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Whatworks - What Works hat orks Best Practices est By Karol...

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W W hat hat W W orks, orks, B B est est P P ractices” ractices” By Karol L. Kumpfer, Ph.D. Director Center for Substance Abuse Prevention
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2 Substance Abuse and Mental Health Services Administration  Center for Substance Abuse Prevention
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3 Substance Abuse and Mental Health Services Administration  Center for Substance Abuse Prevention Extent of the Drug Problem: • Tobacco, alcohol, and drug abuse is a serious health and social problem worldwide. Drug abuse has been increasing in the USA in adolescents since 1992. Last year drug abuse increased 27% in 12-17 year olds. • Tobacco, alcohol, and drug abuse significantly contributes to rising health care costs and societal problems. Substance Abuse Prevention: Substance Abuse Prevention: What Works! What Works!
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4 Substance Abuse and Mental Health Services Administration  Center for Substance Abuse Prevention Good News: We know how to prevent drug abuse by strengthening families, schools, and communities. Bad News: Prevention of drug abuse is not easy. There are no quick fixes. A media campaign is not enough.
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5 Substance Abuse and Mental Health Services Administration  Center for Substance Abuse Prevention SUPPLY REDUCTION • INTERDICTION • CROP ERADICATION • POLICY AND LAWS • REDUCE ACCESS • INCREASE COST • SYSTEM CHANGE • FAMILY • SCHOOL • COMMUNITY INDIVIDUAL CHANGE PROGRAMS • KNOWLEDGE • ATTITUDE/NORMS • SKILLS AGENT/DRUG ENVIRONMENT HOST/PERSON Public Health Model Triangle Public Health Model Triangle
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6 Substance Abuse and Mental Health Services Administration  Center for Substance Abuse Prevention The Intervention Spectrum The Intervention Spectrum for Behavioral Disorders for Behavioral Disorders Case Identification Standard Treatment for Known Disorders Compliance with Long-Term Treatment (Goal: Reduction in Relapse a nd Recurrence) Aftercare (Including Rehabilitation) P re ven t i o n Treatm e nt Ma i n t en a n c e Source: Mrazek, P.J. and Haggerty, R.J. (eds.), Reducing Risks for Mental Disorders, Institute of Medicine, Washington, DC: National Academy Press , 1994. Indicated— Diagnosed Youth Selective— Health Risk Groups Universal— General Population
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7 Substance Abuse and Mental Health Services Administration  Center for Substance Abuse Prevention Prevention: Three types of prevention interventions (Mrazek & Haggerty, IOM, 1994). 1. Universal (primary prevention with general population) 2. Selective (secondary prevention with high-risk groups, such as children of alcoholics, inner city youth, pregnant unmarried girls, etc.) 3. Indicated (secondary prevention with identified problem youth already manifesting a risk factor, i.e., school dropouts, delinquent youth, youth already smoking or drinking, etc.)
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8 Substance Abuse and Mental Health Services Administration  Center for Substance Abuse Prevention U.S. Drug Abuse Prevention U.S. Drug Abuse Prevention Workshop Objectives Workshop Objectives Session III: Substance Abuse Prevention: What Works!
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