1. Sweden Preben Bendtsen Preben Bendtsen Ass Professor, Deprt of Social Medicin and Public Health, University of Linköping Anders Romelsjö Anders Romelsjö Professor, Centre for Social research on Alcohol and Drugs, Stockholm University

2. Most significant advances No significant advances regarding implementation but… No significant advances regarding implementation but… –The topic is regularly discussed at scientific meetings and in the Swedish medical journal. –The government has passed an action plan for prevention of alcohol related problems (2000/2001) –Some few reports from regularly screening of primary health care patients has been published

3. Key barriers to progress Integrating screening into routine care in a natural way, not disturbing the existing daily routines. Integrating screening into routine care in a natural way, not disturbing the existing daily routines. Testing screening in a more selective group of patients – i.e. hypertension, mental disorders, diabetes, etc. Testing screening in a more selective group of patients – i.e. hypertension, mental disorders, diabetes, etc. Insufficient knowledge about simple procedures and possible results Insufficient knowledge about simple procedures and possible results

4. Key advances we would like to see Integration of screening methods into the health care's normal office context Integration of screening methods into the health care's normal office context A national demonstration study A national demonstration study Many more health professionals in basic education and training Many more health professionals in basic education and training

5. Changes needed to make these advances possible A new approach taking office routines into consideration A new approach taking office routines into consideration Gather and motivate some of the most experiences GPs in the field Gather and motivate some of the most experiences GPs in the field Basic resources and support from purchasers of care Basic resources and support from purchasers of care