TY  - JOUR
PY  - 2012//
TI  - Addressing alcohol use and problems in mandated college students: a randomized clinical trial using stepped care
JO  - Journal of consulting and clinical psychology
A1  - Borsari, Brian
A1  - Hustad, John T. P.
A1  - Mastroleo, Nadine R.
A1  - Tevyaw, Tracy O'Leary
A1  - Barnett, Nancy P.
A1  - Kahler, Christopher W.
A1  - Short, Erica Eaton
A1  - Monti, Peter M.
SP  - 1062
EP  - 1074
VL  - 80
IS  - 6
N2  - Objective: Over the past 2 decades, colleges and universities have seen a large increase in the number of students referred to the administration for alcohol policies violations. However, a substantial portion of mandated students may not require extensive treatment. Stepped care may maximize treatment efficiency and greatly reduce the demands on campus alcohol programs. Method: Participants in the study (N = 598) were college students mandated to attend an alcohol program following a campus-based alcohol citation. All participants received Step 1: a 15-min brief advice session that included the provision of a booklet containing advice to reduce drinking. Participants were assessed 6 weeks after receiving the brief advice, and those who continued to exhibit risky alcohol use (n = 405) were randomized to Step 2, a 60- to 90-min brief motivational intervention (n = 211), or an assessment-only control (n = 194). Follow-up assessments were conducted 3, 6, and 9 months after Step 2. Results: Results indicated that the participants who received a brief motivational intervention showed a significantly reduced number of alcohol-related problems compared to those who received assessment only, despite no significant group differences in alcohol use. In addition, low-risk drinkers (n = 102; who reported low alcohol use and related harms at 6-week follow-up and were not randomized to stepped care) showed a stable alcohol use pattern throughout the follow-up period, indicating they required no additional intervention. Conclusion: Stepped care is an efficient and cost-effective method to reduce harms associated with alcohol use by mandated students. (PsycINFO Database Record (c) 2012 APA, all rights reserved).<p />  <p>Language: en</p>
LA  - en
SN  - 0022-006X
UR  - http://dx.doi.org/10.1037/a0029902
ID  - ref1
ER  -