Costs of Using Motivational Interviewing for Problem Drinking in the U.S. Air Force

Authors: Cowell, Alexander J.1; Brown, Janice M.1; Wedehase, Brendan J.1; Masuda, Yuta J.2

Source: Military Medicine, Volume 175, Number 12, December 2010 , pp. 1007-1013(7)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

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Abstract:

ABSTRACT

Despite the popularity of motivational interviewing (MI) to address heavy drinking, limited evidence exists on the costs of using MI to address heavy drinking. This study examines the costs of using MI to address heavy drinking at four U.S. Air Force (USAF) bases. Clients were referred to and assessed at a base program to address their drinking as a result of an incident; those who were not alcohol dependent were invited to participate in the study. Participants consented and were randomly assigned to one of three intervention arms: individual MI (IMI), group MI (GMI), and Substance Abuse Awareness Seminar (SAAS). Three cost perspectives were taken: USAF, client, and the two combined. Data were collected from bases and public sources. The start-up cost per base ranged from 1,340 to 2,400 per provider staff member. Average implementation costs across bases were highest for the SAAS intervention (148 per client).

Document Type: Research article

Affiliations: 1: RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709. 2: University of Washington, Evans School of Public Affairs, Box 353055, Seattle, WA 98195-3055.

Publication date: 2010-12-01

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