CAADE Prevention Strategies 3 — Questions and Answers
Question 1: The 'strategic prevention framework' (SPF) developed by SAMHSA includes which step as its foundation?
- Evaluation of outcomes
- Assessment of needs and resources (Correct answer)
- Implementation of evidence-based programs
- Mobilization of community coalitions
Correct answer: Assessment of needs and resources
The SPF begins with assessment—gathering data on substance use patterns, risk and protective factors, and community resources to guide all subsequent planning steps.
Question 2: Which concept refers to the idea that prevention programs must match the cultural values and practices of the target population?
- Universal design
- Cultural competence (Correct answer)
- Harm reduction parity
- Ecological validity
Correct answer: Cultural competence
Cultural competence requires that prevention programs be adapted to respect and incorporate the beliefs, practices, and values of the specific population being served.
Question 3: In the context of prevention science, what does 'fidelity' refer to?
- The accuracy of substance use statistics
- Implementing a program as it was designed and tested (Correct answer)
- Financial accountability of prevention programs
- Staff loyalty to the organization
Correct answer: Implementing a program as it was designed and tested
Program fidelity means delivering an evidence-based prevention program with adherence to its original design, ensuring the intervention achieves its intended outcomes.
Question 4: Which approach to prevention specifically uses policy and legislative changes to reduce substance use in a community?
- Interpersonal prevention
- Systems-change prevention (Correct answer)
- Individual-level prevention
- Tertiary intervention
Correct answer: Systems-change prevention
Systems-change prevention uses policy, law enforcement, zoning, and regulatory mechanisms to alter the environment and reduce access and acceptability of substance use.
Question 5: A prevention educator conducts a needs assessment and finds high rates of binge drinking among college students. The most appropriate next step is to:
- Immediately implement a random evidence-based program
- Identify risk and protective factors specific to that population (Correct answer)
- Report findings to law enforcement
- Discontinue prevention efforts due to the severity
Correct answer: Identify risk and protective factors specific to that population
After identifying a problem through needs assessment, the next step is to analyze the underlying risk and protective factors to guide selection of targeted prevention strategies.
Question 6: Which of the following is a key component of 'Project ALERT,' an evidence-based prevention curriculum?
- Providing scare tactics about drug overdose consequences
- Building skills to resist motivations to use drugs and alcohol (Correct answer)
- Teaching youth to identify drug dealers in their community
- Focusing exclusively on alcohol abstinence pledges
Correct answer: Building skills to resist motivations to use drugs and alcohol
Project ALERT focuses on motivational resistance—helping adolescents understand and resist internal and external motivations to use drugs and alcohol.
Question 7: What is the primary goal of 'indicated prevention' programs for youth showing early signs of substance use?
- Complete abstinence enforcement through punishment
- Early intervention to prevent progression to more serious problems (Correct answer)
- Referral to inpatient treatment centers
- Separation from peer groups
Correct answer: Early intervention to prevent progression to more serious problems
Indicated prevention aims to intervene early with at-risk individuals to halt the progression from experimental or early use to problematic patterns of substance use.
CAADE Prevention Strategies 3
The 'strategic prevention framework' (SPF) developed by SAMHSA includes which step as its foundation?