Screening American Indian/Alaska natives for alcohol abuse and dependence in medical settings.

As a result of the lethal effect that alcohol has had on the American Indian and Alaska Native population, it is vital to aggressively screen for hazardous/harmful use, alcohol abuse and dependence among American Indian/Alaska Natives entering medical settings. This is especially true in primary care settings where individuals may come in for a host of medical problems and may not be directly seeking help in reducing their use of alcohol. There are a number of strategies to screen for hazardous/harmful use and abuse of alcohol in primary care settings.