CSAP’s Mission To Decrease Substance Use & Abuse and Related Problems Among the American Public Through: Bridging the gap between research and practice Field-testing scientifically defensible programs Disseminating comprehensive, culturally appropriate prevention strategies, policies, and systems Capacity-building for states and community-based providers

The Great Disconnect Research Practice 3

Building the Bridge Research Practice 3

Continuum of Substance Abuse Prevention Research NIH: NIDA/NIAAA/NIMH CSAP/DoEd/OJJDP/CDC STATES Basic Biomedical Research I Hypothesis Develop-ment II Methods Develop-ment III Controlled Intervention Trials IV Defined Population Studies (KDs) V Demonstra-tion and Imple-mentation (KAs) Nationwide Prevention and Health Services Program (Block Grants) Research on Applications Applied Research Applications of Research Sources: Jansen, Glynn & Howard, 1996; Greenwald and Cullen, 1995

Outcome Evaluation Results: Characteristics of Successful Partnerships Strong Core of Partners Inclusive and Broad-based Membership Reasonable Staff Turnover Avoidance or Resolution of Severe Conflict High Number of Prevention Contact Hours Decentralized Units Shared Vision Comprehensive Vision Slide 13 The paired analysis also was a way of beginning to identify “successful” partnerships. Of the eight partnerships that exhibited statistically significant reductions, compared to their matched comparison communities, shown on the map on the previous slide, five also demonstrated those characteristics that previous literature claimed were important in being associated with successful partnerships. We therefore considered these five partnerships to be models of successful partnerships, because they had shown statistically significant outcomes and emulated the desirable processes. Eight characteristics were important and may be considered as goals in operating your current coalitions: a widely shared vision embraced by nearly everyone in the community a comprehensive vision covering all segments of the community an inclusive and broad-based membership a strong core of committed partners extensive prevention activities and support for local prevention policies decentralized units, with task forces or mini- partnerships covering smaller areas within the partnership area avoidance or resolution of severe internal conflict reasonable staff turnover

30 Day Illicit Drug Use MALES Adults 10th Graders 8th Graders 11 12 6 7 8 9 10 t1 t2 20 22 24 26 28 30 32 20 22 24 26 28 Adjusted Prevalence Rates (%) p025* p036* p005* t1 t2 t1 t2 Partnership Communities Comparison Communities *one-tailed

1998 Drug-Free Communities Support Grant Program Partnership Activities to Date: Five One-hour Regional Telephone Conferences Training and Technical Assistance (T&TA) for: 1. Application and Review Process 2. Needs Assessment 3. Community Mobilization 4. Evaluation 5. Best Prevention Practices Program Introduction and Q & A from Agency Directors (Kumpfer, McCaffrey & Bilchik)

Increases In Substance Abuse in Adolescents (30-Day Use of Illicit Drugs) 27% Increase in Illicit Drug Use in 12 to 17 Year Olds 73% Increase in Illicit Drug Use in 12 to 13 Year Olds 32% Increase in Marijuana Use in 12 to 17 Year Olds 33% Increase in Cigarette Use in 12 to 13 Year Olds Highest Rates in New Cocaine Users in Youth Highest Incidence Rate in Heroin Use in Youth Source: 1998 National Household Survey (DHHS)

Short-Term Outcomes: Developmental Predictor Variable (Cross-Site Study - 10 Sites) Decrease Family Conflict Decrease Harsh Parenting Strategies (Spanking, Yelling, and Threatening) Increase Parent Involvement in Classroom Decrease Aggression Decrease Conduct Disorders Increase Cooperation and Behavioral Control Increase Academic Performance Decrease Substance Use

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