[Early detection of alcohol use: discuss alcohol use to prevent damage].

INTRODUCTION

Health professionals do not routinely ask patients about alcohol use, although it is associated with a range of somatic and psychological problems. Therefore, alcohol use may not be recognized as the cause of a health problem, which may result in worsening of the situation, incorrect diagnosis or incorrect treatment. This is illustrated by three cases from different clinical practices: the emergency department, the hospital ward and the general practice.

BARRIERS: Several factors, such as time limitations and provider beliefs, can hinder asking about and discussing alcohol use.

IMPORTANCE OF EARLY DETECTION: By discussing alcohol use, patients with alcohol-related problems can receive information and guidance to prevent further harm. Motivational interventions can be effective, but shorter interventions, such as a short feedback conversation, can also contribute to awareness and change in alcohol consumption. Adequate registration and hand-over, and referral and follow up agreements between institutions can improve continuity of care.