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     <title>RAND Research Topic: Underage Substance Use</title>
     <link rel="self" href="https://www.rand.org/topics/underage-substance-use.xml"/>
     <updated>2017-07-20T17:25:34Z</updated>
     <link rel="alternate" type="text/html" hreflang="en" href="https://www.rand.org/topics/underage-substance-use.html" />
     <rights>Copyright (c) 2017, The RAND Corporation</rights>
     <author>
       <name>RAND Corporation</name>
     </author>
     <id>https://www.rand.org/topics/underage-substance-use.html</id>
 
 <entry>
   <title type="html">Predicting Evidence-Based Treatment Sustainment</title>
   <author>
   	<name>Sarah B. Hunter; Bing Han; Mary Ellen Slaughter; Susan H Godley; Bryan R. Garner</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP67231.html</id>
   <published>Jul 18, 2017</published>
   <updated>Jul 18, 2017</updated>
   <summary type="html">Providers&apos; ability to sustain A-CRA programming beyond initial implementation support depended on factors such as the level of implementation success, staff perceptions toward the intervention, funding stability, and community support.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67231.html" />
   
 </entry>
 
 <entry>
   <title type="html">Medical Marijuana and Marijuana Legalization</title>
   <author>
   	<name>Rosalie Liccardo Pacula; Rosanna Smart</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP67168.html</id>
   <published>May 31, 2017</published>
   <updated>May 31, 2017</updated>
   <summary type="html">State actions to relax marijuana policies vary substantially, making it difficult to compare policies and draw conclusions about user and market reactions.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67168.html" />
   
 </entry>
 
 <entry>
   <title type="html">Treatment Motivation Among Caregivers and Adolescents with Substance Use Disorders</title>
   <author>
   	<name>Talea Cornelius; Valerie A. Earnshaw; David Menino; Laura M. Bogart; Sharon J. Levy</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP67087.html</id>
   <published>Apr 13, 2017</published>
   <updated>Apr 13, 2017</updated>
   <summary type="html">Treatment-seeking for substance use disorders among adolescents is more effective at promoting engagement with health care if the motivation comes from the adolescent him/herself rather than from a caregiver.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67087.html" />
   
 </entry>
 
 <entry>
   <title type="html">Recreational Cannabis</title>
   <author>
   	<name>Beau Kilmer</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP67070.html</id>
   <published>Mar 28, 2017</published>
   <updated>Mar 28, 2017</updated>
   <summary type="html">Legalizing recreational use of marijuana comes with a host of policy decisions, including how to regulate the supply, pricing, and access to the drug, and how to approach public health messaging on substance abuse prevention.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67070.html" />
   
 </entry>
 
 <entry>
   <title type="html">Frequency of E-cigarette Use, Health Status, and Risk and Protective Health Behaviors in Adolescents</title>
   <author>
   	<name>Michael Stephen Dunbar; Joan Tucker; Brett Ewing; Eric R. Pedersen; Jeremy N. V. Miles; Regina A. Shih; Elizabeth J. D&apos;Amico</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP67069.html</id>
   <published>Mar 16, 2017</published>
   <updated>Mar 16, 2017</updated>
   <summary type="html">Adolescents who use electronic cigarettes may engage in fewer risky behaviors than their tobacco smoking peers, but their physical health and engagement in protective health behaviors is not necessarily any better.&#160;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67069.html" />
   
 </entry>
 
 <entry>
   <title type="html">Association of State Recreational Marijuana Laws with Adolescent Marijuana Use</title>
   <author>
   	<name>Magdalena Cerd&amp;aacute;; Melanie Wall; Tianshu Feng; Katherine M. Keyes; Aaron Sarvet; John Schulenberg; Patrick M. O&apos;Malley; Rosalie Liccardo Pacula; Sandro Galea; Deborah S. Hasin</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP67013.html</id>
   <published>Mar 16, 2017</published>
   <updated>Mar 16, 2017</updated>
   <summary type="html">After recreational marijuana laws were passed, perceived harm associated with marijuana use decreased among students in 8th and 10th grades in Washington state and use increased; neither perception nor use changed in Colorado after legalization.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP67013.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Role of Perceived Injunctive Alcohol Norms in Adolescent Drinking Behavior</title>
   <author>
   	<name>Eric R. Pedersen; Karen Chan Osilla; Jeremy N. V. Miles; Joan Tucker; Brett Ewing; Regina A. Shih; Elizabeth J. D&apos;Amico</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66781.html</id>
   <published>Jan 25, 2017</published>
   <updated>Jan 25, 2017</updated>
   <summary type="html">Perceived injunctive norms (i.e., what behaviors peers find acceptable) should be targeted in prevention programs with youth because these perceptions are associated with multiple drinking outcomes, such as heavy drinking.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66781.html" />
   
 </entry>
 
 <entry>
   <title type="html">Regulating Medical Marijuana Markets: Insights from State Experiments</title>
   <author>
   	<name>Rosalie Liccardo Pacula</name>
   	</author>  
   <id>https://www.rand.org/pubs/testimonies/CT461.html</id>
   <published>Jan 25, 2017</published>
   <updated>Jan 25, 2017</updated>
   <summary type="html">In setting rules and regulations for medical marijuana programs, legislators should consider the structures that supply medical marijuana, the effects of commercialization, and the impact of laws on youth.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/testimonies/CT461.html" />
   
 </entry>
 
 <entry>
   <title type="html">Family Functioning and Predictors of Runaway Behavior Among At-Risk Youth</title>
   <author>
   	<name>Stephanie Brooks Holliday; Maria Orlando Edelen; Joan Tucker</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66667.html</id>
   <published>Oct 12, 2016</published>
   <updated>Oct 12, 2016</updated>
   <summary type="html">Adolescent runaway behavior is associated with a range of negative consequences in young adulthood. Therefore, this study aimed to examine predictors of running away in at-risk youth.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66667.html" />
   
 </entry>
 
 <entry>
   <title type="html">To Educate or to Incarcerate: Examining Disparities in School Discipline</title>
   <author>
   	<name>Matthew L. Mizel; Jeremy N. V. Miles; Eric R. Pedersen; Joan Tucker; Brett Ewing; Elizabeth J. D&apos;Amico</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66654.html</id>
   <published>Sep 30, 2016</published>
   <updated>Sep 30, 2016</updated>
   <summary type="html">Several factors contribute to disparities in office referral, suspension, and expulsion in high schools. Helping students engage in school may protect against disproportionate school discipline.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66654.html" />
   
 </entry>
 
 <entry>
   <title type="html">Cultural Identity Among Urban American Indian/Alaska Native Youth</title>
   <author>
   	<name>Ryan Andrew Brown; Daniel Dickerson; Elizabeth J. D&apos;Amico</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66640.html</id>
   <published>Sep 22, 2016</published>
   <updated>Sep 22, 2016</updated>
   <summary type="html">Better understanding how American Indian/Alaska Native youth negotiate cultural identity in urban settings can help with the design of culturally appropriate alcohol and other drug use interventions.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66640.html" />
   
 </entry>
 
 <entry>
   <title type="html">A Cluster-Randomized Trial of Restorative Practices</title>
   <author>
   	<name>Joie Acosta; Matthew Chinman; Pat Ebener; Andrea Phillips; Lea Xenakis; Patrick S Malone</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66627.html</id>
   <published>Sep 15, 2016</published>
   <updated>Sep 15, 2016</updated>
   <summary type="html">A Maine-based trial of a Restorative Practices Intervention will assess whether a positive youth development program improves developmental outcomes and stems problem behaviors in middle schoolers, and whether the effects persist in high school.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66627.html" />
   
 </entry>
 
 <entry>
   <title type="html">Alcohol Mixed with Energy Drinks</title>
   <author>
   	<name>Joan Tucker; Wendy M. Troxel; Brett Ewing; Elizabeth J. D&apos;Amico</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66581.html</id>
   <published>Aug 22, 2016</published>
   <updated>Aug 22, 2016</updated>
   <summary type="html">High school students who mixed alcohol with energy drinks were more likely to report drinking often and heavily and to experience negative consequences in school than students who did not.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66581.html" />
   
 </entry>
 
 <entry>
   <title type="html">High School Drug Use Predicts Job-Related Outcomes at Age 29</title>
   <author>
   	<name>Jeanne Ringel; Phyllis L. Ellickson; Rebecca L. Collins</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP20070301.html</id>
   <published>Jul 28, 2016</published>
   <updated>Jul 28, 2016</updated>
   <summary type="html">Examines the relationship between hard drug use in high school and occupational and job quality outcomes measured at approximately age 29.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP20070301.html" />
   
 </entry>
 
 <entry>
   <title type="html">Adolescent Alcohol and Marijuana Use Predicts Poor Academic Performance and Health Problems</title>
   <author>
   	<name>Elizabeth J. D&apos;Amico; Joan Tucker; Jeremy N. V. Miles; Brett Ewing; Regina A. Shih; Eric R. Pedersen</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66506.html</id>
   <published>Jun 14, 2016</published>
   <updated>Jun 14, 2016</updated>
   <summary type="html">Adolescents who use both marijuana and alcohol are more likely to have poor academic performance and mental health during high school. Marijuana use is predictive of poorer functioning across more areas than alcohol use, and nonwhite youth tend to experience poorer functioning than white youth.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66506.html" />
   
 </entry>
 
 <entry>
   <title type="html">Toward Evidence-Based Measures of Implementation</title>
   <author>
   	<name>Bryan R. Garner; Sarah B. Hunter; Beth Ann Griffin; Susan H Godley</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66485.html</id>
   <published>May 25, 2016</published>
   <updated>May 25, 2016</updated>
   <summary type="html">The number of discrete procedures implemented in this evidence-based practice for adolescent substance use is associated with better client outcomes.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66485.html" />
   
 </entry>
 
 <entry>
   <title type="html">Southern California Middle School Students Exposed to More Than Three Alcohol Ads Each Day</title>
   <author>
   	<name>Rebecca L. Collins; Steven Martino; Stephanie Kovalchik; Kirsten Becker; William Shadel; Elizabeth J. D&apos;Amico</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66489.html</id>
   <published>May 17, 2016</published>
   <updated>May 17, 2016</updated>
   <summary type="html">African American and Hispanic youths are exposed to an average of 4.1 and 3.4 alcohol ads per day respectively, while white youths are exposed to an average of two ads per day. Greater restrictions on alcohol advertising outdoors and on television should be considered.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66489.html" />
   
 </entry>
 
 <entry>
   <title type="html">Southern California Middle School Students Exposed to More Than Three Alcohol Ads Each Day</title>
   <author>
   	<name>RAND Corporation</name>
   	</author>  
   <id>https://www.rand.org/news/press/2016/05/17/index1.html</id>
   <published>May 17, 2016</published>
   <updated>May 17, 2016</updated>
   <summary type="html">African American and Hispanic youths are exposed to an average of 4.1 and 3.4 alcohol ads per day respectively, while white youths are exposed to an average of two ads per day. Greater restrictions on alcohol advertising outdoors and on television should be considered.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/news/press/2016/05/17/index1.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Relationship Between Emotion Regulation, Social Support, and Alcohol-Related Problems Among Racially Diverse Adolescents</title>
   <author>
   	<name>Briana A. Woods-Jaeger; Richard H. Nobles; Linnea Warren May; Mary E. Larimer</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66449.html</id>
   <published>Apr 27, 2016</published>
   <updated>Apr 27, 2016</updated>
   <summary type="html">Difficulty with emotional regulation and use of drinking as a way to forget about problems can predict some adolescent alcohol-related problems.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66449.html" />
   
 </entry>
 
 <entry>
   <title type="html">Adoption, Training, and Implementation of the Project ALERT Drug Prevention Program in Chile</title>
   <author>
   	<name>Pamela J. Luna; Eric R. Pedersen; Stefanie Howard</name>
   	</author>  
   <id>https://www.rand.org/pubs/external_publications/EP66344.html</id>
   <published>Feb 19, 2016</published>
   <updated>Feb 19, 2016</updated>
   <summary type="html">This study explored the process of adoption and implementation of a school-based drug and alcohol prevention program, Project ALERT, in the country of Chile.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="https://www.rand.org/pubs/external_publications/EP66344.html" />
   
 </entry>
 
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