title: An example of international drug politics--the development and distribution of substance prevention programs directed at adolescents.
abstract: Many substance use prevention programs directed at adolescents exist that have been developed by researchers in the United States and are intended to be used in school settings. Some of the problems associated with such programs are reviewed, including their accessibility, ease of use, copyright status, evaluation options, program scales, and ratings, together with an overall consideration of the factors and processes posited to be associated with substance use and non-use (posited "at-risk" and "protective" mechanisms). The authors contend that there is a great need to: (a) develop substance use prevention programs which are commercially available but are not protected by copyright, (b) assess empirically each component in a program separately, and (c) encourage funding bodies to be more active in supporting the production of manuals and evaluation instruments for substance use prevention programs directed at adolescents. We need more and better process evaluations that are also sensitive to both endogenous and exogenous forces in order to know the processes by which a successful prevention program achieves its effects, is prevented from doing so and which processes are irrelevant. A social competence framework might be used as both a goal and as a theoretical base to achieve a better understanding of the processes by which substance use prevention programs reach their effects.
authors.affiliation: Department of Biochemistry and Pharmacy, Abo Akademi University, Turku, Finland. johnlilja@hotmail.com
authors.forename: John
authors.initials: J
authors.lastname: Lilja
authors.forename: Joanna
authors.initials: J
authors.lastname: Giota
authors.forename: David
authors.initials: D
authors.lastname: Hamilton
authors.forename: Sam
authors.initials: S
authors.lastname: Larsson
mesh_terms: D000293:Adolescent; D000437:Alcoholism / Q000517:prevention & control*; D003142:Communication; D003431:Cross-Cultural Comparison; D004335:Drug and Narcotic Control; D005060:Europe; D006266:Health Education; D006284:Health Plan Implementation; D006801:Humans; D007391:International Cooperation; D011057:Politics; D015397:Program Evaluation; D012917:Social Adjustment; D012926:Social Control, Formal; D012945:Social Values; D019966:Substance-Related Disorders / Q000517:prevention & control*; D014481:United States