TY - BOOK AU - Caulkins,Jonathan P. AU - Rydell,C.Peter AU - Everingham,Susan S. AU - Chiesa,James AU - Bushway,Shawn ED - Rand Corporation. ED - RAND Drug Policy Research Center. ED - Robert Wood Johnson Foundation. TI - An ounce of prevention, a pound of uncertainty: the cost-effectiveness of school-based drug prevention programs SN - 0833025600 AV - HV5824.Y68 O94 1999 PY - 1999/// CY - Santa Monica, CA PB - RAND KW - Cocaine habit KW - United States KW - Prevention KW - Cost effectiveness KW - Drug abuse counseling KW - Drug abuse KW - Study and teaching KW - Students KW - Drug use KW - Youth N1 - "Drug Policy Research Center."; Includes bibliographical references (p. 185-194); Also available on the internet via WWW in PDF format N2 - Focuses on school-based drug prevention programs that have proven effective in formal evaluations. Effectiveness at reducing cocaine consumption is inferred from effectiveness at reducing marijuana initiation, and spillover effects on those not participating in the program are accounted for. Given substantial uncertainties in all pertinent factors, the cost-effectiveness estimation framework is constructed to permit easy substitution of alternate values at reader preference or as more information becomes available. The authors conclude that prevention can reduce lifetime cocaine consumption by 2 to 11 percent. Although these effects are small, prevention programs are inexpensive, so that the associated cost-effectiveness values bracket those of a range of enforcement strategies. Treatment, however, appears more cost-effective than prevention. A nationwide drug prevention program would cost only a tiny fraction of what the United States now spends on drug control, but its effect on the cocaine-using population would be modest and slow to accumulate UR - http://www.rand.org/publications/MR/MR923/ ER -