TY - JOUR KW - Adult KW - Aged KW - Aged, 80 and over KW - Alcohol-Related Disorders/diagnosis/prevention & control/therapy KW - Alcoholism/diagnosis/prevention & control/therapy KW - Central Nervous System Depressants/adverse effects KW - Ethanol/adverse effects KW - Ethnic Groups/education KW - Female KW - Health Services Accessibility KW - Health Services Needs and Demand KW - Health Status Disparities KW - Healthcare Disparities KW - Humans KW - Male KW - Mass Screening KW - Middle Aged KW - Primary Health Care KW - Psychotherapy, Brief KW - Risk Factors KW - Socioeconomic Factors KW - Young Adult AU - N. Mulia AU - L. A. Schmidt AU - Y. Ye AU - T. K. Greenfield A1 - AB - The alcohol treatment field has focused on promoting screening and brief intervention (SBI) in medically based settings, particularly primary care. In this Commentary, we consider the potential unintended consequences for disparities in access to care for alcohol problems. National data show significant racial/ethnic and socioeconomic differences in the rates at which at-risk drinkers and persons with alcohol use disorders come into contact with primary care providers. This suggests that implementing SBI in mostly primary care settings could inadvertently widen the gap in alcohol-related health disparities. To ensure that all populations in need benefit from this evidence-based treatment, SBI should be considered and adapted for a wider range of service venues, including Federally Qualified Health Centers and venues frequented by racial/ethnic minorities and the uninsured. BT - Alcoholism, Clinical and Experimental Research C5 - Healthcare Disparities CP - 9 CY - England DO - 10.1111/j.1530-0277.2011.01501.x IS - 9 JF - Alcoholism, Clinical and Experimental Research N2 - The alcohol treatment field has focused on promoting screening and brief intervention (SBI) in medically based settings, particularly primary care. In this Commentary, we consider the potential unintended consequences for disparities in access to care for alcohol problems. National data show significant racial/ethnic and socioeconomic differences in the rates at which at-risk drinkers and persons with alcohol use disorders come into contact with primary care providers. This suggests that implementing SBI in mostly primary care settings could inadvertently widen the gap in alcohol-related health disparities. To ensure that all populations in need benefit from this evidence-based treatment, SBI should be considered and adapted for a wider range of service venues, including Federally Qualified Health Centers and venues frequented by racial/ethnic minorities and the uninsured. PB - by the Research Society on Alcoholism PP - England PY - 2011 SN - 1530-0277; 0145-6008 SP - 1557 EP - 1560 EP - T1 - Preventing disparities in alcohol screening and brief intervention: the need to move beyond primary care T2 - Alcoholism, Clinical and Experimental Research TI - Preventing disparities in alcohol screening and brief intervention: the need to move beyond primary care U1 - Healthcare Disparities U2 - 21599711 U3 - 10.1111/j.1530-0277.2011.01501.x VL - 35 VO - 1530-0277; 0145-6008 Y1 - 2011 ER -