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When consumed in excess, alcohol can become an addiction and cause a number of other health risks.


Alcohol is the most commonly used substance in the United States. Chronic and heavy alcohol use can lead to significant health consequences including certain types of cancer, cardiovascular disease and liver disease, and can have negative effects on the brain and nervous system. Binge drinking, defined as four or more drinks for women and five or more drinks for men in about two hours, especially at an early age, may lead to the development of alcohol use disorder. Another risk for young persons who binge drink is alcohol poisoning.

Warning Signs


  • Change in behavior
  • Isolation and less transparent behaviors
  • Avoiding contact with family and/or friends
  • Change in friends, hobbies, and/or activities
  • Drop in grades or changes in work performance
  • Moodiness, irritability, nervousness/anxiety, giddiness
  • Lack of concentration and poor short-term memory


  • The smell of alcohol on clothes/breath
  • Bloodshot eyes
  • Slurred speech
  • Walking abnormally 


Underage Drinking

Binge drinking early in life and in excess can lead to alcohol use disorder.

Underage drinking can have a number of serious, more immediate consequences. Teens who drink are at increased risk for:

  • Involvement in car accidents
  • Alcohol poisoning
  • Unintentional injuries
  • Suicide
  • Sexual risk behaviors
  • Physical or sexual assault as a victim or perpetrator
  • Legal problems
  • Problems at school
  • Participation in other potentially harmful activities such as substance use or gambling

Impaired Driving

The New York State Zero Tolerance law applies to a person under age 21 who operates a motor vehicle with a blood alcohol concentration (BAC) of .02% or more but less than .08%.

If you refuse to take a breath test, you will be subject to a fine and license revocation of at least one year.

For more information about penalties for alcohol-related driving violations visit New York DMV | Penalties for alcohol or drug-related violations (


New York State Residents

Impaired Driving Program Participants may be required to undergo screening to identify risk factors for a substance use disorder either as part of the DMV Impaired Driver Program (IDP) or a court order.  After the screening, individuals found to be at risk for developing a substance use disorder are referred for a comprehensive clinical assessment that must be completed by an OASAS approved provider.  Based on the assessment, completion of a substance use disorder treatment program may be required by the DMV. 

Providers of clinical screening and assessment services for IDP participants can be found here.


Out-of-State Residents 

Out-of-state residents charged with or convicted of an impaired driver offense in NYS can locate authorized screening, assessment or treatment providers in their state of residence by searching for outpatient programs in the Substance Abuse and Mental Health Services Administration’s (SAMHSA) treatment facility locator.


Fetal Alcohol Spectrum Disorders

Alcohol consumption among pregnant persons is a public health concern. There is no amount or type of alcohol that is known to be safe during pregnancy.

Persons who are pregnant or trying to conceive should refrain from drinking alcohol. Continued alcohol consumption increases the risk of Fetal Alcohol Spectrum Disorders (FASD) and can cause birth defects, developmental disabilities, and other adverse pregnancy outcomes. Children who are born with FASD can have physical, cognitive, and behavioral issues later in life.

If you are using alcohol while pregnant and would like assistance in cutting back or stopping alcohol use, or if you have alcohol use disorder and want help, call the OASAS HOPEline at 1-877-8-HOPENY or text HOPENY today to learn about your treatment options or visit our Pregnant and Parenting Persons page. 

Get Help

If you think you might have a problem but you're not sure, talk to your doctor. You can also call the HOPEline at 1-877-8-HOPENY, Operators provide three referrals to assessment services in your area.


Search for Outpatient Provider:

  1. Open up the OASAS Provider and Program Look-up tool.
  2. Narrow your search by proximity or location.
  3. Under the Program Name/Type section, select Outpatient Services from the dropdown menu and hit 'Submit'.
To search for an open slot in an outpatient treatment or bedded program near you: