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Hazardous and harmful drinking is associated with increased emergency department (ED) utilization as well as morbidity and mortality. In this prospective study, 889 adult patients who presented to a single ED and were identified as hazardous and harmful drinkers were randomized to standard care or to an emergency provider–conducted brief negotiation interview either with or without a “booster” follow-up telephone call at 1 month. Participants were identified by universal screening of ED patients. Harmful or hazardous drinking was defined as >14 drinks per week or 4 drinks per occasion for men and >7 drinks per week or >3 drinks per occasion for women and anyone >65 years of age. Patients were excluded if they exhibited alcohol dependence. A…