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Objective: To increase alcohol screening in college students at a northwest college health clinic, using an evidence-based screening instrument, the Alcohol Use Disorders Identification Test- Consumption (AUDIT-C).

Method: This quality improvement project involved implementation of universal screening for alcohol use using a pre-implementation/post-implementation random audit of the health record for evidence of alcohol or drug screening. A survey of the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) screening instrument was administered, as part of the registration process, to students seen for a routine health encounter throughout the data collection phase. Students were offered education and referral guided by the Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach.

Results: The number of students screened for alcohol use increased, from three charts (6.66%) prior to the five-week period of implementation, to 100%.

Conclusion: Universal screening and referral for high-risk alcohol use in a college health setting has the potential to improve long term outcomes for students if factors such as timing of the screen, staff work-load, provider work-flow, and support for referrals are considered prior to implementation.

Author Supplied Keywords

Alcohol, College health, Universal screening for alcohol


College students--Alcohol use; College students--Health aspects

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Copyright for this work is retained by the author.

NRS 662 - DNP Scholarly Project III

Document Type

Doctoral Project