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SCHOOL BASED SUBSTANCE USE PREVENTION FOR FEMALE STUDENTS

SCHOOL BASED SUBSTANCE USE PREVENTION FOR FEMALE STUDENTS John Kulig, MD, MPH, Leslie Mandel, PhDc, Robin Ruthazer, MPH, David Stone, PhD Pediatric and Adolescent Health Research Center New England Medical Center Boston, Massachusetts. PURPOSE. Prevention, reduction, and delay in alcohol,

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SCHOOL BASED SUBSTANCE USE PREVENTION FOR FEMALE STUDENTS

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  1. SCHOOL BASED SUBSTANCE USE PREVENTION FOR FEMALE STUDENTS John Kulig, MD, MPH, Leslie Mandel, PhDc, Robin Ruthazer, MPH, David Stone, PhD Pediatric and Adolescent Health Research Center New England Medical Center Boston, Massachusetts

  2. PURPOSE Prevention, reduction, and delay in alcohol, tobacco and other drug (ATOD) use as measured by lifetime use, 30 day use, and age at initiation: • Alcohol • Marijuana • Street Drugs • Cigarette Smoking • Heavy Cigarette Smoking

  3. HYPOTHESES • At baseline, female students who seek individual treatment will demonstrate higher levels of alcohol, tobacco and other drug (ATOD) use than female students in comparison groups. • At follow-up, female students who received individual treatment will demonstrate greater positive change from baseline in ATOD use than female students in comparison groups.

  4. Mental Health Counseling Dating Violence Education and Counseling Reproductive Health Education Tobacco Health Education and Cessation Media Literacy Education Parenting Lifeskills Education Case Management for Pregnant and Parenting Students Peer Leadership/Peer Education Vocational Case Management Mediation Program Teacher, Parent and Clinician Training Major Service Components

  5. 196 194 720 725 966 1128 142 370 492 781 751 group-females group-males indiv-females 650 indiv-males Number of Encounters Over Time 1998/99 1996/97 Total student body = 813 Students with any YWHI service = 468 Total encounters = 2414 Total student body = 903 Students with any YWHI service = 472 Total encounters = 2377 1997/98 96/97 Total student body = 1004 Students with any YWHI service = 530 Total encounters = 2324

  6. ATOD: daily use scale : low score is good (results from females who took all four surveys) 2 bhs-trt 1.6 bhs-con ehs-con 1.2 score 0.8 0.4 0 p1:baseline p2: +6-12 p3: +15-18 p4: +25-31 survey

  7. ATOD: 30 day use scale : low score is good (results from females who took all four surveys) 2 bhs-trt 1.6 bhs-con ehs-con 1.2 score 0.8 0.4 0 p1:baseline p2: +6-12 p3: +15-18 p4: +25-31 survey

  8. Marijuana use scale: low score is good (results from girls who took all four surveys) 1.25 bhs-trt bhs-con ehs-con 1 0.75 score 0.5 0.25 0 p1:baseline p2: +6-12 p3: +15-18 p4: +25-31 survey

  9. CONCLUSIONS • A comprehensive high school-based prevention program will succeed in enrolling female students at higher risk for ATOD use. • A multidisciplinary program addressing intermediate risk and protective factors will reduce ATOD use, but the intervention may require at least 25 months to demonstrate significant behavioral change.

  10. ACKNOWLEDGEMENT The Young Women’s Health Initiative at Boston High School was supported by grant #6579 from the Center for Substance Abuse Prevention (CSAP) of the Substance Abuse and Mental Health Services Agency (SAMHSA), US Public Health Service.

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