Brief Alcohol Screening and Intervention of College Students (BASICS) is a harm-reduction intervention for college students. Students often conform to patterns of heavy drinking they see as acceptable, while holding false beliefs about alcohol’s effects or actual alcohol-use norms. BASICS is designed to help students make better decisions about using alcohol. The program’s style is empathic, rather than confrontational or judgmental. It aims to 1) reduce alcohol consumption and its adverse consequences, 2) promote healthier choices among young adults, and 3) provide important information and coping skills for reducing risk.
Target Population/Eligibility or Target Sites
BASICS is aimed at college students 18 to 24 years old who drink alcohol heavily and have experienced or are at risk for alcohol-related problems such as poor class attendance, missed assignments, accidents, sexual assault, and violence.
BASICS uses brief, limited interventions designed to prompt students to change their drinking patterns. Heavy drinking among students decreases as the population ages. The program is designed to prompt behavioral changes in the early years of college. The brief interventions aim to modify the participants’ responses to peers in alcohol-related situations.
The program is conducted over the course of two 50-minute interviews. As a harm-reduction approach, BASICS aims to motivate students to reduce risky behaviors instead of targeting a specific drinking goal such as abstinence or reduced drinking. Students can be identified through routine screening or through referral from medical, housing, or disciplinary services. Before or after the first interview, the student receives a self-report questionnaire to complete. From the questionnaire and the first interview, information is gathered about the student’s alcohol consumption pattern, personal beliefs about alcohol, understanding of social alcohol norms, and family history. The second interview, which occurs about 2 weeks after the initial interview, provides the student with personalized feedback on his or her patterns of drinking, typical and peak blood alcohol concentration, comparison of drinking patterns with other college students of the same age and gender, and level of family history of alcohol problems. Moreover, the program challenges inaccurate alcohol norms and myths about alcohol’s effects, highlights alcohol-related negative consequences, suggests ways to reduce future risks associated with alcohol use, and provides a menu of options to assist in making changes. Screening and referral for stepped-care treatment is also offered as needed.
18 to 24
Consequences of Alcohol Consumption
The Baer and colleagues (2001) study showed that the Brief Alcohol Screening and Intervention of College Students (BASICS) intervention significantly reduced the negative consequences related to drinking experienced by the treatment group, when compared with the control group.
Additionally, the intervention significantly lowered the drinking quantities of the treatment group compared with the control group over the 4-year period. However, there were no significant differences in the frequency of drinking between the control and treatment groups.
The Turrisi and colleagues (2009) study showed that the BASICS (only) intervention group reported significantly lower peak blood–alcohol content at the 10-month follow-up than the control group did. Similarly, the participants randomized to BASICS reported significantly fewer drinks per weekend than the control group. There were, however, no significant differences in the quantities of alcohol consumed during the week between the treatment and control groups.
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