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These base rates for alcohol problems and risky drinking are high in the general population, but they are considerably higher in clinical populations.

At times, you will be required to screen and assess alcohol use in adolescents, but such assessments are beyond the scope of this Guide.Based on the presenting problem, time constraints, family constellation, and other factors, you will need to determine whether the screening protocol is most effectively delivered in an interview format during the session, or whether it would be more effective to have individual family members complete paper or computer-assisted assessments.The interview format allows you to probe further and reconcile inconsistencies, but it may not be an efficient use of limited session time — especially when multiple family members need to be assessed.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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