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408 Pages·1990·21.84 MB·English
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Drug and Alcohol Abuse Prevention Edited by Ronald R. Watson Drug and Alcohol Abuse Prevention Drug and Aicohoi Abuse Prevention Edited by Ronald R. Watson University of Arizona, Tucson, Arizona Springer Science+Business Media, LLC Copyright © 1990 by Springer Science+Business Media New York Originally published by The Humana Press Inc. in 1990 Softcover reprint of the hardcover 1s t edition 1990 AII rights in any form whatsoever reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means (electronic, mechanical, photocopying, microfilming, recording, or otherwise) without written permission from the publisher. The Library of Congress has cataloged this serial title as follows: Drug and alcohol abuse prevention / edited by Ronald R. Watson p. cm. -(Drug and alcohol abuse reviews) Includes index. ISBN 978-1-4612-6773-7 ISBN 978-1-4612-0465-7 (eBook) DOI 10.1007/978-1-4612-0465-7 1. Drug abuse-United States-Prevention. 2. Alcoholism-United States-Prevention. 1. Watson. Ronald R. (Ronald Ross) II. Series. HV5825.D77627 1991 362.29'1 T0973-dc20 90-28904 CIP Contents Preface Vll ix Contributors 1 Alcohol Prevention Research: Confronting the Challenge Jan Howard, Mary L. Ganikos, and Jane A. Taylor 19 The Role of the Primary Care Practitioner in the Diagnosis and Management of Substance Abuse George D. Comerci 45 Using the DIS to Diagnose Drug and Alcohol Abuse: The Effects of Language and Ethnic Status Robert E. Roberts and Howard M. Rhoades 73 Sensation Seeking, Marijuana Use, and Responses to Preven tion Messages: Implications for Public Health Campaigns Lewis Donohew, David M. Helm, Patricia Lawrence, and Milton J. Shatzer 95 Evaluation of Girls Clubs of America's Friendly PEERsuasion ProgramT M: Monitoring Program Implementation Marcia R. Chaiken 133 Alcohol Use Among LDS and Other Groups Teaching Abstinence Rick D. Hawks v VI Contents 151 Hispanic Drug Abuse: Culturally Appropriate Prevention and Treatment Barbara V. Marin 167 Prevention of Substance Abuse Problems in Women Barbara W. Lex 223 Effect of Regulation on Alcoholic Beverage Consumption: Regression Diagnostics and Influential Data Jon P. Nelson 245 Family Treatment of Alcoholism Dawn M. Gondoli and Theodore Jacob 263 Changing Drug Use Patterns and Treatment Behavior: A Longitudinal Study of Urban Black Youth Ann F. Brunswick, Peter A. Messeri, and Angela A. Aidala 313 Using Incentives, Lotteries, and Competitions in Work-Site Smoking Cessation Interventions Steven W. Malone and Leonard A. Jason 339 The Etiology and Consequences of Adolescent Drug Use David W. Brook and Judith S. Brook 363 Training Teachers for Substance Abuse Prevention Susan J. Fordney and Randall M. Jones 373 Adolescent Alcohol and Drug Treatment Outcome Sandra A. Brown, Mariam A. Mott, and Mark G. Myers 405 Index Preface A major national goal is to improve our health and advance our opportunities to pursue happiness. Simulta neously, there are increasing health care costs and increasing demands to accomplish more with less financial support. Treatment costs can be reduced and health improved by preventing the toxic effects of drugs. This first volume of our new series, Drug and Alcohol Abuse Reviews, focuses on stategies to reduce the use and abuse of common compounds known to cause major damage to health: alcohol, tobacco, and illicit drugs such as cocaine and heroin. With the number of deaths attributable to the consumption of alcohol in the US at about 100,000 per year, the annual cost of addictions will be $150 billion by 1995. A variety of approaches to preventing drug abuse are being applied by governmental agencies and health care providers to reduce costs. These include school-based inter ventions, driver education programs, media interventions, health warning labels, physician guidance, economic dis incentives, restricted availability, punishments and penalties, environmental protections, and social-support approaches. With such a range of options, it becomes critical to evaluate and choose the most effective systems for a given population. We feel that the present collection of critical survey articles constitutes a thorough examination of the issues and strategies associated with prevention, and trust that readers will find the book exceedingly helpful in under standing and planning what needs to be done. Ronald R. Watson vii Contributors Angela A. Aidala • Public Health, Sociomedical Sciences, Columbia University, New York, New York David W. Brook • Department of Psychiatry, Mount Sinai Medical Center, New York, New York Judith S. Brook • Department of Psychiatry, Mount Sinai Medical Center, New York, New York Sandra A. Brown • University of California, San Diego, La Jolla, California Ann F. Brunswick • Public Health, Sociomedical Sciences, Columbia University, New York, New York Marcia R. Chaiken • Health Sciences Center, University of Arizona, Tucson, Arizona George D. Comerd • Department of Pediatrics, University of Arizona, Tucson, Arizona Lewis Donohew • Center for Prevention Research, Univer sity of Kentucky, Lexington, Kentucky Susan J. Fordney • The University of Arizona College of Education, Smith Project for Substance Abuse Educa tion, Tucson, Arizona Mary L. Ganikos • National Institute on Alcohol Abuse and Alcoholism, Rockville, Maryland Dawn M. Gondoli • Health Sciences Center, University of Arizona, Tucson, Arizona Rick D. Hawks • Clearfield, Utah David M. Helm • Center for Prevention Research, University of Kentucky, Lexington, Kentucky Jan Howard • National Institute on Alcohol Abuse and Al coholism, Rockville, Maryland ix x Contributors Theodore Jacob • Health Sciences Center, University of Arizona, Tucson, Arizona Leonard A. Jason • Department of Psychology, DePaul University, Chicago, Illinois Randall M. Jones • The University of Arizona College of Education, Smith Project for Substance Abuse Education, Tucson, Arizona Patricia Lawrence • Center for Prevention Research, Uni versity of Kentucky, Lexington, Kentucky Barbara W. Lex • Department of Psychiatry, Harvard Medical School, Belmont, Massachusetts Sleven W. Malone • Behavioral Medicine Clinic, V A Medical Center-Portland, Portland, Oregon BarbaraV. Marin • San Francisco Center for AIDS Preven tion Studies, University of California, San Francisco, California Peter A. Messeri • Public Health, Sociomedical Sciences, Columbia University, New York, New York Mariam A. Mott • University of California, San Diego, La Jolla, California Mark G. Myers • University of California, San Diego, La Jolla, California Jon P. Nelson • Department of Economics, The Pennsylvania State University, University Park, Pennsylvania Howard M. Rhoades • The University of Texas Health Science Center at Houston, Houston, Texas Robert E. Roberts • The University of Texas Health Science Center at Houston, Houston, Texas Milton J. Shatzer • Center for Prevention Research, Uni versity of Kentucky, Lexington, Kentucky Jane A. Taylor • National Institute on Alcohol Abuse and Alcoholism, Rockville, Maryland Alcohol Prevention Research Confronting the Challenge Jan Howard, Mary L. Ganikos, and Jane A. Tay/or An estimated 18 million American adults and several million ado lescents are experiencing physical, psychological, and social problems from the consumption of alcoholic beverages.!' 2 These problems include traumatic injury, cirrhosis of the liver, certain types of cancer, emotion al disorders, interpersonal conflicts, alcohol-related violence, absen teeism, and loss of productivity. Deaths attributable to the consumption of alcohol in the US approx lOO,OOO/yr, and it is predicted that by 1995 the annual cost of alcohol abuse and alcoholism in the US will approach 150 billion dollarsY·· Within the federal government, the primary agency dedicated to research on alcohol problems is the National Institute on Alcohol Abuse and Alcoholism (NIAAA). The intramural research program of NIAAA, which represents 12% of the budget, involves on-site clinical and laboratory studies of physiology and pharmacology, metabolism and molecular biology, and treatment effectiveness. The extramural program, which utilizes 88% of the budget, supports research initiated by investigators outside NlAAA, who are mainly associated with academic institutions. The extramural effort is di- *This estimate is based on the value of the dollar in 1983. Drug and Alcohol Abuse Preventkm Ed: R. R. Watson ©I 990 The Humana Press Inc. I

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A major national goal is to improve our health and advance our opportunities to pursue happiness. Simulta­ neously, there are increasing health care costs and increasing demands to accomplish more with less financial support. Treatment costs can be reduced and health improved by preventing the toxi
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