Table 1

Components of Effective Interventions for Alcohol Misuse.

Component

Description


Motivational Interviewing

A client-centred, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence31.

Motivational Enhancement Therapy

An adaptation of Motivational Interviewing. Usually consists of 4 sessions, often with the user's significant other6.

Cognitive Behavioural Therapy

Seeks to identify and modify maladaptive cognitions, prescribe specific coping strategies, teach coping behaviours through instruction, modelling, directed practice and feedback, and teaches specific problem-solving strategies6.

Behavioural Self-control Training

Also called self-management training. Usually includes setting limits for drinking; self-monitoring of alcohol consumption; methods to control the rate of drinking; drink-refusal skills training; self-reward systems for successful behaviours; analysis of antecedents to excessive drinking; training alternative behaviours to drinking to cope with high-risk relapse situations6.

Social behaviour and network therapy

Based on the premise that people with serious drinking problems need to develop positive social network support for change. Components include identifying and contacting network members and engaging them in treatment6.

Coping and social skills training

Enables the user to live a fulfilling life without excessive drinking. Often combined with assertiveness training and/or communication skills training6.

Behaviour contracting

The therapist negotiates agreement between the service user and their significant other to a system of mutual expectations and obligations6.

Conjoint marital therapy

Suitable for socially stable alcohol misusers with moderate dependence/alcohol problems and an intact partnership6.


Murray et al. BMC Public Health 2007 7:306   doi:10.1186/1471-2458-7-306

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