This study offers a starting point to consider the clinical implications around service use that may eventually enable us to target treatment engagement styles to specific profiles of sex and generational status among high-risk individuals with AUD. We identified three trends that warrant further study and are explored here. First, more millennials first received treatment through AA / self-help group than any other type of treatment, but they were less likely to use this as part of their continued treatment across their lifetime (whether alone or in combination with professional services) than older generations (see Table 2). This suggests that the peer connections and mutuality that these groups provide are appealing to millennials, or even an ease of seeking this service initially, yet there are barriers to continued attendance. It may initially seem that there is a cultural divide with regard to self-help group attendance, but barriers to participation in AA / self-help groups may have more to do with motivation issues, readiness for change, and lower perceived need for help (Laudet, 2003), indicating that clinicians can use treatment modalities
