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

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Linda A. Dimeff
Guilford Press, Jan 8, 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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Review on the impact of over drinking on human’s health as well as wealth
Alcohol ethanol
Most of the time in our country people drinks alcohol conditionally to elongate their set up or
unconsciously to satisfy their closest friend whether it is college or neighbor. Having this as a reason the final goal for over drinking is missing of something beyond the normal target While numerous changes in human lifestyle constitute modern life, our diet has been gaining attention as a potential contributor to the increase in alcohol diseases.. The Western diet is characterized by an over consumption and reduced variety of refined sugars, salt, and saturated fat. Herein our objective is to detail the mechanisms for the Western diet’s impact on immune function. The manuscript reviews the impacts and mechanisms of harm for our over-indulgence in sugar, salt, and fat, as well as the data outlining the impacts of artificial sweeteners, gluten, and genetically modified foods; attention is given to revealing where the literature on the immune impacts of macronutrients is limited to either animal or in vitro models versus where human trials exist. Detailed attention is given to the dietary impact on the gut microbiome and the mechanisms by which our poor dietary choices are encoded into our gut, our genes, and are passed to our offspring. While today’s modern diet may provide beneficial protection from micro- and macronutrient deficiencies, our overabundance of calories and the macronutrients that compose our diet may all lead to increased inflammation, reduced control of infection, increased rates of cancer, and increased risk for allergic and auto-inflammatory disease.  


Alcohol Use and Prevention of Alcohol Abuse in College Students
Prevention Approaches for College Students
Risk Factors Associated with College Drinking
Barriers to Effective Prevention and Treatment
Moving Past Barriers and towards a Scientifically Informed Approach
The Alcohol Skills Training Program
ASTP Modalities
Overview of Research Findings on ASTP
Medical Screening
Motivation to Change
Life Stress and Psychological Distress
Perceptions of Normative Drinking Behavior
Prior History of Behavioral Problems
Personalized Graphic Feedback and Tips Sheets
Tips Sheets
Harm Reduction Handouts for Students Who Drink

Laying the Foundations for BASICS
Theoretical Approaches to Preventing Harm from Alcohol Use
Basic Information about Alcohol
BASICS Clinical Aims TherapistClient Issues and Format
The Initial Assessment Interview
Preparing for the First Session
The Actual Meeting
SelfReport Questionnaire Packet of Lifestyle Measures
The Feedback Interview
Preparing for the Second Session
The Actual Meeting
Clinical Considerations
Types of Student Responses to BASICS
Troubleshooting Sticky Situations
Discussion of Assessment Instruments Relevant to BASICS
Alcohol Dependence
Family History of Alcohol or Other Substance Use Problems
Thinking about Moderating Your Drinking
Positive Alcohol Expectancies
The Biphasic Response or More Isnt Necessarily Better
Alcohol Intoxication and Performance
Gender Differences and Alcohol or the Big Gap in Levels of Intoxication
Alcohol and Sexual Assault
A Selection of Published and Unpublished Assessment Measures
Comprehensive Effects of Alcohol CEA
Daily Drinking Questionnaire DDQ Modified
FrequencyQuantity Questionnaire
Drinking Norms Rating Form
Alcohol Perceived Risks Assessment APRA
Brief Sexual Behaviors Survey BSBS

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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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