Reduce alcohol induced mortality
- Ensure access to a seamless system of care throughout Alaska for assessment, treatment, and aftercare for people with both mental health and substance use disorders.
- Promote environmental strategies that change community conditions to reduce alcohol consumption.
Click here for detailed information about these strategies.
Broad Spectrum Treatment (BST) and Naltrexone for Alcohol Dependence
Specific Programs/Strategies: A 3- to 6-month program that uses manual-guided cognitive behavioral therapy in combination with naltrexone pharmacotherapy (50 mg daily) to treat adults with alcohol dependence. BST therapists deliver 8-14 individual sessions incorporating components of motivational enhancement therapy (MET), community reinforcement, and 12-step approaches..
- Target Audience: Adults
- Setting: Clinical
- Recommendation: Overall rating of Readiness for Dissemination 2.9 (Scale 0-4)
- Review Agency: NREPP
- Related Topics: Binge drinking LHI #15
- Website: Broad Spectrum Treatment (BST) and Naltrexone for Alcohol Dependence
Specific Programs/Strategies: Drinker's Check-up (DCU) is a computer-based brief intervention designed to help problem drinkers reduce their alcohol use and alcohol-related consequences. The program targets individuals along the continuum of problem drinking from hazardous use (e.g., binge-drinking college students) to alcohol dependence (e.g., individuals presenting for specialized alcohol treatment). DCU is based on the principles of brief motivational interviewing and is sensitive to the individual's readiness to change. DCU can be used as a stand-alone intervention or as a precursor to more intensive alcohol treatment.
Motivational Enhancement Therapy
Specific Programs/Strategies: Motivational Enhancement Therapy (MET) is an adaptation of motivational interviewing (MI) that includes one or more client feedback sessions in which normative feedback is presented and discussed in an explicitly nonconfrontational manner. Motivational interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve their ambivalence and achieve lasting changes for a range of problematic behaviors.
Trauma Recovery & Empowerment Model (TREM)
Description: Trauma Recovery & Empowerment Model (TREM) is a fully manualized group-based intervention designed to facilitate trauma recovery among women with histories of exposure to sexual and physical abuse
Specific Programs/Strategies: Drawing on cognitive restructuring, psychoeducational, and skills-training techniques, the gender-specific 24- to 29-session group emphasizes the development of coping skills and social support. It addresses both short-term and long-term consequences of violent victimization, including mental health symptoms, especially posttraumatic stress disorder (PTSD) and depression, and substance abuse. TREM has been successfully implemented in a wide range of service settings (mental health, substance abuse, criminal justice) and among diverse racial and ethnic populations.