title: Preventing early adolescent substance use: a family-centered strategy for the public middle school.
abstract: The Adolescent Transitions Program (ATP) promotes student adjustment and reduces risk within a public school setting, focusing primarily on parenting practices using a tiered, multilevel prevention strategy. A description is given of the program, levels of engagement, and intervention effects. Within each school, multiethnic students (N = 672) and their families were randomly assigned at the individual level to a control condition or the ATP intervention. Analyses focus on the longitudinal effects of the ATP intervention on self-reported substance use through middle school and the 1st year of high school (Grades 6, 7, 8, and 9). Levels of engagement in the selected and indicated interventions were somewhat less than expected. Despite relatively low levels of engagement, the intervention reduced initiation of substance use in both at-risk and typically developing students. These findings are discussed with respect to lessons learned about parent engagement, optimizing strategies for schoolwide implementation, and the promise of embedding family interventions within the public school ecology.
authors.affiliation: Child and Family Center, University of Oregon, Eugene 97401-3408, USA. tomd@darkwing.uoregon.edu
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Dishion
authors.forename: Kathryn
authors.initials: K
authors.lastname: Kavanagh
authors.forename: Alison
authors.initials: A
authors.lastname: Schneiger
authors.forename: Sarah
authors.initials: S
authors.lastname: Nelson
authors.forename: Noah K
authors.initials: NK
authors.lastname: Kaufman
mesh_terms: D000293:Adolescent; D002648:Child; D005196:Family Therapy; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D016487:Parenting / Q000523:psychology; D012307:Risk Factors; D012572:School Health Services / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000517:prevention & control* / Q000523:psychology