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23rd Annual NPN
Research Conference Denver, Colorado August 31 - September 3, 2010 |
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22nd Annual Conference Workshop Descriptions
(2009 ARCHIVES)
Questions: Thursday, September 17, 2009, Plenary Session: A growing body of research makes the case that positive youth development is an effective approach to both preventing problems and achieving positive outcomes in other areas, such as skill building, relationship building and leadership development. Ms. Sedonaen will provide an overview of recent and compelling longitudinal studies and make the strong case that providing youth with key supports and opportunities in a program setting leads to positive short-intermediate and long-term developmental outcomes, as well as prevention outcomes. (Eccles & Gootman, 2002; Gambone, Klem & Connell, 2002) She will present scientific evidence for applying a youth development framework and practice in prevention program settings, as effective strategies for both problem intervention and prevention and positive youth development. She will include a review of the science that supports the Prevention Youth Development standards of practice and will be followed by articulating the ways in which these prevention strategies and components mirror those of CSAP’s model programs and the Strategic Prevention Framework. At the conclusion of this session, participants will be able to:
Follow Up Workshop Description: This highly engaging follow up workshop will show the research and evidence behind integrating Youth Development and Youth -led participatory action research at a community level. Learn the strategies, methods and results of utilizing youth led research and youth development standards of practice. Participants will receive an overview and engage in youth led- methodologies that can be utilized and adapted at a community level. Participants will leave with ideas, tools and a framework for successfully integrating these practices for relevant prevention initiatives, research and programs. Thursday, September 17, 2009, Lunch Speaker Friday, September 18, 2009, Closing Session:
2009 Workshop Descriptions: Session 1 1A In 2004, the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Substance Abuse Prevention (CSAP) awarded Colorado a five-year Strategic Prevention Framework State Incentive Grant (SPF-SIG). Colorado funds 16 communities, including urban, rural, and frontier communities, one tribal community, and two multi-county communities. Communities were selected based on the examination of substance use-related indicators as well as a diversity of demographics and levels of community readiness. Colorado conducted a formative evaluation of the implementation of the Strategic Prevention Framework (SPF), and findings from Fall 2005 through Spring 2008 will be presented. Key observations, lessons learned, and successes and challenges of the implementation of each of the five steps of the SPF (Needs Assessment, Capacity Building, Strategic Planning, Implementation, and Evaluation) will be discussed. In addition, the presentation will address how Colorado communities have been working to address the core principles of cultural competence and sustainability. Participants will: (1) gain an understanding of how Colorado communities have implemented the Strategic Prevention Framework, including communities’ successes and challenges in implementing each of the five steps and core principles of cultural competence and sustainability; (2) be able to apply lessons learned to their own implementation of the Strategic Prevention Framework. 1B Individuals affected by prenatal alcohol exposure often experience a wide range of physical, cognitive, and behavioral difficulties which frequently lead to adverse life outcomes for the individual and his or her family. This session examines three programs that have the common goal of reducing adverse life outcomes for individuals with an FASD: “The Best Buddies” program is an evidence-based, parent-assisted friendship skills training protocol for youth with an FASD or other disabilities; “ The Families Moving Forward” intervention provides ongoing support to parents of a child with an FASD and also helps them understand their children’s challenges; and “The Alaska Medicaid Waiver Demonstration” project is a mentor program for youth who are 14-21 years of age with a diagnosed or suspected FASD and a social and emotional disturbance diagnosis, who are in, or at risk of placement in, a Residential Psychiatric Treatment Center (RPTC). Participants will: (1) be able to identify evidence-based intervention programs for youth with an FASD and their families; (2) be able to describe the outcomes identified in the Best Buddies and Families Moving Forward interventions; and (3) gain knowledge about the use of mentors to improve outcomes for youth with an FASD. 1C The rise of HIV infection related to substance abuse in minority communities has challenged prevention program developers to design curricula that are relevant to these populations. COPES, Inc has developed two federally funded projects using an adapted version of its evidence-based curriculum Creating Lasting Family Connections integrated with COPES/ABC/3D Approach for HIV, Hepatitis and STD Prevention to address these issues. This presentation will describe the preliminary results of COPES Connect-Immunity Project (SAMHSA funded) and Jefferson County Fatherhood Initiative (Office of Family Assistance funded).The presentation includes preliminary outcome data collected from retrospective surveys and from pre-, post- and follow -up surveys as compared to a randomly selected comparison group. The presenters will also discuss building a community coalition, cultural sensitivity, effective approaches to prevention, and measuring outcomes of effective substance abuse and HIV prevention programming. Partcipants will increase: (1) knowledge of effective substance abuse and HIV prevention programming with minority and minority reentry populations; (2) participants’ cultural sensitivity and competency when working with the minority and minority reentry population; and (3) understanding of evaluation designs for substance abuse and HIV prevention programming used with minority and minority reentry populations. 1D This workshop will discuss hands on application of effective alcohol compliance checks by using actual alcohol compliance check footage, youth training video, data base utilization and GIS mapping system. This presentation will walk attendees through the data collection process and will provide information on conducting effective compliance checks and show participants how to use the data collected to advance their goal in preventing underage drinking. This presentation will also discuss the importance of having a protocol in place and will give frontline stories of what can go wrong and what can be done to prevent liabilities and make compliance check data collection more effective and useable for the community. Participants will learn how: (1) to develop an effective Alcohol Compliance Check Protocol; (2) to develop and input information in a Data Base/Mapping System; (3) to identify gaps using data components; and (4) to advance their prevention goals by engaging the community and law enforcement agencies. 1E Prevention efforts should be informed by the science of the developing adolescent brain. Program curriculum, program implementation, and the role of the community and parents are aspects of effective drug abuse prevention that need to account for and to take advantage of the relatively unique aspects of the teenage brain. Featured Session: This panel presentation will address research-based strategies for integrating early intervention approaches in Mental Health, Substance Abuse, and Primary Care settings. Additionally, the session will focus on identifying effective ways these strategies can be adapted and applied in diverse communities (i.e., for Latinos, Asian, and Older Adult communities). First, an initial overview will be provided of prevention and early intervention models that have established research findings to support their effectiveness. Secondly, contextual factors and effective strategies for adapting these evidence-based models across the three settings will be discussed. Culturally relevant strategies for adapting these strategies to specific community and/or population groups will then be addressed. Participants will: (1) increase knowledge regarding evidence-based early intervention models; (2) gain awareness of nuances to effectively implementing early intervention approaches in mental health, substance abuse, and primary care settings; and (3) increase knowledge regarding adaptations of early intervention models that facilitate relevance and effectiveness for different population groups. 1G 79% of Butte County Youth report alcohol is easy to get in their community and that they are oversaturated with messages to use. Butte County Friday Night Live and Club Live chapters have used environmental prevention to combat one of the most visible points of access to youth - the on-sale and off-sale alcohol outlet. In this workshop, hear how high school students used GIS mapping to demonstrate the impact of alcohol outlets on local youth attractions and how they worked with their local coalition to identify policy to ensure high alcohol licensee compliance rates and decrease youth exposure to alcohol messages. Not only are local Friday Night Live and Club Live making community impact – the program is demonstrating key participant outcomes as a result of engaging youth in community change. Participants will: (1) increase their knowledge on environmental prevention; (2) increase their awareness on ways to engage youth in environmental prevention strategies; and (3) learn ways to document youth exposure to alcohol and pro-use alcohol messages. 1H After four years of implementing a Substance Abuse and Mental Health Services Administration (SAMHSA)-supported Young Adult in the Workplace (YIW) substance abuse prevention program, the YIW grantees have valuable findings related to transitioning youth and businesses. Prevention for young adults in the workplace is particularly important because the 16-24 years age period is a formative time of substance use onset and abuse and large percentages of this population can be found in the workplace (about 70% work part-time or full-time.) The cross-site evaluation of the YIW programs has documented efforts related to adapting prevention programs to the young adult culture and workplace cultures which will provide valuable information to researchers and practitioners who work with these groups. We will also provide findings related to which program components (e.g., health and wellness, substance use, conflict management) affect substance use and workplace-related outcomes. Participants will: (1) gain lessons learned from the process of adapting substance abuse prevention programs to young adults in the workplace setting; (2) increase knowledge of the state of prevention programs for young adults in the workplace setting; and (3) gain awareness of the potential impact and ROI for workplace-based prevention programs. 2A CSAP’s Strategic Prevention Framework encourages recipients to use empirical data to document their needs, justify their planning decision, guide their resource allocation, and assess their performance in achieving measurable objectives. Fortunately, and contrary to conventional thought, there have been simultaneous advances in conceptualization and measurement within the field of prevention. These advances provide some useful approaches to assessing prevention services and needs and to evaluating the effectiveness of prevention services. The development and widespread use of the risk and protective factor framework for understanding and preventing substance abuse has been particularly useful and important. The paper is designed to demonstrate the utility of social indicator studies for empirically identifying contributing factors to substance abuse–related consequences (e.g., underage drinking, alcohol-related motor vehicle crashes). The comparative analysis will be conducted to examine the predictive utility of county- and city-level social indicators to identify the variables most associated with outcomes of interest. 2B This interactive workshop will lead participants through the environmental prevention strategies youth and adults in California’s Central Valley implemented to reduce youth access to alcohol and build a healthier Fresno County. The workshop will highlight recruitment and retention strategies for engaging nontraditional youth leaders; youth led action research to drive community change; community engagement strategies to ensure that change work is culturally relevant; policy advocacy, and creating sustainability through new partnerships for continued community growth and success. The workshop will highlight four youth led environmental prevention campaigns from beginning to end and unforeseen successes and new partnerships that have resulted in sustainability of innovative prevention services in Fresno County. Pre/post surveys showed that youth leaders gained knowledge and skills as part of creating positive community changes, and community outcomes included mobilization of policy makers and community stakeholders and passage of new alcohol policies. Participants will: (1) increase knowledge of how to recruit, retain and engage non-traditional youth leaders in environmental prevention strategies to address community underage drinking; (2) increase awareness of the importance of identifying and mobilizing stakeholders that represent diverse community sectors to partner for sustainable community change; and (3) learn new, innovative projects and campaigns that can be implemented in diverse communities. 2C Research indicates that levels of substance use peak during young adulthood and that there is an association between college attendance and cigarette and alcohol use. Less is known about illicit drug use among young adults and their association with college attendance. This project examines risk and protective factors (RPFs) during the early teenage years as predictors of substance use among young adults, focusing on those factors that may differentially predict substance use by college students and non-students. The analysis is based on longitudinal data which allow us to study developmental patterns between adolescence and young adulthood. Results from this study will provide information regarding appropriate targets for prevention programs and the most effective RPFs to target during adolescence to curb young adult substance use. Participants will: (1) be able to identify groups in early adolescence that may be at high risk for substance use in young adulthood; (2) learn which adolescent risk and protective factors may explain differences in substance use among college students and non-students; and (3) be able to recommend three appropriate behavioral targets for creating an effective substance use prevention program. 2D The Los Angeles County Alcohol and Drug Program (ADPA) Administration sub-contracts with community-based prevention programs to address alcohol and other drug associated community risk factors and enhance protective factors. In response to a report developed by the Marin Institute entitled: The Annual Catastrophe of Alcohol in Los Angeles County, The report indicates that the total economic cost of alcohol use is $10.8 billion annually which translates to roughly $1000 per LA County resident or $3,100 per family each year. The Prevention Unit conducted a study about alcohol availability by analyzing data from the California Department of Alcohol Beverage Control. Key findings indicate that there are 16,417 alcohol outlets in Los Angeles County, which account for about one fifth of the total in California. The presentation content includes information on the study’s s background, methodology, findings, discussion, prevention environmental approaches that sub-contracts have accomplished to address alcohol density. Overall the presentation captures the correlation between alcohol associated risk factors that contribute to crime and violence. Participants will: (1) gain knowledge on how to use alcohol density data for addressing community risk factors that contribute to alcohol problems; (2) increase knowledge on how alcohol availability contributes to crime and violence; and (3) gain knowledge about how LA County providers used evidence-based environmental prevention strategies to reduce problem outlets and improve community conditions. 2E Session will highlight how Montana’s SPF-SIG is being used to create a state-wide, universal prevention system. The presentation will focus on the project’s systemic structure and how it is interconnected by a comprehensive form of training and TA. It will illustrate how the training and TA provider provides strategic leadership to those working at local, regional and statewide levels, so every entity involved in the project operates in conjunction with the others to synergistically advance project goals. Presenters will demonstrate how a comprehensive training and TA component can provide strategic guidance to the state (beginning in the design phase), build the capacity of prevention professionals with varying skill levels, facilitate the culturally relevant selection, adaptation and implementation of evidence-based practices across multiple communities with differing needs, guide the development and evolution of a multitude of prevention campaigns, and inform the evaluation process. Participants will: (1) gain knowledge of the characteristics of a comprehensive, community-customized training and TA approach that is specifically designed to support universal prevention systems; (2) witness how intensive training and TA is fostering the synergistic evolution of a collection of universal prevention campaigns underway in several frontier communities located in Eastern Montana; and (3) explore how the Montana s prevention system, integrated with customized-community training and TA, might be replicated to advance universal prevention systems in other states. 2F Community coalitions are often used in community prevention and health promotion efforts because they can bring together diverse community stakeholders to address shared goals. This session presents the results of a study of prevention coalitions participating in a randomized controlled trial of the Communities That Care (CTC) prevention system, including the effects of CTC on coalition functioning and community levels of adolescent drug use and delinquency. The session also describes how these coalitions used local data to achieve their goals. Being able to use data to show community change is essential for coalitions in order to engage their community and advance their mission over time. We will discuss ways to use data to inform, engage, and mobilize community members. Specifically, we will delve into various ways to present data to define emerging issues in the community, to celebrate coalition successes, and to make effective public statements. Participants in this session will learn: (1) how the Community Youth Development Study (CYDS), a randomized, controlled trial of CTC, has found significant effects of the CTC intervention on community prevention coalition functioning and youth drug use and delinquency; (2) how to use data to mobilize diverse community stakeholders to support science-based prevention and enhance collaboration; and (3) different ways to display data effectively to highlight community prevention needs and illustrate community change. Featured Session: 2H This interactive session explores the core elements of drug free youth groups that make them successful and sustainable. In 2009 researchers at the University of Wyoming, working with five community youth groups, the Wyoming Department of Health and Wyoming’s First Lady, used focus groups, key informant interviews and archival data to identify what common components drove youth groups to success and sustainability. Participants will learn what they can do to create youth groups like these and will be encouraged to share their own experiences with successful youth groups. Participants will work together to create a general plan for how to start or sustain drug free youth groups in their communities. 2I The Building Assets - Reducing Risks program (BARR) is designed to ensure ninth grade student success as they encounter academic and high risk behavioral challenges including alcohol and other drug use during their transition to high school. The innovative school-based program uses Developmental Assets to build a foundation of protective factors for all ninth graders and focus on specific risk factors for the most vulnerable students. The program has been shown to reduce academic failure, truancy rates and the number of disciplinary actions taken as well as decrease alcohol, tobacco and other drug use. Building Assets - Reducing Risks was named a 2005 Exemplary Substance Abuse Prevention Program by the National Prevention Network and the National Association of State Alcohol and Drug Abuse Directors. The program also received an Evaluation Capacity Building for Evidence-Based Interventions Award from the Center for Substance Abuse Prevention. Participants will: (1) understand how a Positive Youth Development Orientation using the Developmental Assets can prevent typical ninth grade academic and high risk behavioral problems; (2) learn how Developmental Assets simultaneously addresses risk and protective factors and strengthens prevention efforts; and (3) learn the key components and implementation strategies of the BARR Program. 3A The Riverside County Prevention Plan addresses the needs of all three Institute of Medicine (IOM) populations. Strategic Planning revealed a gap between prevention and treatment services, so the county combined two strategies, Problem ID & Referral and Education, in a culturally sensitive Indicated Prevention process called Brief Risk Reduction Interview and Intervention Model (BRRIIM). BRRIIM is co-located within county clinics and is also part of school-based Student Assistance Programs. By listening carefully for strengths, resources, and needs, providers slow down to go fast . This screening/brief intervention process uses a prevention conversation as a framework to create a personalized Prevention Agreement that uses the strengths of the individual and existing systems to meet identified needs. This is an inspiring level of collaboration. BRRIIM is offered as part of the statewide training and technical assistance. Providers report that BRRIIM is improving their own and others quality of life. This session will: (1) demonstrate how one large county used the Institute of Medicine (IOM) prevention population categories to create a need-driven Strategic Prevention Plan focused on implementing a Continuum of Services approach; (2) give an overview of the screening and brief intervention strategies as evidence-based practices implemented in two health access settings: county substance abuse prevention services and school-based Student Assistance Programs; and (3) analyze the core components of the Brief Risk Reduction Interview and Intervention Model (BRRIIM), implemented in four California counties, that distinguishes this design as an effective culturally sensitive and instructive process that empowers individuals and providers to take ownership of their role in indicated prevention. 3B With shrinking funding resources, there is a growing emphasis on sustainability. The presenters offer a national framework for sustainability that solidifies an adaptive, responsive prevention system focused on desired outcomes. The national CAPT curriculum highlights three keys focused on building organizational capacity, assessing effectiveness, and enhancing community support. Associated with the keys are core actions required to maintain a responsive and culturally relevant substance abuse prevention system. At the conclusion of this session, participants will have: (1) increased their knowledge of a framework for sustainability, (2) learned about the paradigm shift away from sustaining programs to sustaining outcomes, and (3) gained knowledge of available sustainability technical assistance resources. 3C This workshop explores The Youth Leadership Institute’s (YLI) experience implementing an adaptation of Communities Mobilizing for Change on Alcohol (CMCA), a SAMHSA evidence-based prevention model. CMCA uses community organizing and environmental prevention strategies to reduce youth access to alcohol through local policy and practice changes. In this adaptation, the core organizing group, originally designated in the model as adult volunteers, is comprised of a council of youth leaders in California Bay Area communities. As the National Trainer for CMCA, YLI is uniquely positioned to assess and compare the two approaches. In this workshop, presenters will discuss the purpose of the adaptation, the programmatic supports and other elements needed to achieve overall results and successes and challenges of the work. Workshop participants will have opportunities to apply lessons from this adaptation in consideration for work in their own community or how to integrate CMCA components towards current youth prevention leadership work. Participants will learn: (1) about CMCA adaptation and it’s strengths and challenges compared to the model; (2) a youth development framework needed for youth engagement in alcohol policy change efforts; and (3) about methods to integrate authentic youth leadership in alcohol prevention work in their communities. 3D Since the mid-1990s, Pennsylvania has embraced a risk-focused prevention model that mobilizes communities to assess the factors that put young people at greater risk for delinquency, youth violence, drug use, and other problems. After identifying these priority risk factors, communities select from a menu of evidence-based prevention programs to address the underlying causes of these youth problem behaviors. Over 100 communities across the state, representing over 100,000 youth, have utilized this model for more than a decade. This session will present findings from two recent large-scale cross-sectional and longitudinal studies by the Prevention Research Center at Penn State University to assess the impact of this Strategic Prevention Framework model. Both studies found significant effects on community-level prevalence of delinquency and youth drug use. Lessons learned from this 10-year statewide implementation will be discussed, including ways to promote the maximum public health impact from the Strategic Prevention Framework. Participants will: (1) learn about the Communities That Care risk-focused model of community mobilizaton for prevention, as a practical example of operationalizing the Strategic Prevention Framework; (2) learn the results of two recent large-scale cross-sectional and longitudinal studies on the impact of this framework on nearly 100 communities representing over 100,000 youth in Pennsylvania; and (3) discuss lessons learned in relation to the necessary infrastructure, training, community readiness, and technical assistance necessary to maximize the effectiveness of this approach to the Strategic Prevention Framework. 3E This session describes evidence-based programs for the prevention of fetal alcohol spectrum disorders (FASD) that are being integrated into existing service delivery organizations through the SAMHSA FASD Center for Excellence. The three evidence-based prevention programs being integrated are: 1) Parent-Child Assistance Program (PCAP), 2) Project CHOICES, and 3) Screening and Brief Intervention (SBI) program. The goal for programs working with pregnant women is for the women to stop drinking alcohol during their pregnancies. The goal for programs working with women of child-bearing age in alcohol treatment or women in substance abuse treatment with an alcohol problem is to prevent alcohol-exposed pregnancies. These evidence-based programs are being implemented in WIC clinics, healthy/health start programs and residential or outpatient alcohol treatment or substance abuse treatment programs. At the conclusion of this session, participants will be able to: (1) describe evidence-based programs for the prevention of FASD being integrated into comprehensive service delivery organizations; (2) identify the outcomes of each program; and (3) understand the variety of settings in which these FASD prevention programs are being implemented. 3F The internet revolution brings new opportunities for improving efficiency and effectiveness in communication, decision making, collaboration, education and training, and data collection. These improvements are particularly important for prevention. Research increasingly demonstrates that effective prevention is comprehensive and community-based, and internet capacity has important advantages for dispersed activities that require coordination and involve many actors with modest resources. However, revolutions require change that can challenge habits and assumptions, and there are real tradeoffs concerning strengths of existing practice. If opportunities are to be optimized, these tradeoffs and challenges must be clearly acknowledged, improvements clearly identified, and methods for retaining the advantages of existing practices developed. This panel presentation includes cases in substance abuse prevention that demonstrate how the advantages of internet use can be achieved in social networking, online training, collaboration and decision making, and data collection. The objectives of this workshop are to: (1) support participant interest in existing as well as new online workplace technologies by viewing their application in the field of prevention practice; (2) support informed decision-making about new or continued use of online workplace applications by allowing participants to rank their interest in panel subjects, which will determine the amount of time each panel subject receives; and (3) listen to participant experience with online workplace applications and provide expert feedback on choosing the best fit application and strategies to boost effectiveness. 3G A promising strategy for addressing youth substance abuse is to increase community coalitions capacity to change conditions in communities through curriculum training and technical assistance. This NIDA-funded study uses a multiple-baseline design to examine the effects of training and technical support on four coalitions, including two rural and two urban coalitions. The coalitions use a multi-sectoral approach to implement community-driven processes by bringing together partners to design, implement, and evaluate interventions. The aim of this study is to examine the effects of training and technical assistance on implementation of key coalition processes to facilitate program, practice and policy changes related to substance abuse prevention. Preliminary results indicate that rate of community/system changes substantially increased following the intervention. Data from the assessment of coalition processes also suggests improvement in coalition capacity. These findings are relevant for implementation of sustainable community-based processes to support culturally relevant and effective interventions. Participants will gain capacity: (1) in understanding the importance of environmental changes (practice, policy and program changes) and community-driven processes necessary for effective prevention efforts; (2) in understanding the role of documentation of prevention efforts to inform, evaluate and guide prevention efforts; and (3) in understanding community-based participatory research (CBPR) methodologies, including how communities were engaged in the research process, the shared-sensemaking of outcomes and data, and how community reflections compared in urban and rural settings. 3H Worksites are negatively affected by substance use occurring inside and outside the worksite. The highly effective, theory-based SAMSHA model program, Botvin LifeSkills Training, was adapted for a working, young adult population to create the Botvin LifeSkills Training Wellness Program (LST-WP). Research scientists at NHPA evaluated LST-WP in a randomized controlled field trial at a retail chain company. This study included a comprehensive process evaluation designed to track program implementation, participants responses to the program, and contextual factors affecting implementation and the interpretation of outcome results. Process evaluation efforts to be discussed include the fidelity of implementation, participant feedback, and site-level and community-level events that influenced implementation and fieldwork efforts. These results offer insights on how to integrate, implement, and sustain similar programs and offer opportunities to discuss prevention science influenced by practical considerations. The importance of utilizing a process evaluation alongside an outcome evaluation when testing program efficacy will be discussed. First, participants will be introduced to the components of a comprehensive process evaluation conducted to measure: a) the extent to which LST-WP was implemented with fidelity; b) the level of participant satisfaction; and, c) the influence of documented contextual factors. Second, participants will consider the importance of utilizing a variety of process evaluation techniques to help understand the impact of programmatic efforts and to gain valuable information regarding the integration and sustainability of a prevention program designed for the workplace. Third, participants will gain an understanding of how prevention scientists can successfully work within a fast-paced, profit-driven business to foster the installation and sustained adoption of an evidence-based program. 4A 4B Research shows that the extreme poverty, precarious living situations and traumatic experiences that accompany homelessness have a profound impact on children’s emotional, social and behavioral health. The session will provide a detailed look at Family Connection, a multi-cultural intervention for homeless children ages 4-12, which has been in continuous operation in Dallas since 1989, serving over 1,000 children each year. The program is also being replicated in Houston and Denver. The presentation will include a brief history of development, a description of the service components and collaborative implementation strategies, and an overview of replication materials and training services. Outcomes from time-series evaluations include: reducing stress, increasing coping and social skills, reducing anti-social attitudes and rebellious behavior, increasing non-use attitudes and intentions, and increasing a sense of belonging and hope. Long-term goals are to reduce homelessness, substance abuse, dropping out of school, delinquency and violence. Participants will increase their knowledge of the: (1) social, emotional and behavioral risks for homeless children; and (2) essential components and benefits of a comprehensive behavioral health approach to collaborative partnerships necessary to implement a comprehensive program. 4C A number of prevention programs have now demonstrated evidence of effectiveness in well-designed clinical trials and are being widely promoted through federal, state, and philanthropic dollars. However these effective programs can only have a broad public health impact if they are sustained beyond the seed-grant dollars that are often used to promote their adoption. This presentation will discuss the findings from research examining the characteristics that predict and promote sustainability. This research involved a five year study of the replication of over 100 evidence-based prevention programs in one state. Program and contextual/environmental characteristics were identified that statistically differentiated program that sustained versus programs that failed. There was some variation in these characteristics based on the type of program (e.g., school-based versus family-focused). Implications for local sustainability planning, as well as for state policy to promote sustainability will be discussed. Participants will: (1) learn about the programmatic and environmental/contextual characteristics found to increase the likelihood of sustainability; (2) discuss the implications of these findings for local sustainability planning; and (3) discuss the policy implications of these findings for shaping state initiatives that promote sustainable and effective prevention. 4D To encourage innovation in substance abuse prevention as well as to improve the capacity of community-based programs to demonstrate and document their prevention outcomes, SAMHSA/CSAP has funded the Service to Science (STS) Initiative. Every year since 2005, Single State Agencies and/or National Prevention Network representatives have nominated innovative programs to participate in STS. Participating programs receive training and customized technical assistance about program evaluation from regional Centers for the Application of Prevention Technology. Programs can also compete for modest financial incentives (mini-subcontracts) to help them enhance their evaluation capacity. This session will focus on the ways in which STS has helped community-based organizations demonstrate and document prevention outcomes by featuring overarching progress and lessons learned from STS program participants. To illustrate these lessons, representatives from two organizations participating in STS—Clearwater Youth Alliance and Relationship Roots—will describe the enhancements to evaluation methods they made and resulting program outcomes. As a result of this session, conference participants will be able to: (1) understand how Service to Science operates to assist community-based substance abuse prevention program developers and evaluators improve the quality of their program evaluations; (2) describe the types of evaluation capacity enhancements community-based organizations made with assistance from STS; and (3) name factors that facilitate or hinder the development of evaluation capacity in community-based organizations. 4E This presentation will point out the problems associated with traditional education reform as a result of not including comprehensive school health programs as a major priority. There will be specific references to the societal impacts, the educational and community impacts, and the impacts on the individual child. These negative impacts include the creation of an “abnormal” society as reflected by an “abnormal” bell curve scenario. This presentation will also focus on how comprehensive health programs have much to offer to teachers and administrators relative to reaching the academic goals of traditional education reform. There will be information given to help educators and health personnel implement CSHP in their schools and community by utilizing dollars already present in the system in different ways. Participants will: (1) come away with the knowledge of funding mechanisms for promoting and implementing school health in their schools and communities; and (2) gain a greater understanding of the direct connection among societal ills, education reform failures and comprehensive school health. 4F This session will provide an overview of how cross-cultural factors are addressed in one of the most complex and successful projects in evidence/science based prevention efforts, the San Diego/Tijuana Border Project, a SAMHSA model program that addresses underage and binge drinking by U.S. youth in Mexico. The presenters will provide a mini history of the project with an emphasis on its cross-cultural context, and how this can be applied to non-border communities. The session will highlight the unique work processes and expectations of working in a multi-cultural environment, as well as the strategies employed to address cross-cultural barriers in order to make prevention efforts not only culturally appropriate, but effective. Key topics in the presentation will address strategies to overcome different layers of cross-cultural barriers and how to identify the true nature of the cross-cultural divide. The presenters will share key learnings and observations from the perspective of each culture. Featured Session Sharing “best practices” internationally is critical in achieving success in drug prevention and treatment programs worldwide. Learning from the experience of successful programs, including challenges faced and how best practices are identified, can have tremendous impact on the communities being served in each of our countries. This panel will provide the opportunity to share best practices that are being employed by programs in Indonesia, Philippines and Latin America, as well as learning about methodologies that can be employed to identify and disseminate best practices internationally. Participants will: (1) learn about the best practices employed by these international agencies in preventing and treating drug problems; (2) have a chance to discuss challenges faced by these organizations in the process of implementing best practices and solutions implemented; (3) learn about methodologies that can be utilized to study best practices internationally; (4) be exposed to a case study of an international evaluation of promising practices; and (5) participate in a discussion of how to share best practices between programs so they can be more easily implemented internationally. 4H Implementing environmental prevention strategies statewide or across multiple sites can be one of the most cost-effective and impactful prevention approaches to achieving sustainable change within a community. Using the project Community Trials to Reduce Alcohol-Related Trauma and other proven environmental prevention projects as reference, this session will include a discussion of the community systems perspective and how it is applied in the design of an environmental prevention project, whether the effort includes one community or an entire state. How to implement a comprehensive, multi-component environmental prevention project will be shared and examples of its application in various types of communities shared. Implications of a multi-community versus single community implementation will be examined. In addition, this session will share the factors considered critical to the initial success of the Community Trials Project within the Salinas, CA community and to the on-going sustainability of the resulting coalition some 17 years later. Participants will have increased: (1) knowledge on the considerations for design and implementation of multi-community environmental prevention projects; (2) understanding of what it means to look at a community as a system and why it is important to environmental prevention work; (3) familiarity with an implementation model to achieve population-level change through implementation of a comprehensive, multi-component environmental prevention project; and (4) knowledge of the critical factors to sustainability of a community coalition focusing on environmental prevention strategies through various coalition life stages. 4I Engaging parents in prevention activities can be challenging. This presentation will take a fresh look at how parents can be engaged in school- and community-based programming. This workshop introduces participants to FAST, a family-based SAMHSA model prevention program designed to build protective factors and reduce risk factors that lead to substance abuse, juvenile delinquency and school failure. The activities that make up a FAST session, as well as the proven outcomes of the program will be presented. Participants will learn how this collaboration between schools, community agencies and parents, empowers parents and puts them in charge of their children. FAST was just named by the Harvard Family Research Project’s Family Involvement Network of Educators one of 13 programs appropriate for increasing parent involvement. Participants will: (1) be able to describe two techniques designed to recruit parents in prevention activities; (2) be able to describe two techniques used to retain parents in prevention activities; and (3) increase their understanding of the benefits of family-based prevention approaches. 5A Leaders from two national prevention organizations will give an update on the efforts to raise awareness on the national, state and local level using the Call to Action, how it fits into the big picture of prevention and what could happen next. Learn about ways states have used this document to move their prevention efforts forward. Find out ways to engage Governor’s spouses in prevention and how to engage coalitions in changing the conversation on childhood drinking. Learn the impact of the STOP Act on your activities and what the newly introduced MLDA 21 Bill would do. The Leadership To Keep Children Alcohol Free Foundation and CADCA team up to bring you the latest happenings in Washington. Participants will: (1) increase their knowledge on how the Call to Action to Prevent and Reduce Underage Drinking has been used in various states; (2) learn the current thinking on meeting the STOP Act requirements and how the MLDA 21 Bill will impact their activities; and (3) increase their knowledge on how to engage governors’ spouses and coalitions in prevention strategies. 5B The Strategic Prevention Framework (SPF) has encouraged states and communities to expand beyond their traditional focus on adolescents and address other segments of the population identified through epidemiological data as having high rates of substance abuse and negative consequences related to substance abuse. Young adults, in particular, have been identified as a priority target population by many SPF-SIG grantees. The SPF SIG grant also requires states and communities to conduct thorough needs assessments and evaluations, yet, most existing survey data sets (e.g., BRFSS, NSDUH) do not have large enough samples to disaggregate to the county or community level. Two state evaluators will discuss strategies and lessons learned in conducting community-level surveys of adults in a variety of community settings, including urban and rural communities, college campuses, and Native American and Latino communities. Sampling strategies, modalities for advertising and administering the survey, and working within local culture and customs will be discussed. Partcipants will: (1) gain knowledge of the processes and steps involved in community level data collection; (2) learn about sampling strategies that can yield representative samples in communities; (3) learn about potential challenges in community level data collection and strategies for circumventing them when possible.; and (4) learn about how community-level survey data can be analyzed to answer evaluation questions at the community and state levels. 5C Too often prevention professionals struggle to demonstrate statistically significant reductions in alcohol, tobacco, or other drug use behaviors. To increase the likelihood that locally funded prevention programs can produce behavior change, Prevention First has created an ongoing technical assistance program to monitor and assist with implementation of quality prevention approaches such as Communication and Social Norms Campaigns. Presenters will explain the components and structure of the program, how target agencies are chosen and how the program is evaluated. A case study will be provided of the program’s success at the community level in providing technical assistance to a community coalition conducting a high school Social Norms Media Campaign in Vernon Hills, IL. Participants will learn how this technical assistance program helped a substance abuse prevention program to produce positive behavior changes (reduced alcohol and tobacco use and negative consequences). Lessons learned are shared, both from a statewide perspective and at the campaign level, in gaining support from administration, faculty, staff, overcoming barriers, and the challenges and successes with surveying an entire student body and implementing a school-wide media campaign. Participants will learn: (1) about Illinois model (Expert Consultation Services) for providing training and technical assistance services to SAPT block grant recipients delivering environmental strategies in rural, urban, and suburban communities with diverse demographics; (2) about the successful Vernon Hills High School (VHHS) social norms campaign strategies, data collection methods, and survey results; and (3) steps to accelerate student buy-in of the survey process and how to utilize a peer-to-peer leadership program for its administration as well as have the opportunity to share environmental program successes and challenges. 5D This session highlights two examples of creative partnerships within Student Affairs for the prevention of high-risk drinking among college students. FIRST (First-Year Internet Required Safety Training) was created by the UCI Health Education Center partnered with the Campus Assault Resource and Education office (CARE). This online education module illustrates basic alcohol facts and sexual assault prevention to incoming first-year students. Students complete the module prior to the beginning of classes. The second partnership is the Safe Onto Sober (SOS) program. Through a partnership with the Newport Beach Police Department, individuals who are too intoxicated to care for themselves are brought to a safe facility where they are monitored and released when they are deemed sober and then referred to individual education and assessment sessions. It was developed by the UCI Police Department, the Health Education Center, the Office of the Dean of Students and Undergraduate Housing. Participants will: (1) learn how to use the Social Ecological Framework in building a campus prevention coalition; (2) understand the process to develop an online educational module; and (3) increase awareness and learn strategies regarding opportunities for partnership within the higher education setting. 5E This highly engaging follow up workshop to the Thursday Plenary Session will cover the research and evidence behind integrating Youth Development and Youth -led participatory action research at a community level. Learn the strategies, methods and results of utilizing youth led research and youth development standards of practice. Participants will receive an overview and engage in youth led- methodologies that can be utilized and adapted at a community level. Participants will leave with ideas, tools and a framework for successfully integrating these practices for relevant prevention initiatives, research and programs. 5F This workshop will explore the use of data by Washington’s SPF-SIG communities to increase the accuracy of needs assessments, strengthen coalitions through involvement opportunities, and enhance outreach to cultural and other under-served populations through use of community surveys. From the outset, SPF-SIG coalitions had access to more and better data than any prevention project as well as access to technical assistance from trained community-level evaluators. In the initial planning process in 2006-07, use of data enabled identification of specific sectors of the SPF-SIG communities for targeted coalition recruitment. The following year, community surveys provided direct feedback from community members that clarified initial priorities and provided opportunities for cultural and other under-served communities to provide input about the SPF-SIG priorities. The needs assessment process is now being repeated with new data and incorporates the data and experiences from the previous implementations. Participants in the workshop will: (1) demonstrate an increased understanding of techniques used in SPF-SIG communities to develop initial data-based priorities; (2) demonstrate an increased understanding of the considerations involved in developing and implementing a survey that draws information from across a community’s populations; and (3) understand the relationship between establishing data-based priorities and strategic recruitment of community members for involvement in coalition and workgroup efforts. Featured Session Do you know how the latest policy decisions, emerging issues and programs are affecting your State’s prevention efforts? The Center for Substance Abuse Prevention (CSAP) continues to develop new programming to respond to important policy decisions affecting all of us in the prevention field, today and in years to come. Come and hear firsthand updates from Fran Harding, Director of CSAP, and members of her Senior Staff, on how critical policy decisions translate into key programs at CSAP and what they mean to you and the field of prevention. 5H Through a collaborative of over 110 organizations, Project CURB was formed to combat underage binge drinking. To measure the impact of CURB, ASR piloted an innovative self-administered peer-to-peer youth survey. This unique methodology of using peers to distribute surveys enables the collection of information from youth not reached through other survey efforts, including the California Healthy Kids Survey and the University of California Safer Universities Survey. This underrepresented youth population includes homeless youth, youth not enrolled in school, and youth attending private schools. GIS mapping revealed hot spots where bingeing occurred, allowing CURB to target interventions and identify key community partners. Data have driven policy, leading to noise ordinances, county-wide social host ordinances, media campaigns highlighting adult provision, collaboration with the local university, new ways of working with police around enforcement of existing laws, trainings for merchants, and well-publicized merchant awards honoring businesses that enforce alcohol distribution laws. At the conclusion of the workshop, participants will be able to: (1) describe an innovative approach to ATOD research which identifies the importance of youth peer-to-peer surveys for creating an environment in which youth are more likely to be forthcoming and honest; (2) describe a methodology that can be applied in other communities; and (3) demonstrate how to use data effectively for prevention planning, engaging community partners, shaping interventions/strategies, and measuring outcomes in community-level prevention initiatives, with emphasis on community environment (environmental risk-reduction) approaches. 5I In Kentucky, successful prevention is not based on having sufficient funding, but rather on an infrastructure that is so designed to make it work on a shoestring. The Prevention Enhancement Site (PES) system is an integral element in this structure. Originally created to conduct research and provide technical assistance and training on best practices in Alcohol and Tobacco Environmental Strategies, the PES system has become instrumental in building the capacity of local and state prevention groups, effecting community/county and state-wide policy changes, and increasing sustainable efforts. This session will describe the development of the Kentucky PES system as an element of the Kentucky Prevention infrastructure. Participants will gain knowledge of how to implement a targeted system that can increase capacity, sustain efforts and enhance culturally competent prevention efforts. Results from the Alcohol and Tobacco Prevention Enhancement Sites will be highlighted. The use of this system with Methamphetamine prevention, Fetal Alcohol Spectrum Disorder and Faith-based Initiatives will also be discussed. Participants will gain knowledge of: (1) how targeted prevention enhancement sites can increase local and state capacity and effect sustainable efforts; and (2) how to implement a Prevention Enhancement Site. 6A This workshop will detail environmental policies to use the American Recovery and Reinvestment Act (ARRA) for population level change envisioned in the IOM Report on Prevention and sustainable impact on many prevention outcomes in the Strategic Prevention Framework. The Act is to: a) Achieve rapid results, b) Employ people, c) Document results to help change public confidence in America’s direction, d) Show ROI on 12 to 24 months, e) Impact healthcare costs, educational achievement, public safety, increase confidence in the economy, and increase entrepreneurial products and economic competitiveness. Participants will learn: (1) how multiple Federal efforts converge; (2) learn what specific prevention policy actions at a local or state level can leverage major prevention outcomes; and (3) learn how these actions can help sustain prevention. 6B This session will examine the CADCA’s work to support coalition implementation of the Strategic Prevention Framework. CADCA provides training, technical assistance (TA) and other services to help coalitions effectively utilize the SPF. The CADCA model focuses on building local coalition capacity to be effective community change agents. In partnership with a research team from Michigan State University, CADCA has embarked on a longitudinal, mixed-method evaluation of its training and support services. This evaluation will examine the degree to which coalitions are implementing the SPF in their communities, how they become community change agents and ultimately if these coalitions are able to contribute to population-level declines in substance abuse rates. Preliminary findings suggest that CADCA training/TA play a significant role in helping coalitions become more effective agents of change. This community change model is also being used with coalitions in Latin America and cross-cultural utility of this model will be discussed. This workshop will describe an innovative model to help substance abuse coalitions implement the Strategic Prevention Framework. The workshop has the following objectives: (1) learn about the community change agent model used by CADCA s National Coalition Institute (Institute) to support coalitions in the implementation of the Strategic Prevention Framework; (2) learning about findings from a cross-sectional study that examines the process by which coalitions improve their ability to achieve population-level change; (3) learn about how research and evaluation guide the work of the CADCA Institute to help coalitions effectively implement the SPF. 6C Successful social marketing strategies must go beyond the use of traditional media to deliver effective drug prevention messaging. The internet, in particular, provides tremendous opportunities for prevention organizations to reach their target audiences. This workshop will provide an overview of the National Youth Anti-Drug Media Campaign within the digital environment, highlighting effective strategies that harness the power of the latest interactive tools. Web 2.0 technologies, such as social networking, consumer generated content, blogs and downloads, offer a rich set of tools to reach youth and parents to bring about healthy behavior change. In addition, we will explore the online behaviors and current trends of both teens and parents. This session is designed to help those newer to social media. Participants will: (1) gain a deeper understanding of drugs and risky behavior in the digital environment; (2) gain a basic understanding of social media; and (3) learn strategic and cost-effective ways to reach their target audience online. 6D The session will showcase how the environmental prevention model is being adapted to meet the unique needs of the multicultural South Bay region of San Diego County to address systemic community conditions that sustain alcohol and other drug problems. For example, the SBCCP used a public opinion poll to launch a dialogue about restricting alcohol advertising; brought law enforcement leaders from multiple cities together to advance an innovative Responsible Retailer Program to reduce binge and underage drinking; and tapped into a laid-back beach town’s sense of pride in an ongoing commercial revitalization to gain support for drug paraphernalia abatement. Participants will gain an understanding of how a holistic environmental prevention campaign can be applied to meet the unique needs of their own communities. Presenters will share their strategies for data collection, advancing policies, building sustainable partnerships and the strategic use of media advocacy to support project goals and policy enforcement. Participants will: (1) increase their knowledge of how the environmental prevention model is implemented in an alcohol and other drug prevention campaign; (2) gain a basic understanding of how to develop an evaluation plan, including gathering baseline data and identifying measurement indicators, as well as how to use data tools and findings to mobilize community partners; and (3) gain awareness of how cultural adaptations are developed to fit the needs of the target community. 6E The application of systems thinking to public and behavioral health is providing new insights about the limited effectiveness of using single interventions to address problems that are actually embedded in systems of intertwined issues and conditions within communities. While prevention practitioners are increasingly being called upon to adopt comprehensive, multi-sector approaches, to date there has been little formal guidance and few structured tools to help guide them. This session will present case studies and evaluation findings from a diverse group of State, tribal and community coalitions that have used a structured prevention system assessment and planning process—based on systems theory and strategic planning principles—to establish baselines of their existing prevention system infrastructure and then plan, implement and monitor ongoing system development over time. Evaluation findings for participating coalitions include significant decreases in substance abuse among youth, as well as substantive increases in financial and in-kind prevention system resources. Participants will learn: (1) how systems thinking is changing traditional paradigms within prevention and encouraging a shift from traditional single-issue interventions to comprehensive, systematic and multi-sector approaches; (2) about a structured prevention systems assessment and planning process, with key systems indicators distilled from system science, that has been used by States, communities and tribal groups to establish effective and sustainable prevention system infrastructure; and (3) how these systems assessment and planning tools and processes can be used or adapted to maximize outcomes within their own existing or emerging prevention systems. 6F The Federal Substance Abuse and Mental Health Services (SAMHSA s) Center for Substance Abuse Prevention (CSAP) has vigorously sought to adapt to the rapidly changing communications landscape. It has moved beyond traditional underage drinking prevention print products to digital and online tools and resources to better inform and serve a national network of prevention forces. CSAP develops, maintains, and promotes targeted Web sites, Internet-based information delivery systems, Web-based multimedia, databases, interactive games for youth, touch-screen technology, and other electronic tools and resources. Its widespread underage drinking prevention efforts, including Town Hall Meetings (THMs) and Reach Out Now Teach-Ins, feature digital technologies such as interactive maps, online registration, and message boards. The workshop will show how these tools are supporting The Surgeon General’s Call to Action To Prevent and Reduce Underage Drinking and will review the challenges and benefits of establishing a sustainable national underage drinking prevention effort through cyberspace technology. Participants will: (1) understand the challenges in preventing underage drinking and the need for continuing efforts; (2) become familiar with Federal online resources available to support community-based underage drinking prevention activities; (3) find out about ways to keep communication lines open and to build prevention momentum for the future; and (4) learn how to locate evidence-based prevention strategies, downloadable materials, and other SAMHSA/CSAP resources to address specific community underage alcohol use situations. 7A Youth in many communities consider marijuana use as harmless. This perception exists because environmental messages and business practices have 1) promoted, glamorized and normalized marijuana use by our youth; 2) trivialized the harm to youth and their families and the collateral damage to neighborhoods and communities; and 3) ignored the recent research linking marijuana use with a host of problems for youth, for communities. San Diego County has adopted a Countywide Marijuana Prevention Initiative called HARM – Health Advocates Rejecting Marijuana - whose goal is to change these harmful messages, practices and policies. This presentation will describe: 1) the three successful environmental marijuana prevention campaigns; 2) the campaigns’ assessment tools; 3) the environmental policies and practices that can be advanced; 4) how community members (youth and adult), businesses, civic entities can create change, 5) community engagement methods; and 6) the adaptability of these campaigns to the participants’ own community’s situation. 7B Professionals across many disciplines recognize the impact of environmental factors upon human behaviors and health. Controlling the presence of alcohol outlets in a community helps reduce negative outcomes like addiction, crime and drunk driving mortality. Prevention professionals, using local data and geographic information system software, can analyze the relationships between alcohol outlet locations and the distribution and characteristics of populations. The same tools can inform their understanding of such dynamics as cultural values and lifestyles of affected populations and alcohol industry targeting practices, to plan appropriate interventions. Prevention professionals can provide relevant information to community leaders, government officials, parents, schools and concerned individuals, who are confronting environmental issues related to alcohol outlet placement. This information could be applied to community planning, e.g., justification for denial of an alcohol license. Tracking the outcomes of application of this strategy (e.g., blocking alcohol licenses) can provide evidence of effectiveness over time. Participants will be able to: (1) articulate alcohol’s impact in a community using GIS mapping and environmental factors, considering outlet density and alcohol-related consequences such as arrest and mortality data; (2) describe how GIS software can produce statistics on alcohol outlet density (outlets per capita or per 100 persons) comparing geographic regions, e.g., neighborhood to neighborhood, or neighborhood to a larger geographic area; and (3) describe how GIS software can reveal demographic characteristics of populations living in proximity to outlets. 7C There is considerable evidence of the variability of implementation quality as evidence-based programs go to scale, and that implementation quality is directly related to program outcomes. This study tested the efficacy of a low-cost, low-intensity form of proactive coaching and support, utilizing distance learning technology during the period of implementation. Classroom teachers from 6 schools were randomized to implement a middle school drug prevention curriculum with or without this implementation support intervention. Intervention condition teachers demonstrated significantly higher levels of implementation quality and fidelity as measured both by self-report and by coded videotaped observation, and students showed a significant main effect on relevant outcome measures. Participants will: (1) understand the state of research on program implementation quality and fidelity, its relationship to the current paradigm of pre-implementation training, and the correlation between implementation quality and program outcomes; (2) learn about a lost-cost, non-invasive model using distance learning technology to improve implementation quality and fidelity; and (3) learn of the results of randomized trial to test the efficacy of this implementation support intervention. 7D The National Exemplary Award for Innovative Substance Abuse Prevention Programs, Practices and Policies ( Exemplary Awards ) identifies and honors outstanding achievements in substance abuse prevention throughout the United States. This workshop will provide participants technical assistance in writing a competitive and compelling application, including insights into the type of information the national review panel seeks. It is expected that the workshop participants will learn: (1) about the Exemplary Awards program; (2) how to submit a competitive and compelling application; and (3) about the benefits of receiving recognition through the program. 7E Positive program adaptations may make programs more meaningful and relevant to participants. Consequently, participants are more likely to feel that their needs are being met and a greater connection to the program, which in turn may enhance engagement and outcomes. This may be critically important with minority populations, whose perspectives have been frequently excluded from program development. We present results of an observational study of the New Beginnings Program (NBP). Data were videorecordings of NBP sessions conducted with groups of African American and Latina mothers. At orientation, mothers were asked to identify culturally-based concerns related to the curriculum throughout the sessions. Two coders documented these concerns and the extent to which facilitators adapted the program in response. Mothers raised a variety of issues, including the importance of self-care and culturally-based ways of interacting with children. Facilitators responded by acknowledging issues, listening to participants, and developing mutually-acceptable compromises. Participants will: (1) learn about the debate previously made about fidelity and adaptation, and how this debate may be made irrelevant; (2) gain an awareness of culturally-based values related to parenting and how those may conflict with interventions designed based on majority values; and (3) gain an appreciation of culturally competent ways to respond in programs when challenges based on values arise. 7F Risk factors, defined by family history of alcohol use and drinking to blackout in high school, were used to identify students with mild/moderate and more serious alcohol problems. Differences in alcohol consumption and experience of negative consequences between students with and without these risks were examined before and after their participation in College Alcohol and Substance Education (CASE). CASE is a program mandated for violators of residence halls alcohol-use policies or cited for an alcohol/drug related offense by the court system. Risk factors were associated with level of initial use as well as amenability to change in drinking and problem behavior. The importance of identifying and addressing differences in students needs is discussed. Participants will learn how to: (1) reduce levels of high-risk drinking (curriculum on binge drinking and blackouts); (2) reduce the negative consequences associated with alcohol consumption; (3) identify risk factors (family history, drinking to blackout, etc.); (4) use research based interventions (Motivational Interviewing, Alcohol Skills Training, NIAAA clinical protocols, Cognitive behavioral therapy; and (5) teach harm-reduction strategies. |
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