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Rare attempt at screening and brief intervention for actual or potential problems arising from illegal drug use among primary care patients suggests that screening itself reduces use levels and that further intervention might be worthwhile among high-risk populations.
REVIEW 2007 HTM file
Using correlational evidence to select youth for prevention programming
Is it best to focus prevention efforts on youngsters most likely to use substances - or will that miss out many future users who could have benefited from these efforts? This well informed and clear analysis concludes that we just can't predict well enough to risk leaving some youngsters out.
The review which underpinned official UK guidance on alcohol education and advice in schools finds most programmes unsupported by adequate evidence and a dearth of analyses which would enable an assessment of whether the more successful programmes represent value for money.
DOCUMENT 2007 HTM file
Interventions in schools to prevent and reduce alcohol use among children and young people
Official guidance for England says alcohol education should be integral to national science and personal, social and health education curricula, but schools should go beyond this to develop a 'whole school' approach and partner with relevant non-education services and authorities.
STUDY 2007 HTM file
Preventing alcohol-exposed pregnancies: a randomized controlled trial
Foetal exposure to alcohol is a leading cause of birth defects and developmental disabilities. Targeting interventions at women before they become pregnant – as with Project CHOICES – could shift the focus in clinical practice from treatment of substance-exposed pregnancies to prevention of a major (and costly) public health concern.
STUDY 2006 PDF file 264Kb
Ongoing support encourages GPs to advise heavy drinkers
Screening and brief intervention for risky drinking is a major plank in the English alcohol strategy. A WHO trial in six countries including England has shown that personal contact and ongoing support are needed to encourage even modest levels of intervention by GPs.
STUDY 2006 HTM file
Effectiveness of nurse-led brief alcohol intervention: A cluster
randomized controlled trial
Interventions delivered by nurses did lead to a reduction in excessive drinking in their patients, but there seemed to be no advantage of a structured brief intervention over standard advice.
STUDY 2005 PDF file 156Kb
High-risk youngsters respond to coherent, consistent and interactive after-school activities
Analyses of 48 US government-funded after-school and youth work projects for 9–18-year-olds at high risk of drug problems found that only interactive, well structured projects with supported and engaged staff curbed progression to more frequent substance use.
NASTY SURPRISES 2004 PDF file 211Kb
Confident kids ... like to party
Research challenging the presumption that because it is 'bad', then youth substance use must also be caused by and cause other 'bad' things. The nasty surprise is that by fostering socially skilled youngsters keen on sports, we can also be fostering substance use.
STUDY 2004 PDF file 181Kb
Family check-up builds on teachers' abilities to identify problem pupils
Using teachers' ratings to target the families of high-risk pupils, a US study has shown that a few hours spent improving parental monitoring and response to childrens' behaviour can lead two years later to reductions in substance use.
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