norms. The feedback process provides an important opportunity to provide information on the psychological, social and physical consequences of alcohol use. Information on harm reduction strategies (e.g., setting limits, drink water) for reducing risk of alcohol-related harms is also commonly provided. Assessment feedback and information is typically provided in a collaborative manner, using the ‘elicit-provide-elicit’ approach (i.e. first ask for permission, offer the information, and then ask for the client’s response). This provides an important opportunity to increase the patient’s  awareness of their alcohol use, and begin to explore and understand the associated risks or consequences.