Domino effect in the community: The consequences of risky behaviors among young people

Although the rate of risky behaviors among adolescents has decreased over the past 20 years, experts report that many young people and especially those who have fallen “through-the-cracks” of traditional systems are still engaging in high levels of risky behaviors including alcohol and drug use, risky sexual behaviors and violence. In San Bernardino County, CA the rates of these behaviors are higher than the national average. To inform program development graduate students conducted a targeted needs and assets assessment at a provisional learning center (PAL) offering educational employment programs and resources to at-risk youth ages 18-22. In collaboration with the young people we explored their reasons for and attitudes and beliefs about risky behaviors as well as their thoughts about what they felt they should and could change. Data were collected through ethnographies, windshield surveys, literature reviews, semi-structured interviews, guided by a theory-based interview guide, and a confirmatory focus group. Data were coded, themed and analyzed using inductive Grounded Theory methods. Emergent themes were participants' lack of personal responsibility in performing risky behaviors, lack of perceived consequences from alcohol and marijuana use, perceived adequate knowledge and skills for responsible decisions about sex, but also an interest in learning about HIV/AIDS and STDs, attitudes of acceptance and helplessness towards violence, a need for social support, and high self-efficacy in substance abuse behavior change. Using the data we developed, implemented and evaluated a pilot program using process and impact evaluation for program improvement. Results will be discussed in light of program sustainability.