Spring semester 2010
172:161 Substance Abuse Prevention and Early Intervention
Curriculum developed by: Anne Helene Skinstad and Karen Summers
Prairielands ATTC
The Department of Community and Behavioral Health
University of Iowa College of Public Health
Instructor:
Office:
Phone:
Office hours:
Course summary
This course will provide students with information on the prevalence and
characteristics of several substance use disorders, the impact of such disorders on the
individual and the community, their relevance for public health workers. Prevalence of
substance use disorders varies among ethnic and cultural groups, as well as between men
and women, across the life span, and through different socio-economic levels. The
outcomes of substance abuse disorders vary at both individual and community levels as a
function of these factors.
As a consequence, primary and secondary prevention programs need to be
tailored to the needs of the communities, as well as those of the diverse groups the
programs target. Students will also be given an overview of assessment approaches and
tertiary treatment approaches to substance use disorders.
Course format
The course will be organized as a seminar and students will be expected to make
class presentations on an array of topics.
Every class period will include two brief student presentations. Presentations will
either be a Substance Abuse 101 Presentation, with focus on characteristics of the various
substance use disorders and their prevalence, or an Intervention Review Presentation, in
which specific prevention programs identified through the National Registry of
Evidence-based Programs & Practices (NREPP), the searchable database of
interventions for the prevention and treatment of mental and substance use disorders, will
be discussed. Students will be responsible from presenting information on either a
substance or an intervention, leading the class in a brief discussion on issues related to
gender, age, and culture relevant to their assigned topic.
Students will also be expected to visit a community-based substance abuse
prevention and/or treatment program in Iowa and share their observations in class.
1
Spring semester 2010
Requirements
1) Substance Abuse 101 Presentations.
At the beginning of the semester, students sign up for Substance Abuse 101 topics
for which they will be responsible. Students will prepare and present a fact sheet for the
class which provides the following information related to their assigned substance:
 Signs and symptoms, consequences of use
 Prevalence data with specific focus on how gender, age, and culture
influence prevalence of abuse and dependence
 Medical use, if any
 Prevention and treatment strategies specific to assigned substance, if
appropriate
Handouts will need to be written and sent to both Ms. Summers and Dr. Skinstad
by Monday morning before 8:00am to be posted on ICON for students to download
before class. If handouts are not sent before 8:00am on Monday morning, students should
plan on bringing enough handouts to class.
2) Intervention Review Presentations
At the beginning of the semester, students sign up for Intervention Review topics
for which they will be responsible. Students will prepare and present a fact sheet for the
class which provides the following information related to their assigned intervention:
 Brief description of the intervention
 Target population
 Setting
 Study design(s) used to evaluate
 Outcomes examined in evaluation
 Key findings of evaluation
 Strengths and weaknesses of evaluation
 Readiness for dissemination
Handouts will need to be written and sent to Ms. Summers and Dr. Skinstad by
Monday morning before 8:00am to be posted on ICON for students to download before
class. If handouts are not sent before 8:00am on Monday morning, students should plan
on bringing enough handouts to class.
3) Major class presentation
Students are expected to choose one of the major class topics to present in class.
Before the presentation, the student will be expected to prepare a power-point
presentation of the research they have completed. The power point presentation needs to
be completed and e-mailed to Ms. Summers and Dr. Skinstad by Monday morning before
8:00am, so the presentation can be posted on ICON.
4) Visit to community based programs for prevention and/or treatment of substance
use disorders.
Students are expected to visit a community-based prevention and/or treatment
program for substance use disorders, and write a short report of their visit, with an
2
Spring semester 2010
overview of prevalence data and treatment/prevention programs offered, to the instructor
and classmates.
5) Term paper
Students will also be expected to complete a 5-10 page term paper on a topic of
special interest by the end of the semester. The final paper should discuss in detail the
focus area the student has chosen, including characteristics of the substance use disorder,
prevalence of the disorder, community impact of the disorder, and both prevention and
treatment issues related to the disorder. Students are expected to use APA reference style.
6) Exam
Two exams will be given during the semester. Both exams will focus on
information that has been discussed/presented in class, has been in the readings for the
class, and is covered during the period before the exam. The last exam is not meant to test
students on all the knowledge covered in class the whole semester, but just on material
from the time after spring break.
Evaluation
Students will be evaluated on their class presentations, their written summary of
their weekly class presentation, their report on their visit to the community based
treatment/prevention center, and their final paper.
Substance Abuse 101 Presentation, Intervention
Review Presentation, and fact sheets:
10%
Major class presentation
20%
Report on visit to communitybased treatment center
10%
Term paper:
30%
Exams
30%
Expectations for students’ presentations: Students’ work will be evaluated on the basis
of inclusion of important issues such as:
1. Prevalence of the substance abuse disorder discussed
2. Discussion of prevention issues
3. Discussion of treatment issues
4. Discussion of special lifespan, gender, cultural issues
5. Discussion of important issues for public health
Required literature:
The required literature has been ordered through the IMU bookstore, and is also
placed on reserve in the Hardin Library.
American Psychiatric Association (2000). Diagnostic and Statistical Manual of
Mental Disorders, Fourth Edition, Text Revision. Washington D.C.: American
Psychiatric Association. (DSM-IV).
3
Spring semester 2010
Miller, W.R., & Weisner, C.M. (2002). Changing substance abuse through health
and social systems. New York: Kluwer Academic/Plenum Publishers (M, W).
Sussman, S., & Ames, S.L. (2008). Drug abuse: Concepts, prevention, and
cessation. Cambridge University Press: New York (S & A)
Recommended literature
Hogan, J.A., Gabrielsen, K.R., Luna, N., Grothaus, D. (2003). Substance abuse
prevention: The intersection of science and practice. Boston: Allyn and Bacon.
(H,G,L,G).
Fisher, G.L. (2006). Rethinking our war on drugs: Candid talk about
controversial issues. Westport, Connecticut: Praeger Press (F).
Marlatt, G.A., & Donovan, D.M. (2005). Relapse Prevention: Maintenance
strategies in the treatment of addictive behaviors. 2nd edition. New York: The Guilford
Press (M & D).
McNeece, C.A., & DiNitto, D.M. (2005). Chemical Dependency: A systems
approach. Third edition. Boston: Pearson and Allyn and Bacon. (Mc & D)
Nathan, P.E., & Gorman, J.M. (2007). A Guide to Treatments that work, Third
Edition. New York: Oxford University Press (N, G).
The Iowa Substance Abuse Information Center (ISAIC) in the Cedar Rapid Public
Library is also a resource for you. ISAIC may be of assistance in obtaining the literature
in the public domain, telephone number 1-866-242-4111 - Fax (319) 398-0476. ISAIC
will assist you with literature searches as well. When you contact this center, please
inform the librarian that you are enrolled in Dr. Skinstad’s course. The ISAIC has
relocated since the 2008 flood, and is now in the Lindale Mall, Cedar Rapids.
Literature in the Public Domain.:
National Institute on Drug Abuse (2003). Drug abuse among racial/ethnic
minorities. Revised. Washington: Department of Health and Human Services (NIDA),
NIH Publication No. 03-3888.
National Institute on Drug Abuse (2006). Assessing Drug Abuse within and
Across Communities. Community Epidemiology Surveillance Network on Drug Abuse,
Second edition. Washington: Department of Health and Human Services (NIDA), NIH
Publication No. 06-3614.
Substance Abuse and Mental Health Service Administration (1999). Blending
Perspectives and Building Common Ground. A Report to Congress on Substance Abuse
and Child Protection. Washington: U.S. Government Printing Office.
Substance Abuse and Mental Health Service Administration (2000). Summary of
Findings From the 2000 National Household Survey on Drug Abuse. Department of
Health and Human Services, Substance Abuse and Mental Health Service
Administration. Washington: U.S. Office of Applied Studies, NHSDA Series H-13,
DHHS Publication No (SMA) 01-3549.
Substance Abuse and Mental Health Service Administration (2001). Multiple
Indicator Analysis: Using Secondary Data to Analyze Illicit Drug Use. Department of
Health and Human Services, Substance Abuse and Mental Health Service
Administration. Washington: U.S. DHHS Publication No (SMA) 01-3539.
4
Spring semester 2010
Web-pages you need to bookmark for this class:
It is important for you to keep up with information on the following web pages this
semester. The web sites can also be found on ICON’s links page:
Iowa Substance Abuse Information Center: www.isaic.org
National Institutes of Health NIH): www.nih.gov
National Institute of Alcohol Abuse and Alcoholism (NIAAA): www.niaaa.nih.gov
National Institute of Drug Abuse (NIDA): www.nida.nih.gov
Substance Abuse and Mental Health Service Administration (SAMHSA):
www.samhsa.gov
National Registry of Evidence-based Programs & Practices (NREPP):
http://www.nrepp.samhsa.gov/
Center for Substance Abuse Treatment (CSAT): www.samhsa.gov/centers/csat/csat.html
Center for Substance Abuse Prevention (CSAP):www.samhsa.gov/centers/csap/csap.html
5
Spring semester 2010
TENTATIVE CALENDAR
January:
25
Introduction to the class schedule and goals and objectives
of the class
Historical cultural views of substance-related disorders:
H,G,L,G, 5
February
1
Characteristics (e.g., diagnostic criteria) of
substance use/abuse and dependence.
Scope of the problem/epidemiology
DSM-IV pp 191- 211
S & A; 1,2
M, W: 1
Substance use disorders 101: Alcohol related disorders
DSM-IV-TR: pp: 212-223
Intervention review: Brief Alcohol Screening and Intervention for College
Students (BASICS)
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=156
8
Neurological and physiological effects of alcohol
and drug abuse
Etiology of the substance use disorders
S & A: 4,5,
Substance use disorders 101: Nicotine related disorders
DSM-IV-TR: pp: 264-269
Intervention review: Not On Tobacco (N-O-T)
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=189
15
Etiology of the substance use disorders; continue
S & A: 6,7,8
Substance use disorders 101: Cannabis related disorders
DSM-IV-TR: pp: 234-241
Substance use disorders 101: Amphetamine related disorders:
DSM-IV-TR: pp: 223-231
22
Gender issues in substance use disorders
strategies: Reduction in drinking
and use of tobacco among pregnant women
M & D: 15
S & A: pp 116-117
Intervention review: ATHENA (Athletes Targeting Healthy Exercise &
Nutrition Alternatives)
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=111
6
Spring semester 2010
Intervention review: ATLAS (Athletes Training and Learning to Avoid
Steroids)
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=97
March
1
Primary and secondary prevention methods
Neurobiological and cognitively relevant
prevention research:
S & A: 10
S&A: 11,12
Substance use disorders 101: Caffeine related disorders
DSM-IV-TR: pp: 231-234
Substance use disorders 101: Cocaine related disorders
DSM-IV-TR: pp: 241-250
Intervention review: Project Venture
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=146
8
15 – 22
EXAM
22
Spring Break: No class
Use of media in prevention efforts
Cultural social aspects of prevention
H,G,L,G: 7
S & A 12,13
Substance use disorders 101: opioid-related disorders
DSM-IV-TR: pp. 269-277
Intervention review: Challenging College Alcohol Abuse
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=96
29
Age related issues in substance abuse
Adolescents
Older adults
M & D.: 9
M & D.: 14
Substance use disorder 101: Hallucinogen-related disorders
DSM-IV: pp.: 250-257
Intervention review: Residential Student Assistance Program (RSAP)
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=204
April
5
Sexual minorities
M & D.: 12
7
Spring semester 2010
Substance use disorders co-occurring with
mental health disorders
M & D: 13
Intervention review: Coping with Work and Family Stress
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=142
Intervention review: Caring School Community
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=158
12
Cessation and treatment
Neurobiological and cognitive relevant strategies
S & A: 15
S & A: 16,17
Substance use disorder 101: Inhalant-related disorders
DSM-IV-TR.: 257-259
Intervention review: Celebrating Families
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=159
19
Intervention through health care systems
Assessment and early intervention
M, W: 4, 5, 7
S & A: 18,19
Substance use disorders 101: Club drugs and steroid-related disorders
Substance use disorder 101: Phencyclidine (PCP)-related disorder
DSM-IV-TR, pp. 278-284
26
Legal issues related to drug and alcohol regulations
Harm Reduction
Intervention in social systems
F: 2, 3
M,W: 13,15,16
Intervention review: Community Trials Intervention To Reduce High-Risk
Drinking
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=161
Intervention review: Reward and Reminder
http://www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=205
May
3
Treatment of substance use disorderstypes, access issues
Treatment system of care
Peter E. Nathan, Emeritus Distinguished Professor
M & W: 3, 18
N, G: 5, 6
8
Spring semester 2010
10
Exam week, and deadline for term paper
9