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

Denominator: Adult behaivoral health progam 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., geropsychiatric practices may have lower prevalence of unhealthy alcohol and illicit drug use but higher prescription pain medication misuse, compared with public community mental health programs with caseloads of major depression, bipolar disorder, anxiety disorders, where prevalence of unhealthy alcohol use may be greater than 30%), medical records documentation of brief interventions for substance use problems ought not be rare phenomena.

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