Alcohol screening and brief intervention for adolescents: the how, what and where of reducing alcohol consumption and related harm among young people.
OBJECTIVE
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.


CONCLUSIONS
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.
Corresponding author: Addictions Department, National Addiction Centre, Institute of Psychiatry, King's College London, 4 Windsor Walk, London SE5 8BB, UK.
Robert
R
Patton
Paolo
P
Deluca
Eileen
E
Kaner
Dorothy
D
Newbury-Birch
Thomas
T
Phillips
Colin
C
Drummond
D000293:Adolescent; D000294:Adolescent Behavior; D000428:Alcohol Drinking / Q000517:prevention & control*; D040261:Harm Reduction; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D018570:Risk Assessment