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3-in-1 Framework for Special Populations (Greeks): Continuum of Use

By: Robert Chapman, PhD

1 Your Role
I want to learn about treatment options for:

2 Basic Information
The Person is:
years old

graduated high school

3 Condition Information
Caron Treatment Centers accepts patients aged 13 years or older. For more information on services available to those 12 and under, please learn more about Caron's Student Assistance Program.

Comprehensive, integrated programs of prevention are effective when addressing high-risk and dangerous collegiate drinking. One such approach is referred to as the “Three-in-One Framework,” or the 3-in-1 Framework for short. This prevention strategy suggests that simultaneously addressing individual students, the collegiate campus, and the campus and surrounding community presents the greatest likelihood of affecting the campus culture.

This essay suggests applying this 3-in-1 Framework to a specific special population: Greek-lettered communities. This argument suggests that the effectiveness of the 3-in-1 Framework seen on a macro level, that is “campus level,” is likely to yield results when applied on a micro level such as a special population on a campus.

The rubric below portrays the 3-in-1 Framework when applied to 4 types of collegiate drinkers: Experimental Drinkers (uncommitted/curious), Periodic Excessive Drinkers (infrequent consumers of 5+ drinks), High-risk Drinkers (regular consumers of 5+ drinks when drinking), and Substance Use Disordered (SUD) Drinkers (High-risk drinkers who regularly experience untoward consequences related to their drinking).

The column headings represent the integrated nature of the 3-in-1 Framework. The row headings represent the continuum of use exemplified by students that choose to drink. The individual cells in the rubric suggest sample interventions or programs related to the 3-in-1 Framework and are not intended as comprehensive or exemplary.

1 - BASICS: Brief Alcohol Screening and Intervention for College Students
2 - RTC: Readiness to Change
3 - DARN: D–Desire to change; A–Ability to change; R–Reason(s) to change, N–Need to change
4 - MET: Motivational Enhancement Therapy
5 - Rx: Treatment
6 - IOP: Intensive Outpatient
7 - Choice between a disciplinary or clinical sanction

The flow chart below suggests a possible application of the 3-in-1 Framework to a Greek-lettered community. In considering this flowchart, it is important to recognize that in any individual Greek-lettered organization each of the “drinker types” represented on the rubric are likely to exist, although the proportion of each type of drinker is likely to vary from organization to organization.

When considering how to affect the culture of a particular Greek-lettered organization, the 3-in-1 Framework suggests that the organization be approached on 3 levels simultaneously: the individual level with programming designed to address individual member needs and issues, the group or “house/organization” level with programs designed to meet the unique culture of the house/organization, and the greater Greek-lettered organization community, including alumni, legacies, officers, and representatives of local or national chapter of the organization.

Again, the specific programs noted in the flowchart are more like placeholders than specific recommendations. They are intended to articulate the importance of specific programming that is conducted simultaneously on all 3 levels, hence the application of the 3-in-1 Framework.

In conclusion, note that this is a “straw man,” intentionally designed for deconstruction on the way to developing a more thorough consideration of applying the NIAAA 3-in-1 Framework on a micro level in order to affect change in a specific campus special population.