Chapter 16: Prevention of Substance Abuse – Study Guide, Key Concepts &
Practice Questions
What are the three primary goals of substance use prevention? - correct answer ✔✔Prevent or
delay initiation of substance use
Reduce substance use --> the amount/level of it
Reduce harm associated with substance use
According to traditional prevention approaches what are the three main categories described in
the text? - correct answer ✔✔Primary: A strategy that attempts to encourage avoidance of
substance use or abuse BEFORE it has a chance to occur.
e.g., The "Just Say No "advertising effort.
Secondary: Designed to prevent substance
use problems WHEN the early abuse signs begin.
Ex: Educational programs are used when a youth has his or her first arrest for drug possession.
Tertiary: Interventions with people well beyond
the early stages of substance abuse or dependence.
Ex: Tertiary prevention and substance abuse treatment involve comparable activities.
The IOM classifies prevention in a different way than the text does. What are their three
categories? **** Know This - correct answer ✔✔Universal --> addresses the entire population
with messages and programs aimed at preventing or delaying abuse --> delivered to large
groups without any prior screening or substance abuse --> usually ineffective
Selective --> targets subsets of the total pop. that are deemed to be at risk for substance abuse
virtue of their membership in a particular pop. --> very effective
, Indicated -->aimed at people who are already showing problems
Affective Education - correct answer ✔✔Improve people self-esteem and they will stop using
drugs --> highly ineffective
Values Clarification - correct answer ✔✔Tackle peoples moral compass --> ineffective
Universal Prevention - correct answer ✔✔Just say so cause your brain will get fryed --> egg
example from the slides --> do not work
What prevention methods have shown promise at least in some formats? - correct answer
✔✔Peer-refusal skills
Cognitive Behaviour Training for Risky-Personality Traits (best technique in the world)
Personal decision making
Selective prevention - correct answer ✔✔Identify at risk group --> Target at risk group and
factors associated with risk
Example: Screening for individual differences
What are indicated prevention programs? - correct answer ✔✔Aims at:
reduction in first-time substance abuse, reduction in the length of time the signs continue, delay
of onset of substance abuse, and/or reduction in the severity of substance abuse
Targeted at:
1. individuals who are showing early danger signs, such as falling grades and consumption of
alcohol
2. individuals who exhibit risk factors that increase their chances of developing a drug abuse
Practice Questions
What are the three primary goals of substance use prevention? - correct answer ✔✔Prevent or
delay initiation of substance use
Reduce substance use --> the amount/level of it
Reduce harm associated with substance use
According to traditional prevention approaches what are the three main categories described in
the text? - correct answer ✔✔Primary: A strategy that attempts to encourage avoidance of
substance use or abuse BEFORE it has a chance to occur.
e.g., The "Just Say No "advertising effort.
Secondary: Designed to prevent substance
use problems WHEN the early abuse signs begin.
Ex: Educational programs are used when a youth has his or her first arrest for drug possession.
Tertiary: Interventions with people well beyond
the early stages of substance abuse or dependence.
Ex: Tertiary prevention and substance abuse treatment involve comparable activities.
The IOM classifies prevention in a different way than the text does. What are their three
categories? **** Know This - correct answer ✔✔Universal --> addresses the entire population
with messages and programs aimed at preventing or delaying abuse --> delivered to large
groups without any prior screening or substance abuse --> usually ineffective
Selective --> targets subsets of the total pop. that are deemed to be at risk for substance abuse
virtue of their membership in a particular pop. --> very effective
, Indicated -->aimed at people who are already showing problems
Affective Education - correct answer ✔✔Improve people self-esteem and they will stop using
drugs --> highly ineffective
Values Clarification - correct answer ✔✔Tackle peoples moral compass --> ineffective
Universal Prevention - correct answer ✔✔Just say so cause your brain will get fryed --> egg
example from the slides --> do not work
What prevention methods have shown promise at least in some formats? - correct answer
✔✔Peer-refusal skills
Cognitive Behaviour Training for Risky-Personality Traits (best technique in the world)
Personal decision making
Selective prevention - correct answer ✔✔Identify at risk group --> Target at risk group and
factors associated with risk
Example: Screening for individual differences
What are indicated prevention programs? - correct answer ✔✔Aims at:
reduction in first-time substance abuse, reduction in the length of time the signs continue, delay
of onset of substance abuse, and/or reduction in the severity of substance abuse
Targeted at:
1. individuals who are showing early danger signs, such as falling grades and consumption of
alcohol
2. individuals who exhibit risk factors that increase their chances of developing a drug abuse
