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    While a focus on severe problems is typical of an initial societal response to a health problem, called for a "broadening of the base for treatment" and widespread adoption of an alcohol problems framework.

    This Guide will: Since the 1930s, "alcoholics" — have been the primary focus of alcohol-related intervention efforts in the United States.

    Risky drinking can be determined by identifying one or more of the patterns below: Any consumption within certain contexts: Even when small quantities of alcohol are ingested, drinking is risky if it occurs within contexts that pose a particular danger, for example, during pregnancy, when certain health conditions are present, when certain medications are taken, etc.

    Alcohol problems can range in severity from mild, negative consequences in a single life situation to severe alcohol dependence with significant medical, employment, and interpersonal consequences.

    Further details on these and other screening tools are available at the NIAAA Web site under Alcoholism Treatment Assessment Instruments at

    The instruments can be either self-administered, for clients who have sufficient reading ability, or used in a face-to-face structured interview format.

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