Some individuals may need more support to change their alcohol or drug use, especially if the use has been chronic. Developing awareness of internal and external triggers is necessary to sustain behavior change. Chronic alcohol and drug abuse effects almost all life domains and, as a result, social and emotional coping skills may be limited. Brief treatment with a caring and competent clinician may be necessary to rebuild skills and to develop a support network. Embedding a behavioral health clinician ensures a seamless handoff from the medical provider to the behavioral health provider. If an outside referral is appropriate, facilitating this referral by giving the individual an appointment prior to leaving a medical appointment increases compliance with follow-up.