“We Need You to Survive”: The ASK Program and TADPOLE as Partners in Youth ATOD Prevention

Important community-based work is underway to prevent youth alcohol, tobacco and other drug (ATOD) use. Much of it goes unrecognized because of limited evidence to substantiate efforts. ATOD programs using outcome evaluation are at a distinct advantage compared to programs without such data. What sets them apart is the evidence base to sustain and refine efforts. Consistent access to evaluation requires forethought, dedicated systems, and genuine partnerships to conduct applied research.

The Alcoholism, Screening and Knowledge Program (ASK Program) is an ATOD prevention program in Nashville, Tennessee for youths adjudicated in Juvenile Court and referred by the Tennessee Department of Children's Services for ATOD infractions. Since 1985, the program serves youths who might otherwise “fall through the cracks” of the social service system. The program rejects the idea that these youths are “at-risk.” Instead, it believes they have the greatest potential for success. The ASK Program does not just believe this. They have the evidence to prove it.

Through a unique academic/community partnership, the University of Memphis under the Tennessee Alcohol, Drug Prevention Outcome Longitudinal Evaluation (TADPOLE) Study has evaluated the program for more than a decade. Youths completing the program show marked improvements in self-esteem, attitude and other ATOD prevention behaviors. With access to timely data and evaluation support, the program continually refines its programming to help youths achieve success. Beyond these outcomes, the ASK Program/TADPOLE example, as a case study, highlights the benefits and challenges of conducting applied research to support community-based ATOD programming efforts.