Alcohol Abuse Prevention Among High-Risk Youth

Abstract

This study examined the feasibility of a CD-ROM intervention to prevent alcohol abuse among high-risk youths. Youths from 41 community-based agencies in greater New York City participated in a randomized trial of a skills-based interactive CD-ROM. Outcome data were collected on 489 early adolescents in these agencies before and after a randomized subset of youths interacted with a 10-session alcohol abuse prevention program on CD-ROM. Compared to control participants, youths in the intervention arm had a positive increase in perceived harm of alcohol use and increased assertiveness skills. At posttest, drinking rates for control and intervention participants were equal and unchanged from pretest. These findings suggest that CD-ROM technology offers a new and promising medium for engaging high-risk youth in an alcohol abuse prevention program. Study implications and future applications of the present approach are discussed.     

A Partnership Approach to Consultation

Abstract

A social ecological approach to consultation was evaluated through a four-year primary prevention field research project with 10,000 people in 24 church congregations. Significantly lower levels of personal distress and alcohol abuse were found in experimental congregations exposed to intervention processes which encouraged an increase in heterogeneous settings and activities when compared to control congregations not exposed to the same intervention processes. Continuing reciprocal social support and mutual empowerment, defined as knowing how to give and receive support, caring for others, knowing others by name, and being asked to help others, were identified as the key process variables which minimized distress and abuse.     

Substance Abuse Prevention Among High Risk Youth

The abuse of alcohol and other drugs (AOD) by youth is, once again, on the rise, emphasizing the need for prevention intervention. This article discusses the research on the prevention of substance abuse among youth who are identified as especially vulnerable to, or at high risk of, AOD abuse. The individual, interpersonal, and institutional risk factors associated with substance abuse among youth are described. Research on prevention programs for high risk youth is presented next, with a consideration of the methodological problems associated with this research. Despite the problems noted, the findings suggest there may be some effective methods of preventing substance abuse among high risk youth. The article concludes with a discussion of implications for prevention practice, as well as social policy.     

论我国防治虐童行为法律体系的完善--基于法教义学的分析

虐童行为主要表现为躯体虐待、情感虐待、性虐待及忽视等形式,对儿童身心健康会造成潜移默化的损害,进而阻碍儿童身心的健康发展。《儿童权利公约》规定了儿童的生命权和发展权等基本权利,上述权利免受一切形式的暴力侵害是其应有之义。当前,我国已构建以宪法为统领、以未成年人保护法为核心的防治虐童行为法律体系,同时以司法机关和行政机关出台的司法解释文件、部门规章予以补充。在法治社会建设过程中,以法教义学的研究方法为切入点,结合相关案例对我国防治虐童行为法律体系进行全面梳理并进行体系化的分析,可以为我国防治虐童行为法律的进一步完善提供有益的思路。     

From Foster Care to Adulthood: The Role of Income

This study explores the role of income for young people with experience in foster care transitioning to adulthood. It draws on in-depth structured interviews with eight staff members and 38 current and former foster youths age 18 years and older, who were participants in an innovative program to build their assets and financial capability. Interviews took place in four sites in three states. This study illuminates how those with experience in foster care seek to obtain and manage money to transition successfully to adult financial roles. Findings suggest that early and practical experiences with money are important for gaining financial capability. The study also highlights the need for child welfare professionals to develop expertise in financial literacy and understand the pitfalls that lie in both traditional and nontraditional financial services. By deepening understanding among staff of the economic realities facing the young people today, child welfare agencies will be more likely to prepare former foster youths for life on their own.     

An Examination of the Reliability,Data Screening Procedures,and Extreme Response Patterns for the Youth Risk Behavior Surveillance Survey

Abstract

This article explores psychometric characteristics of the Youth Risk Behavior Surveillance Survey (YRBS), one of the most widely used instruments to assess the prevalence of violent and other high-risk behaviors in secondary school settings. Response patterns were analyzed for a subset of 414 youths who indicated that they had carried a weapon to school six or more times during the preceding 30 days, and were compared to a matched sample of youths randomly selected from the 13,610 participants in the 2001 national administration of the YRBS. Results indicated that extreme responders to the weapon-carrying item were considerably more likely than their counterparts to respond in an extreme fashion to all YRBS items, including risk items pertaining to school (e.g., physical fights on school property) and outside school (e.g., alcohol consumption) factors, as well as positive health behaviors (e.g., healthy eating habits). Overall, the results suggest an ex-treme response bias among some participants that may impact the validity of the YRBS instrument. More specifically, presence of this response bias may inflate estimates of the prevalence of school violence and related concerns. These findings are discussed in light of the need to carefully examine individual response patterns on future administrations of the YRBS in an effort to ensure maximum instrument utility.     

Urban African American youth exposed to community violence: a school-based anxiety preventive intervention efficacy study

This study evaluated the efficacy of a school-based anxiety prevention program among urban children exposed to community violence. Students who attended Title 1 public elementary schools were screened. Ninety-eight 3rd-5th-grade students (ages 8-12; 48% female; 92% African American) were randomized into preventive intervention versus wait list comparison groups. Students attended 13 biweekly one-hour group sessions of a modified version of FRIENDS, a cognitive-behavioral anxiety intervention program. Results indicated that both intervention and control groups manifested significant reductions in anxiety symptomatology and total exposure to community violence, along with improved standardized reading achievement scores. Additional gains observed only in the intervention group were increased standardized mathematics achievement scores, decreased life stressors, and reduced victimization by community violence. The intervention was equally efficacious for both genders and for children exposed to higher, compared to lower, levels of community violence. Implications for comprehensive, culturally and contextually relevant prevention programs and research are discussed.     

Teen Choices,an Online Stage-Based Program for Healthy,Nonviolent Relationships: Development and Feasibility Trial

This article describes the theoretical foundation, development, and feasibility testing of an online, evidence-based intervention for teen dating violence prevention designed for dissemination. Teen Choices, a program for healthy, nonviolent relationships, relies on the transtheoretical model of behavior change and expert system technology to deliver assessments and feedback matched to stage of change for using healthy relationship skills. The program also tailors feedback to dating status, risk level, and other key characteristics. Ninety-nine students from high schools in Tennessee and Rhode Island completed a Teen Choices session and 97 completed an 11-item acceptability evaluation. Of participants, 100% completed the intervention session as intended. Evaluations of the program were favorable: 88.7% agreed the program feedback was easy to understand, and 86.7% agreed that the program could help people develop healthier relationships. Findings provide encouraging evidence of the acceptability and feasibility of this approach to dating violence prevention.     

Supports for Families Affected by Substance Abuse

Using an in-home services program model, Project Connect works collaboratively with the child welfare system, substance abuse treatment providers, the courts, and other community agencies to support parental recovery, enhance safety and permanency, and strengthen family relationships. Results from the most recent evaluation of the program, which used a dosage level design to examine project outcomes for 415 families, are presented here. Data indicate that the program was particularly helpful in strengthening parenting capacity. Child safety and permanency were also positively correlated with program participation.     

Linking Academics and Social Learning

Abstract

This article examines how school staff conceptualize their work with youths in an alternative school for weapon policy offenders after having undergone at least one year of a whole-school violence prevention program conducted by the Syracuse University Violence Prevention Project. The article examines the intent of school staff, their ideas, perspectives, and language about youths, violence, and schooling, and provides insights into the challenges and benefits of a whole-school approach to violence prevention. Their insights highlight what is needed for a violence prevention program to be successful. A major issue raised in the article is the importance of linking social learning and academics in violence prevention strategies, and of sustaining collaborative efforts that connect conflict resolution to acts of justice and support for youths' intellectual and emotional lives.     

PRIMARY PREVENTION OF DEVELOPMENTAL RETARDATION DURING INFANCY

This review examines eighteen exemplary prevention-oriented early intervention programs designed for high-risk and normal infants. The target populations, the form of the program delivery, and the content of the curriculum are described. Issues in the design and methodology of such programs are discussed. The review also summarizes continuing and delayed effects of early intervention programs with an emphasis on those projects that had a follow-up evaluation phase. Finally, three theoretical perspectives are presented. These perspectives have imponant implications for infant program planning and evaluation from which recommendations are made for future programs designed for high-risk infants.     

Triple jeopardy for HIV: substance using Severely Mentally Ill Adults

Severely Mentally Ill (SMI) adults have disproportionately high HIV seroprevalence rates. Abuse of alcohol and other substances (AOD) and lifetime exposure to trauma by others are particularly potent risk factors, which, in combination with psychiatric disabilities, create triple jeopardy for HIV infection. This study examined the predictive utility of demographic characteristics; history of physical, emotional, or sexual abuse; extent of drug and alcohol abuse; knowledge about HIV/AIDS; sexual self-efficacy; and condom attitudes toward explaining the variance in a composite of HIV high-risk behavior among 188 SMI women and 158 SMI men. History of sexual abuse, engaging in sexual activities while high on substances, and lower cannabis use were the most significant predictors of HIV sexual risk behaviors. Given the triple jeopardy for HIV risk in this population, a triple barreled approach that simultaneously addresses multiple health risks within an integrated treatment setting is warranted.     

The role of community in facilitating service utilization

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.     

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.     

Parental attitudes following exposure to child abuse prevention campaign materials: a randomized trial

The purpose of this study was to evaluate child abuse prevention campaign materials. Using a randomized posttest design, 600 parents from an online research panel were recruited and surveyed. Multiple regression results indicate that exposure to the campaign materials had a significant relationship with four of the five domains (effects of child maltreatment, the appropriateness of harsh parenting, the physical dangers and needs unique to childhood, and the power to prevent child maltreatment). These results have implications for the child abuse prevention practitioners who seek to design and distribute effective campaign materials.     

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.     

Intrafamilial Child Sexual Abuse in the Hispanic Community:

This paper outlines prevention strategies using mar keting techniques in the area of intrafamilial child sexual abuse for the Hispanic community. Data from a study of child sexual abuse in the hispanic community are presented. These data point out a few of the sociocultural similarities and differences between Hispanic and non-Hispanic cases. The paper suggests the use of broadcast media, Spanish language formats targeting audiences, and the use of spokespersons as factors in prevention program development.     

Potential lessons from public health and health promotion for the prevention of child abuse

Two successful public health efforts of the last third of the twentieth century-tobacco control and automobile injury control-are reviewed for relevance to the problem of child abuse. Potential lessons for child abuse prevention are identified and the following approaches are suggested: Investigate varied logic models or conceptual frameworks to identify new opportunities for effective intervention. Use a multidisciplinary, multi-sector approach. Normalize desired behaviors and denormalize undesirable behaviors. Balance efficacy, feasibility, and cultural appropriateness. Develop strategies for effective policy advocacy based upon who benefits and who shoulders most of the burden.     

Influence of Family,Agency, and Caseworker Dynamics on Caregivers' Satisfaction With Their Child Protective Services Experience

Numerous child protective services (CPS) agencies have adopted differential responses as a system reform hypothesized to facilitate family engagement. This research tests a conceptual framework developed to examine dynamics between caregiver, agency, and caseworker factors that are assumed to impact caregiver engagement. Data from a randomized control study and structural equation modeling methods were used to explore the influence of these factors on caregiver satisfaction with their CPS experience. The results indicate that receipt of alternative response, caregivers' ratings of their caseworker's interaction style, and caregivers' positive emotional response influenced satisfaction with their intervention experience, while negative emotional responses did not.     

A School-Based Approach to HIV Prevention for Inner-City African-American and Hispanic Adolescent Females

This study examined the efficacy of a school-based HIVIAIDS prevention intervention for African-American and Hispanic adolescent females. Participants, 60 high school freshmen enrolled in an inner-city parochial high school, were randomly assigned to either HIVIAIDS prevention or attention-placebo womanhood interventions. Significant ethnic differences were found, with African- American adolescents reporting notably higher levels of sexual assertiveness and comfort discussing AIDS preventivc behaviors, as compared to Hispanic adolesccnt females. Further, both African-American and Hispanic participants who received the HIV/AIDS prevention intervention increased their knowledge of AIDS, more so than participants in the attention-placebo condition. These findings highlight the importance of culture in the design of relevant and sensitive HIV/AIDS prevention interventions for ethnic minority youth.