Renegotiate drinking continued adherence Relate drinking problems as appropriate. medications for alcohol months Consider (if not yet done): and as clinically indicated to recommendations. to ongoing Maintain dependence for at least 3 NIAAA Publications Distribution goals as indicated consulting with Center no more than 3 drinks many drinks Renegotiate goal thereafter. (e.g., do and an Consider ing patient wishes recommending a coexisting P.O. Box 10686, Rockville, MD in a day AND Does patient meet criteria for abuse or engaging to mutual help group. nicotine dependence. no more than 7 drinks you have? significant others. resume in a week dependence? engaging Address coexisting Weekly average drinking). significant others. Reassess diagnosis if disorders—medical Recommend lower limits or (301) 443–3860 patient is unable to Encourage to and psychiatric—as abstinence as indicated: for prescribing a Record heavy drinking if unable to either return needed. example, for patients who medication NO YES days in past year and maintain adherence. for alcohol-dependent take medications that weekly average in chart. if the medical condition interact consider a of abstinence. plan; changes or if an abstain addiction specialist. with alcohol, have a DISORDERS who endorse health condition GO TO GO TO abstinence as a cut down or exacerbated by alcohol, or STEPS 3 STEPS 3 goal. abstain. are pregnant (advise & 4 & 4 GO Address coexisting for abstinence) for TO disorders—medical AT-RISK ALCOHOL Rescreen at annually. and psychiatric—as Rescreen annually DRINKING USE 2 needed.
continued adherence to recommendations. Renegotiate drinking Relate drinking to ongoing problems as appropriate. Consider (if not yet done): Maintain medications for alcohol dependence for at least 3 months and as clinically indicated NIAAA Publications Distribution Center no more than 3 drinks many drinks do Renegotiate goal and goals as indicated (e.g., consulting with an thereafter. P.O. Box 10686, Rockville, MD (301) 443–3860 in a day AND no more than 7 drinks in a week Recommend lower limits or abstinence as indicated: for example, for patients who take medications that interact you have? Weekly average Record heavy drinking days in past year and weekly average in chart. Does patient meet criteria for abuse or dependence? NO YES plan; consider a of abstinence. Consider engaging significant others. Reassess diagnosis if patient is unable to either if the medical condition changes or if an ing patient wishes to resume drinking). Encourage to return if unable to maintain adherence. addiction specialist. recommending a mutual help group. engaging significant others. prescribing a medication for alcohol-dependent coexisting nicotine dependence. Address coexisting disorders—medical and psychiatric—as needed. with alcohol, have a health condition exacerbated by alcohol, or are pregnant (advise abstinence) Rescreen annually GO TO 2 GO TO STEPS 3 & 4 for AT-RISK DRINKING GO TO STEPS 3 & 4 for ALCOHOL USE DISORDERS cut down or abstain. Rescreen at annually. who endorse abstinence as a goal. Address coexisting disorders—medical and psychiatric—as needed. abstain