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Categories of drinking

Low-risk drinking limits. Categories of drinking. IV. Dependent: 5%. III. Harmful: 8%. II. Risky: 9%. I. Low risk or Abstain: 78%. 5 oz. glass of wine. 1.5 oz (shot) of liquor. 12 oz. beer. Risks of unhealthy drinking. Depression. Anxiety. Aggressive behavior.

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Categories of drinking

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  1. Low-risk drinking limits Categories of drinking IV Dependent: 5% III Harmful: 8% II Risky: 9% I Low risk or Abstain: 78% 5 oz. glass of wine 1.5 oz (shot) of liquor 12 oz. beer Risks of unhealthy drinking Depression. Anxiety. Aggressive behavior. Alcohol dependence. Insomnia. Memory loss. Cancer of the throat and mouth. Premature aging. Hypertension. Heart failure. Anemia. Blood clotting. Breast cancer. Frequent colds, reduced resistance to infection, increased risk of pneumonia Vitamin deficiency. Bleeding. Stomach inflammation. Diarrhea. Malnutrition. Liver damage. Inflammation of the pancreas. Men: Erectile dysfunction. Women: Risk of deformed, developmentally delayed, or low birth weight babies. Impaired sensation leading to falls. Failure to fulfill obligations at work, school, or home. Car accidents. Legal problems. Painful nerves. Numb, tingling toes. Readiness ruler 9 10 Not at all 0 1 6 7 8 3 5 2 4 Very

  2. Screening Brief Intervention Referral to Treatment www.sbirtoregon.org Steps of the Brief Intervention Raise the subject • “If it’s okay with you, let’s take a minute to talk about the annual screening form you’ve filled out today.” • “As your doctor, I can tell you that drinking (drug use) at this level can be harmful to your health and possibly contributing to the health problem you came in with today.” Provide feedback • “On a scale of 0-10, how ready are you to cut back? • If >0: “Why that number and not a ____ (lower one)?” • If 0: “Have you ever done anything while drinking (using drugs) that you later regretted?” Enhance motivation • “What steps can you take to cut back your use? • “How would your drinking (drug use) have to impact your life in order for you to start thinking about cutting back?” Negotiate plan Referral: Oregon hotline that quickly identifies best options for those patients dependent on drugs or alcohol: 1-800-923-4357

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