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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
Harm Reduction With High School Students illustrates a brief intervention for working with risk-taking high school students that emphasizes helping students to recognize the potential outcomes of their risky behavior and creating motivation for change. Dr. Mary E. Larimer works in this session with a high school boy who regularly drinks to excess. After taking an assessment of his risk-taking behavior, Dr. Larimer goes over the assessment with her client and, in a neutral, nonjudgmental manner, brings him to recognize the harm he is doing to himself and, potentially, to others.
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Dr. Larimer's approach is based on cognitive–behavioral, social learning, and motivational models of behavior and behavior change. Specifically, the approach uses many of the common elements of brief intervention summarized in the FRAMES acronym (Bien, Miller, & Tonigan, 1993): Feedback regarding the person's behavior, experienced consequences, risks, and comparison to population norms is offered; Responsibility for change rests with the individual; Advice to change is offered; a Menu of options for change is provided; Empathy is expressed through strategic use of reflective listening; and Self-Efficacy is supported. These elements are integrated into the BASICS (Brief Alcohol Screening and Intervention for College Students; Dimeff, Baer, Kivlahan, & Marlatt, 1999) intervention, which typically consists of a 1-hour feedback session based on either interview or self-report information provided previously.
Read more about the approach
is the author and coauthor of numerous journal articles and book chapters on alcohol-related topics. She is principal investigator or coinvestigator of four longitudinal outcome trials of prevention strategies for high-risk drinking funded by the National Institute on Alcohol Abuse and Alcoholism.
Read more about Dr. Larimer
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