Alcoholic myopathy as it associates with pathophysiologic mechanisms and clinical impressions for quality improvement initiatives. The diagnosis correlate to the diagnosis of polymyositis. The pathophysiologic mechanisms and the factors associated with alcohol exposure could provide different ideas for treating muscle loss in general. Polymyositis is more of an autoimmune disorder; however, it affects the muscular system as alcoholic myopathy. For several decades now, clinical medicine has sought to understand alcoholic myopathy and its physiological implication in individuals’ lives. Several observations have occurred. Alcoholic myopathy has been identified as a neurological disease that can impact the muscles. The muscle weakness and muscle cramps in alcoholic patients relate to muscle swelling and tenderness. Alcohol use in individuals leads to several types of myopathic disorders. A few disorders include acute alcoholic myopathy with or without myoglobinuria, cardiomyopathy, chronic atrophic myopathy, and hypokalemic myopathy (Lanska, 2020). Alcoholic myopathy is also known as alcoholic rhabdomyolysis and acute alcoholic necrotizing myopathy (Lanska, 2020; Lafair & Myerson, 1968). Alcoholic myopathy typically occurs when an individual binge drinks or in the first days of alcohol withdrawal because of chronic alcohol use and malnutrition. In most cases, recovery occurs within days or weeks. However, death is known to occur when acute renal failure and hyperkalemia are present. Chronic alcoholic myopathy is a progressive syndrome of proximal weakness, atrophy, and gait disturbance complicated by years of alcohol abuse. Pathogenic mechanisms include impaired gene expression and protein synthesis inclusive of increased oxidative damage and apoptosis. Lafair and Myerson’s (1968) serial serum creatine phosphokinase (CPK) levels were elevated in 21 of 25 subjects after discontinuation of heavy drinking. Six individuals had clinical evidence of acute alcoholic myopathy. The glutamic oxaloacetic transaminase (SGOT) and lactic dehydrogenase (LDH) have also been studied and found important in diagnosing and treating this population. This poster presentation seeks to provide and understanding regarding the factors associated with alcoholic myopathy, the quality improvement measures, and a doctorate in behavioral health role in integrated healthcare.