Performance Improvement 2003. Center for Substance Abuse Prevention


Cross-site Study of the Children of Substance Abusing Parents Initiative

A cross-site study was conducted on the Children of Substance Abusing Parents (COSAPs) initiative that targeted COSAPs and their caregivers. Each study site was designed to test substance abuse prevention strategies for a specific age cohort of COSAPs and their substance-abusing caregivers. Age cohorts for the target children included 6- to 8-year-olds, 9- to 11-year-olds, and 12- to 14-year olds. An outcome and a process evaluation were conducted. The outcome study used a quasi-experimental design that involved nonequivalent comparison groups and repeated measures. Each study site formed appropriate comparison groups of index COSAPs and index caregivers. In addition to using dosage data, the process evaluation used program-level data collected by means of site visits. The findings showed the Center for Substance Abuse Prevention programs had many positive effects on risk and protective factors for the COSAPs. Programs for younger COSAPs resulted in increased self-control, school bonding, school performance, and perception of alcohol, tobacco, and other drugs (ATOD) harm. Positive outcomes for older COSAPs began to emerge 6-months post intervention when there was an increased perception of ATOD harm, and reductions in problem behaviors. Although the programs did not affect substance use among the COSAPs, the rate of ATOD use among the children were very low at baseline, making it difficult to measure reductions in use. The analysis found no significant negative program outcomes.

FEDERAL CONTACT: Soledad Sambrano, 240-276-2416 PIC ID: 7888

PERFORMER: EMT Associates, St. Louis, MO

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