Preventing Substance Abuse

Text on drug abuse programs, for physicians, managed care organizations, and rehabilitation professionals. Focuses on documented program attempts and their outcomes rather than theory. Discusses what works in programs and what does not work. Graphs and charts.

A Problem-Solution Approach to Substance Abuse

1

(12)

Substance Abuse: A Constellation of Problems

2

(2)

How Communities Respond

4

(1)

Doing What Works: Reducing Specific Problems

5

(2)

Doing What Works: Finding Winning Solutions

7

(2)

Doing What Works: The Changing Role of Primary Healthcare

9

(4)

Problem: Preventing Drug-Exposed Newborns

13

(16)

Drug-Exposed Newborns as a Community Problem

13

(2)

Delaware Diamond Deliveries

15

(2)

New Start, Oregon

17

(4)

Project Network, Oregon

21

(2)

National Indian Fetal Alcohol Syndrome Prevention (Multiple States)

23

(3)

General Observations

26

(3)

Problem: Prevention among Families in Trouble

29

(14)

Families that Need---and Elude---Help

30

(1)

Family Effectiveness Training, Florida

31

(2)

Strengthening Black Families, Alabama

33

(2)

Survival Training for Parents, Ohio

35

(2)

YCOSA Targeted Prevention, Alabama

37

(2)

General Observations

39

(4)

Problem: Prevention among Young Children

43

(12)

What Kinds of Intervention Can Young Children Use?

43

(2)

``I'm Special'' Program, North Carolina

45

(2)

Primary Prevention Impact for Caregivers, Florida

47

(1)

Prime Time, Texas

48

(3)

Social Development Project, Washington

51

(2)

General Observations

53

(2)

Problem: Preparing the Ground for Prevention in Early Adolescence

55

(16)

The Complexity of the 5th to 7th Grade Crisis

56

(2)

Drug Abuse Resistance Education (Multistate)

58

(5)

Adolescent Alcohol Prevention Trial, California

63

(3)

Alcohol Misuse Prevention Study, Michigan

66

(3)

General Observations

69

(2)

Problem: Preventing Drug Use in Secondary School

71

(18)

What School-Based Prevention Can (and Can't) Accomplish

71

(2)

Botvin's Life Skills Approach, New York

73

(2)

Drug Resistance Project, Arizona

75

(2)

Lions Quest Skills for Adolescents, Ohio

77

(1)

Positive Youth Development Program, Connecticut

78

(1)

Project Alert, California

79

(2)

Project Pride, Pennsylvania

81

(4)

Teenage Health Teaching Modules (Multistate)

85

(1)

General Observations

86

(3)

Problem: Intervening with Teenagers at Highest Risk for Addiction

89

(24)

``Intervention'' Rather Than Prevention or Treatment

90

(1)

Choice Intervention, Kentucky

91

(1)

Drug Prevention Project for Homeless and Runaway Youth, Connecticut

92

(4)

Everyday Theater Summer Program, Washington, DC

96

(1)

Friendly PEERsuasion (Multiple Sites)

97

(2)

Peer Support Retreats, Arizona

99

(2)

Personal Growth Class, Washington

101

(2)

Project Healthy Alternatives for Life's Transitions, Nebraska

103

(3)

Residential Student Assistance Program, New York

106

(3)

Smart Leaders (Multistate)

109

(2)

General Observations

111

(2)

Problem: Preventing Substance Abuse among Employees and Retirees

113

(14)

Barriers to Adult Prevention

115

(2)

Aetna HAI Managed Behavioral Health, Utah

117

(2)

Levi-Strauss Worksite Policy Changes, Tennessee

119

(1)

Los Angeles Water and Power Supervisory Training Program, California

120

(3)

Mental Health and Aging Workshops, Oregon

123

(2)

General Observations

125

(2)

Problem: Reducing the Costs of Alcohol Use

127

(20)

Behind the Myth of an Alcoholic Society

128

(2)

Alcohol, Drugs, Driving, and You, Colorado

130

(1)

Alcoholic Beverage Server Intervention (Multistate)

131

(4)

Community Alcohol Abuse and Injury Prevention Project, Rhode Island

135

(1)

Ignition Interlock Device Trial, Ohio

136

(2)

Self-Regulation Training, Vermont

138

(3)

Teams-Games-Tournaments, Georgia

141

(2)

University Student Alcohol Intervention, Washington

143

(3)

General Observations

146

(1)

Problem: Organizing the Community for Prevention

147

(12)

Selecting a Model for Prevention Infrastructure

147

(1)

Specialization by Client Type: The Cadre Project, California

148

(2)

Specialization by Function: Greater Alliance for Prevention System, Illinois

150

(2)

Top-Down Planning: Midwest Prevention Program/Project Star

152

(3)

Low-Tech Linkages: Upper Little Caillou Drug-Free School, Louisiana

155

(2)

General Observations

157

(2)

A Short ``To Do'' List for Drug Abuse Prevention

159

(12)

Base Prevention Priorities on Need

161

(2)

Match Interventions with Populations

163

(1)

Inventory What's in Place

164

(1)

Invest Money and Expertise

165

(2)

Call the Doctor

167

(1)

Patiently Measure Success

168

(3)

What Doesn't Work: Four Mistakes Preventionists Make

171

(8)

How We Know What Doesn't Work

171

(1)

The Self-Esteem Trap

172

(2)

Activities for the Sake of Activities

174

(2)

Knowledge Isn't Always Power

176

(1)

When Drug Abuse Is Logical

177

(2)

Appendix: The National Structured Evaluation on Prevention of Alcohol and Drug Abuse

179

(10)

Data Collection for the NSE

179

(1)

The NSE Technique for Analyzing Effectiveness

180

(3)

The Seven Drug Abuse Prevention Approaches

183

(6)

References

189

(6)

Index

195

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