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Alcohol-related problems are a significant public health concern in the United States. Effective treatments exist for the entire spectrum of alcohol related problems; however, fewer than half of those who need treatment actually receive it. This report discusses how a chronic disease management model can be adapted to improve the detection, treatment, and management of patients with alcohol-related problems in primary care settings. The report highlights the relevant literature and discusses issues and strategies for consideration in building, implementing, and evaluating a chronic care model for alcohol problems in primary care settings. Within the context of the chronic care model, the authors also review the characteristics of the most widely used alcohol disorder screening instruments suitable for use in primary care settings. Further work is needed to develop and collect the necessary tools and resources to implement the model and to determine its feasibility and potential impact.

The research described in this report was performed under the auspices of RAND Health.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

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