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In the war on drugs, children are on the front lines. Is just saying no protection enough? The authors examine the results of popular school drug prevention programs to determine how effective they are at reducing cocaine use and whether these programs are money well spent, when compared with drug-enforcement or drug-treatment programs.
Table of Contents
Chapter One: Introduction An Analysis of Costs and Effectiveness Beyond Cost-Effectiveness An Issue Not Yet Examined Our Focus Chapter Two: Effectiveness at Reducing Cocaine Consumption Effect on Cohort Members Participating in Program Multipliers Qualifiers Integrating the Factors Chapter Three: Cost-Effectiveness at Reducing Cocaine Consumption Defining Program Cost Estimating Program Cost Estimating Cost-Effectiveness and the Implications of Uncertainty Variation With the Passage of Time Chapter Four: Other Benefits Estimating the Effect on Use of Drugs Other Than Cocaine Social Savings from Reduced Drug Use Benefits Unrelated to Reduced Drug Consumption Chapter Five: Nationwide Implementation Implications for the Current Cocaine Epidemic Implications for Future Epidemics Implications for the Legalization Debate Chapter Six: Conclusions and Policy Implications Model Prevention Programs Appear to Be Competitive With Enforcement Great Uncertainty Remains About Prevention's Cost-Effectiveness The Source of Benefits Is Not What Might Be Expected Drug Use Prevention Has Benefits Other Than Reduced Cocaine Use A National Program Is Affordable but Will Not End the Cocaine Epidemic Drug Prevention Should Be Conducted Before It Is Perceived Necessary Prevention Cannot Substitute for Enforcement in a Legalization Regime The Bottom Line Appendix A. Estimating Average Lifetime Cocaine Consumption B. Prevention's Effectiveness at Reducing Marijuana Initiation C. Relationship Between Age of Marijuana Initiation and Lifetme Consumption of Cocaine and Marijuana D. Estimating the Magnitude of the Social Multiplier E. How Prevention's Cost-Effectiveness Varies Over Time F. Estimating the Magnitude of the Market Multiplier G. Estimating the Magnitude of the Causation/Correlation Qualifier H. Estimating the Magnitude of the Scale-Up Degradation Qualifier I. Prevention's Effect on Heavy Alcohol Use and Cigarette Smoking J. Accumulation of Prevention's Effect Nationwide References