Drug Resistance Strategies Project

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The Drug Resistance Strategies Project (DRS), a program funded by the National Institute on Drug Abuse (NIDA), teaches adolescents and pre-adolescents how to make decisions and resist alcohol, tobacco, and other drugs (ATOD).

National Institute on Drug Abuse

The National Institute on Drug Abuse (NIDA) is a United States federal-government research institute whose mission is to "lead the Nation in bringing the power of science to bear on drug abuse and addiction."

Alcohol (drug) active ingredient in alcoholic beverages

Alcohol, also known by its chemical name ethanol, is a psychoactive substance that is the active ingredient in drinks such as beer, wine, and distilled spirits. It is one of the oldest and most common recreational substances, causing the characteristic effects of alcohol intoxication ("drunkenness"). Among other effects, alcohol produces a mood lift and euphoria, decreased anxiety, increased sociability, sedation, impairment of cognitive, memory, motor, and sensory function, and generalized depression of central nervous system function. Ethanol is a type of chemical compound known as an alcohol, and is the only type of alcohol that is found in alcoholic beverages or is commonly used for recreational purposes; other alcohols such as methanol and isopropyl alcohol are toxic.

Tobacco agricultural product processed from the leaves of plants in the genus Nicotiana

Tobacco is a product prepared from the leaves of the tobacco plant by curing them. The plant is part of the genus Nicotiana and of the Solanaceae (nightshade) family. While more than 70 species of tobacco are known, the chief commercial crop is N. tabacum. The more potent variant N. rustica is also used around the world.

Contents

The DRS project was one of the first programs to examine how adolescents refused offers of substances. Adolescent narratives revealed for resistance strategies—Refuse, Explain, Avoid, and Leave that became known as the REAL strategies. These narratives became the basis for a multicultural school-based substance use prevention program, keepin’ it REAL (kiR). To reduce the likelihood that youth will engage in ATOD, the kiR lessons include personal stories and language that youth find familiar, along with teaching effective risk assessment, decision making, communication, and life skills including the REAL strategies. Middle and elementary schools are currently implementing kiR in the following states: Arizona, Delaware, Indiana, Maryland, Michigan, Ohio, Pennsylvania, and Tennessee. In 2006, the Substance Abuse and Mental Health Services Administration's National Registry of Evidence-based Programs and Practices selected kiR as a “Model Program” for its culturally grounded substance use prevention curriculum.

An abuse prevention program is a social program designed to help parents and teachers recognize the signs of violence in an abused child and teaches how to explain abuse protection to them. These programs also help children in establishing self-esteem.

Youth time of life when one is young

Youth is the time of life when one is young, and often means the time between childhood and adulthood (maturity). It is also defined as "the appearance, freshness, vigor, spirit, etc., characteristic of one who is young". Its definitions of a specific age range varies, as youth is not defined chronologically as a stage that can be tied to specific age ranges; nor can its end point be linked to specific activities, such as taking unpaid work or having sexual relations without consent.

Broadly speaking, a risk assessment is the combined effort of 1. identifying and analyzing potential (future) events that may negatively impact individuals, assets, and/or the environment ; and 2. making judgments "on the tolerability of the risk on the basis of a risk analysis" while considering influencing factors. Put in simpler terms, a risk assessment analyzes what can go wrong, how likely it is to happen, what the potential consequences are, and how tolerable the identified risk is. As part of this process, the resulting determination of risk may be expressed in a quantitative or qualitative fashion. The risk assessment is an inherent part of an overall risk management strategy, which attempts to, after a risk assessment, "introduce control measures to eliminate or reduce" any potential risk-related consequences.

History

In the 1980s, Drs. Michelle Miller-Day and Michael Hecht’s research in interpersonal and interethnic communication at Arizona State University led them to use narrative and performance theories to study how people's personal stories promote reading, prevent date rape, and develop positive familial attitudes. They first obtained funding from NIDA and launched the Project (DRS1) in 1989. Initial research was conducted in two high schools in Arizona. With this work, Miller-Day and Hecht identified the four resistance strategies (Refuse, Avoid, Explain, and Leave) that are the core of the DRS Project. Since then the project expanded to include middle and elementary school students and to address ethnicity and gender.

Arizona State University Public university located in the Phoenix metropolitan area, Arizona, United States

Arizona State University is a public metropolitan research university on five campuses across the Phoenix metropolitan area, and four regional learning centers throughout Arizona.

Date rape is a form of acquaintance rape. The two phrases are often used interchangeably, but date rape specifically refers to a rape in which there has been some sort of romantic or potentially sexual relationship between the two parties. Acquaintance rape also includes rapes in which the victim and perpetrator have been in a non-romantic, non-sexual relationship, for example as co-workers or neighbors. Date rape is particularly prevalent on college campuses, where it frequently occurs in situations involving alcohol or other date rape drugs, which may facilitate the execution of drug-facilitated sexual assault (DFSA).

In 1997, Hecht moved to the Pennsylvania State University where he continued the Drug Resistance Strategies Project in collaboration with colleagues from Arizona. The project developed, implemented, and evaluated a middle school prevention curriculum. More specifically, Hecht and his colleagues created keepin’ it REAL and field tested the curriculum, which they later implemented in thirty five middle schools in Phoenix. KiR was successful in limiting use of alcohol, tobacco, and marijuana between 7th and 8th grades.

Pennsylvania State University Public university with multiple campuses in Pennsylvania, United States

The Pennsylvania State University is a state-related, land-grant, doctoral university with campuses and facilities throughout Pennsylvania. Founded in 1855 as the Farmers’ High School of Pennsylvania, the university conducts teaching, research, and public service. Its instructional mission includes undergraduate, graduate, professional and continuing education offered through resident instruction and online delivery. Its University Park campus, the flagship campus, lies within the Borough of State College and College Township. It has two law schools: Penn State Law, on the school's University Park campus, and Dickinson Law, located in Carlisle, 90 miles south of State College. The College of Medicine is located in Hershey. Penn State has another 19 commonwealth campuses and 5 special mission campuses located across the state. Penn State has been labeled one of the "Public Ivies," a publicly funded university considered as providing a quality of education comparable to those of the Ivy League.

A middle school is an educational stage which exists in some countries, providing education between primary school and secondary school. The concept, regulation and classification of middle schools, as well as the ages covered, vary between, and sometimes within, countries.

Phoenix, Arizona State capital city in Arizona, United States

Phoenix is the capital and most populous city of Arizona, with 1,626,078 people. It is also the fifth most populous city in the United States, and the most populous American state capital, and the only state capital with a population of more than one million residents.

Starting in 2003, they have been working under a new grant from the National Institute on Drug Abuse. The current research concentrates on determining the best grade level to introduce the prevention program (5th vs. 7th grade), including elementary school implementation in addition to middle school. In addition, work on DRS4 continues the long-term study examining the relationships among acculturation, decision-making, different types of norms, identity, family structure, parent-child communication, and drug use.

Grants are non-repayable funds or products disbursed or given by one party, often a government department, corporation, foundation or trust, to a recipient, often a nonprofit entity, educational institution, business or an individual. In order to receive a grant, some form of "Grant Writing" often referred to as either a proposal or an application is required.

Elementary school school for students at the ages of 3–12 to receive primary education

Elementary school is a school for students in their first school years, where they get primary education before they enter secondary education. The exact ages vary by country. In the United States, elementary schools usually have 6 grades with pupils aged between 6 and 13 years old, but the age can be up to 10 or 14 years old as well. In Japan, the age of pupils in elementary school ranges from 6 to 12, after which the pupils enter junior high school.

Acculturation process of cultural and psychological change

Acculturation is a process of social, psychological, and cultural change that stems from the balancing of two cultures while adapting to the prevailing culture of the society. Individuals of a differing culture try to incorporate themselves into the new more prevalent culture by participating in aspects of the more prevalent culture, such as their traditions, but still hold onto their original cultural values and traditions. The effects of acculturation can be seen at multiple levels in both the devotee of the prevailing culture and those who are assimilating into the culture.

In 2012, Dr. Michelle Miller-Day moved to Chapman University where she continues to work closely with Pennsylvania State University on the Drug Resistance Strategies Project.

Chapman University American private university in Orange County, California

Chapman University is a private university in Orange, California. Chapman University offers 110 areas of study, and encompasses ten schools and colleges: Dodge College of Film and Media Arts, Wilkinson College of Humanities and Social Sciences, Argyros School of Business and Economics, the School of Communication, Schmid College of Science and Technology, College of Performing Arts, Dale E. Fowler School of Law, College of Educational Studies, the School of Pharmacy and the Crean College of Health and Behavioral Sciences.

Results

The findings from this project are in numerous journals of health, prevention science, communication, and social work. The publications contain all aspects covered by the project; some of them being the principle of cultural grounding in school-based substance use prevention seen in the Journal of Language and Social Psychology and promoting reduced and discontinued substances among adolescent substance users, seen in the Prevention Science. Some of the work done on culture can be seen through the publication on ethnicity vs. ethnic identity in assessing what predicts substance use, norms, and behaviors, and a study of and acculturation status substance use prevention with Mexican and Mexican American youth, both seen in the Journal of Social Work Practice in the Addictions.

The use of tobacco, alcohol, and marijuana was compared using a self-reported quantity of frequency of use before the program and at two, eight, and fourteen months after students completed the curriculum. Participants in the program reported a lower use of the three substances than the students who did not receive the program. Effects lasted for up to 14 months for alcohol and marijuana use and up to 8 months for cigarettes. Other analysis show that the program works on adolescents who have started using substances before keepin’ it REAL as well as those who have not.

Anti-substance attitudes were also found to be effected by the program. At the 8 and 14-month follow-ups, the program participants reported lower expectations of positive consequences of substance use compared with students who did not receive the intervention. Although the intervention had no effect on perceptions of parental or peer norms, students who received the program curriculum reported lower personal acceptance of drug use for up to eight months after the intervention. When compared to the control students, students who received the Mexican American version of the curriculum reported smaller increases in estimates of the number of their friends who used drugs.

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