Abstract
Alcohol use is common in adolescence and young adulthood and is associated with adverse health outcomes such as physical and sexual assault, motor vehicle crashes, unintended pregnancy, and sexually transmitted diseases.1 The US Preventive Services Task Force recommends alcohol screening and brief counseling interventions as a component of routine adult preventive services, although it has not found sufficient evidence to recommend for or against it for adolescents.2 However, the implementation of traditional interpersonal screening and brief counseling interventions in primary care clinical settings has been limited due to a variety of factors including the time and effort related to staff training, difficulty with integration into practice flow, and time constraints placed on clinicians and practices relative to reimbursement rates.3
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