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Precision Targeting in Prevention:

Benefits of "Critical Hours" Programs for Middle School Youth


compiled by
William J. Bailey, M.P.H., C.P.P.
Associate Professor of Applied Health Science and
Executive Director, Indiana Prevention Resource Center
Indiana University

"Risk can be transformed into opportunity for our youth by turning their non-school hours into the time of their lives."
--A Matter of Time: Risk and Opportunity in the Nonschool Hours
Carnegie Council on Adolescent Development, 1992

Research findings support the effectiveness of quality, adult-supervised, youth-development oriented afterschool prevention programs in reducing the onset and intensity of adolescent use of alcohol, tobacco, and other drugs. These programs serve several important purposes, including:
  • development of social skills and assets that assist in resisting drug-related temptations
  • development of new drug-free hobbies and interests through enrichment programs
  • recreation and socialization in a safe environment
  • providing opportunities to interact with pro-social peers
  • occupying free time with supervision and positive choices
  • community service and the development of a service ethic
  • adult supervision and the opportunity to interact positively with adults
It is important to note, however, that these findings of effectiveness DO NOT generalize to ALL "alternative activities." Unstructured activities that serve only as "entertainment" have not been shown to be effective in reducing adolescent drug use or problems. As a matter of fact, some studies have shown that entertainment-only alternative activities might actually increase alcohol use. [Swisher JD, Hu TW. "Alternatives to Drug Abuse: Some Are, Some Are Not," pp. 141-153 in Glynn TJ, Leukenfeld, CJ, Ludford, JP, eds. Preventing Adolescent Drug Abuse: Intervention Strategies. NIDA Research Monograph No. 47, Washington: National Institute on Drug Abuse, 1983.]

To optimize the opportunity to reduce alcohol, tobacco, and other drug use by Indiana children and adolescents, the afterschool programs funded by the Indiana Division of Mental Health are required to include both focused prevention activities and supportive prevention activities from a pre-approved list of activities for which there is solid evidence of prevention effectiveness. Local program developers are given wide latitude to select activities from these pre-approved lists, but must select program strategies that have been proven to be effective.

Carefully-designed afterschool prevention programs that are research-based and theory-driven have been shown to create positive benefits in participating youth, including reductions in use of alcohol, tobacco, and other drugs. Some examples of these benefits, established by peer-reviewed evaluation studies, include:


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Last Updated: September 5, 1998 - wjb