Center for Behavioral Health Promotion and Applied Research.
Psychol Addict Behav. 2022 Sep;36(6):741-747. doi: 10.1037/adb0000857. Epub 2022 Jul 7.
Despite findings indicating that college students' alcohol use remains a significant problem across institutions of higher education, the support for a strong link between excessive drinking and risk for suicide and other psychiatric comorbidities, and associations between excessive drinking and stopping out or dropping out of college, there continue to be barriers to the routine, consistent, and timely implementation of efficacious brief alcohol interventions by mental health practitioners working in college- and university-based clinical service settings. This commentary will focus on the identification of infrastructure, attitudinal, and training-related barriers to the uptake of evidence-based strategies within higher education clinical intervention settings and opportunities to address them. Barriers discussed include compromises to intervention fidelity, limited staffing and multiple and competing service demands, stigma and a lack of understanding concerning the link between alcohol use and psychiatric symptomology, and scarcity of training, professional development, and funding opportunities specifically aimed at the promotion of evidence-based practices addressing risky and excessive drinking among college students.
Alcohol researchers can play a key role in promoting effective, consistent, and timely implementation of efficacious brief interventions in campus-based clinical service settings through strategic engagement with college and university mental health professionals and senior-level decision-makers using a system-focused lens. Both institutional and national-level collaboration and advocacy for translational research opportunities are critical to encourage dissemination, implementation, and sustainability of efficacious brief intervention practices. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
尽管有研究发现,大学生的饮酒问题在各高等教育机构仍然普遍存在,但过度饮酒与自杀风险和其他精神共病之间存在很强的关联,以及过度饮酒与大学辍学或退学之间存在关联,这仍然是精神健康从业者在大学和大学临床服务环境中实施有效简短干预措施的障碍。本评论将重点关注确定基础设施、态度和培训相关障碍,以在高等教育临床干预环境中采用基于证据的策略,并探讨解决这些障碍的机会。讨论的障碍包括干预保真度的妥协、有限的人员配置以及多种和相互竞争的服务需求、污名化以及对饮酒与精神症状之间关联的理解不足,以及培训、专业发展和专门针对促进针对大学生风险和过度饮酒的基于证据的实践的资金机会稀缺。
酒精研究人员可以通过与大学和大学心理健康专业人员以及高级决策者进行战略性接触,利用系统聚焦的视角,在校园临床服务环境中促进有效、一致和及时实施有效的简短干预措施,从而发挥关键作用。机构和国家层面的合作以及倡导转化研究机会对于鼓励有效的简短干预实践的传播、实施和可持续性至关重要。