Drug Abuse Resistance Education (DARE)

Program Goals

The primary goal of Drug Abuse Resistance Education (DARE) is to teach effective peer resistance and refusal skills so that adolescents can say “no” to drugs and their friends who may want them to use drugs. The secondary goals of the program are to build students’ social skills and enhance their self-esteem, as these are believed to be linked to adolescent drug use.


 

DARE was developed in 1983 as a joint effort between the Los Angeles County (Calif.) School District and the Los Angeles Police Department. In 1986, the U.S. Congress passed the Drug-Free Schools and Communities Act to promote drug abuse education and prevention programs across the country, and DARE spread rapidly, with many school districts adopting it for their students. By 1994, DARE was the most widely used school-based drug prevention program, showing up in all 50 states in the United States and spreading to six foreign countries.


 

Target Population/Eligibility

DARE was initially designed for elementary school students, specifically fifth and sixth graders. Over the years, it has developed curriculum aimed at middle and high school students. The early focus of the program was to inoculate or strengthen children to resist the temptation of drug experimentation and the pressure of peers who want them to engage in drug use.


 

Program Activities

The core curriculum of DARE consists of 17 lessons, one given each week. These lessons are taught by police officers in school classrooms. Lessons last about 45 minutes to 1 hour. Following is a brief description of the 17 lessons (Rosenbaum et al. 1994):

  • Lesson 1: Introduction and personal safety: Introduction and discussion of personal rights and general safety practices
  • Lesson 2: Drug use and misuse: The harmful effects from misuse of drugs
  • Lesson 3: Consequences: Consequences of using alcohol, cigarettes, and illegal drugs
  • Lesson 4: Resisting pressures: Different types of pressures to use drugs are identified and discussed
  • Lesson 5: Resistance techniques: Students learn refusal strategies to combat peer pressure
  • Lesson 6: Building self-esteem: Importance of self-image and how to identify positive qualities in yourself and others
  • Lesson 7: Assertiveness: Personal rights and responsibilities and situations that call for being assertive
  • Lesson 8: Managing stress: Identifying stress and ways to cope with it without drugs
  • Lesson 9: Media influences: Discussion of movies, television, and advertising techniques
  • Lesson 10: Decision-making and risk-taking: Discussion of risky behavior and consequences of choices
  • Lesson 11: Drug-use alternatives: Other activities students can engage in besides drug use
  • Lesson 12: Role modeling: Role models that do not use drugs and older students that have stayed away from drugs
  • Lesson 13: Support systems: Types of support groups and barriers to friendship
  • Lesson 14: Gang pressures: Discussion of gangs and the consequences of gang activity
  • Lesson 15: DARE summary: DARE review
  • Lesson 16: Taking a stand: Discussion of how to stand up for yourself when pressured to use drugs
  • Lesson 17: DARE culmination: Award assembly and encouragement of participants to stay away from drugs


Program Theory

DARE uses the social influence approach to drug-use prevention. This psychosocial approach emphasizes and aims to strengthen children’s refusal skills so they can better resist social pressures to try and use drugs. It also builds general social competencies to help prevent or at least delay adolescent drug use. The core curriculum was built for and targets children in their last years of elementary school, fifth and sixth grades. It is thought that this is the age where children are most receptive to antidrug messages and catches them before they experiment or are pressured to experiment with drugs by their peers. DARE officers receive 80 hours of training in classroom management, teaching strategies, communication skills, adolescent development, drug information, and thorough instruction on DARE’s 17 lessons.

Intervention ID
99
Ages

11 to 18

Rating
No Effects
Outcomes

Study 1

Drug Use

The logistic regression adjusted odds ratios show that Drug Abuse Resistance Education (DARE) had no statistically significant impact on students’ initiation of alcohol use, cigarette smoking, or heavy drinking. This result was evident immediately after the completion of DARE, one year after completion, and two years after completion. Additionally, DARE did not affect students’ quitting of alcohol use during the study period (Ennett et al. 1994).


 

There were some positive impacts of DARE on students. Analyses show that DARE students, compared to control students, were half as likely to increase their cigarette use from pretest (Wave One) to the posttest (Wave Two). Rural students that received DARE were half as likely to increase alcohol use upon posttest. There was, however, no protective effect for alcohol evident for suburban or urban students receiving DARE. That is to say, although DARE did not prevent adolescents from using cigarettes or alcohol, those participating in DARE were not as likely to increase their use of cigarettes or alcohol compared to students in the control condition. This effect was only evident from Wave One to Two, meaning that this small protective effect wore off after a year.


 

Attitudes Toward Drug Use

The only significant effect found was on students’ self-esteem. At posttest, immediately after the 17 DARE lessons were completed, there was a significant positive effect on students’ self-esteem. However, DARE had no immediate or long-term effects on students’ attitudes toward drugs or their social skills, and the boost to self-esteem did not last over the study period.


 

Study 2

Drug Use

For the overall sample, Clayton, Cattarello, and Johnstone (1996) found an increase in drug use. Specifically, over the 5-year study, there was a 130 percent increase in cigarette use. Analyses looking at the specific impact of the DARE intervention reveal similarly negative results. There were no significant differences by intervention status present for any of the drug use outcomes. Thus, for cigarettes, alcohol, and marijuana, there was no discernable difference between students receiving DARE or the comparison group.


 

Attitudes Toward Drug Use/Refusal Skills

Over the 5-year evaluation period, negative attitudes toward drug use declined for the whole sample. This included a decline in negative attitudes toward general drug use and specific use of cigarettes, alcohol, and marijuana. Students on average felt their ability to resist peer pressure declined strongly, about 25 percent between baseline and year five. Additionally, students perceived that more of their peers were using drugs. The sample as a whole, both treatment and comparison, experienced a significant change in their drug-related behavior.


 

Examining the treatment group (DARE) and the comparison group (other drug education) separately reveals an interesting effect. For the early follow-up measurements, DARE students maintained negative attitudes toward drug use and moderately strong refusal skills. After the full five years, however, these small effects wear off, and there is no discernable difference between DARE students and comparison students.

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