Screening and brief intervention tool kit for college and university campuses

Quinn-Zobeck, Ann · 2007 · ROSA P / United States. Department of Transportation. National Highway Traffic Safety Administration

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Summary

This document presents a toolkit developed by The BACCHUS Network under a cooperative agreement with the National Highway Traffic Safety Administration (NHTSA) to address impaired driving and alcohol misuse on college and university campuses. The initiative is motivated by the persistent public health crisis of alcohol-related traffic fatalities, which claim over 16,000 lives annually in the United States, and the specific vulnerability of college students, among whom alcohol misuse contributes to approximately 1,700 deaths and 600,000 unintentional injuries each year. The toolkit aims to implement Screening and Brief Intervention (SBI), a strategy supported by scientific literature as effective in reducing drinking behaviors and motivating problem drinkers to seek treatment. The toolkit provides a structured methodology for conducting SBI, utilizing the Alcohol Use Disorders Identification Test (AUDIT) as the primary screening instrument. The AUDIT is a 10-question questionnaire assessing drinking frequency, dependence symptoms, and alcohol-related problems, scored on a scale of 0 to 40. For college students, a score of 6 or higher indicates risky drinking, while a score of 8 or higher suggests hazardous consumption. The document outlines a six-step intervention process: administering the AUDIT, establishing rapport, scoring the results, discussing concerns using a non-judgmental "elicit-provide-elicit" motivational interviewing format, developing a personalized plan for lower-risk drinking, and scheduling follow-up. The toolkit is designed for use by various campus personnel, including health center staff, counselors, residence life employees, judicial officers, and athletic coaches. It includes appendices with the AUDIT instrument, educational handouts on alcohol’s physiological effects, lower-risk drinking strategies, and standard drinking guidelines. The findings presented are based on existing research cited within the toolkit, which confirms that SBI is effective in reducing alcohol consumption and subsequent impaired driving among problem drinkers. The document specifies that referrals for further clinical evaluation or treatment are recommended for students scoring 20 or more on the AUDIT, or those exhibiting signs of alcohol dependence, serious mental illness, or prior treatment failure. The toolkit emphasizes that SBI is not a diagnostic tool but an educational and motivational intervention. It provides specific thresholds for action and detailed scripts for counselors to handle student resistance, ensuring the approach remains respectful and focused on the student’s autonomy. The significance of this toolkit lies in its provision of a standardized, evidence-based resource for integrating alcohol prevention into existing campus infrastructure. By enabling non-specialist staff to conduct brief interventions, the toolkit facilitates early detection of alcohol misuse and promotes behavioral change before severe dependency develops. It supports a comprehensive, year-round campus strategy to reduce high-risk drinking and impaired driving, aligning with NHTSA’s priority initiatives for traffic safety. The inclusion of evaluation forms and customizable online screening options further encourages institutional adoption and continuous improvement of prevention efforts.

Key finding

The document provides a comprehensive toolkit and procedural guide for implementing screening and brief intervention programs to reduce alcohol misuse and impaired driving among college students.

Methodology

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Provenance

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• dui enforcement