The Drinker’s Check-up (DCU)

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Presentation transcript:

The Drinker’s Check-up (DCU) Reid K. Hester, Ph.D. Research Division, Behavior Therapy Associates, LLP ReidHester@behaviortherapy.com

The DCU: A brief motivational intervention (BMI) BMIs have most evidence of effectiveness of interventions for individuals with alcohol problems (Miller et al., 2003). BMIs have been evaluated in diverse populations and settings. Most, but not all, randomized clinical trials have been with drinkers who are not severely dependent (alcoholic).

BMIs Theoretical Background Brief interventions evolved atheoretically from outcome research: minimal tx = more extensive tx. (Miller et al., 2003) Brief interventions began to incorporate motivational elements as Motivational Interviewing (MI) evolved (Miller & Rollnick, 1991). Underlying theory of motivation (Miller, 2004) in MI is now the theoretical basis for BMIs.

Brief motivational interventions (BMIs): Increasing internal motivation for change. Comprehensive assessment of drinking, consequences, risk factors, dependence, & other drug use Objective feedback w/o labeling, diagnosing, The feedback creates discomfort within the drinker. Interactions following feedback to resolve ambivalence about changing & enhance motivation for change.

The DCU modules Look at My Drinking A detailed, comprehensive assessment Get Feedback Personalized, detailed feedback Decide What to Do Designed to resolve user’s ambivalence about changing.

Revising the DCU for the military Complete overhaul of the graphics, background, fonts, and colors. Adding in military specific graphics. Creation of Admin. Module to allow for management of the database and revising norms used in the program.

Revising the DCU for the military: The Assessment module Adding elements in the initial decisional balance exercise germane to the military. Deleting assessments that measure severe dependence (SADQ-C) Deleting assessments that compare users to those entering treatment for alcohol problems (DrInC, SOCRATES). Adding assessment that measures alcohol-related problems germane to the military (e.g., Survey of Health Related Behaviors).

Revising the DCU for the military: The Feedback module Adding quantity/frequency feedback that includes service specific norms. Adding feedback on alcohol-related problems assessment that has military norms.

Revising the DCU for the military: Motivational enhancement module Revising the decisional balance exercise to include elements germane to the military and the revised feedback. Eliminate requirement of commitment to change prior to proceeding with elements that discuss goals of change, chances of success with moderate drinking, functional analysis of drinking and developing a change plan.

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