title: Preventing and reducing substance use among institutionalized adolescents.
abstract: The Residential Student Assistance Program, serving high-risk, multiproblem, inner-city, primarily African-American and Latino youth, was evaluated for its ability to prevent and decrease alcohol and other drug use. Participants were drawn from several adolescent residential facilities: three foster care sites for abused, neglected, orphaned, or troubled adolescents, a nonsecure facility for adjudicated juvenile offenders, a treatment center for teens with severe psychiatric problems, and a locked county correctional facility. In addition, comparison groups were employed. A 5th-year outcome evaluation documented the program's effectiveness in both preventing and reducing substance use among participants, with impact related to program dosage. Qualitative process data clarified and strengthened confidence in the quantitative outcomes.
authors.affiliation: Student Assistance Services Corporation, Tarrytown, New York 10591, USA.
authors.forename: E
authors.initials: E
authors.lastname: Morehouse
authors.forename: N S
authors.initials: NS
authors.lastname: Tobler
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D000437:Alcoholism / Q000517:prevention & control* / Q000523:psychology; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005581:Foster Home Care / Q000523:psychology; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D009518:New York; D011329:Prisoners / Q000523:psychology; D012114:Residential Treatment; D019966:Substance-Related Disorders / Q000517:prevention & control* / Q000534:rehabilitation; D016896:Treatment Outcome; D014505:Urban Population