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Alcohol Screening at the University of Wyoming. Maryanne Jaconis, m.s. Lena Newlin, M.P.H., C.H.E.S. Dave Cozzens, Ph.D. Charlie Ksir, Ph.D. Mike Dorssom, M.A. Agenda. Background & Context: University of Wyoming PDSA Cycles Results Challenges Future Directions. University of Wyoming.
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Alcohol Screening at the University of Wyoming Maryanne Jaconis, m.s. Lena Newlin, M.P.H., C.H.E.S. Dave Cozzens, Ph.D. Charlie Ksir, Ph.D. Mike Dorssom, M.A.
Agenda • Background & Context: University of Wyoming • PDSA Cycles • Results • Challenges • Future Directions
University of Wyoming • Public land grant university • Only 4-year institution of higher education in Wyoming • Approximately 13,000 students • Located in southeast corner of Wyoming, in Laramie, population 31,000.
Alcohol Concerns at UW Sources: National College Health Assessment, Spring 2001, Spring 2011
Alcohol Concerns at UW UW Police Department Arrests Source: Wyoming Association of Sheriffs and Chiefs of Police, 2011
Alcohol, Wellness Alternatives, Research, & Education (AWARE) Program • Harm Reduction Approach • 3-in-1 Framework: Educational Services at 3 levels • Individual student • Mandated education for policy violators • Evidence Based Approach: BASICS, ASTP, Motivational Interviewing, Alcohol EDU • Student population as a whole • Alcohol EDU for all freshmen, freshmen/parent orientation, peer education, Safe Ride, alternative late night programming, etc. • Campus and surrounding community • Coalitions (A-team, CoPSA), alcohol policies and ordinances, Summit, NCHIP, TiPS training for local distributors, etc.
National College Health Improvement Project (NCHIP) • Teams from 32 colleges and universities form a Learning Collaborative on High-Risk Drinking • 18 months focused on evaluation and measurement techniques to identify and implement the most effective ways to reduce high-risk drinking • “Plan-Do-Study-Act (PDSA)” Cycles
Alcohol Screening at UW • No systematic campus-wide screening as primary prevention • Individual-based interventions occurred only after an alcohol violation • Aim: To reach students where they are already receiving services
Screening Measures • AUDIT • 10 questions • Score 0-7: Low risk drinking • Score 8-18: May be experiencing or at risk of experiencing health consequences as a result of drinking • Score 19-40: Possible alcohol dependence • AUDIT-C • 3 questions • Scale of 0-12 • Positive for alcohol misuse (men) 4+ • Positive for alcohol misuse (women) 3+ • Administered by: • Licensed mental health providers, graduate student trainees, medical staff, peer educators
Act Plan Study Do University Counseling CenterPDSA Cycles Feedback Feedback Feedback Feedback
University Counseling Center:Feedback from PDSAs Positives Negatives • Easy for front office to hand out • Feasible to incorporate into UCC’s electronic medical records system • Picked up information that clinicians may not have caught (e.g., drinking & driving) • Able to supplement conversation • Gives more comprehensive picture of what’s going on with student • One more form for clients to fill out • Limited time • How to do referrals?
AUDIT ResultsUniversity Counseling Center Academic Year 2011-2012 July 1, 2012 – April 11, 2013 • 400 AUDITS • Scored 0-7: 306 (76%) • Scored 8-18: 79 (20%) • Scored 19-40: 15 (4%) • 565 AUDITS • Score 0-7: 440 (78%) • Score 8-18: 95 (17%) • Score 19-40: 30 (5%)
AUDIT Results Student Health Services Spring Semester 2012 July 1, 2012-April 1, 2013 • 261 AUDIT-Cs • Scored 0-3: 187 (72%) • Scored 4-12: 74 (28%) • 448 AUDIT-Cs • Score 0-3: 448 (73%) • Score 4-12: 164 (27%)
AUDIT Results Mental Health Training Clinics Psychology Training Clinic Counselor Education Training Clinic • Spring semester 2012 through April 29, 2013 • 45 AUDITS • Score 0-7: 38 (84%) • Score 8-18: 5 (11%) • Score 19-40: 2 (4%) • Spring semester 2012 • 32 AUDITS • Score 0-7: 23 (72%) • Score 8-18: 6 (19%) • Score 19-40: 3 (9%)
AUDIT Results Peer Education Wyoming Union Athletic Department • March 5, 2012 • 38 AUDITS • Score 0-7: 25 (66%) • Score 8-18: 13 (34%) • Score 19-40: 0 (0%) • April 4, 2012 • 27 AUDITS • Score 0-7: 22 (81%) • Score 8-18: 4 (15%) • Score 19-40: 1 (4%)
Overall Summary of Results AUDIT AUDIT-C • Score 0-7: 76% • Score 8-18: 19.3% • Score 19-40: 4.3% • Score 0-3: 72.5% • Score 4-12: 27.5%
Following Up • No follow-up (608) • Advised talking with health provider (100) • Advised to reduce drinking (37) • Advised to stop drinking (1) • Out-patient referral (2) • Inpatient referral (4) • Referral to AWARE (8)
General Challenges • Extra time for clinicians • More forms for clients to fill out • Training of screeners • Personalized feedback • Referrals out • Poor fit within the system (Center for Advising and Career Services) • Inconsistent completion of recommendations by screeners • Changes to AWARE referral system necessary
Future Directions • Determine what are the next steps • Increase screening locations • Institutionalization of AUDIT and AUDIT-C screenings across campus • More screenings by peer educators across campus • Continue to integrate screening as part of comprehensive approach
Questions? • Maryanne Jaconis, M.S. Clinical Psychology Doctoral Student Psychology Department mjaconis@uwyo.edu • Lena Newlin, M.P.H., C.H.E.S.AWARE Program Coordinator, Assistant DirectorUniversity Counseling CenterUniversity of WyomingPhone: 307-766-2187lnewlin@uwyo.edu