What are the key components of a brief intervention for patients with risky alcohol consumption?

Key components of a brief intervention for patients with risky alcohol consumption include:

• Use of a recognised, evidence-based resource based on FRAMES principles (Feedback, Responsibility, Advice, Menu, Empathy, Self-efficacy) to structure the intervention.
• The intervention should take 5–15 minutes and cover the potential harm caused by the patient's level of drinking and reasons for changing behaviour, including health and wellbeing benefits.
• Discuss barriers to change and outline practical strategies to help reduce alcohol consumption, addressing the 'menu' component of FRAMES.
• Lead the patient to set specific goals for reducing alcohol intake.
• Where there is an ongoing relationship, routinely monitor progress in reducing alcohol consumption to a low-risk level.
• If needed, offer additional sessions of structured brief advice or an extended brief intervention.
• Initial assessment should include a motivational intervention containing key elements of motivational interviewing: helping patients recognise problems related to drinking, resolving ambivalence, encouraging positive change, and adopting a supportive rather than confrontational approach.

These components aim to promote awareness, motivation, and practical steps towards reducing risky alcohol consumption in a brief, structured manner.

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