Numerator: Eligible patients with medical record documentation of brief counseling for unhealthy alcohol and/or drug use.

Denominator: Adult patients.

Scoring: numerator divided by the denominator, multiplied by 100 to convert ot a percent.

Rationale: Brief intervention is a separate procedure from screening. Although the proportion of adults patients who receive a brief intervention depends on the prevalence of unhealthy and dependent alcohol and drug use (including prescription medication misuse) in the base population (e.g., geriatric practices will have lower prevalence than family practices or psychiatric practices), medical records documentation of brief interventions for substance use problems ought not be rare phenomena (~7.5% in routine ambulatory primary care practice)

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