The Efficacy of Computerized Alcohol Screening and Intervention (CASI) in At-Risk Emergency Department and Trauma Patients

The purpose of this research is to examine the effectiveness of computerized alcohol
screening and brief intervention in the UC Irvine Medical Center Emergency Department (ED)
and Trauma Patients. Brief interventions have a high potential impact in ED and Trauma
populations. Computerized alcohol screening and brief intervention (CASI) is a fast and easy
to use tool for patients and healthcare providers. CASI mitigates barriers to proper
screening and intervention, including time, availability of trained personnel, patient
comfort, and language barriers. CASI provides the Alcohol Use Disorders Identification Test
(AUDIT) followed by a brief intervention and customized alcohol intake recomendations for the
patient.

The intervention of this study will be the addition of a brief CASI questionnaire to the
standard of care for a random subset of subjects. All subjects who screen positive for
hazardous alcohol use will be followed up and reassessed for alcohol use. The researchers
hypothesize that the addition of CASI will lead to a decrease in alcohol intake within three
months. The basis of this research is evidence of the effectiveness in the CASI system, the
growing public health issue of alcohol abuse, the need to be able to provide effective
screening and brief intervention in the high volume ED settings, and findings that the
primary method to reduce traumatic death is prevention.