Alcohol contributes significantly to the disease and mortality burden in the WHO European Region, and primary health care systems play an important role in reducing the impact of harmful alcohol use. Screening and brief interventions (SBIs) for alcohol are an evidence-informed approach to addressing the needs of the many patients presenting in primary care who may benefit from reducing their alcohol consumption. This manual provides information to plan training and support for primary care practitioners to confidently deliver SBI for alcohol problems to their patients. The manual outlines the background and evidence base for SBI, and gives practical advice on establishing an implementation programme as well as detailed educational materials to develop the knowledge and skills of participants in organized training sessions.

Unit 1. Introduction, course overview and group agreement p.22
Unit 2. Attitudes to alcohol p.26
Unit 3. Impact, consumption and harms of alcohol p.34
Unit 4. ABIs: goals, skills and practice change .p.44
Unit 5. Beginning a conversation about alcohol p.53
Unit 6. Screening and feedback using AUDIT p.57
Unit 7. Brief intervention core skills .p.68
Unit 8. Brief interventions – practice session p.77
Post training materials - Evaluation and monitoring p.93