Facilitators of Group Interventions Play a Vital Role in Reducing Drinking Among Young Adults Experiencing Homelessness

Skilled facilitators of an alcohol intervention based on motivational interviewing are key to promoting safer drinking behaviors among young adults experiencing homelessness, a new study suggests. The study is the first to examine the effects of the group process on emerging adults’ drinking outcomes using several different measures of group dynamics. Some young adults experiencing homelessness can access services at drop-in centers, but interventions must be brief and feasible in resource-stretched environments. Previous studies of AWARE, an intervention based on motivational interviewing in a four-session group format, found reductions in drinking in this vulnerable population. It is not well understood, however, which aspects of the group experience—process, structure, and clinician behavior—contribute to these outcomes. Research points to the importance of change talk (e.g., “I’m quitting for the summer”), cohesion (group bonding), climate (group engagement and mutual support), and