No abstract

The AUDIT-C is a valid screen for at-risk drinking among students who utilize university primary care.

The purpose of the paper is to provide a profile of Clare Campbell. Design/methodology/approach-Clare provides a short autobiographical account of her life. She is then interviewed by Jerome. She describes the life enhancing impact of creativity in her own life. Findings-Clare describes her work initially with Wild Woman workshops and then Big Love Sista. Research limitations/implications-Big Love Sista started when some 40 women all came and painted self-portraits in Clare's house, which led to an exhibition of 100 life sized portraits on women in recovery from difficult life events. Practical implications-Apart from the healing power of Art, Clare's work shows the power of bringing leaders together with disadvantaged groups, using the medium of the circle to provide unique experiential change. Social implications-Community leaders have access to lots of resources and opportunities. In coming together with disadvantaged groups, they can serve as role models, but equally they can be inspired by those they encounter in the medium of the circle. Originality/value-Clare and those colleagues she has worked with over the years has shown the power of community and the transformative effects of groupwork. Few individuals can have had such a dramatic effect on so many people.

There is little known regarding the typical trajectory of alcohol use following a positive screen for hazardous alcohol use. This information would help primary care providers as they attempt to determine the best use of patient visits that might include brief alcohol interventions versus other competing medical demands. This longitudinal observational study included 98 Veterans who screened positive on the Alcohol Use Disorders Identification Test-Consumption (>3) and were asked to report on their alcohol use every 3 months for 1 year. Using latent class growth modeling, we identified the best fitting latent class structure for each outcome of high-risk and heavy drinking, respectively. There was a class of participants with increased probability of having a high-risk week or episode of heavy drinking as well as a group of participants who appeared to maintain their current drinking pattern. Although the latent class growth modeling suggested that none of the groups of participants reduced the likelihood of occurrence of heavy drinking days, two groups did significantly reduce the probability of having a hazardous alcohol use week. These results suggest that there are specific classes of patients who are less likely to change their alcohol use following a positive screen, especially those patients who report engaging in heavy drinking.