Addressing alcohol use in primary care: from screening to management – an interactive clinical decision workshop
Mariana NEVES, Ana Sofia OLIVEIRA, Isabel GRAÇA and Rita AMARAL
Alcohol consumption remains a major public health concern across Europe. A 2024 WHO-supported analysis of drinking patterns across the EU, Iceland, Norway and Ukraine identified six distinct patterns shaped by beverage preference, prevalence of heavy episodic drinking (HED) and proportions of lifetime abstainers. Across clusters, higher HED rates and increased alcohol per capita consumption are consistently associated with greater harm. These regional differences underline the importance of equipping primary care clinicians to identify varying drinking patterns and respond effectively.Deepen understanding of drinking patterns and their health impacts. Build confidence in using screening tools and risk stratification. Strengthen communication skills, including motivational interviewing and brief interventions. Improve clinical reasoning for managing risky use and dependence. Promote a person-centred, continuity-focused approach to reducing alcohol-related harm.The workshop uses an interactive problem-solving approach centred on a clinical decision map exercise. Small groups analyse structured clinical scenarios representing different drinking patterns based on European epidemiological clusters (e.g., high-spirits eastern patterns with high HED, wine-drinking southern patterns). Each group constructs a stepwise decision pathway covering screening, assessment, brief intervention, pharmacological options and follow-up. Facilitators provide short inputs on communication strategies, risk stratification and evidence-based management. Schedule: 1. Introduction to European drinking patterns and associated harm (5 minutes). 2. Small-group clinical decision map exercise (20 minutes). 3. Plenary discussion comparing decision pathways (20 minutes). 4. Targeted teaching moments on intervention strategies. (10 minutes). 5. Consolidation of key messages and practical tools (5 minutes).Participants will gain practical skills to integrate alcohol screening into routine care, tailor interventions to risk level, recognise dependence and support patient-centred behaviour change. Incorporating European epidemiological insights enables clinicians to contextualise risk and respond more effectively to alcohol-related issues.This workshop provides primary care clinicians evidence-based tools for addressing alcohol use effectively within routine consultations. By combining epidemiological context, structured clinical reasoning and communication strategies, participants will be better prepared to identify risky drinking patterns, intervene early and support sustained change, reinforcing the central role of primary care in reducing alcohol-related harm across Europe.
