Brief advice good enough
The review by Havard and colleagues  does not take into account the fact that brief advice, either oral or written, is good enough to bring about behavioral change. To have such a group as the control group is self-defeating. In fact, in an emergency department (ED) setting, where both emotions and tension run high, it would be futile to try and attempt other time-consuming interventions such as motivational interviewing and pharmacological treatment. An ideal form of treatment is therefore the Brief advice. As the commentary  observes, brief interventions are sufficient to reduce the negative health consequences, such as alcohol related injuries in this group. I believe that such patients may also be amenable to further behavioral changes in order to prevent development of alcohol dependence by proper identification of "at-risk" individuals. This can be done by enquiring for craving, tolerance and loss of control  which can prove beneficial to these problem and pre-dependent drinkers .
1)Havard A, Shakeshaft A, Sanson-Fisher R. Systematic review and meta -analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries. Addiction 2008;103:368–76.
2)Crawford MJ. Review: Screening and intervention for alcohol misuse in emergency rooms reduces alcohol-related injuries. Evid. Based Ment. Health 2008;11;88
3)Manjunatha N, Saddichha S, Sinha BNP et al. Chronology of alcohol dependence: Implications in prevention.Ind J Com Med 2008; 33: 228-32.