Motivational interviewing techniques and reframing universal screening for patients with alcohol abuse or risk reduces stigma

The AHRQ EvidenceNOW initiative, launched in 2019, implemented a comprehensive approach to help primary care practices reduce stigma and better serve patients who exhibit risky or harmful alcohol use. 

The program engaged practice facilitators (PFs) to support primary care practices in integrating universal screening, brief interventions, and medication-assisted therapy/medication for alcohol use disorders. PFs trained clinicians to use person-centered communication, and modeled empathetic and nonjudgmental interactions, to normalize unhealthy alcohol use screenings. PFs also  taught clinicians motivational interviewing techniques and how to address stigma through respectful language. Through these techniques, PFs helped clinicians  and patients and reduced stigma.

Reducing Stigma Through Conversations in Primary Care About Unhealthy Alcohol Use

Hildie Cohen, MEd, MA

NORC at the University of Chicago, Chicago, Illinois

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