As a Community Health Officer (CHO) I want to screen and categorise alcohol use so that problematic alcohol use can be identified early and appropriate intervention or referral can be initiated.

Acceptance Criteria

• Alcohol Use Identification screening is available within the Substance Use Screening module.

• “Current alcohol use” is a mandatory field.

• If “Current alcohol use” is set to Yes, the following fields become mandatory:

• • Frequency of alcohol use
  • Loss of control over drinking
  • Impact on daily functioning (health, family, work)
  • Symptoms suggestive of withdrawal
• “CHO assessment of problematic alcohol use” is mandatory in all cases.

• Alcohol use classification is automatically derived by the system and is read-only.

• Alcohol use is classified as Non-problematic when:

• • There is no current alcohol use, OR
  • Alcohol use is occasional and all of the following are absent:
    • Loss of control over drinking

• • • Functional impairment

• • • Withdrawal symptoms

• Alcohol use is classified as Problematic when any one of the following is present:

• • Regular or daily alcohol use
  • Loss of control over drinking
  • Impact on daily functioning
  • Symptoms suggestive of withdrawal
  • CHO clinical judgement indicates harmful use
• System action is automatically determined based on classification:

• • Brief intervention for non-problematic alcohol use
  • Referral for problematic alcohol use
• Upon completion of the screening, the system navigates the CHO to a mandatory decision screen.

• The decision screen presents exactly two selectable actions:

• • “Provide Psychosocial Intervention”
  • “Initiate Referral”
• The screening cannot be submitted if mandatory or conditionally mandatory fields are incomplete.

• Clear validation messages are displayed for missing required fields.

Data Fields