Contents

• Panel of Experts Leading the Development of the Guideline Preventing Substance Abuse Among Children and Adolescents: Family-Centered Approaches
• Planning Group Overseeing Development of PEPS Documents
• Foreword
• Acknowledgments
• About This Guideline
• Introduction
• 1. Substance Abuse Problems and the Status of the American Family
  • Substance Abuse in the United States: The Extent of the Problem
  • Substance Abuse: Critical Issues for Families and Children
  • Conclusion
  • Using This Guideline
  • Contents of this Guideline
  • References
• 2. Risk and Protective Factors and Developmental Models in the Etiology of Substance Abuse
  • The Influence of Risk and Protective Factors
  • Etiological Models for the Development of Adolescent Substance Abuse
  • Family-Centered Approaches to Prevention
  • Conclusion
  • References
• 3. Analysis of Evidence and Recommendations for Practice
  • Classification of Preventive Measures and Description of Approaches
  • Analysis of Evidence
  • Prevention Approach 1: Parent and Family Skills Training
  • Prevention Approach 2: Family In-Home Support as Indicated Preventive Measures
  • Prevention Approach 3: Family Therapy as Indicated Preventive Measures
  • General Suggestions for Future Research for Family-Centered Prevention Approaches
  • General Recommendations for Practice for Family-Centered Prevention Approaches
  • Chapter 3 Appendix: Research and Practice Evidence Abstracts
• 4. Program Development and Delivery of Family-Centered Prevention Approaches
  • Key Considerations for Program Development
  • The Assessment Stage
  • The Planning Stage
  • Delivery of the Intervention
  • The Evaluation Stage
  • Conclusion
  • References
• 5. Emerging Areas of Research and Practice
  • Emergence of the Constructs of Resilience and Family Support
  • Conclusion
  • References
• Appendices
  • Appendix A PEPS Participants
  • Appendix B Research and Practice Search Protocols
  • Appendix C Methodology for Arriving at Recommendations
  • Appendix D Collateral Areas of Interest
  • Appendix E Abbreviations and Glossary
  • Appendix F Resource Guide

The Prevention Enhancement Protocols System (PEPS) series was initiated by the Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Prevention (SAMHSA/CSAP) to systematically evaluate both research and practice evidence on substance abuse prevention and make recommendations for the field. In doing so, PEPS strives to maximize the prevention efforts of State substance abuse prevention agencies, practitioners, and local communities.

Prakash L. Grover, Ph.D., M.P.H., is the program director of PEPS and the Executive Editor of this guideline series for CSAP. Mary Davis, Dr.P.H., succeeded by Robert Bozzo, served as team leader for PEPS staff during the development process. With assistance from the Expert Panel, the PEPS staff -- primarily Mim Landry, Susan Weber, and Deborah Shuman -- wrote and edited the Reference Guide through several iterations. Karol Kumpfer, Ph.D., panel chair, was a major contributor to Chapter 2. Donna Dean wrote the Practitioner's Guide and the Community Guide, based on the evidence summarized in the main guideline.

Exhaustive review of the documents was conducted by Robert W. Denniston, Mark Weber, and Tom Vischi. Clarese Holden served as the Government Project Officer of the Prevention Technical Assistance to States (PTATS) project, under which this publication was produced.

This publication was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), CSAP by Birch & Davis Associates, Inc. (Contract No. 277-92-1011).

The presentations herein are those of the Expert Panel and do not necessarily reflect the opinions, official policy, or position of CSAP, SAMHSA, or the U.S. Department of Health and Human Services.