Abstract
The Adolescent Transitions Program (ATP) promotes student adjustment and reduces risk within a public school setting, focusing primarily on parenting practices using a tiered, multilevel prevention strategy. A description is given of the program, levels of engagement, and intervention effects. Within each school, multiethnic students (N = 672) and their families were randomly assigned at the individual level to a control condition or the ATP intervention. Analyses focus on the longitudinal effects of the ATP intervention on self-reported substance use through middle school and the 1st year of high school (Grades 6, 7, 8, and 9). Levels of engagement in the selected and indicated interventions were somewhat less than expected. Despite relatively low levels of engagement, the intervention reduced initiation of substance use in both at-risk and typically developing students. These findings are discussed with respect to lessons learned about parent engagement, optimizing strategies for schoolwide implementation, and the promise of embedding family interventions within the public school ecology.
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REFERENC4ES
Biglan, A., & Metzler, C. W. (1998). A public health perspective for research on family-focused interventions. In R. Ashery, E. B. Robertson, & K. Kumpfer (Eds.), Drug abuse prevention through family interventions, NIDA Research Monograph No. 177, NIH Publication No. 99-4135 (pp. 430–458). Washington, DC: National Institute on Drug Abuse.
Blechman, E. A., Taylor, C. J., & Schrader, S. M. (1981). Family problem solving versus home notes as early intervention with high-risk children. Journal of Consulting and Clinical Psychology, 49, 919–926.
Chamberlain, P., Patterson, G. R., Reid, J. B., Kavanagh, K., & Forgatch, M. S. (1984). Observation of client resistance. Behavior Therapy, 15, 144–155.
Conger, R. D., Conger, K. J., Elder, G. H., Jr., Lorenz, F. O., Simons, R. L., & Whitbeck, L. B. (1992). A family process model of economic hardship and adjustment of early adolescent boys. Child Development, 63, 526–541.
Cronbach, L. J., & Glesar, G. C. (1965). Psychological tests and personnel decisions. Urbana: University of Illinois Press.
DeMarsh, J., & Kumpfer, K. L. (1985). Family-oriented interventions for the prevention of chemical dependency in children and adolescents. Journal of Children in a Contemporary Society, 18, 117–151.
Dishion, T. J., & Andrews, D. W. (1995). Preventing escalation in problem behaviors with high-risk young adolescents: Immediate and 1-year outcomes. Journal of Consulting and Clinical Psychology, 63, 538–548.
Dishion, T. J., Andrews, D. W., Kavanagh, K., & Soberman, L. H. (1996). Preventive interventions for high-risk youth: The Adolescent Transitions Program. In R. D. Peters & R. J. McMahon (Eds.), Preventing childhood disorders, substance abuse, and delinquency (pp. 184–214). Thousand Oaks, CA: Sage.
Dishion, T. J., Duncan, T. E., Eddy, J. M., Fagot, B. I., & Fetrow, R. A. (1994). The world of parents and peers: Coercive exchanges and children's social adaption. Social Development, 3, 255–268.
Dishion, T. J., & Kavanagh, K. (in press). Adolescent problem behavior: An intervention and assessment sourcebook for working with families in schools. New York: Guilford.
Dishion, T. J., Kavanagh, K., Veltman, M., McCartney, T., & Stormshak, E. (in press). The family management curriculum. New York: Guilford.
Dishion, T. J., & Loeber, R. (1985). Male adolescent marijuana and alcohol use: The role of parents and peers revisited. American Journal of Drug and Alcohol Abuse, 11, 11–25.
Dishion, T. J., McCord, J., & Poulin, F. (1999). When interventions harm: Peer groups and problem behavior. American Psychologist, 54, 755–764.
Dishion, T. J., & Owen, L. D. (2002). A longitudinal analysis of friendships and substance use: Bi-directional influence form adolescence to adulthood. Developmental Psychology, 38, 1–12.
Dishion, T. J., & Patterson, G. R. (1992). Age effects in parent training outcome. Behavior Therapy, 23, 719–729.
Dishion, T. J., & Patterson, G. R. (1993). Antisocial behavior: Using a multiple gating strategy. In M. I. Singer, L. T. Singer, & T. M. Anglin (Eds.), Handbook for screening adolescents at psychosocial risk (pp. 375–399). New York: Lexington.
Dishion, T. J., Poulin, F., & Medici Skaggs, N. (2000). The ecology of premature autonomy in adolescence: Biological and social influences. In K. A. Kerns, J. M. Contreras, & A. M. Neal-Barnett (Eds.), Family and peers: Linking two social worlds (pp. 27–45). Westport, CT: Praeger.
Dishion, T. J., Reid, J. B., & Patterson, G. R. (1988). Empirical guidelines for the development of a treatment for early adolescent substance use. In R. E. Coombs (Ed.), The family context of adolescent drug use (pp. 189–224). New York: Haworth.
Dishion, T. J., & Stormshak, E. (in press). An ecological approach to child clinical and counseling psychology. Washington, DC: APA Books.
Eccles, J. S., Lord, S. E., & Roeser, R. W. (1995). Round holes, square pegs, rocky roads, and sore feet: The impact of stage-environment fit on young adolescents' experiences in schools and families. In D. Cicchetti & S. Toth (Eds.), Rochester symposium on developmental psychopathology. Vol. 7: Adolescence: Opportunities and challenges (pp. 47–92). Rochester, NY: University of Rochester Press.
Friedman, L. S., Lichtenstein, E., & Biglan, A. (1985). Smoking onset among teens: An empirical analysis of initial situations. Addictive Behaviors, 10, 1–13.
Gottfredson, G. D. (1987). Peer group interventions to reduce the risk of delinquent behavior: A selective review and a new evaluation. Criminology, 25, 672–714.
Granic, I., Dishion, T. J., Hollenstein, T., & Patterson, G. R. (in press). The family ecology of adolescence: A dynamic systems perspective on normative development. In G. R. Adams & M. Berzonsky (Eds.), The Blackwell handbook of adolescence. Oxford: Blackwell.
Hawkins, J. D., Catalano, R. F., Morrison, D. M., O'Donnell, J., Abbott, R. D., & Day, L. E. (1992). Effects of the first four years on protective factors and problem behaviors. In J. McCord & R. Tremblay (Eds.), The prevention of antisocial behavior in children (pp. 139–162). New York: Guilford.
Henggeler, S. W., Melton, G. B., & Smith, L. A. (1992). Family preservation using multisystemic treatment: An effective alternative to incarcerating serious juvenile offenders. Journal of Consulting and Clinical Psychology, 60, 953–961.
Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (1998). Multisystemic treatment of antisocial behavior in children and adolescents. New York: Guilford.
Hoagwood, K., & Koretz, D. (1996). Embedding prevention services within systems of care: Strengthening the nexus for children. Applied and Prevention Psychology, 5, 225–234.
Hogansen, J., & Dishion, T. J. (2001, June). Promoting change in parent group interventions for adolescent problem behavior. Poster presented at the 10th scientific meeting of the International Society for Research in Child & Adolescent Psychopathology, Vancouver, BC, Canada.
Irvine, A. B., Biglan, A., Metzler, C. W., Smolkowski, K., & Ary, D. V. (1999). The effectiveness of a parenting skills program for parents of middle school students in small communities. Journal of Consulting and Clinical Psychology, 67, 811–825.
Kazdin, A. E. (1993). Treatment of conduct disorder: Progress and directions in psychotherapy research. Development and Psychopathology, 5, 277–310.
Kellam, S. G. (1990). Developmental epidemiological framework for family research on depression and aggression. In G. R. Patterson (Ed.), Depression and aggression in family interaction (pp. 11–48). Hillsdale, NJ: Erlbaum.
Loeber, R., & Dishion, T. J. (1983). Early predictors of male delinquency: A review. Psychological Bulletin, 94, 68–99.
Loeber, R., & Dishion, T. J. (1987). Antisocial and delinquent youth: Methods for their early identification. In J. D. Burchard & S. N. Burchard (Eds.), Prevention of delinquent behavior Vol. 10, (pp. 75–89). Newbury Park, CA: Sage.
Loeber, R., Dishion, T. J., & Patterson, G. R. (1984). Multiple gating: A multistage assessment procedure for identifying youths at risk for delinquency. Journal of Research in Crime and Delinquency, 21, 7–32.
McCord, W., McCord, J., & Howard, A. (1960). Familial correlates of aggression in nondelinquent male children. Journal of Abnormal and Social Psychology, 62, 79–93.
McMahon, R. J., & Peters, R. D. (1990). Behavior disorders of adolescence: Research, intervention, and policy in clinical and school settings. New York: Plenum.
Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford.
Moffitt, T. E. (1993). Adolescence-limited and life course persistent antisocial behavior: Developmental taxonomy. Psychological Review, 100, 674–701.
Oetting, E. R., & Beauvais, F. (1987). Peer cluster theory, socialization characteristics, and adolescent drug use: A path analysis. Journal of Consulting and Clinical Psychology, 34, 205–213.
Patterson, G. R. (1993). Orderly change in a stable world: The antisocial trait as a chimera. Journal of Consulting and Clinical Psychology, 61, 911–919.
Patterson, G. R., Dishion, T. J., & Chamberlain, P. (1993). Outcomes and methodological issues relating to treatment of antisocial children. In T. R. Giles (Ed.), Effective psychotherapy:A handbook of comparative research (pp. 43–88). New York: Plenum.
Patterson, G. R., & Forgatch, M. S. (1985). Therapist behavior as a determinant for client resistance: A paradox for the behavior modifier. Journal of Consulting and Clinical Psychology, 53, 846–851.
Patterson, G. R., Reid, J. B., & Dishion, T. J. (1992). Asocial learning approach. Vol. IV: Antisocial boys. Eugene, OR: Castalia.
Poulin, F., Dishion, T. J., & Burraston, B. (2001). Long-term iatrogenic effects associated with aggregating high-risk adolescents in preventive interventions. Applied Developmental Science, 5(4), 214–224.
Reid, J. B., Eddy, J. M., Fetrow, R. A., & Stoolmiller, M. (1999). Description and immediate impacts of a preventative intervention for conduct problems. American Journal of Community Psychology, 24(4), 483–517.
Robins, L. N., & Przybeck, T. R. (1985). Age of onset of drug use as a factor in drug and other disorders. In C. L. Jones & R. J. Battjes (Eds.), Etiology of drug abuse: Implications for prevention, Research Monograph No. 56 (pp. 178–193). Rockville, MD: National Institute on Drug Abuse.
Sanders, N. R., & Lawton, J. M. (1993). Discussing assessment findings with families:A guided participation model of information transfer. Child and Family Behavior Therapy, 15, 5–33.
Soberman, L. (1994). Psychometric validation of a brief teacher screening instrument. Unpublished doctoral dissertation, University of Oregon. (Teacher Risk Perception [TRISK] instrument available from Child and Family Center, 195 West 12th Avenue, Eugene, OR 97401-3408.)
Spoth, R., & Redmond, C. (1996). Illustrating a framework for rural prevention research: Project family studies of rural family participation and outcomes. In R. D. Peters & R. J. McMahon (Eds.), Preventing childhood disorders, substance abuse, and delinquency (pp. 299–328). Newbury Park, CA: Sage.
Spoth, R., Redmond, C., & Lepper, H. (1999). Alcohol initiation outcomes of universal family-focused preventive interventions: One-and two-year follow-ups of a controlled study. Journal of Studies on Alcohol, 13(Suppl.), 103–111.
Spoth, R. L., Redmond, C., & Shin, C. (2001). Randomized trial of brief family interventions for general populations: Adolescent substance use outcomes 4 years following baseline. Journal of Consulting and Clinical Psychology, 69, 627–642.
Stanton, M. D., & Todd, T. C. (1982). The family therapy of drug abuse and addiction. New York: Guilford.
Steinberg, L. (1986). Latchkey children and susceptibility to peer pressure: An ecological analysis. Developmental Psychology, 22, 433–439.
Steinberg, L. (1988). Reciprocal relation between parent-child distance and pubertal maturation. Developmental Psychology, 24, 122–128.
Stormshak, E. A., & Dishion, T. J. (2002). An ecological approach to child and family clinical and counseling psychology. Clinical Child and Family Psychology Review, 5(3), 197–215.
Szapocznik, J., & Kurtines, W. M. (1989). Breakthroughs in family therapy with drug-abusing and problem youth. New York: Springer.
Trickett, E. J., & Birman, D. (1989). Taking ecology seriously: A community development approach to individually based preventive interventions in schools. In L. A. Bond & B. E. Compas (Eds.), Primary prevention and promotion in the schools. Primary prevention of psychopathology (Vol. 12, pp. 361–390). Newbury Park, CA: Sage.
Walker, H. M., & Severson, H. H. (1991). Systematic screening for behavior disorders: Training manual. Longmont, CO: Sopris West.
Webster-Stratton, C., & Hammond, M. (1990). Predictors of treatment outcome in parent training for families with conduct problem children. Behavioral Therapy, 21, 319–337.
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Dishion, T.J., Kavanagh, K., Schneiger, A. et al. Preventing Early Adolescent Substance Use: A Family-Centered Strategy for the Public Middle School. Prev Sci 3, 191–201 (2002). https://doi.org/10.1023/A:1019994500301
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DOI: https://doi.org/10.1023/A:1019994500301