Latest edition of NIDA NewScan, 9/11/2009

Online at: http://www.nih.gov/news/health/sep2009/NS-63.pdf

Articles in this issue:

  • Disparities, Variability Found in Methadone Maintenance Dosing Patterns
  • Marijuana Prevention Campaigns May Have Undesired Effects on Marijuana Use
  • Crack Cocaine Use Hastens Progression of HIV Infection to AIDS
  • Few U.S. High Schools Use Evidence-Based Drug Prevention Curricula
  • Gene Changes Linked to Nicotine Dependence and Success With Smoking Cessation
  • Electronic Diary Captures Moods and Cues Leading to Heroin and Cocaine Use
  • Aging Population of Steroid Abusers May Face Underrecognized Health Problems
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Many small increases, no decreases in adolescent alcohol, tobacco, drug use

The 2009 Pride Survey National Summary of adolescent alcohol and drug use shows small, but significant increases in 30-day prevalence for a number of drug categories, and no significant decreases in 30-day use of any drug category measured in grades 6 through 12. These results are based on surveys completed during the 2008-2009 school year.

Most of the increases witnessed were small (less than 1 percent). However, they suggest that decreases in adolescent drug use over the last several years may have come to a halt.

Last week the Substance Abuse and Mental Health Services Administration released results of the 2008 National Survey on Drug Use and Health. The 2009 Pride Survey data reflect several of the trends seen in the NSDUH survey, for example increases in ecstasy use and little change in marijuana use among adolescents. However, the Pride Survey data was more recently collected (by at least six months) than the NSDUH data.

Here are some of the key findings of the 2009 Pride Survey National Summary:

Grades 6-8 (ages 11 to 14)

  • Increases in 30-prevalence of cigarettes, cigars, any tobacco, beer, marijuana and lifetime prescription drug abuse.
  • No significant decreases in 30-day use.

Grades 9-12 (ages 14-18)

  • Increases in 30-day prevalence of cigarettes, smokeless tobacco, cigars, any tobacco, beer, wine coolers, liquor, any alcohol, marijuana, inhalants, heroin, ecstasy, OxyContin, meth and any illicit drug.
  • No significant decreases in 30-day use.

Grades 6-12 (ages 11 to 18)

  • Increases in 30-prevalence of cigarettes, smokeless tobacco, cigars, any tobacco, marijuana, ecstasy, OxyContin and lifetime prescription drug abuse.
  • No significant decreases in 30-day use.

The 2009 Pride Survey National Summary is based on the responses of 122,243 students selected from 447,532 students who completed the Pride Survey for Grades 6 to 12 during the school year from August 2008 until June 2009. These students, while not drawn through a formal probability sampling process, do represent a broad cross-section of American youth. Results from previous years national summaries have tracked closely with nationwide surveys such as Monitoring the Future.

Full Report

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SAMHSA Awards $46 Million Partnerships for Success: State and Community Prevention Performance Grants [Colorado 1 of 4 grantees]

Source: SAMHSA News Release, 9/14/2009

The Substance Abuse and Mental Health Services Administration (SAMHSA) today awarded $46 million over five years in Partnerships for Success: State and Community Prevention Performance grants. This program is designed to help states and U.S. territories reduce state-wide substance abuse rates by addressing gaps in their current prevention services and increasing their ability to reach out to specific populations or geographic areas with serious, emerging substance abuse problems.

The grants aim to achieve a quantifiable decline in state-wide substance abuse rates by incorporating a strong incentive to grantees that have met or exceeded their prevention performance targets. The grants build on the Strategic Prevention Framework (SPF), which requires that grantees utilize a five-step, data-driven planning model to ensure that program services address areas of greatest need. The key to the SPF program is that it offers monetary incentives in the form of program expansion supplements to the grantees that succeed in achieving critical performance outcomes by the end of the third year of the five-year program.

“These grants will help provide essential substance abuse prevention services to people and communities that might otherwise not get them,” said SAMHSA Acting Administrator Eric Broderick, D.D.S. , M.P.H. “Partnerships for Success also provides these services in ways offering measurable results and opportunities for developing more effective prevention strategies. ”

SAMHSA is awarding approximately four grants of up to $2.3 million per grantee annually for up to five years. The actual award amounts may vary, depending on the availability of funds and the performance of the grantee. The grants will be administered by SAMHSA’s Center for Substance Abuse Prevention (CSAP).

The four grantees are:

The Colorado Prevention Partnership for Success (CPPS): This project employs a public health model to demonstrate positive statewide change among 12-17 year olds in underage and binge drinking rates and in the binge drinking disparity for Latino youth. The CPPS will continue to integrate the Strategic Prevention Framework within Colorado’s State Prevention System to ensure measurable and sustainable substance abuse prevention outcomes.

The Illinois Partnerships for Success: Funds from the grant will provide an opportunity for meaningful collaboration between State leaders and community members in order to build capacity for substance abuse prevention with a focus on underage drinking. In Illinois, 34.3 percent of youth of ages 13-18 drink alcohol on a regular basis, compared to 28.1 percent of their peers in the U.S. overall. Their goal is to reduce the high school (10th grade through 12th grade) 30-day use rate from 40.6 percent to 35 percent by 2012.

The Connecticut Department of Mental Health and Addiction Services (DMHAS): As the Single State Agency for substance abuse and mental health services, DMHAS has been designated by the Governor’s Office to lead the Connecticut Partnerships for Success (CT PFS) Initiative. This Initiative seeks to: 1) achieve a quantifiable decline in statewide substance abuse rates; 2) demonstrate a capacity to reduce substance abuse problems; and 3) achieve specific performance targets and program level outcomes.

The Tennessee Department of Mental Health and Developmental Disabilities, Division of Alcohol and Drug Abuse Services (DADAS): DADAS will use its Partnerships for Success funds to reduce alcohol binge drinking among the state’s 14-25 year olds. Tennessee’s Partnership for Success Project has a goal of reversing the state’s upward trend in binge drinking by decreasing the total number of 14-25 year olds who engage in binge drinking within any 30-day period by 4.3 percent over the five-year grant period.

For additional information about SAMHSA grants go to http://www.samhsa.gov/grants/