A Response to the Critiques of Tobacco Sales and Tobacco Possession Laws

SUMMARY

Several researchers within the anti-smoking community have recently claimed that youth access tobacco programs are ineffective and drain limited resources. They make these claims because they feel that youth access programs do not affect teen smoking prevalence. Others have argued that anti-smoking interventions should not fine minors for possession of tobacco. In this last article, we provide a response to these arguments.     

The Primary Prevention of Adolescent Substance Abuse Through the Promotion of Personal and Social Competence

Summary

The Life Skills Training (LST) program is a broad-based substance abuse prevention program which emphasizes self-improvement and the development of important personal and social skills. This chapter describes the LST program, its theoretical rationale, and the results of evaluation studies conducted over the last eight years; in addition, this chapter reports the process by which the original school-based program format was revised for use in a community setting-specifically for use with urban minority adolescents living in a shelter for the homeless. The revised version of the LST     

Individual differences in safe behavior: A safety practitioner's viewpoint

SUMMARY

This paper focuses on the school as a setting for community-based prevention of factors that place learners at risk such as poverty, violence, substance abuse, learning difficulties and HIV/AIDS. It examines the development of school-based structures aimed at addressing these issues. The health promoting and inclusive schools approaches are explored as strategies to address these and other barriers to learning.

Reference is made to innovative practice at a school in a disadvantaged community outside of Cape Town. The case study reveals how school-based teams could be utilized to mobilize school communities in generating solutions to the difficulties that they encounter.     

School Violence Interventions in the Safe Schools/Healthy Students Initiative

Abstract

The Safe Schools/Healthy Students Initiative was designed to encourage collaboration among school districts and local community service providers in the provision of behavioral health prevention and early intervention efforts. These efforts would address the physical safety of students as well as provide mental health, violence prevention, and social skills services. One local SS/HS Initiative brought together community and school collaborators in an ambitious agenda that included 14 distinct programs that addressed the needs of over 110,000 students in a large school district. The purpose of the current paper is to report the results of the evaluation of two of the programs designed to reduce violent and disruptive behavior in schools. The programs include a school-based anger management program and a community-based, alternative-to-suspension program. Working in cooperation with program staff and the school district, quasi-experimental designs were used to measure change over time for students. The two studies demonstrate the application of multiple methodologies in evaluating the effectiveness of prevention and early intervention efforts with the aim of providing data to support program improvement and sustainability.     

Successful Program Development Using Implementation Evaluation

SUMMARY

Four methods used to enhance implementation of a resiliency-based early childhood substance abuse and violence prevention initiative are described. Project staff drew up formal agreements with participating programs to ensure administrative support for the intervention, provided high quality training for program implemcnt-ers, used a participatory evaluation approach, and monitored implementation both directly and through practitioners' self-report. The contribution of each of these methods to fidelity of implementation is discussed, and implementation challenges are identified. The growth and success of the project demonstrates the utility of implementation evaluation data for ongoing program development and improvement.     

The Implications of Female Risk Factors for Substance Abuse Prevention in Adolescent Girls

SUMMARY

Trends in substance abuse prevention have not adequately addressed the needs of girls and female adolescents. The precursors to substance use and abuse in adolescence are analyzed specifically from a gender-specific perspective. Female drug use as both a maladaptive and adaptive pattern of coping behavior is examined within a socio-cultural context. This new understanding points to the need for alternative models of prevention with particular attention to risk, resiliency and protective factors. The expanded role of the family therapist as “Family Life Cycle Specialist” within a prevention model will be highlighted.     

The Schools and Family-Oriented Prevention

Abstract

School-based family resource programs are examined as an illustration of a promising programmatic direction in family-school relations. A brief historical review of family-school interactions is provided and a continuum of family-school interactions is set forth, The article describes examples of diverse family resource programs, identifies problems in implementing and evaluating family resource programs, and suggests needed directions in strengthening the potential of school-based, prevention-oriented services to families.     

Daring,Substance Use and Involvement in Violence Among School Children

Abstract

This study explores whether the association between substance use and involvement in youth violence is a unique association resulting from the properties of the drugs, or whether it is part of a larger behavioral cluster. The sample was composed of 1,571 10th grade students from the Israeli secular and religious state school systems, including both Jewish and Arab schools. The results indicate that the strongest predictor for unplanned violent activities such as physical fights is alcohol use, suggesting that this chemical substance may lower the threshold of unplanned violence. However, daring was found to be the strongest predictor for planned violent activities such as bullying and weapon carrying, suggesting that the behavioral pattern is the most influential. Thus future research and intervention programs would perhaps benefit from differentiating between planned and unplanned violence.     

An Examination of Factors Influencing Illegal Tobacco Sales to Minors

SUMMARY

This study examined factors that influence illegal tobacco sales to minors, such as buyer, clerk, and store characteristics. Thirty-seven youths made 314 attempts to purchase tobacco in 11 towns in Illinois. Purchase attempts were made from over-the-counter and vending machine vendors. Multilevel multivariate logistic regression analyses, which controlled for town clustering effects, were run to determine predictors of illegal sales to minors. Findings revealed that the strongest predictors of selling cigarettes illegally to minors were clerks' failure to ask a minor for age or identification. The implications of using multivariate methods to identify factors influencing illegal tobacco sales are discussed.     

Context Matters: Reactive and Proactive Bystander Action to Prevent Sexual and Dating Violence in High Schools

ABSTRACT

Given high rates of relationship violence among adolescents, there is a need to understand variables that influence adolescents’ helping behaviors to reduce risk for dating and sexual violence (reactive) and promote prevention before violence happens or risk factors are evident (proactive). The current paper examined individual and school variables related to greater actionism in a large sample of high school students. Baseline, cross-sectional data used in the current analyses were gathered before intervention as part of a prevention program evaluation across 25 high schools in New England from students in grades 9–12 (N= 3,404). Students who self-reported a greater number of proactive actions taken were students who identified as sexual minorities, had a history of victimization, and were in schools with supportive peer norms. The current findings suggest a model for prevention that might include training individuals and attending to school level variables.     

Socioeconomic Status and Behavior Problems

Abstract

Violence in the schools is a fundamental concern for students, educators and communities as they collectively address issues that make schools safer. A longitudinal analysis of disciplinary referrals was conducted with a large countywide school district to measure differences across socioeconomic status and school level. These variables proved to be critical in identifying and targeting schools that may need to be the focus of prevention and intervention efforts. Other suggestions related to the effects of school violence on academic instruction and methods for the targeting of services are discussed along with implications for educators and mental health professionals in school based settings.     

Introduction

Summary

Rapid population growth in the Third World has been accompanied by the creation of national family planning programs, which attempt to slow growth rates through programs aimed at the prevention of births. These programs represent large scale, modern bureaucratic health delivery systems that are transplanted from the industrialized world. They raise the problem of whether such modern organizations can have an impact on reproductive behavior throughout the Third World. A large scale research program on Asian family planning programs provides some of the answers to these critical questions. First, pooled cross-national time series data indicate that as family planning programs grew and their inputs of staff and funds increased, both contraceptive and birth prevention increased. Further, multiple regression analyses indicate a positive impact of program inputs on both contraceptive use rates and birth prevention, even when levels of social and economic development are controlled. There is also, however, much variance among countries in their patterns of both program performance and birth prevention. Four country cases are examined-the Philippines, Malaysia, South Korea, and Indonesia-to show that the character of political organization has an impact on the performance of these modern bureaucratic birth prevention organizations.     

Supporting and Strengthening Family Functioning

Abstract

The thesis of this article is that family resource programs which employ prevention models fail to recognize that the prevention of poor outcomes cannot be equated with the strengthening of family functioning. Evidence from divergent but conceptually coherent lines of research is presented which indicates that the absence of problems does not necessarily mean the presence of positive functioning. The use of promotion models which are more consistent with the aims and principles of family resource programs is advanced as a way of bridging the gap between intervention models, family support principles, and family resource program practices.     

Impact of Stressful Life Experiences and of Spiritual Well-Being on Trauma Symptoms

Abstract

Stressful life experiences, trauma symptoms, and spiritual well being were assessed in an adult college student population. Using a regression analysis, results indicated that both stressful life experiences and spirituality were significantly related to the level of trauma symptoms. Approximately 47% of the variance in trauma symptoms was predicted by the model. Spirituality was related to lowered traumatic stress. An additional finding was that trauma symptoms were significantly higher after the September 11 terrorist attacks than before the attacks, when samples from the same population were compared. Results are discussed in terms of the moderating effects of spirituality, and current literature on traumatic stress. Recommendations are made for the careful use of spirituality as a resource when addressing traumatic stress in prevention or intervention programs.     

Evaluation of an Incentive System at a Summer Camp for Youth Experiencing Homelessness

SUMMARY

Children who are homeless often experience emotional and behavioral problems. They also may have difficulty interacting with peers. Programs designed to reward positive behaviors may be successful in improving behavioral functioning for children experiencing emotional distress due to homelessness and related risk factors. Families experiencing homelessness may have a difficult time accessing mental health services. School settings may be optimal environments for implementing programs to improve behavioral and social development for these children. In this paper, we describe the implementation and outcomes of an incentive system, developed to improve school behaviors and interactions for children experiencing homelessness. This system was implemented during a summer camp designed to enrich reading skills. Teachers and aides administered bracelets as secondary reinforcers for positive and prosocial behaviors. Children could purchase primary reinforcers, such as toys and art supplies, with the bracelets. Results were positive, supporting project activities. Future programs and evaluation projects should focus on delivering and evaluating prevention and therapy services for youth experiencing homelessness.     

An Examination of Strategies for the Prevention of Gender-Based Violence at Four-Year Institutions of Higher Education

ABSTRACT

Although gender-based violence prevention programs at institutions of higher education (IHEs) are mandated by federal legislation, research focusing on the prevalence or content of programming is limited. The present exploratory research examines campus websites for a nationally representative sample of Title IX eligible IHEs that offer at least a four-year degree (n = 389), assessing whether IHEs offer prevention programs and whether programs include information cited in federal legislation or adhere to best practices. Differences in programming are also examined across IHE types. Results demonstrate that most IHEs report offering prevention pro- grams (86%), but that differences do exist across IHE type: 97% of public nonprofit IHEs report programming compared to 46% of tribal institutions. Disparities also exist across IHE types regarding the content of programming. Results highlight the need to advance prevention programming to better align with “what works” in prevention science or what is expected by federal legislation.     

The Status of Preventive Care for the Aged

Abstract

One response to the growing needs of the elderly is to expand the scope of preventive care from the younger and middle aged cohorts to include an emphasis on preventive care for older people. In the past it has been difficult to consider prevention and aging as concepts which could co-exist because we can neither cure nor prevent aging. The potential of preventive care to improve, maintain, or lessen decline in the quality of life of the elderly has not been included in the definition or mainstream of prevention activities. This study identifies and reviews research and programmatic activities which have been reported in the literature over the last ten years in the area of prevention and aging. Topical areas and methodological approaches are explored to define what has been considered appropriate preventive care for the elderly. An evaluation process, meta-analysis, is used to assess the therapeutic effect and overall effectiveness of techniques in prevention and aging. These findings can be used in formulating future initiatives related to aging and prevention.     

Early childhood education and primary prevention

Summary

Early childhood education is emerging as a major method of primary prevention of social and personal problems. Studies of early childhood programs, such as the Ypsilanti Perry Preschool Project, have found positive long‐term consequences for participating children with significantly improved educational performances including high school graduation rates and college attendance; improved rates of employment and self‐support; and reduced rates of crime, teen pregnancy, and welfare utilization. This paper gives a brief overview of the research project and the curriculum methods employed. As the country becomes aware of the need for prevention rather than correction, high quality early childhood education will be employed widely.     

The Role of Community in Facilitating Service Utilization

SUMMARY

Guided by an integrated theory of parent participation, this study examines the role community characteristics play in influencing a parent's decision to use voluntary child abuse prevention programs. Multiple regression techniques were used to determine if different community characteristics, such as neighborhood distress and the community's ratio of caregivers to those in need of care, predict service utilization levels in a widely available home visiting program. Our findings suggest that certain community characteristics are significant predictors of the extent to which families utilize voluntary family supports over and above the proportion of variance explained by personal characteristics and program experiences. Contrary to our initial assumptions, however, new parents living in the most disorganized communities received more home visits than program participants living in more organized communities. The article concludes with recommendations on how community capacity building might be used to improve participant retention.