Contents

• Panel of Experts Leading the Development of the Guideline Preventing Substance Abuse Among Children and Adolescents: Family-Centered Approaches
• Foreword
• Acknowledgments
• About This Guideline
• The PEPS Development Process
• PEPS Series Goals
• The Scope of this Guideline
• Levels of Evidence
• Recommendations for Practice
• A Request to Readers
• Introduction
• Why Use Family-Centered Approaches? Aren't Our School and Community Efforts Sufficient?
• How Big A Problem Is Substance Abuse Among Youth?
  • Eighth-Grade Students
  • Tenth-Grade Students
  • High School Seniors
  • Alcohol Use Remains High
• What Puts Children And Adolescents At Risk For Substance Abuse?
• Family-Centered Approaches To Prevention of Substance Abuse - What Works
  • Risk and Protective Factors for Children and Adolescents
  • Prevention Approach 1: Parent and Family Skills Training
  • Prevention Approach 2: Family In-Home Support
  • Prevention Approach 3: Family Therapy
• General Recommendations on Family-Centered Approaches
• Program Development and Delivery of Family-Centered Approaches
  • Specific Tasks and Activities of Program Development
  • Special Planning Issues
• Conclusion
• An Afterword: Emerging Areas Of Research And Practice
  • The Construct of Resilience
  • The Construct of Family Support
  • Final Thoughts About Resilience and Family Support
• Research Studies and Practice Cases
  • Parent and Family Skills Training
• Appendices
  • Appendix A Criteria for Establishing Levels of Evidence of Effectiveness
  • Appendix B Abbreviations and Glossary of Terms Used in Family-Centered Approaches to Substance Abuse Prevention
  • Appendix C Resource Guide
• References

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 the Guideline series for the Center for Substance Abuse Prevention (CSAP). Mary Davis, Dr.P.H., succeeded by Robert Bozzo, served as team leader for the PEPS staff during the development process for this series of publications. With assistance from the Expert Panel, the PEPS staff, primarily Mim Landry, Susan Weber, and Deborah Shuman, wrote and edited the main guideline through several iterations. Karol Kumpfer, Ph.D., panel chair, was also a major contributor. 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.