Although treatment utilization as a whole was higher than in past studies, utilization of some specific treatments was lower than in previous reports, regardless of generation. Use of AA / self-help groups was about half of the previously reported 46.9–77.6% (Cohen et al., 2007; Ilgen et al., 2011; Mowbray et al., 2015), as was use of other treatments (Mowbray et al., 2015) (see Table 2). Utilization of outpatient and inpatient treatment varies widely across studies; the current results (see Table 2) were within the range of what has been previously reported for these facilities (11.2–33.2% and 5.8–44.5% respectively in past studies) (Cohen et al., 2007; Ilgen et al., 2011; Mowbray et al., 2015; Raimy et al., 1999). Again, a key difference between the current sample and past studies is the high familial risk. It is possible that participants were not only exposed to familial AUD but also possibly to service use efforts. This may have resulted in a higher overall service use and different patterns of specific help-seeking behaviors and treatment utilization. It has been found that remission from AUD