College Student Alcohol Consumption: Course and Interventions Amber M. Henslee, M.S. Auburn University Health Behavior Assessment Center (HBAC) HBAC is

College Student Alcohol College Student Alcohol Consumption: Consumption:

Course and InterventionsCourse and Interventions

Amber M. Henslee, M.S. Amber M. Henslee, M.S.

Auburn University Health Behavior Auburn University Health Behavior Assessment Center (HBAC) Assessment Center (HBAC)

HBAC is part of the Auburn University Psychological Services CenterHBAC is part of the Auburn University Psychological Services Center

Review Class Survey ResultsReview Class Survey Results

Alcohol Consumption Among Alcohol Consumption Among Auburn University StudentsAuburn University Students

0

5

10

15

20

25

30

35

0 1--5 6--10 11--15 16-25 26-35 36-45 46+

Drinks per weeks

Males (n = 165)Females (n = 220)

Lifetime Prevalence Rates for Common Drugs of AbuseLifetime Prevalence Rates for Common Drugs of Abuse

SpringSpring SummerSummer SpringSpring SpringSpring SummerSummer NSDUH NSDUH

DrugDrug 20032003 20042004 20042004 20052005 20052005 20032003CaffeineCaffeine 96%96% 100%100% 96%96% 98%98% 100%100% ----------NicotineNicotine 83%83% 84% 84% 68%68% 71%71% 90% 90% 70%70%AlcoholAlcohol 98%98% 98%98% 100%100% 94%94% 97% 97% 87%87%MarijuanaMarijuana 71%71% 75%75% 68%68% 61%61% 70% 70% 54%54%CocaineCocaine 23%23% 28%28% 36%36% 16%16% 33% 33% 15%15%MethamphetamineMethamphetamine 14%14% 0% 0% 20% 20% 5% 5%HeroinHeroin 0% 0% 2% 2% 0% 0% 2% 2% 0% 0% 2% 2%LSDLSD 27%27% 29%29% 14%14% 12%12% 27% 27% 14%14%EcstacyEcstacy 33%33% 37%37% 39%39% 14%14% 33% 33% 15%15%

NHSDA: National Household Survey on Drug Use and Health, ages 18-NHSDA: National Household Survey on Drug Use and Health, ages 18-2525

Course of College Student Course of College Student Alcohol Use/AbuseAlcohol Use/Abuse

Alcohol use increases from high school to Alcohol use increases from high school to college college

Most students “peak” at age Most students “peak” at age __________________ and and reduce drinking thereafterreduce drinking thereafter

60% of college juniors reported frequent 60% of college juniors reported frequent intoxication; only 31% at 3-years post intoxication; only 31% at 3-years post graduation graduation (Gothom et al.,1997)(Gothom et al.,1997)

Risk for Developmentally Risk for Developmentally Persistent Alcohol Abuse Persistent Alcohol Abuse

Continued heavy use despite substantial life impairment Continued heavy use despite substantial life impairment and adverse consequencesand adverse consequences e.g., academic problems, health, social, relationship, or family e.g., academic problems, health, social, relationship, or family

difficulties related to alcohol use. difficulties related to alcohol use. Failure to achieve young adult developmental Failure to achieve young adult developmental

milestones, e.g., college degree, career job, long-term milestones, e.g., college degree, career job, long-term relationship. relationship.

High tolerance High tolerance _______ family history _______ family history Co-morbid psychological disorder Co-morbid psychological disorder Male genderMale gender

Intervention ApproachesIntervention Approaches Traditional Disease or A.A. Model:Traditional Disease or A.A. Model:

Alcoholism is a physical/moral “disease” and the only “cure” Alcoholism is a physical/moral “disease” and the only “cure” is abstinenceis abstinence

““Alcoholics” must accept this label and admit that they are Alcoholics” must accept this label and admit that they are powerless over alcoholpowerless over alcohol

Treatment is Treatment is ________________ and focused on breaking through and focused on breaking through denial and achieving abstinence denial and achieving abstinence

Students are told that problem drinking is progressive and Students are told that problem drinking is progressive and will inevitably get worse will inevitably get worse

Treatment often entails a long stay in an inpatient or Treatment often entails a long stay in an inpatient or outpatient facilityoutpatient facility

Intervention ApproachesIntervention Approaches Biopsychosocial and Harm-Reduction ModelBiopsychosocial and Harm-Reduction Model

Alcohol use is influenced by biological, Alcohol use is influenced by biological, psychological, and social factors (mostly social in psychological, and social factors (mostly social in college). college).

There exists a ________ of drinking problems (most There exists a ________ of drinking problems (most students with problems have mild-moderate students with problems have mild-moderate problems).problems).

Labels are not important; individuals do have power Labels are not important; individuals do have power to change to change

Change is most likely to result from supportive Change is most likely to result from supportive rather than confrontational approachrather than confrontational approach

Moderation or Harm Reduction goals are Moderation or Harm Reduction goals are appropriateappropriate

BASICS:BASICS:

BriefBrief AlcoholAlcohol Screening andScreening and Intervention for Intervention for College College StudentsStudents

What does BASICS really mean?What does BASICS really mean?

It’s specially designed for _____________It’s specially designed for _____________ We understand how hard it is to fit in We understand how hard it is to fit in We understand how hard it is to keep good We understand how hard it is to keep good

gradesgrades We understand the pressures of Greek life, We understand the pressures of Greek life,

Athletics & Other ActivitiesAthletics & Other Activities BASICS is tailored for you!BASICS is tailored for you! It is not a “Just Say No” approach!It is not a “Just Say No” approach!

What does BASICS focus on?What does BASICS focus on?

Increasing __________ to make positive Increasing __________ to make positive changes about drinking behaviorchanges about drinking behavior

Providing education about alcoholProviding education about alcohol Not judgingNot judging Being supportiveBeing supportive

Who benefits from BASICS?Who benefits from BASICS?

Anyone who…Anyone who… Keeps drinking despite negative Keeps drinking despite negative

consequencesconsequences Has tolerance or withdrawal symptomsHas tolerance or withdrawal symptoms Has had trouble cutting down on their drinkingHas had trouble cutting down on their drinking Has passed out or blacked out from alcoholHas passed out or blacked out from alcohol Drinks more than 4-5 drinks in a settingDrinks more than 4-5 drinks in a setting

Anyone with questions about their Anyone with questions about their drinking behaviorsdrinking behaviors

Where do BASICS clients come Where do BASICS clients come from?from?

People get referred for legal or academic People get referred for legal or academic problemsproblems

The health center and counseling center The health center and counseling center make referralsmake referrals

Far fewer people come on their ownFar fewer people come on their own We would love more!We would love more!

Positive peer pressure & talking to friends Positive peer pressure & talking to friends can be the most effective HBAC referral!can be the most effective HBAC referral!

What will YOU do?What will YOU do?

Participate in a motivational interview sessionParticipate in a motivational interview session Get ___________ about your drinking from an Get ___________ about your drinking from an

individual session with a counselorindividual session with a counselor Total time investment is about 3 hours!Total time investment is about 3 hours!

What will YOU get?What will YOU get?

A completely FREE & CONFIDENTIAL serviceA completely FREE & CONFIDENTIAL service Information on your drinking and how it relates Information on your drinking and how it relates

to:to: Other Auburn studentsOther Auburn students ______________________ Calories consumed and weight gainCalories consumed and weight gain Money spentMoney spent Time spentTime spent

Blood Alcohol Content Blood Alcohol Content (135 lb. female)(135 lb. female)

00.020.040.060.08

0.10.120.140.160.18

0.2

9 drinks/4 hours

6 drinks/6 hours

Calories Consumed from Calories Consumed from AlcoholAlcohol

# of # of DrinksDrinks

# of # of CalorieCaloriess

McDonalds McDonalds

Food EquivalentFood EquivalentRunning Running time to time to burn burn caloriescalories

Walking Walking time to time to burn burn caloriescalories

33 300300 CheeseburgerCheeseburger 25 25 minutesminutes

62.5 min.62.5 min.

66 600600 Big MacBig Mac 49.8 min.49.8 min. 2 hours2 hours

99 900900 3 3 cheeseburgercheeseburgerss

74.7 min.74.7 min. 3.5 hours3.5 hours

1212 1,2001,200 18 McNuggets 18 McNuggets + 2 small + 2 small friesfries

107 min.107 min. 4 hours4 hours

Positive Aspects of Drinking:Positive Aspects of Drinking:

RelaxedRelaxed OutgoingOutgoing FunFun Feelings of Feelings of

euphoria / euphoria / happinesshappiness

Negative Aspects of DrinkingNegative Aspects of Drinking

Getting sickGetting sick


Embarrassing yourselfEmbarrassing yourself

Negative Aspects of DrinkingNegative Aspects of Drinking Gaining weightGaining weight


Poor JudgmentPoor Judgment Doing something risky Doing something risky

or regrettableor regrettable

Tips for Maximizing the Positive Tips for Maximizing the Positive Aspects of DrinkingAspects of Drinking

Be sure you know Be sure you know what you are what you are drinking!drinking!

A A ____________________ is 12 oz. is 12 oz. of beer, 5 oz. of wine, of beer, 5 oz. of wine, or 1 oz. of hard liquoror 1 oz. of hard liquor

A mixed drink can A mixed drink can contain up to 4 oz. of contain up to 4 oz. of liquorliquor


Drink slowlyDrink slowly Drink light beerDrink light beer Plan your night in advancePlan your night in advance Be safe about where you drink and who Be safe about where you drink and who

you drink withyou drink with Don’t drink and driveDon’t drink and drive


Think about how drinking impacts other Think about how drinking impacts other life areas: life areas: AcademicsAcademics HealthHealth RelationshipsRelationships

How does drinking relate to your ________?How does drinking relate to your ________? How else could you spend the time you How else could you spend the time you

currently spend drinking and recovering?currently spend drinking and recovering?

Health Behavior Health Behavior Assessment Center Assessment Center

(HBAC)(HBAC) Provides AU students with Provides AU students with

FREE and CONFIDENTIAL FREE and CONFIDENTIAL alcohol use evaluation alcohol use evaluation along with detailed along with detailed personal drinking personal drinking feedback and advice. feedback and advice.

To set up appointment call To set up appointment call 844-4823844-4823

* * HBAC is part of the Auburn University HBAC is part of the Auburn University Psychological Services Center and is Psychological Services Center and is supported by grant from the US Department supported by grant from the US Department of Educationof Education

Documents

College Student Alcohol Consumption: Course and Interventions Amber M. Henslee, M.S. Auburn University Health Behavior Assessment Center (HBAC) HBAC is