This study assessed the impact of school-based social competence training on skills, social adjustment, and self-reported substance use of 282 sixth and seventh graders. Training emphasized broad-based competence promotion in conjunction with domain-specific application to substance abuse prevention. The 20-session program comprised six units: stress management, self-esteem, problem solving, substances and health information, assertiveness, and social networks. Findings indicated positive training effects on Ss' skills in handling interpersonal problems and coping with anxiety. Teacher ratings revealed improvements in Ss' constructive conflict resolution with peers, impulse control, and popularity. Self-report ratings indicated gains in problem-solving efficacy. Results suggest some preventive impact on self-reported substance use intentions and excessive alcohol use. In general, the program was found to be beneficial for both inner-city and suburban students.

A 15-minute educational session with small groups of black parents is effective in informing parents about the importance of safe sleep position and in changing parent behavior. The effect of the intervention is sustained throughout the first 6 months of life, when the infant is at the highest risk for SIDS.

This longitudinal study examines patterns of emerging substance use among sixth, seventh, and eighth grade students in two New England towns. The results show substantial levels of experimentation and use extending down to the sixth grade and variations in use level depending on the students' community, sex, race, and parents' marital status. This study also examines rates at which students were offered various substances and, by comparing use and offer rates, charts rejection/acceptance rates for the gateway substances across the three grades. The findings suggest the notion of critical periods for substance use initiation and underscore the importance of understanding these early use patterns as the first step in the design and implementation of primary prevention programs.

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