Drinking and related problems on the college campus have reached near epide
mic levels. In order to address this trend, many colleges have launched alc
ohol prevention and intervention programs for college students. Unfortunate
ly, most such programs are either not empirically validated or are plainly
based on models that have shown poor efficacy. This overview of the college
treatment literature describes the kinds of interventions that have shown
the best success and offers directions for future studies. In general, educ
ational and abstinence-based approaches show the least efficacy, while othe
r types of skills, attitudinal and feedback-based interventions based on as
pects of the social learning model appear to be more successful. In additio
n to employing those approaches that have shown empirical success, a reexam
ination of the role that alcohol plays in the larger campus culture is cruc
ial. (C) 2000 Elsevier Science Inc. All rights reserved.