Substance Abuse Prevention interventions for children and adolescents
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Transcript of Substance Abuse Prevention interventions for children and adolescents
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Charis Hill
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http://www.youtube.com/watch?v=oG_OAPQTQO0
http://www.youtube.com/watch?v=XeeC8lSfbxo
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Decreases risk factors, increases protective factors
Address all forms of drug use Is tailored to the target population Establish norms and expectations Use cognitive-behavioral methods Emphasize development of social,
communication and problem-solving skills Increase self-efficacy and drug resistance skills Take place at level of school, family or
community
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Family◦ History of drug abuse and conflict◦ Favorable attitudes towards problem behavior
School◦ Academic failure◦ Lack of commitment
Individual◦ Antisocial behavior◦ rebelliousness
Community◦ Availability of drugs
http://drug-abuse-rehab.net
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Individual◦ Positive attitude◦ Self-esteem◦ autonomy
Family◦ Secure attachments ◦ Lack of conflict
External◦ support systems
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Originally designed as a selective prevention intervention
14 week program Three parts
◦ Parent Training◦ Child Training◦ Family Training
Family communication/conflict Build self-esteem and family
cohesion
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11 lessons in 7th grade
3 lessons in 8th grade
Increase motivation for healthy behaviors
Change social norms surrounding use
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Goal is community-wide change Implemented over several years 5 phase program
◦ Needs assessment◦ Risk factor inventory◦ Multi-facet action plan◦ Recruitment of community participation◦ Continuous evaluation
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Successful programs use some element of cognitive behavioral therapy
Interventions should be tailored to a community
Interventions should involve as many aspects of the community as possible
There is insufficient data to draw conclusions about prevention effects on adult health
Short term effects are promising
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1. Beets, M.W., Flay, B.R., Vuchinich, S., Snyder, F.J., Acock, A., Li, K., Burns, K., Washburn, I.J., & Duriak, J., (2009).Use of a social and character development program to preventsubstance use, violent behaviors and sexual activity among elementary-school studentsin Hawaii. American Journal of Public Health, 99(8), 1438-1445.
2. Communities That Care. (2008). CTC Fact Sheet. Retrieved from http://www.sdrg.org/ctcresource/About_CTC_NEW.htm
3. Eaton, D. K., Kann, L., Kinchen, S., Flint, K.H., Hawkins, J., Harris, W., Lowry, R., McManus, T.,Chyen, D., Whittle, L., Lim, C., & Wechsler, H. (2011). Youth Risk BehaviorSurveillance—United States, 2001. Morbidity and Mortality Weekly Report, 61 (4), 1-160.
4. Ellickson, P.L., McCafferey, D.F., Ghosh-Dastidar, B., Longshor, D.L. (2003). New inroads inpreventing adolescent drug use: Results from a large-scale trial of project ALERT inmiddle schools. American Journal of Public Health, 93(11), 1830-1836.
5. Ennett, S.T., Tobler, N.S., Ringwalt, C.L., Flewelling, R.L. (1994). How effective is drug abuseresistance education? A meta-analysis of project DARE outcome evaluations. American Journal of Public Health, 84(9) , 1394-1401.
6. Grant, J.D. , Scherrer, J.F., Lynskey M.T., Lyons, M.J., Eiesen, S.A., Tsuang, M.T., True, W.R., &Bucholz, K.K. (2006). Adolescent alcohol use is a risk factor for adult alcohol and drugdependence: evidence from a twin design. Psychological Medicine, 36 , 109-118.
7. Hawkins, J.D., & Catalano, R.F.(2003) Investing in Your Community’s Youth: An Introduction tothe Communities that Care System. Channing Bete Company Inc.
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8. Hawkins, J.D., Oesterele, S.O., Brown, E.C., Monahan, K.C., Abbott, R.D., Arthur, M.W., A&Catalano, R.F. (2012). Sustained decrease in risk exposure and youth problem behaviors after installation of the Communities That Care prevention system in a randomized trial. Archives of Pediatric and Adolescent Medicine, 166(2), 141-148.
9. Kumpher, K.L. (1998). Selective prevention interventions: the Strengthening Families program. In R. Ashery, E.B. Robertson & K.L. Kumpher (Eds.), Drug Abuse Prevention Through Family Interventions (160-207). Rockville, MD: National Institute on Drug Abuse.
10. Mihalic, S., Fagan, A., Irwin, K., Ballard, D., & Elliott, D. (2004). Blueprints for Violence Prevention. Washington, DC: U.S. Department of Justice Office of Juvenile Justice and Delinquency Prevention.
11. National Institute on Drug Abuse. (2012). Prevention Benefits Exceed Its Cost and has Sustained Effects. Retrieved from http://www.drugabuse.gov/news-events/nida-
notes/2012/07/prevention-system%E2%80%99s-benefits-exceed-cost-has-sustained-effects.
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