Date of Graduation


Document Type



A Cumulative Strategies Model for drug abuse prevention employs a process by which two or more drug abuse prevention strategies are used conjointly, such that each strategy targets two or more factors that place children at high risk for drug abuse. This model was examined using an innovative multiple component program called CHOICES. CHOICES emphasizes the reduction of risk factors that are characteristic of a high risk population of children of alcoholics and predictive of drug abuse. Using a repeated measures multiple baseline design, the results of this study revealed that the Cumulative Strategies Model inherent to the CHOICES program may be an effective risk reduction strategy for a high risk population of children of alcoholics. Children who received two components of the program showed greater improvement in self esteem, social skills, and attachment to school than children who received one component or no intervention.