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Senior Alcohol Misuse Indicator (SAMI)

The topic of alcohol use in the senior population is often associated with stigma, which may elicit denial and defensiveness from respondents. The Senior Alcohol Misuse Indicator (SAMI) is a brief, senior-specific screening tool designed to start a gentle, non-threatening conversation about alcohol consumption.

This approach may be helpful for those health care professionals that provide outreach care in seniors’ homes and whose first priority is establishing and maintaining rapport, which may preclude asking confrontational questions about alcohol consumption. Follow-up by a skilled clinician for diagnostic and treatment purposes is required.