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Preventing Substance Abuse
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*PERCENTAGE OF STUDENTS REPORTING PAST- MONTH USE
ADOLESCENT SUBSTANCE USE RESEARCH *NIDA NOTES, Vol 22, Number 4 *PERCENTAGE OF STUDENTS REPORTING PAST- MONTH USE Any illicit drug All grades 8th grade 10th grade 12th grade Cigarettes All grades 8th grade 10th grade 12th grade Marijuana All grades 8th grade 10th grade 12th grade Alcohol All grades 8th grade 10th grade 12th grade
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DRUGS AND THE MEDIA Prime-Time Drug Prevention Programming
Congress approved $1 billion for anti-drug advertising at reduced rates (1997) Struck deal to incorporate drug prevention messages in program content
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DEFINING GOALS AND EVALUATING OUTCOMES
The Goal Is to Educate You: To make better personal decisions To understand drug use by others To participate in social decisions
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DEFINING GOALS AND EVALUATING OUTCOMES
The Evaluation Should success be measured by: Altering a person’s drug behavior? Determining how much a person knows about drugs? Knowledge Perception of harm Usage behaviors
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Primary Prevention - Universal
TYPES OF PREVENTION Primary Prevention - Universal Aimed at people who have not tried substances Might encourage complete abstinence Some danger of creating curiosity
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Secondary Prevention - Selective
TYPES OF PREVENTION Secondary Prevention - Selective Aimed at those who have tried the drug Urges avoiding more dangerous substances Urges avoiding more dangerous forms of the same substance
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Tertiary Prevention - Indicated
TYPES OF PREVENTION Tertiary Prevention - Indicated Relapse prevention Follow-up programs
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What about Harm Reduction models?
TYPES OF PREVENTION What about Harm Reduction models?
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PREVENTION PROGRAMS IN THE SCHOOLS
The Knowledge-Attitudes-Behavior Model Affective Education Values clarification Alternatives to drugs Personal and social skills – developing interpersonal competence as buffer to drug use
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PREVENTION PROGRAMS IN THE SCHOOLS
Drug-Free Schools Government sponsored program in 1986 Did not recommend specific curriculum Suggested school policies on drug and alcohol use Peer Counseling Uses respected students These students given specialized training
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PREVENTION PROGRAMS IN THE SCHOOLS
Development of the Social Influence Model Public commitment Countering advertising Normative education Use of teen leaders
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PREVENTION PROGRAMS IN THE SCHOOLS
Drug Abuse Resistance Education (DARE) Joint Los Angeles Police Department and school district Uniformed officers took message to fifth- and sixth-graders Expanded nationally
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PREVENTION PROGRAMS IN THE SCHOOLS
Drug Abuse Resistance Education (DARE) Projects that work Several programs patterned after DARE Project ALERT The Life Skills Training Program ATLAS
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PEERS, PARENTS, AND THE COMMUNITY
Peer Programs Peer influence Peer participation Parent and Family Programs Informational programs Parenting skills Parent support groups Family interaction
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PEERS, PARENTS, AND THE COMMUNITY
Community Programs Traditional programs Project STAR (Students Taught Awareness and Resistance)
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Programs and approaches that don’t work
WHAT SHOULD WE BE DOING? Programs and approaches that don’t work Scare and “preachy” tactics Simply education
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