Alcohol

This program uses psycho–social and present-moment awareness techniques to target adolescents’ alcohol-related cognitions and prevent their alcohol use. The program is rated Promising. Adolescents who received the intervention had reduced growth of alcohol consumption, compared with adolescents in the control group. There were no statistically significant differences between the groups in both negative and positive alcohol expectancies and drinking refusal self-efficacy.

This involves prison time for individuals who have committed drunk-driving offenses to reduce their risk of recidivism upon their release. The program is rated Ineffective. There was no statistically significant difference between individuals in the treatment group (who received prison time) and the comparison group (who received a suspended imprisonment sentence) on reoffending with a driving-while-under-the-influence-of-alcohol offense within 6 months’, 24 months’, or 5 years’ time.

This is a prevention planning and implementation system designed to improve risk and protective factors, and reduce secretive problems, in military communities. The program is rated Ineffective. There were no statistically significant differences between the bases assigned to NORTH STAR and the comparison bases on measures of physical or emotional interpersonal violence/partner abuse, physical or emotional child abuse, hazardous drinking, suicidality, or prescription drug misuse.

This program seeks to reduce the rearrests of individuals previously convicted of driving while under the influence (DUI) of alcohol or drugs through intensive testing and monitoring of drug and alcohol consumption. The program is rated Promising. There was a statistically significant decrease in the rates of DUI arrests by roughly 9 percent in counties that implemented the program, compared with counties that did not implement the program.

This program was designed to reduce violence risk behaviors as well as PTSD and depressive symptoms by providing adolescents with a variety of services following a traumatic injury. The program is rated Ineffective. There were no statistically significant differences between the intervention and control groups in substance use problems, or PTSD and depressive symptoms, though intervention group patients reported a statistically significant reduction in weapons carrying.

This program was designed to reduce excessive drinking among adolescents and young adults ages 12-25 through community-wide enforcement operations and awareness campaigns. The program is rated Promising. There was a statistically significant reduction in alcohol-related motor vehicle crashes among 15- to 30-year-old drivers in treatment group cities, compared with control group cities.

This was an automated telephony program designed for those recently paroled in Sweden that provided immediate feedback to participants and sent daily reports to their parole officers. The program is rated Promising. Treatment group participants reported statistically significantly less alcohol use, drug use, and internalizing behaviors at the 1-month follow-up, compared with control group participants.

This is a drunk driving prevention initiative that seeks to reduce alcohol-involved crash fatalities by requiring the installation of ignition interlock devices on vehicles of all drivers convicted of driving under the influence. The program is rated Promising. Intervention states with a statewide ignition interlock requirement had a 15 percent decrease in alcohol-involved vehicle crash fatalities, compared with control states. This was a statistically significant difference.

This program combines deterrence and rehabilitation methods to reduce recidivism of persons convicted of operating while intoxicated (OWI) offenses. Services include intensive supervision, educational programming, and treatment options. The program is rated Promising. The treatment group had statistically significantly fewer convictions, incarcerations, and subsequent days incarcerated, compared with the comparison group. There were no statistically significant differences in OWI recidivism.

This is an alternative-to-incarceration program designed to respond swiftly with sanctions to probation violations of those at high-risk of re-offending. The overall goal is to reduce participants’ recidivism rates. The program is rated Promising. Participants had statistically significant reduction in recidivism rates (overall, misdemeanor, felony, property, drug/alcohol, and other) compared with the comparison group, but there was no statistically significant effects on violent recidivism.

This is a group-based learning approach that seeks to enhance peer relations by increasing opportunities for positive social integration between adolescents. The program is rated Promising. Students in intervention schools reported they were less willing to use alcohol, had fewer deviant peer affiliations, lower perceived student stress and emotional problems, and had higher academic engagement, compared with students in control schools. These differences were statistically significant.

This program comprises legislation that was passed to reduce alcohol-related crash fatalities by lowering the blood alcohol concentration limit for adult drivers from 0.10 to 0.08. The program is rated Ineffective. There was a statistically significant reduction in passenger fatalities per crash after the implementation of the legislation; however, there were no statistically significant impacts on driver fatalities per crash or total fatalities per crash.

This intervention seeks to increase staff ID checks for the sale of alcoholic beverages at licensed establishments, to help prevent sales to minors. The program is rated Effective. The results were mixed. One study found there was a statistically significant increase in age verification rates resulting from the intervention, whereas a second study found no statistically significant increases in ID-checking rates. Overall, the results suggest the intervention influenced ID-checking rates.

This program assessed the impact of a nonmanualized family-based treatment approach for adolescent behavior problems. The program is rated Ineffective. Results indicated that the treatment group experienced statistically significant reductions in adolescent-reported externalizing and internalizing behaviors. However, there were no statistically significant differences between groups in caregiver-reported externalizing and internalizing behaviors or in adolescent-reported alcohol or drug use.

This is a mindfulness-based yoga program intended to reduce substance use (and the subsequent negative effects of use) for adolescents at high risk of dropping out of school. The program is rated Ineffective. There were no statistically significant differences in measures of substance use, self-regulation, mood, mindfulness, or coping skills for youth who participated in the program, compared with the control group youth.

This program uses motivational interviewing in primary care settings for adolescents at-risk for substance use. This program is rated Ineffective. Results suggest there were no statistically significant differences in alcohol or marijuana use between adolescents who participated in the program and those who did not; however, there was a statistically significant reduction in perceived peer use of alcohol and marijuana for program participants, compared with the control group.

This program consists of a single-session, group-delivered intervention for high school and college students, which is designed to alter alcohol expectancies and lower alcohol use. The program is rated Promising. The program was shown to have a statistically significant effect on modifying alcohol expectancy processes and reducing alcohol consumption in college students; however, there was no statistically significant impact on high school students.

This is a mentoring program for youth who show low levels of antisocial behavior. This program was rated Promising. Youth in the program had statistically significant improvements in offending behavior, antisocial behavior, negative affect, association with antisocial peers, emotional well-being, and involvement in education or employment, compared with youth in the control group, but not in volume of offending behavior, use of alcohol or drugs, impulsivity, or aspirations for the future.

This was a mindfulness education and substance abuse prevention program for fourth- and fifth-grade students, which was designed to build self-regulatory skills and reduce intentions to use alcohol or tobacco. This program was rated Promising. There were statistically significant increases in measures of executive functioning, social problems, and aggression. There were no statistically significant effects on attention problems and intentions to use substances.

This brief, cognitive behavioral, motivational intervention was designed to address alcohol and other drug use as well as aggressive behaviors among English- and Spanish-speaking adolescents who were already involved in drugs and aggressive behavior. This program is rated Ineffective The study found no statistically significant differences in measures of substance use and aggressive behaviors between adolescents in the treatment group, compared with adolescents receiving standard care.

This is a group, motivational interviewing program for adolescents with a first-time alcohol or drug offense. The goal of the program is to prevent negative consequences of alcohol and other drug use. This program is rated Ineffective. There were no statistically significant differences between the intervention and comparison groups on past month frequency of alcohol, heavy drinking, or marijuana use; alcohol or marijuana consequences; recidivism; delinquency; and alcohol and other drug use.

This program was designed to provide an alcohol intervention to incarcerated women with hazardous drinking habits who were being released from prison. The program is rated Ineffective. There were no statistically significant differences between the treatment and comparison groups on the number of days abstinent from alcohol consumption at the 6-month follow up.

This intervention linked women who committed nonviolent offenses to community-based, substance use treatment after release from jail. It was designed to reduce recidivism and alcohol and drug use, and to promote long-term recovery. This program is rated Ineffective. The treatment group had a statistically significant greater likelihood of participating in substance use treatment; however, there were no significant effects for recidivism, alcohol and drug use, or number of days spent in jail.

This was a residential treatment program that targeted individuals who committed multiple driving-under-the-influence (DUI) offenses. The program combined educational components with individualized treatment and therapy to address substance use. The program is rated Promising. The treatment group was statistically significantly less likely than the comparison group to be arrested for any new offense and specifically for a DUI offense, but not for committing an alcohol-related offense.

Using comprehensive assessments, the program identified, provided, and coordinated individualized services for high-risk, drug-involved, justice-involved juveniles. This program is rated Effective. Results suggest that JBTC participants were significantly less likely to recidivate and had statistically significantly fewer arrests, compared with non-JBTC participants. However, the impact on self-reported drug use was mixed.

The program tested whether police use of a specialized script (based on principles of procedural justice) during random breath-test traffic stops could improve perceptions of police and change people’s views about drinking and driving. The program is rated Promising. The program was shown to have a statistically significant effect on changing views on police and on drinking and driving, on increasing satisfaction and compliance with police, and on strengthening perceptions of procedural justice.

This is a community-based program that was designed to address substance abuse and antisocial behavior. The program is rated Promising. Students in the schools that implemented the PROSPER model had statistically significant fewer conduct problems and lower lifetime illicit substance use, compared with students in control schools. However, there were no statistically significant impacts on driving after drinking alcohol or frequency of drunkenness.

The program was a universal, preventive intervention for first-grade students, designed to reduce the risk for substance use by improving teachers’ and parents’ communication and behavior-management skills. The program is rated Promising. Approximately 6 to 7 years after the program, participants showed a statistically significant lower likelihood of having initiated tobacco use, compared with nonparticipants. The program had no impact on alcohol, marijuana, inhalant, or other drug use.

This program was a preventive intervention for first-grade students, which was designed to reduce substance use risk by improving teachers’ behavior-management skills and enhancing classroom curricula. The program is rated Promising. Overall, results were mixed. The treatment group showed a statistically significant lower likelihood of self-reporting initiation of tobacco use and other drugs, compared with the control group. The program had no statistically significant impact on alcohol, mariju

This program aims to reduce harmful behavior among young adult couples who are neither married nor cohabitating. It uses a brief counseling method to address ambivalence toward behavioral change and encourage self-motivation for behavioral change. The program is rated Promising. This program showed statistically significant reductions on reports of moderate physical aggression and harmful alcohol consumption, but no statistically significant effects on reports of psychological aggression.

This program was an experiment that was conducted to examine the efficacy of alternative methods of instant drug testing, and to determine how the different methods affected rates of relapse and recidivism of parolees with substance abuse issues. The program is rated Promising. The treatment group experienced a statistically significant decrease in rates of relapse, but no statistically significant difference in recidivism, compared with the control group.

This is a voluntary afterschool program for middle school aged youths to inform them about substance use and prevent them from starting or continuing alcohol use. The program is rated Ineffective. The program was shown to have a statistically significant effect on delaying the initiation of alcohol use, but not on other measures of past or future alcohol use.

This program consisted of a comprehensive, neighborhood-based, family-focused service delivery model that employed wraparound services and case management for justice-involved families with identified substance abuse problems. The program is rated Promising. Treatment group youth had a statistically significant decrease in noninstitutional and institutional out-of-home placements, compared with comparison group youth. However, there was no statistically significant difference in recidivism.

This program seeks to reduce the recidivism of persons previously convicted of driving while under the influence of alcohol (DUI) through intensive testing and monitoring of drug and alcohol consumption. The main goal is to encourage sobriety of convicted persons 24 hours per day, 7 days per week. The program is rated Promising. The program led to a statistically significant reduction in repeat DUI and domestic violence arrests, but did not impact first-time DUI arrests or traffic crashes.

This is a family-centered intervention designed to assist families with high-risk adolescents. The goal is to reduce the growth of adolescents’ problem behaviors and substance abuse. The program is rated Promising. Participants showed statistically significantly less growth of antisocial behavior and in alcohol, tobacco, and marijuana use compared with the control group. Participants also had stable GPAs from the start of middle school into high school and fewer school absences.

This is a school-based intervention involving administrators, teachers, staff, and parents that aims to improve relationships and school climate to enhance student achievement. The program is rated Promising. Students in treatment schools reported statistically significant reductions in the frequency of angry feelings and acting out, and greater disapproval of misbehavior, compared with students in control schools. There were no statistically significant differences in substance use.

This program incorporates contingency management protocols and multisystemic therapy into traditional juvenile drug court services to provide juveniles and families with additional engagement opportunities and support to reduce recidivism and substance abuse. The program is rated Promising. The program statistically significantly reduced alcohol and poly drug use, positive drug urine screens, status offenses, and property offenses. The program had mixed effects on marijuana use and offenses.

This program was designed to provide adult support to suicidal youth following psychiatric care. The program is rated Promising. Program participants showed statistically significant improvements on mortality, suicide and drug-related deaths, outpatient psychotherapy sessions, medication follow-up sessions, and outpatient drug or alcohol treatment but not on suicidal ideation, suicide, depression, negative attitudes about the future, functional impairment, or inpatient drug or alcohol treatment.

This is a juvenile drug court designed to reduce alcohol and other drug and delinquency offenses through an accountability framework. The program is rated Promising. Treatment group participants were statistically significantly less likely to recidivate in delinquency/criminal offenses, compared with the comparison group participants. However, there was no statistically significant effect on alcohol and other drug recidivism.

This is a home-based, family preservation model for families in crisis because a youth has run away from home. The model targets 12- to 17-year-olds who are staying in a runaway shelter and dealing with substance abuse issues. The program is rated Promising. Treatment group adolescents reported a statistically significant reduction in the percentage of days they used alcohol or drugs, compared with control group adolescents who received services as usual, at the 15-month follow up.

This was a multicomponent intervention to prevent delinquency and substance misuse for girls in foster care transitioning from elementary school to middle school. The program is rated Promising. Treatment group girls reported statistically significantly reduced tobacco use, marijuana use, and delinquent behavior, compared with control group girls. However, there was no statistically significant impact on alcohol use or association with delinquent peers.

This is a school-based drug prevention program designed to reduce students’ intention to use alcohol, tobacco, and illegal drugs and promote prosocial attitudes, skills, and behaviors. The program is rated Ineffective. There were mixed findings in students’ self-reported emotional competency skills, social and resistance skills, and perceptions of the harmful effects of drugs. There were also no statistically significant impacts on students’ attitudes toward drugs.

This is a school-based prevention program designed for high-risk students. The program is rated Ineffective. There were no statistically significant differences between experimental group youth and control group youth in engagement in delinquency, alcohol use, smoking, GPA, anger, and school connectedness. There were also statistically significant negative program effects for experimental group youth in conventional peer bonding and peer high-risk behavior.

This is a substance abuse intervention program for high-risk adolescents (ages 12–18) living in residential facilities. The program is rated Promising. Treatment group youth showed a statistically significant lower likelihood of reporting alcohol, marijuana, or overall alcohol and other drug (AOD) use in the previous 30 days, compared with comparison group youth.

These court supervised, post-plea (but pre-final disposition) drug diversion programs provide comprehensive community-based treatment services to juveniles convicted of an offense and their families. The program is rated Promising. The program had a statistically significant impact on recidivism.

This is a health education curriculum that targets K–12 students and includes age-appropriate lessons that focus on the most serious health challenges facing school-aged children. The program is rated Promising. There was a statistically significant impact on aggressive behavior, social and emotional health, interpersonal and drug refusal skills, and past-30-day alcohol and cigarette use. However, there was no statistically significant effect on prosocial behavior.

This is a restorative justice program that uses conferencing to repair the harm. The program is rated Promising. Participants had a statistically significant lower likelihood of committing violent offenses, and a greater likelihood of reporting a belief in the law, negative attitude toward reoffending, and greater effort to not drive drunk, compared with the control group. There were mixed findings in the rate of drunk driving, and no difference in property crimes, shoplifting, or recidivism.

This is a health promotion program designed to prevent alcohol use among at-risk middle and junior high school youth. The goal is to postpone alcohol use until adulthood. The program seeks to identify the various risk factors that youth are exposed to and offer them targeted information concerning underage alcohol use. The program is rated Ineffective. There were no statistically significant effects on frequency of alcohol use, quantity of alcohol consumption, or heavy alcohol use.

This is a community-based program to reduce underage drinking and alcohol-related offenses. The program is rated Promising. Intervention sites reported statistically significant reductions in DUI and nighttime crashes, average drinking quantity and variance, police-reported assaults, and EMS calls involving assault and motor vehicle crashes, compared with control sites. There was no difference in ED assaults, police reports of public drunkenness, or EMS calls involving alcohol or other drugs.

This is an alcohol prevention program for adolescents (typically high school students) that combines peer support with group reward structures. The program is rated Effective. Treatment group participants demonstrated statistically significant improvements in drinking behaviors, impulsive behaviors, attitudes toward drinking and driving, and alcohol knowledge, compared with control group participants.

This is a school-based program designed to improve students’ school attitudes and reduce delinquency. The program is rated Promising. The program showed a statistically significant positive effect on participants’ attainment of higher rates of supportive behavior and spontaneous prosocial behavior, compared with students who did not participate. There were no statistically significant effects on negative behavior, harmoniousness, substance/alcohol use, property damage, theft, or victimization.

This is a curriculum-based program for adolescents that aims to change attitudes toward and reduce substance use. The program is rated Promising. Participants demonstrated a statistically significant reduction in alcohol, marijuana, cigarette, and overall drug use; an increase in negative attitudes toward alcohol and marijuana; and an increase in knowledge of drug use and health consequences. However, there was no statistically significant effect on chewing tobacco behaviors.

This is an alcohol misuse prevention curriculum for 10- to 18-year-olds that emphasized resistance training, knowledge of the immediate effects of alcohol use, identification of the risks of alcohol misuse, and recognition of social pressures that lead to alcohol misuse. The program is rated Ineffectuve. There were no statistically significant effects found on alcohol use, alcohol misuse, serious offenses, or refusal skills.

This is a school-based program designed to teach students to cope with daily challenges. The program is rated Promising. Students who participated in this program showed a statistically significant improvement in number of coping skills, and in impulse control, peer popularity, and conflict resolution, compared with students who did not participate. However, there were no statistically significant differences in substance or alcohol use or in assertiveness with adults.

This is a family-centered intervention, which addresses family dynamics to prevent substance use and problem behaviors in adolescents. The program is rated Effective. Students in the treatment group were found to report less substance use, including alcohol, tobacco, and marijuana; and demonstrate less antisocial behavior, compared with students in the control group. These differences were all statistically significant.

This program seeks to reduce substance use and problem behaviors of youths with substance use disorders. The program is rated Promising. Relative to treatment-as-usual youths, intervention youths showed a statistically significant reduction in the number of crimes committed (i.e., property and violent crimes), substance use problems, and delinquent behaviors. But there were no statistically significant differences in diagnoses of cannabis use disorder or externalizing and internalizing behaviors

This is an educational and job training program for economically disadvantaged youth. The program is rated Promising. Youth in Job Corps demonstrated a lower rate of future arrest, conviction, and incarceration, as well as a higher rate of employment, higher earnings, and longer time spent employed, compared with control group youth. These findings were statistically significant. However, there were no statistically significant differences in alcohol or illegal drug use.

This is a community program designed to reduce youth’s access to alcohol by changing community and law enforcement policies, attitudes, and practices. The program is rated Ineffective. There were no statistically significant differences between treatment sites and control sites in youth’s drinking prevalence, number of past-month drinking occasions, number of drinks consumed, attempts to purchase alcohol, or in alcohol merchants’ behavior.

This program is designed to prevent substance use in American Indian adolescents by teaching them bicultural social skills. The program is rated Promising. Youth who participated in the program demonstrated lower rates in use of smokeless tobacco, alcohol, marijuana, and inhalants. Program youth also showed better knowledge of substances and alternatives to substance use, self-control, and assertiveness, compared with control group youth. These differences were statistically significant.

This is a school-based life skills training curriculum for middle-school students aimed at reducing drug and alcohol use. The program is rated Ineffective. There were statistically significant effects on past-30-day marijuana use and on marijuana- and alcohol-refusal skills for treatment group students, compared with control group students, but no statistically significant impacts on past-30-day alcohol, cigarette, or other illicit substances use and in cigarette- and cocaine-refusal skills.

This is a family-based alcohol prevention program for families with middle school-aged children. The program is rated Promising. Students in the program reported fewer family fights; higher family cohesion, and school attachment; and more negative views on underage alcohol consumption, compared with control group students. Parents in the program reported greater opposition to underage alcohol consumption, compared with control group parents. These differences were statistically significant.

This is a team-centered, health promotion program for female high school athletes. The program is rated Promising. Athletes who participated in the program had a statistically significant higher likelihood of reporting improved nutritional behaviors and decrease in lifetime alcohol and marijuana use, compared with control group athletes. However, findings regarding the use of diet pills were mixed, and there was no statistically significant impact on the use of athletic-enhancing substances.

This is a media literacy and substance use prevention program intended for third- through fifth-grade students. The program is rated Promising. Intervention group students demonstrated less intention to use alcohol and tobacco in the future, better deconstruction skills, higher understanding of persuasive intent, and higher self-efficacy, compared with control group students. These differences were statistically significant.

This is a media literacy and substance use prevention program for sixth- through eighth-grade students. The program is rated Promising. Intervention group students reported less intention to use tobacco in the future, compared with control group students, at the 2-week follow up (a statistically significant difference). However, there were no statistically significant differences between the groups in intention to use alcohol in the future.

This is a school-based, universal substance abuse prevention program for middle school students. The program is rated Ineffective. Intervention students self-reported greater use of alcohol and cigarettes and more binge drinking, compared with control group students, at the 5-year follow up. These differences were statistically significant. There were no statistically significant differences between groups in marijuana use.

This is a comprehensive program intended to promote an antidrug message throughout communities and prevent substance use among middle school students. The program is rated Effective. One study found that treatment group students had statistically significant lower past-month and past-week rates of cigarette use, compared with control group students. However, a second study found no statistically significant differences in smoking, alcohol, or marijuana use between groups.

This is a school-based violence prevention and character education program designed to improve student behavior and minimize aggression. The program is rated Promising. The program had statistically significant positive effects on risk and protective factors related to student violence for students in grade 3. There were also statistically significant positive effects on factors related to alcohol, tobacco, drug use, and violence for students in grades 9 through 12.

This is a cognitive-based intervention for aggressive children and for their parents to increase the children’s competence, study skills, social skills, and self-control during the transition to middle school. The program is rated Promising. There were mixed results on self-reported delinquency, but treatment group children showed a statistically significant reduction in substance use and improvement in aggressive behavior, compared with control group children.

This is a school-based program for seventh and eighth graders, which was designed to prevent substance use initiation and reduce future substance use. The program is rated Ineffective. There were no statistically significant differences in alcohol use, marijuana use, or cigarette use between students who participated in the program and control group students.

This is an outdoor experiential prevention program for at-risk American Indian youth, which concentrates on American Indian cultural values to promote prosocial development and avoidance of alcohol and other drugs. The program is rated Promising. Treatment group youth reported statistically significant lower growth in overall substance use (cigarettes, marijuana, alcohol, and other illicit substances), compared with control group youth, at the 18-month follow up.

This program is designed to deter students from substance use and to identify and refer those with substance use problems to counseling or treatment services. Students and their parents sign consent forms, agreeing to the students’ random drug testing as a condition of participation in athletics and other school-sponsored extracurricular activities. The program is rated Ineffective. There were no statistically significant effects on overall substance use or intentions to use substances.

This is a woman-focused, HIV intervention designed to reduce sex-risk behavior, substance use, and victimization among at-risk and underserved women, including female sex workers. The program is rated Promising. Compared with the comparison group, non-sex workers in the intervention reported less sexual abuse, alcohol use, and verified drug abuse, and sex workers in the intervention reported less physical abuse and verified drug abuse. These differences were statistically significant.

This is a strengths-based, case management intervention that provided expanded case management services to incarcerated persons during their transition from incarceration to the community. The program is rated Ineffective. There were no statistically significant differences between the transitional case management treatment group and the standard referral control group in nights spent in residential substance abuse treatment or in past 30-day drug or alcohol use, at the 9-month follow up.

This is an intensive family program combining relapse prevention and parenting skills training. This program is rated Ineffective. Treatment group parents demonstrated statistically significantly less heroin use, fewer domestic conflicts, and higher refusal skills than control parents did. There were no statistically significant differences in other drug use by parents, child drug and alcohol use, child delinquency, child-reported negative peers, or child school attachment.

This program was designed to reduce driving under the influence (DUI) through installation of an ignition interlock device in motor vehicles of drivers convicted of alcohol-related traffic violations. The program is rated Promising. The treatment group had a statistically significant lower likelihood of being rearrested for DUIs, compared with comparison group participants, who served the typical license suspension and probation period.

This is a family-based intervention that seeks to reduce substance use and other problem behaviors in youth ages 10–14. The program is rated Promising. Treatment group youth showed a statistically significant greater number of intervention-targeted behaviors and alcohol refusal skills and a lower initiation of alcohol use, compared with the control group. Treatment group parents, compared with the control group parents, showed a statistically significant greater number of parenting competencies.

This is a brief school-based, suicide-prevention program that seeks to reduce suicide risks and co-occurring health-related behaviors (such as depression and drug use). The program is rated No Effects. Intervention youth reported statistically significant lower levels of depression, compared with usual-care comparison group youth, but there were no statistically significant effects on suicide-risk behaviors, drug-involvement behaviors, drug-use control problems, and adverse drug consequences.

This is a school-based intervention designed to promote positive youth development and reduce substance use. This program is rated Promising. Intervention students showed statistically significant improvements in teacher ratings of antisocial behavior and social competency and reported a statistically significant decline in frequency of alcohol and marijuana use, compared with control students. However, there were no differences in prevalence of alcohol, marijuana, or cigarette use.

This was a school and community intervention that targeted children at an early age to prevent and reduce underage alcohol use. This program is rated Promising. The treatment group showed statistically significant reductions in alcohol use, binge drinking, and successful alcohol purchases by young-appearing buyers, compared with the comparison group. However, there was no statistically significant difference between groups in attitudes toward substance use.

This is a program designed to prevent the development of aggressive and antisocial behaviors in children in elementary school. The program is rated Effective. Youth who participated in the intervention demonstrated statistically significant reductions in physical aggression; in initiation of alcohol and tobacco; and in use over time of alcohol, tobacco, and illicit drugs; compared with control youth. However, there were no significant differences between groups in initiation of illicit drugs.

This is a classroom-based, drug abuse–prevention program for upper elementary and junior high school students. This program is rated Effective. Students who participated in the program reported a statistically significant decrease in prevalence of cigarette, alcohol, and polydrug use; and slower growth in initiation of substance use, compared with control students. However, there were no significant differences between groups on self-reported marijuana use.

This is a person-centered counseling method designed to foster motivation for change in youth who abuse alcohol and marijuana. The program is rated No Effects. Participants showed a statistically significant reduction in likelihood to exhibit negative treatment engagement and drive under the influence of alcohol, compared with control youth; however, there were no significant differences in other outcomes such as positive treatment engagement or driving under the influence of marijuana.

This is a preventive intervention designed to help college students make better decisions about alcohol use. The program is rated Effective. The intervention group showed statistically significant reductions in negative consequences of drinking (for example, accidents, violence or academic problems) and peak blood alcohol content. However, findings were mixed with regard to quantities consumed, and there was no statistically significant difference between groups in frequency of drinking.

This version of multisystemic therapy is for adolescents with substance abuse and dependency issues. This program is rated Effective. Treatment youth showed statistically significant reductions in marijuana use and in aggressive behavior and convictions for aggressive behavior, compared with control group youth. However, no significant differences between groups were found for symptoms of mental health, criminal behavior, or alcohol or cocaine use.

This is a school-based program designed to prevent substance use. The program is rated Ineffective. There were no statistically significant effects on marijuana use, cocaine use, or on prevalence of getting drunk, and mixed effects on tobacco use, alcohol use, and hard drug use. There was a statistically significant improvement for the treatment group in overall substance use and an index of all hard drug use.

This is a family-based program designed to prevent and reduce tobacco and alcohol use among children between the ages of 12 and 14. The program is rated No Effects. There were no statistically significant differences found between treatment group youth and control group youth in tobacco and alcohol use at the 12-month follow up.

This is a prevention program designed to decrease adolescents’ underage drinking and delinquency by increasing parents’ restrictive and prohibitory attitudes toward these behaviors. The program is rated Promising. Adolescents whose parents participated in the program had a statistically significant lower likelihood of having been drunk in the past month, lower alcohol use overall, and lower delinquency levels, compared with adolescents whose parents did not participate in the program.

This is a classroom management strategy designed to reduce aggressive and disruptive classroom behavior and create a classroom environment that is conducive to learning for students, ages 6 to 10. The program is rated Promising. At the 14-year follow up, the treatment group had statistically significant reductions in levels of alcohol-related disorders and antisocial personality disorder compared with participants in the control group.

This is a family-competency training program to promote healthy parent-child interactions and address children’s risk for early substance use. The program is rated Promising. Parent participants had a statistically significant improvement in intervention-targeted parenting behaviors, at 1-year posttest. Child participants had a statistically significant lower likelihood of alcohol-related problems and cigarette use, after 10 years, but there was no effect on being drunk and using illicit drugs.

This is a therapy approach for drug- and alcohol-abusing couples and their families. The program is rated Promising. After 1 year, patients reported statistically significant reductions in drinking consequences; partner violence; and alcohol, drug, and family–social addiction severity index scores, compared with the comparison group. There were no statistically significant effects on other addiction severity indicators, days abstinent from substances, or relationship satisfaction.

This is a drug treatment court that seeks to reduce rearrests and reconvictions for drug-involved individuals with substantial criminal and drug addiction histories. The program is rated Effective. Compared with the control group, program participants had a statistically significant fewer number of arrests at the 24-month and 15-year follow up, but not at the 36-month follow up. Participants also had a statistically significant fewer number of total convicted charges at the 15-year follow up.

This intervention is designed to reduce distress associated with forensic rape examinations and reduce the victims’ risk of developing psychopathology and substance use after an assault. The program is rated No Effects. At the 6-month follow up, there were no statistically significant differences between the treatment and nontreatment groups in alcohol, marijuana, or hard drug use, or in symptoms of posttraumatic stress disorder, anxiety, or depression.

This is a behavioral intervention for youth, which is designed to reduce drug and alcohol use and promote an abstinent lifestyle. The program is rated Promising. Participants showed a statistically significant reduction in alcohol use, other drug use, and depressive symptoms, and an increase in linkage to continuing care services, adherence to the continuing care model, and social stability. However, there was no statistically significant effect on high-risk behaviors or delinquency.

This is a multicomponent school-based drug and alcohol prevention program for male high school athletes. The program is rated Promising. The intervention was associated with statistically significant reductions in participants’ intent to use steroids, and statistically significant increases in their knowledge of the negative side effects of steroids and in their ability to refuse steroids and other drugs.

This is a statewide sobriety deterrence program that seeks to combat impaired driving and reduce alcohol-related car crashes and fatalities in the state of Tennessee. The program is rated Promising. The program was found to have a statistically significant reduction on the number of drunk driving fatal crashes and nighttime single-vehicle injury crashes, compared with preintervention trends.

This is a program for people arrested for the first time for driving while intoxicated (DWI). The program seeks to reduce DWI rearrest rates. The program is rated Promising. The treatment group showed statistically significant improvement on all three measures of alcohol use (total consumption, drinking days, and average blood–alcohol content), compared with the control group. However, there was no statistically significant difference between groups on rates of DWI rearrests.

This is a program comprised of a 35-minute therapy session for adolescents who received care in emergency rooms, designed to reduce subsequent violent behavior and alcohol use. The program is rated No Effects. The intervention groups showed statistically significant improvements on attitudinal measures of violence and alcohol use, compared with the control group; however, there were no statistically significant differences between the groups in behavior changes related to alcohol or violence.

This is a gender-specific, family-based intervention designed to help drug-using mothers who participate in family drug court to maintain their parental rights. The program is rated No Effects. The program had no statistically significant effects on child welfare outcomes, self-reported drug use, physical child abuse potential, overall psychological stress, self-reported alcohol use, family and social functioning, psychiatric problems, and urinalysis results.