Brief Alcohol Screening and Intervention for College Students (BASICS): A Harm Reduction Approach

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Linda A. Dimeff
Guilford Press, 1999 - Psychology - 200 pages
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This instructive manual presents a pragmatic and clinically proven approach to the prevention and treatment of undergraduate alcohol abuse. The BASICS model is a nonconfrontational, harm reduction approach that helps students reduce their alcohol consumption and decrease the behavioral and health risks associated with heavy drinking. Including numerous reproducible handouts and assessment forms, the book takes readers step-by-step through conducting BASICS assessment and feedback sessions. Special topics covered include the use of DSM-IV criteria to evaluate alcohol abuse, ways to counter student defensiveness about drinking, and obtaining additional treatment for students with severe alcohol dependency.

Note about Photocopy Rights: The Publisher grants individual book purchasers nonassignable permission to reproduce selected figures, information sheets, and assessment instruments in this book for professional use. For details and limitations, see copyright page.
 

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Contents

Alcohol Use and Prevention of Alcohol Abuse in College Students
7
Prevention Approaches for College Students
9
Risk Factors Associated with College Drinking
11
Barriers to Effective Prevention and Treatment
13
Moving Past Barriers and towards a Scientifically Informed Approach
15
The Alcohol Skills Training Program
18
ASTP Modalities
21
Overview of Research Findings on ASTP
25
Medical Screening
152
Motivation to Change
153
Life Stress and Psychological Distress
154
Perceptions of Normative Drinking Behavior
155
Prior History of Behavioral Problems
156
Personalized Graphic Feedback and Tips Sheets
157
Tips Sheets
162
Harm Reduction Handouts for Students Who Drink
165

Laying the Foundations for BASICS
29
Theoretical Approaches to Preventing Harm from Alcohol Use
30
Basic Information about Alcohol
43
BASICS Clinical Aims TherapistClient Issues and Format
57
The Initial Assessment Interview
61
Preparing for the First Session
63
The Actual Meeting
64
SelfReport Questionnaire Packet of Lifestyle Measures
84
The Feedback Interview
88
Preparing for the Second Session
89
The Actual Meeting
93
Clinical Considerations
133
Types of Student Responses to BASICS
135
Troubleshooting Sticky Situations
142
Discussion of Assessment Instruments Relevant to BASICS
147
Alcohol Dependence
150
Family History of Alcohol or Other Substance Use Problems
151
Thinking about Moderating Your Drinking
166
Positive Alcohol Expectancies
167
The Biphasic Response or More Isnt Necessarily Better
169
Alcohol Intoxication and Performance
170
Gender Differences and Alcohol or the Big Gap in Levels of Intoxication
171
Alcohol and Sexual Assault
173
A Selection of Published and Unpublished Assessment Measures
175
Comprehensive Effects of Alcohol CEA
176
Daily Drinking Questionnaire DDQ Modified
178
FrequencyQuantity Questionnaire
179
Drinking Norms Rating Form
180
Alcohol Perceived Risks Assessment APRA
181
Brief Sexual Behaviors Survey BSBS
182
References
185
Index
197
Copyright

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About the author (1999)

Linda A. Dimeff, PhD, is a Research Scientist in the Department of Psychology at the University of Washington. Her research and clinical interests range from prevention of alcohol problems in college students to treatment of severely disordered substance abusing individuals with borderline personality disorder. Funded by two grant awards, her dissertation was a replication and extension of BASICS applied in a student health center setting and using multimedia computers, along with provider advice.
John S. Baer, PhD, is Research Associate Professor of Psychology at the University of Washington, and is currently Coordinator of Education at the National Center of Excellence for Substance Abuse Treatment and Education at the VA Puget Sound Health Care System. Dr. Baer's research and clinical interests focus on the assessment, early intervention, and relapse of substance use and abuse. He is the recipient of local and national research grants examining secondary prevention and etiology of alcohol problems.
Daniel R. Kivlahan, PhD, is Director of the National Center of Excellence in Substance Abuse Treatment and Education at the VA Puget Sound Health Care System and Associate Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine. He continues to pursue health services research related to substance use disorders, including development, implementation, and evaluation of evidence-based clinical practice guidelines.

G. Alan Marlatt, PhD, until his death in 2011, was Director of the Addictive Behaviors Research Center and Professor of Psychology at the University of Washington. For over 30 years, Dr. Marlatt conducted pioneering work on understanding and preventing relapse in substance abuse treatment and was a leading proponent of the harm reduction approach to treating addictive behaviors. He was a recipient of honors including the Jellinek Memorial Award for outstanding contributions to knowledge in the field of alcohol studies, the Robert Wood Johnson Foundation's Innovators Combating Substance Abuse Award, the Research Society on Alcoholism's Distinguished Researcher Award, and the Career/Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies.

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