The costs of screening and brief intervention for risky alcohol use.

@article{Zarkin2003TheCO,
  title={The costs of screening and brief intervention for risky alcohol use.},
  author={Gary A. Zarkin and Jeremy W. Bray and Keith L Davis and Thomas F Babor and John C. Higgins-Biddle},
  journal={Journal of studies on alcohol},
  year={2003},
  volume={64 6},
  pages={
          849-57
        },
  url={https://api.semanticscholar.org/CorpusID:19213097}
}
The analysis suggests that the cost of SBI is modest, and MCOs may want to consider adopting SBI as an alcohol use prevention tool.
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60 Citations
Highly Influential Citations
1
Background Citations
15
Methods Citations
11
Results Citations
1

60 Citations

Costs of alcohol screening and brief intervention in medical settings: a review of the literature.

Screening cost estimates presented here are similar in size to the Healthcare Common Procedure Coding System and Current Procedural Terminology reimbursement amounts, suggesting that insurance-based service reimbursement may be sufficient to sustain alcohol SBI in practice.

The Effect of Screening and Brief Intervention for Risky Drinking on Health Care Utilization in Managed Care Organizations

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Brief interventions for at-risk drinking: patient outcomes and cost-effectiveness in managed care organizations.

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Costs of an Alcohol Measurement Intervention in Three Latin American Countries

In all three countries, standard training and a clinical package may be a promising implementation strategy with a relatively low cost per additional alcohol measurement session.

The Cost-Effectiveness and Cost-Benefit of Screening and Brief Intervention for Unhealthy Alcohol Use in Medical Settings

Overall, the reviewed studies support alcohol SBI in medical settings as a wise use of health care resources and illustrate the usefulness of economic evaluation for assessing alcohol prevention and treatment programs.

Multisite cost analysis of a school-based voluntary alcohol and drug prevention program.

This is the first cost analysis of an after-school program specifically focused on reducing alcohol and other drug use and uses microcosting methods based on the societal perspective to assess how the results change with alternative assumptions.

The Cost of Screening and Brief Intervention in Employee Assistance Programs

It is suggested that only modest gains in outcomes would likely be needed to justify delivering SBI in an EAP setting, and cost estimates of SBI conducted in a health care setting are lower than expected.

Conducting economic evaluations of screening and brief intervention for hazardous drinking: Methods and evidence to date for informing policy.

The current evidence base is insufficient to draw firm conclusions about the cost, cost-effectiveness or cost-benefit of SBI and about the impact ofSBI on health-care utilisation, according to the authors.

Implementing Alcohol Screening and Intervention in a Family Medicine Residency Clinic

This model shows promise for use in other residency programs and resulted in progressive increases in numbers of patients screened and intervened more often when prompted with completed AUDITs.
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11 References

Cost effectiveness of brief interventions for reducing alcohol consumption.

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This study provides the first direct evidence that physician intervention with problem drinkers decreases alcohol use and health resource utilization in the US health care system.

Benefit-cost analysis of brief physician advice with problem drinkers in primary care settings.

These results offer the first quantitative evidence that implementation of a brief intervention for problem drinkers can generate positive net benefit for patients, the health care system, and society.

The cost and cost-effectiveness of an enhanced intervention for people with substance abuse problems at risk for HIV.

The additional cost of implementing the enhanced intervention is relatively small and compares favorably to a rough estimate of the benefits of reduced days of drug use, and should be considered an important additional component of an AIDS prevention strategy for out-of-treatment substance abusers.

Brief interventions for alcohol problems: a review.

There is encouraging evidence that the course of harmful alcohol use can be effectively altered by well-designed intervention strategies which are feasible within relatively brief-contact contexts such as primary health care settings and employee assistance programs.

Brief physician- and nurse practitioner-delivered counseling for high-risk drinkers: does it work?

Evidence is provided that screening and very brief advice and counseling delivered by a physician or nurse practitioner as part of routine primary care significantly reduces alcohol consumption by high-risk drinkers.

Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption.

If the results of this study were applied to the United Kingdom intervention by general practitioners could each year reduce to moderate levels the alcohol consumption of some 250000 men and 67500 women who currently drink to excess.

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This review summarizes additional positive evidence for brief interventions compared to control conditions typically delivered by health-care professionals to non-treatment-seeking samples and calculated the effect sizes for multiple drinking-related outcomes at multiple follow-up points.

Priorities among recommended clinical preventive services.

The cost of employee assistance programs (EAPs): Findings from seven case studies

Despite the increasing prevalence of Employee Assistance Programs (EAPs), few studies have examined the cost of these programs. This paper presents consistent and comparable cost data from case…