Alcohol Screening and Brief Intervention for Adolescents: The How, What and Where of Reducing Alcohol Consumption and Related Harm Among Young People
Open accessAbstract
AIM: The aim of the study was to explore the evidence base on alcohol screening and brief intervention for adolescents to determine age appropriate screening tools, effective brief interventions and appropriate locations to undertake these activities. METHODS: A review of existing reviews (2003-2013) and a systematic review of recent research not included in earlier reviews. RESULTS: The CRAFFT and AUDIT tools are recommended for identification of 'at risk' adolescents. Motivational interventions delivered over one or more sessions and based in health care or educational settings are effective at reducing levels of consumption and alcohol-related harm. CONCLUSION: Further research to develop age appropriate screening tools needs to be undertaken. Screening and brief intervention activity should be undertaken in settings where young people are likely to present; further assessment at such venues as paediatric emergency departments, sexual health clinics and youth offending teams should be evaluated. The use of electronic (web/smart-phone based) screening and intervention shows promise and should also be the focus of future research.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There is a lack of evidence on screening tools in young adults.
“There is a lack of evidence on screening tools in young adults (Jonas et al. 2012; Patton et al., 2014).”
From Effectiveness of Nurse-Practitioner-Delivered Brief Motivational Intervention for Young Adult Alcohol and Drug Use in Primary Care in South Africa: A Randomized Clinical Trial (2014) · cites this paper as Patton et al., 2014
The Discussion (page not provided) says alcohol screening has been mostly studied in older adolescents and young adults aged 18–24. It identifies the evidence gap as the validity of screening methods in younger adolescents, not a lack of evidence in young adults. (LLM, conf=0.84)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,482 · cited 1× · see citing works
“In adolescents, the AUDIT questionnaire (Saunders et al., 1993) was found to have greater sensitivity and specificity than other questionnaires (including CAGE, TWEAK, CRAFFT, RAPS4-QF, FAST, RUFT-Cut and POSIT).”
MethodRehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y., & Patra, J. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60746-7 · Cited by 3,870 · see citing works
Motivational interviewing versus feedback only in emergency care for young adult problem drinking
Monti, P. M., Barnett, N. P., Colby, S. M., Gwaltney, C. J., Spirito, A., Rohsenow, D. J., & Woolard, R. (2007) · Addiction · doi:10.1111/j.1360-0443.2007.01878.x · Cited by 205 · see citing works
Champion, K. E., Newton, N. C., Barrett, E. L., & Teesson, M. (2013) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2012.00517.x · Cited by 158 · cited 2× · see citing works
“…(Carey et al., 2007; Deas, 2008; Lemstra et al., 2010; Wachtel and Staniford, 2010; Calabria et al., 2011; Jackson et al., 2011; Carney and Myers, 2012; Haug et al., 2012; Mitchell et al., 2013; Yuma-Guerrero et al., 2012; Champion et al., 2013; Newton et al., 2013; Pilowsky and Wu, 2013).”
Brief intervention for drug-abusing adolescents in a school setting: outcomes and mediating factors
Winters, K. C., Fahnhorst, T., Botzet, A., Lee, S., & Lalone, B. (2012) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2011.08.005 · Cited by 125 · see citing works
Schaus, J. F., Sole, M. L., McCoy, T. P., Mullett, N., & O'Brien, M. C. (2009) · Journal of Studies on Alcohol and Drugs, Supplement · doi:10.15288/jsads.2009.s16.131 · Cited by 121 · see citing works
Screening, Brief Intervention, and Referral for Alcohol Use in Adolescents: A Systematic Review
Yuma-Guerrero, P. J., Lawson, K. A., Velasquez, M. M., von Sternberg, K., Maxson, T., & Garcia, N. (2012) · Pediatrics · doi:10.1542/peds.2011-1589 · Cited by 104 · see citing works
Segatto, M. L., Andreoni, S., Souza e Silva, R. D., Diehl, A., & Pinsky, I. (2011) · Revista Brasileira de Psiquiatria · doi:10.1590/s1516-44462011000300004 · Cited by 48 · see citing works
Flagged first, then by citations
Research works printed but not linked: 51
- Bailey KA Baker AL Webster RA Pilot randomized controlled trial of a brief alcohol intervention group for adolescents Drug Alcohol Rev 2004 23 157 66 15370021
- Barrett B Byford S Crawford M Cost-effectiveness of screening and referral to an alcohol health worker in alcohol misusing patients attending an accident and emergency department: a decision-making approach Drug Alcohol Depend 2006 81 47 54 16006055
- Bellis MA Phillips-Howard PA Hughes K Teenage drinking, alcohol availability and pricing: a cross-sectional study of risk and protective factors for alcohol-related harms in school children BMC Public Health 2009 9 380 19818118 PMC2770487
- Bernstein J Heeren T Edward E A brief motivational interview in a pediatric emergency department, plus 10-day telephone follow-up, increases attempts to quit drinking among youth and young adults who screen positive for problematic drinking Acad Emerg Med 2010 17 890 902 20670329 PMC2913305
- Boekeloo BO Jerry J Lee-Ougo WI Randomized trial of brief office-based interventions to reduce adolescent alcohol use Arch Pediatr Adolesc Med 2004 158 635 42 15237062
- Calabria B Shakeshaft AP Havard A A systematic and methodological review of interventions for young people experiencing alcohol-related harm Addiction 2011 106 1406 18 21371154
- Carey KB Henson JA Carey MP Which heavy drinking college students benefit from a brief motivational intervention? J Consult Clin Psychol 2007 75 663 9 17663621 PMC2430506
- Carey KB Scott-Sheldon LA Elliott JC Face-to-face versus computer-delivered alcohol interventions for college drinkers: a meta-analytic review, 1998 to 2010 Clin Psychol Rev 2012 32 690 703 23022767 PMC3511828
- Carney T Myers B Effectiveness of early interventions for substance-using adolescents: findings from a systematic review and meta-analysis Subst Abuse Treat Prev Policy 2012 7 25 22697269 PMC3538561
- Clark DB Moss HB Providing alcohol-related screening and brief interventions to adolescents through health care systems: obstacles and solutions PLOS Med 2010 7 e1000214 20231870 PMC2834707
- Committee on Substance Abuse Alcohol use and abuse: a pediatric concern Pediatrics 2001 108 185 9 11433075
- D'Amico E Miles JNV Stern SA Brief motivational interviewing for teens at risk of substance use consequences: a randomized pilot study in a primary care clinic J Subst Abuse Treat 2008 35 53 61 18037603
- Dawson DA Goldstein RB Chou SP Age at first drink and the first incidence of adult-onset DSM-IV alcohol use disorders Alcohol Clin Exp Res 2008 32 2149 60 18828796 PMC2760820
- Deas D Evidence-based treatments for alcohol use disorders in adolescents Pediatrics 2008 121 S348 54 18381498
- Deas D Clark A Current state of treatment for alcohol and other drug use disorders in adolescents Alcohol Res Health 2009 32 76 82 23104449 PMC3860499
- Deas D Thomas SE An overview of controlled studies of adolescent substance abuse treatment Am J Addict 2001 10 178 89 11444159
- Dennis M Godley SH Diamond The Cannabis Youth Treatment (CYT) Study: main findings from two randomized trials J Subst Abuse Treat 2004 27 197 213 15501373
- Ford CA Millstein SG HalpernFelsher BL Influence of physician confidentiality assurances on adolescents’ willingness to disclose information and seek future health care—a randomized controlled trial JAMA 1997 278 1029 34 9307357
- Furtwaengler NA de Visser RO Lack of international consensus in low-risk drinking guidelines Drug Alcohol Rev 2013 32 11 8 22672631
- Gmel G Venzin V Marmet K A quasi-randomized group trial of a brief alcohol intervention on risky single occasion drinking among secondary school students Int J Public Health 2012 57 935 44 23089675
- Gregor MA Shope JT Blow FC Feasibility of using an interactive laptop program in the emergency department to prevent alcohol misuse among adolescents Ann Emerg Med 2003 42 276 84 12883517
- Haug S Sannemann J Meyer C Internet and mobile phone interventions to decrease alcohol consumption and to support smoking cessation in adolescents: a review Gesundheit-swesen 2012 74 160 77 21387218
- Hingson RW Zha W Age of drinking onset, alcohol use disorders, frequent heavy drinking, and unintentionally injuring oneself and others after drinking Pediatrics 2009 123 1477 84 19482757
- Hser YI Grella CE Hubbard RL An evaluation of drug treatments for adolescents in 4 US cities Arch Gen Psychiatry 2001 58 689 95 11448377
- Jackson C Geddes R Haw S A systematic review of interventions to prevent or reduce substance use and sexual risk behaviour in young people J Epidemiol Community Health 2011 65 A427
- Kaminer Y Burleson JA Psychotherapies for adolescent substance abusers: 15-month follow-up of a pilot study Am J Addict 1999 8 114 9 10365191
- Lemstra M Bennett N Nannapaneni U A systematic review of school-based marijuana and alcohol prevention programs targeting adolescents aged 10–15 Addict Res Theory 2010 18 84 96
- Maio RF Shope JT Blow FC A randomized controlled trial of an emergency department-based interactive computer program to prevent alcohol misuse among injured adolescents Ann Emerg Med 2005 45 420 9 15795723
- Marlatt GA Baer JS Kivlahan DR Screening and brief intervention for high-risk college student drinkers: results from a 2-year follow-up assessment J Consult Clin Psychol 1998 66 604 15 9735576
- McCambridge J Strang J The efficacy of single-session motivational interviewing in reducing drug consumption and perceptions of drug-related risk and harm among young people: results from a multi-site cluster randomized trial Addiction 2004 99 39 52 14678061
- McCloud A Barnaby B Omu N Relationship between alcohol use disorders and suicidality in a psychiatric population—in-patient prevalence study Br J Psychiatry 2004 184 439 45 15123509
- Mitchell SG Gryczynski J O'Grady KE SBIRT for adolescent drug and alcohol use: current status and future directions J Subst Abuse Treat 2013 44 463 72 23352110 PMC3602212
- Monti PM Colby SM Barnett NP Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department J Consult Clin Psychol 1999 67 989 94 10596521
- NCEPOD Measuring the Units: A Review of Patients Who Died with Alcohol-Related Liver Disease 2013 London NCEPOD
- Newton AS Dong K Mabood N Brief emergency department interventions for youth who use alcohol and other drugs: a systematic review Pediatr Emerg Care 2013 29 673 84 23640153
- NIAAA The Surgeon Generals Call to Prevent and Reduce Underage Drinking 2007 Rockville, MD Office of the Surgeon General 20669519
- Ofori-Adjei D Casswell S Drummond DC World Health Organisation Expert Committee on Problems Related to Alcohol Consumption, Second Report 2007 Geneva 17970166
- Perepletchikova F Krystal JH Kaufman J Practitioner review: adolescent alcohol use disorders: assessment and treatment issues J Child Psychol Psychiatry 2008 49 1131 54 19017028 PMC4113213
- Peterson PL Baer JS Wells EA Short-term effects of a brief motivational intervention to reduce alcohol and drug risk among homeless adolescents Psychol Addict Behav 2006 20 254 64 16938063
- Pilowsky DJ Wu LT Screening instruments for substance use and brief interventions targeting adolescents in primary care: a literature review Addict Behav 2013 38 2146 53 23454877 PMC3623552
- Rehm J Room R Monteiro M Alcohol as a risk factor for global burden of disease Eur Addict Res 2003 9 157 64 12970584
- Sidorchuk A Hemmingsson T Romelsjo A Alcohol use in adolescence and risk of disability pension: a 39 year follow-up of a population-based conscription survey PLOS One 2012 7 e42083 22870284 PMC3411655
- Spirito A Monti PM Barnett NP A randomized clinical trial of a brief motivational intervention for alcohol-positive adolescents treated in an emergency department J Pediatr 2004 145 396 402 15343198
- Thunstrom M The alcohol intoxicated child and its prognosis Acta Paediatr Scand 1988 77 3 9 3285635
- Wachtel T Staniford M The effectiveness of brief interventions in the clinical setting in reducing alcohol misuse and binge drinking in adolescents: a critical review of the literature J Clin Nurs 2010 19 605 20 20500302
- Walton MA Chermack ST Shope JT Effects of a brief intervention for reducing violence and alcohol misuse among adolescents a randomized controlled trial JAMA 2010 304 527 35 20682932 PMC3560393
- Williams RJ Chang SY A comprehensive and comparative review of adolescent substance abuse treatment outcome Clin Psychol 2000 7 138 66
- Williams S Brown A Patton R The half-life of the ‘teachable moment’ for alcohol misusing patients in the emergency department Drug Alcohol Depend 2005 77 205 8 15664722
- Windle M Windle RC Alcohol consumption and its consequences among adolescents and young adults Recent Dev Alcohol 2004 17 67 83 15789860
- Winters K Leitten W Brief intervention for drug-abusing adolescents in a school setting Psychol Addict Behav 2007 21 249 54 17563146
- Zeigler DW Wang CC Yoast RA The neurocognitive effects of alcohol on adolescents and college students Prev Med 2005 40 23 32 15530577
Cited by
Sorted by citations
Prevention, early intervention, harm reduction, and treatment of substance use in young people
Stockings, E., Hall, W. D., Lynskey, M., Morley, K. I., Reavley, N., Strang, J., Patton, G., & Degenhardt, L. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)00002-x · Cited by 433 · see citing works
Kohler, S., & Hofmann, A. (2015) · Alcohol and Alcoholism · doi:10.1093/alcalc/agu098 · Cited by 139 · see citing works
AUDIT and AUDIT-C as screening instruments for alcohol problem use in adolescents
Liskola, J., Haravuori, H., Lindberg, N., Niemelä, S., Karlsson, L., Kiviruusu, O., & Marttunen, M. (2018) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.04.015 · Cited by 120 · see citing works
Sorsdahl, K., Stein, D. J., Corrigall, J., Cuijpers, P., Smits, N., Naledi, T., & Myers, B. (2015) · Substance Abuse Treatment, Prevention, and Policy · doi:10.1186/s13011-015-0042-1 · Cited by 84 · see citing works
Mertens, J. R., Ward, C. L., Bresick, G. F., Broder, T., & Weisner, C. M. (2014) · Alcohol and Alcoholism · doi:10.1093/alcalc/agu030 · Cited by 64 · see citing works
Tanner‐Smith, E. E., Parr, N. J., Schweer‐Collins, M., & Saitz, R. (2022) · Addiction · doi:10.1111/add.15674 · Cited by 54 · see citing works
Gaume, J., Magill, M., Longabaugh, R., Bertholet, N., Gmel, G., & Daeppen, J.-B. (2014) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.12469 · Cited by 47 · see citing works
Ward, C. L., Mertens, J. R., Bresick, G. F., Little, F., & Weisner, C. M. (2015) · Alcohol and Alcoholism · doi:10.1093/alcalc/agv007 · Cited by 17 · see citing works
Samson, J. E., & McHugh, R. M. (2019) · Adolescent Research Review · doi:10.1007/s40894-018-0102-7 · Cited by 2 · see citing works
- Authors
- Patton, R., Deluca, P., Kaner, E., Newbury-Birch, D., Phillips, T., & Drummond, C.
- Affiliations
- King's College London (GB)
- Newcastle University (GB)
- Corresponding author
- Patton, Robert
- Venue
- Alcohol and Alcoholism
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-11-13
- Volume
- 49
- Issue
- 2
- Pages
- 207-212
- ISSN
- 0735-0414 (ISSN-L)
- 1464-3502
- PMC
- PMC3932830
- OpenAlex
- W2155492281
- Cited by
- 112
- References
- 8
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 9 · 2019: 11 · 2018: 11 · 2017: 22 · 2016: 19 · 2015: 17 · 2014: 9
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Alcohol and Alcoholism (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Teesside University Research Portal (Teesside University) (publishedVersion)
- Repository@Hull (Worktribe) (University of Hull) (publishedVersion, other-oa)
- Research Portal (King's College London) (publishedVersion, cc-by-nc-nd)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by-nc-nd)
- TeesRep (Teesside University) (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP-PG-0609-10162, 13/86/03, CDRF 2009-81, HTA/13/86/03)
- Medical Research Council (MR/K02325X/1)
- Menzies Centre for Australian Studies, King's College London, University of London
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- alcohol screening, brief intervention, adolescents, alcohol consumption, alcohol-related harm, CRAFFT, auditing, motivational interventions, healthcare settings, educational environment, pediatric emergency department, sexual health clinics, youth offending teams, web-based screening, smartphone-based intervention
- MeSH terms
- Adolescent, Adolescent Behavior, Alcohol Drinking, Humans, Mass Screening, Risk Assessment, Harm Reduction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review