Over the past decade, there has been a steady increase in the number of mandated students who have been referred to campus alcohol programs for violating campus alcohol policies. However, the severity of alcohol use and problems varies widely in mandated students, indicating that a one size fits all delivery of treatment may be inappropriate. Instead, an approach that tailors treatment may be more clinically effective, efficient, and cost-effective. Stepped care assigns individuals to different levels of treatment based on personal characteristics. This article discusses the promise of implementing stepped care with mandated students. We review previous applications of stepped care in the alcohol field, along with empirically validated interventions that could be incorporated into this approach. In addition, we address several issues to be considered when implementing stepped care with mandated students.
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Borsari et al. (2005) studied this question.