Back to Our Roots: Integrating a Screening and Brief Intervention in Addressing Alcohol Problems. Karen Chan, PhD Associate Behavioral Scientist RAND Corporation October 6, 2006 EAPA Conference. Objectives. Ray Mitchell EAP Roots Recommendations for EAP clients with problem drinking
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Karen Chan, PhD
Associate Behavioral Scientist
October 6, 2006
(Institute of Medicine, 1990).
None Light Moderate Substantial Heavy
problem use addiction
None Mild Moderate Substantial Severe
In general, cost-effective
EAPs “succeeded” in returning employees with alcohol problems to effective performance (Roman & Blum, 2002)
EAPs for Addictive Behaviors
NIAAA F31 #AA 14753
UW Alcohol and Drug Abuse Institute
(49% screened positive)
EAP Services as Usual (SAU)
(After 2nd Session)
(3 months after BL)
…conducted using a Motivational Interviewing style.
What has been your experience working with clients with problem drinking?
Prochaska and DiClemente, 1982
Motivational Interviewing is a problem drinking?
method of communication
for enhancing intrinsic motivation to change by exploring and resolving ambivalenceMotivational InterviewingA Definition
(Rollnick, Mason, & Butler, 1999)
Does MI make a difference on client outcomes?
How did the brief intervention compare to services as usual?
1. Treatment satisfaction
- No additional EAP sessions needed for the BI group
3. Problem resolution for clients’ presenting problems