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ERIC ED385629: An African-Centered Model of Prevention for African-American Youth at High Risk. PDF

145 Pages·1993·3.9 MB·English
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DOCUMENT RESUME UD 030 519 ED 385 629 Goddard, Lawford L., Ed. AUTHOR An African-Centered Model of Prevention for TITLE African-American Youth at High Risk. Substance Abuse and Mental Health Services INSTITUTION Administration (DHHS/PHS), Rockville, MD. Center for Substance Abuse Prevention. CASP-TR-6; DHHS-(SMA)93-2015 REPORT NO PUB DATE 93 145p.; Product of a conference convened by staff of NOTE the Office for Substance Abuse Prevention (OSAP) in Washington, DC, to explore issues in substance abuse prevention'in the African-American community. Reports General (020) Collected Works PUB TYPE Evaluative /Feasibility (142) MF01/PC06 Plus Postage. EDRS PRICE *Alcohol Abuse; Biological Influences; Black DESCRIPTORS Community; *Black Youth; *Drug Abuse; Economic Factors; Family Characteristics; *High Risk Students; Models; Policy Formation; Political Influences; *Prevention; Program Development; *Urban Youth African Americans; *Afrocentrism IDENTIFIERS ABSTRACT The chapters of this report provide a starting point for the development of authentic prevention strategies for use in the African-American community, specifically for high risk youth. It is neither a "how to" manual nor a mandate for specific program details, but it does highlight the key components of alcohol and other drug abuse prevention. The following chapters are included: (1) "Background and Scope of the Alcohol and Other Drug Problem" (Lawford L. Goddard); (2) "Familial Precursors to Drug Abuse" (Lawford L. Goddard); (3) "Political and Economic Implications of Alcohol and Other Drugs in the African-American Community" (Omowale Amuleru-Marshall); (4) "Issues of Biological Vulnerability in AOD Abuse for the African-American Community" (Patricia A. Newton); (5) "Alcohol and Other Drug Abuse Literature, 1980-1989: Selected (6) "The Complex Nature of Abstracts" (Lawford L. Goddard); Prevention in the African-American Community: The Problem of (7) "Natural Resistors in AOD Conceptualization" (Milton Morris); Abuse Prevention in the African-American Family" (Lawford L. Goddard); (8) "Spirituality in the African-American Community" (Janet Pinkett); (9) "An Afrocentric Intervention Strategy" (Leonard C. (10) "Prevention and Intervention Programs Targeted toward Long); African-American Youth at High Risk' (Robert J. Courtney, Jr.); (11) "Site Visit Report of Three OSAP Grants Targeting African-American (12) "An African-Centered Youth at High Risk" (Lawford L. Goddard); Model of Prevention for African-American Youth at High Risk" (Wade W. Nobles and Lawford L. Goddard); and (13) "Selected African-Centered Readings" (Wade W. Nobles, Lawford L. Goddard, William E. Cavil, and Pamela Y. George). References follow each chapter, and a 167-item bibliography is included. An attachment lists key concepts and definitions related to these issues. Nine figures and two exhibits illustrate the discussions. (SLD) US DEPARTMENT OF EDUCATION Office of Educational Resean-h and Improvement EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) (This document has been reproducec: as received from the person or organization originating it 0 Minor changes have been made a) ......4,11.4. improve ieproduction quality , .,.. ,-. Points of view o, opinions slated in this L t';, document do not necessarily represent .,,v ' 1 ', otfictai OERI position or policy ,1;4.g. *l:7,1; r `,.,;, . ... -. .A.tru,..i.;, \'''-' 'f.'''',',,c I .) ..- .. .. ..., ,..7,1'`I - :..tiz';'4K ' '.. ( 0: ,.,.;. ...."-: ',..:.......,,,; cc '''; , ' .'':'' .', '-:;,,_.... `1,;:.: -,. ''''''-.. *: :,:j',-.;L, .' ,,.''.:,, :' 1 ''.^,. .'. ',....7. ';'''......'.':,'..:',;:%", : -, 4:. --f "--;7.- :7 .: ; ',. 1.,, f 9 '''':'-:z.i,..;1-:':''''''.:' . ",. . .... -. . US DEPARTMENT OF HEALTH AND Ht./MAN SERVICES .'#ubliO Health Service, ' Substance Abuse Mental Health Services Administratien 0 \ and .._.:4IV. , ,.... .',.*' -- -.. -'''''''' . .7 , - .-..!.. -.-. -..., .t kr- -42-_-: :tt. t.- --...,15-.: w't. t, II, c, ..1 BEST COPY AVAILABLE CSAP Technical Report-6 African-American Youth at High Risk Work Group An African-Centered Model of Prevention for African-American Youth at High Risk Editor Lawford L. Goddard, Ph.D., Director, Education and Training Institute for the Advanced Study of Black Family Life and Culture, Inc. Oakland, California U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Substance Abuse and Mental Health Services Administration 5600 Fishers Lane, Rockwall II Rockville, Maryland 20857 3 for High CSAP Technical Reports are prepared by the Division of Demonstrations and published by Risk Populations, Center for Substance Abuse Prevention (CSAP), of the series is to its Division of Communication Programs. The primary objective between and among facilitate the transfer of prevention and intervention technology public and researchers, administrators, policymakers, educators, and providers in the exemplary private sectors. At times, this series will publish reviews of innovative or by CSAP grantees. programming models and reviews of evaluative studies conducted reflect the The presentations herein are those of the authors and may not necessarily Abuse and Mental Health opinions, official policy, or position of CSAP; the Substance U.S. Services Administration (SAMHSA); the Public Health Service; or the Department of Health and Human Services. from copyrighted All material appearing in this report, except quoted passages used or reproduced without permission sources, is in the public domain and may be from CSAP or the authors. Citation of the source is appreciated. CSAP Production and Editing Officer: Joan W. Quinlan DHHS Publication No. (SMA)93-2015 Printed 1993 Acting Chief, High-Risk Youth Branch Rose C. Kittrell, MSW CSAP Technical Report Series Vivian L. Smith, MSW Acting Director, CSAP Myles Doherty Populations Acting Director, Division of Demonstrations for High Risk Robert W. Denniston Director, Division of Communication Programs As of October 1,1992, ADAMHA was reorganized. The Office for Substance Abuse Prevention (OSAP) became the Center for Substance Abuse Prevention (CSAP), the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) became the Substance Abuse and Mental Health Services Administration (SAMHSA), and the Division of Demonstration & Evaluation became the Division of Demonstrations for High Risk Populations. This document was written before the changes took effect; to avoid confusion and allow time for transition, the former names and acronyms have been retained. Foreword This report is the product of a conference dear that there are some important natural convened by staff of the Office for Sub- support systems in the African-American stance Abuse Prevention (OSAP) to explore community that are successful in prevent- more practical ways of addressing in a cul- ing AOD abuse. It is not clear which turally relevant manner, the needs of Black programmatic strategies implied by these youth at high risk. In calling the conference, natural support systems are most effective OSAP is attempting to determine what is for African-American youth, family, and clinically relevant for the African-American community, and why. population and to examine both psychoso- As we attempt to respond to the AOD cial and biological factors. The conference abuse issues confronting African-American participants discussed and debated the cul- communities, we have to address the etiol- tural issues over 2 days. The conference ogy of drug abuse. Is there a process for deliberations were guided by the critical identifying indicators of high risk from issue of how to translate pragmatically the an African-American perspective? What are theoretical discussions of culture into these indicators? What are the environmen- programmatic activities. In doing so, several tal influences and/or political factors that key questions must be answered. For ex- enhance prevention or make alcohol and ample, what is the role of culture in alcohol other drugs readily available? What struc- and other drug (AOD) use and/or abuse? tures (internal or external to the family or Are there contemporary values in the community) place African-American youth African-American community that resist at high risk? Are there family structures and/or promote AOD abuse? What are the that are more resistant to AOD abuse? Are cultural precepts, values, and norms that have endured and promote positive there socioeconomic conditions that con- tribute to AOD abuse in the African- psychosocial development and thus serve American community? as "natural resistances" to AOD use or abuse? What is Afrocentridty? How do we At the end of 2 days of continual discus- make this concept operational? These are sion, dialog, and debate, the conference par- difficult questions because the answers re- ticipants felt that it was necessary to quire us to think culturally and to look at continue the work and develop a written reality from a different theoretical and report reflecting the issues raised and help- philosophical perspective. ing to point OSAP in the proper direction In this process of r 'conceptualizing for service delivery. This document repre- prevention services for African-American sents the refinement and culmination of this people, it is important to note that African- effort to address systematically this issue of American service providers, as members of culture in service delivery. a cultural tradition, have daily provided practical answers to these theoretical ques- Rose C. Kittrell, MS W, tions. This has not, however, been ac- Acting Branch Chief, complished in a systematic manner. It is High-Risk Youth Branch, OSAP iii 5 Acknowledgments include Omowale Amuleru-Marshall, Ph.D.; The Center for Substance Abuse Preven- Robert J. Courtney, Jr., Ph.D.; Dr. Goddard; tion Technical Reports are prepared by Mr. Leonard C. Long, M.S.W.; Mr. Milton the divisions of the Center for Substance Morris, M.P.P.; Patricia Newton, M.D.; Abuse Prevention (CSAP) and published by Wade W. Nobles, Ph.D.; and Ms. Janet its Division of Communication Programs. Pinkett. The presentations herein are those The objective of this report is to facilitate the of the authors and may not necessarily transfer of knowledge and intervention reflect the opinions, official policy, or posi- strategies that will enhance programs tar- tion of CSAP, the Substance Abuse and geted for African-American youth at high Mental Health Services Administration risk, their families, and their communities. (SAMHSA), the Public Health Service, or The report is based on the findings of an the U. S. Department of Health and Human African-American work group of re- Services. searchers, policymakers, scholars, and ser- All materials in this volume, except vice providers, at the national, State, and quoted passages from copyrighted sources, local levels. used are in the public domain and may be This publication was edited by Lawford from or reproduced without permission L. Goddard, Ph.D., Director, Education and CSAP or the authors. Citation of the source Training Institute for the Advanced Study is appreciated. of Black Family Life and Culture, Inc., Oak- land, California. The authors of the chapters iv Contents ForewordRose C. Kittrell iii Acknowledgments iv . IntroductionLawford L. Goddard 1 Contributors 5 Section I: Overview and Background to Alcohol and Other Drug Abuse Problems in the African-American Community 1. Problem Background and Scope of the Alcohol and Other Drug Lawford L. Goddard 11 2. Familial Precursors to Drug AbuseLawford L. Goddard 19 3. Political and Economic Implications of Alcohol and Other Drugs in the African-American Community Omowale Amuleru-Marshall 23 4. Issues of Biological Vulnerability in AOD Abuse for the African-American CommunityPatricia A. Newton 35 5. Alcohol and Other Drug Abuse Literature, 1980 1989: Selected Abstracts Lawford L. Goddard 47 Section II: Current Applications and Future Directions for AOD Abuse Prevention for Afr; La-American Youth at High Risk 6. The Complex Nature of Prevention in the African-American Community: The Problem of ConceptualizationMilton Morris 59 7. Natural Resistors in AOD Abuse Prevention in the African-American Family Lawford L. Goddard 73 Spirituality in the African-American CommunityJanet 8. Pinkett 79 9. An Afrocentric Intervention StrategyLeonard C. Long 87 10. Prevention and Intervention Programs Targeted Toward African-American Youth at High RiskRobert J. Courtney, Jr. 93 11. Site Visit Report of Three OSAP Grants Targeting African-American Youth at High Risk Lawford L. Goddard 103 Section III: Toward an African-Centered Model of Prevention for African-American Youth at High Risk 12. An African-Centered Model of Prevention for African-American Youth at High Risk Wade W. Nobles and Lawford L. Goddard 115 13. Selected African-Centered ReadingsWade W. Nobles, Lawford L. Goddard, William E. Cavil, and Pamela Y. George 131 Bibliography 135 Key Concepts and Definitions Relative. to African-Centered Prevention 141 Introduction Lawford L. Goddard The Office for Substance Abuse Preven- Alcohol and other drug (AOD) abuse tion (OSAP), as the central governmental has emerged as the leading social, agency in the field of AOD problem preven- economic, and health problem facing the tion, provides critical leadership in the at- African-American community. In addition tempt to make service delivery to to contributing to the excess deaths in the African-American youth at high risk consis- Black community from cancer, strokes, hy- tent with traditional African-American cul- pertension, cirrhosis of the liver, and heart ture. As part of this creative process, OSAP diseases, AOD abuse is a major factor in the has convened two major technical discus- increase in crime, family violence, the grow- sions to explore the general applicability of ing rate of violent deaths among Blacks, and African and African-American cultural the depletion of the future resources of the traditions to the alcohol and other drug African-American community. Alcohol and abuse prevention field. One group, the other drug abuse, furthermore, leads to an Morehouse Meeting of Afrocentric Scholars, erosion of life chances, an erosion of family consisting primarily of scholars and life, and the erosion of the cultural tradi- theoreticians, met in Atlanta to discuss the tions and sense of community life for general issues of African cultural traditions Blacks. It is a multifaceted problem that af- and AOD use and abuse. A second group, fects the Black community at many different an African-American work group, made up levels and for which there is no simple of scholars, service providers, and preven- solution. tion practitioners, convened in Washington, Over the past 15 years the African- D.C., to grapple with some of the critical American community has witnessed several questions raised in translating theory into attempts to provide AOD abuse prevention practice. services, which have generally failed to This report attempts to continue these solve the issue. Over this time, a group of discussions and provide a starting point for scholars and practitioners (Nobles 1984; the development of authentic prevention King 1985; Akbar 1985; Asante 1988) has ar- strategies for use in African-American com- gued that service delivery to African munities, many of which constitute high- Americans is doomed to failure when it risk environments for African-American does not recognize or build on the cultural youth. It is not designed as a "how to" integrity of the African-American com- manual. Nor does it mandate the specific munity. The inability of previous programs detail of programmatic activities. It should to significantly prevent AOD abuse has serve as a working model that highlights brought to the forefront the issue of cultural the key components of AOD abuse preven- consistency as the key ingredient in provid- tion that is consistent with traditional ing services to culturally diverse com- African-American culture. It recognizes that munities. However, even with the call for the specific aspects of any program must be culturally consistent program development grounded in the different concrete condi- and implementation, there remains the ques- tions surrounding the target population, tion of pragmatically translating the which shares a common philosophical and theoretical discussions of culture into cultural foundation. programmatic activities. An African-Centered Model of Prevention for African-American Youth at High Risk The report is organized into three sec- nary behaviors that are associated with tions. Section I presents an overview of the dietary practices could serve as the precur- AOD use/abuse problem. The scope of the sor to addictive behavior. She examines the problem is presented in chapter 1, which issue of melanin as it relates to African provides the background information on Americans and discusses the way in which AOD use/abuse in the Black community: the biochemical structure of African Lawford L. Goddard presents some of the Americans could potentially make them current statistics that attest to the severity of more vulnerable to AOD dependence. the problem and explores the general en- As a resource for section I, chapter 5 vironmental context of AOD use/abuse. Is- provides a review of the general literature sues relating to environmental stress, the dealing with AOD abuse issues. The list of influence of the media, popular culture, and abstracts of the literature dealing with sub- advertising campaigns and promotions are stance use/abuse in the African-American also examined. Dr. Goddard indicates that community highlights the lack of a consis- these are the primary external environmen- tent theoretical or methodological approach tal factors that affect the African-American to these issues. community. Section II presents current applications In chapter 2, Dr. Goddard addresses the and future directions for prevention ser- features in the family system that could be vices. The section's major thrust is the high- considered precursors to AOD use/abuse. lighting of current approaches to AOD He suggests that the Black community is use/abuse prevention in an attempt to ex- systematically exposed to conditions of un- tract those features that are achieving some derdevelopment that make it difficult for form of success. the family to perform its basic functions of preparing children for participation in the In chapter 6, Milton Morris explores the wider society. He further indicates that the theoretical issues surrounding the concep- Black family is experiencing a process of cul- tualization of the prevention issue in the tural disalignment wherein the rules that African-American community and under- govern its behavior are inconsistent with lims the complexity of the issue. Prevention traditional African-American values and cul- is not a simple act. He suggests that the way tural foundations. The evidence of this dis- we define the nature and meaning of alignment is the incidence of AOD prevention has implications for determining use/abuse. the type of activities that we engage in, who the key actors are, what their roles are, and In chapter 3, Omowale Amuleru- what outcomes are sought. Thus, much ef- Marshall explores the economic and politi- fort is needed beforehand in providing a cal implications of drugs in the African- conceptual framework for tne issue of American community. He suggests that the prevention, and Mr. Morris points out the presence of alcohol and other drugs in the problematic nature of prevention activities Black community represents part of the within the African-American community. process of sociostructural violence that the Black population faces in this country. For In chapter 7, Dr. Goddard continues the him, AOD use/abuse is a manifestation of discussion of issues concerning the concep- intrapersonal, interpersonal, and institutional tualization of AOD abuse prevention and violence, all consequences of sociostructural deals with the features in the African- violence that arise in an unjust society. American family that serve as natural resis- In chapter 4, Patricia A. Newton discus- tors to AOD abuse. Dr. Goddard suggests ses the issues of biological vulnerability and that the traditional Black family system is their relationship to AOD abuse. Alcohol based on the affirmation of life and and other drug abuse is highly complicated. promotes the growth and development of Dr. Newton explores the way in which ordi- the child. The family performs several 2 Introduction critical functions that serve to stabilize and munity. The programs represent new and place the child in a particular social context promising, but largely untested, prevention that facilitates effective social functioning, designs and strategies. These programs' and these functions minimize the pressures benefits suggest the nature of what could to engage in self-destructive behavior. constitute potentially "successful" program- ming. In chapter 8, Janet Pinkett addresses the critical role of spirituality in African- Section III comprises a discussion of the American society and suggests that a deep components of an Afrocentric model of spiritual conviction was the essence of the AOD abuse prevention. Black family's social reality. Spirituality es- In chapter 12, Wade W. Nobles and Dr. tablished a sense of a higher purpose in life Goddard discuss the nature and charac- and placed everyday suffering and pain teristics of an Afrocentric model of preven- within a broader context of one's beingness. tion. This prevention model provides the The spiritual element in the Black family framework for the development of enabled its members to transcend and trans- programs whose activities are infused with form their experiential conditions so that the culture of African Americans. The they were able to function effectively in a philosophical foundation of the program, society that denied them the full benefits of the teaching techniques, and the specific ac- membership. Ms. Pinkett concludes this tivities are all consistent with the traditional chapter with suggestions of ways to incor- culture. The prevention model examined in porate the spiritual dimension into a preven- this chapter represents one step in the long tion model. history of African-American scholars and practitioners responding to the need to In chapter 9, Leonard C. Long docu- develop services. It is an attempt to present ments the weaknesses and errors of tradi- formally and systematically the strategies tional approaches used in the delivery of and processes that draw from and build services to African Americans. Essentially, upon the collective wisdom of African and Mr. Long suggests that these models are in- adequate and that prevention and/or inter- African-American people. It is not the final or definitive word on the issue; rather, it vention strategies based on these models represents the current stage of transition in would be inadequate for Black populations. the development of the African-American He concludes by presenting the charac- population. It should serve as a stimulus for teristics of a program in Dallas that is based the creative development of other sys- on the application of an Afrocentric value tematic approaches to address the variety of system. forces affecting the community. In chapter 10, Robert J. Courtney, Jr. Chapter 13 provides a selected provides empirical data about features of Afrocentric reading list developed by successful programs. In his summary, Dr. scholars and practitioners of the Institute Courtney lays out some of the main lessons for the Advanced Study of Black Family that the field of prevention has learned, Life and Culture. These readings represent which are based on an assessment of some of the salient theoretical and empirical prevention demonstration projects OSAP works by scholars who have adopted the has funded in the past. Afrocentric paradigm for the study of the In chapter 11, Dr. Goddard presents African-American experience. The list is im- results from site visits to three current portant in provk' ng a framework and sug- prevention programs. The programs are in gestions for the establishment of study different regions of the country, and all groups to discuss and analyze the written have achieved some success. In their own materials. It is suggested that in the process way, these programs reflect the variety of is- of engaging in study groups families can be sues confronting the African-American corn- reunited, the community can be revitalized, 0

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