Keeping in mind that the current sample comprised individuals with high familial risk for AUD, general characteristics of service use differed from past studies of individuals with AUD where familial history was not ascertained. Across generations, lifetime reports of help-seeking and treatment utilization (see Table 2) exceeded the previously reported 10.69–18.85% (Chartier & Caetano, 2011) and 14.65–30% (Alvanzo et al., 2014; Cohen et al., 2007), respectively, among those with AUD who were not selected for high familial risk. Accordingly, use of specific services also differed from past reports but only for some generations. Lifetime help-seeking from psychiatrists, psychologists, or other health / mental health professionals (combined across categories) was slightly higher among in the silent generation and baby boomers in this sample than in past studies where reports of seeking help from these professionals did not exceed 46% (see Table 2). Lifetime use of clergy in the current sample, regardless of generation, was a fraction of what was previously found (Cohen et al., 2007; Ilgen et al., 2011; Mowbray et al., 2015).