Influence of the School on Substance Abuse (EE)This is a featured page

This initial draft of an encyclopedia entry (a two page summary has been started by the International School Health Network from a previous Canadian project. Visitors to and members of this wiki-based web site are welcome to edit this page (using the Easy Edit" tool found at the top of the page or to comment on the draft by using the "thread" tool found at the bottom of the page. (All previous versions of this page are automatically saved by the system, so don't hesitate to edit this page). When time and resources permit, this draft will be reformatted in accordance with the outline for encyclopedia entries used in this knowledge exchange program.

This page discusses how the physical and social environment of the school, including major aspects of the operation of schools such as students evaluation/assessment-promotion-failing, transitions between levels of schooling and moving between schools, can influence substance use and addictive behaviours among youth.

Influence of the Physical and Social Environment and School Practices on Substance Abuse
(Adapted from a Knowledge Summary Prepared for the Canadian Association for School Health)

The ten key implementation strategies suggested by the International School Health Network include this statement:

1.6 Programs should be based on a clear understanding of the impact and effects of the social and physical; environment of the school on the health or social problem being addressed.

This summary discusses how this advice can be applied to the issue of substance use and abuse and other youth risl behaviours.

Considering the amount of time students spend in school, it should not be a surprise to learn that there are important opportunities to contribute to student well-being in this setting. There is good evidence that supportive and caring relationships within schools promote academic motivation and performance among students.
[i] Less is known about the influence of the school environment on adolescent health risk behaviours but it is getting increasing research attention.[ii] [iii] This research on the social environment of schools (and to a lesser extent the physical environment), employs various terms such as “school connectedness”, “school bonding”, “school engagement” “school culture”, “school ethos”, “social ecology” and “social inclusion”.

Because it is a relatively young area of research, it lacks a clear theoretic basis and the social environment isn’t yet consistently defined. School connectedness is often seen as comprising student-teacher relationships and social or peer relationships.[iv] The Social Development Model has been suggested as a theoretic model, viewing connectedness to family, schools, peers, and community as protective against substance use and antisocial behaviour.[v] [vi] [vii] Another model, the Schools as Communities perspective, views schools with a culture characterized by caring and supportive student and teacher relationships and student input into school policy and classroom practices as promoting academic success and health.[viii]

Student-teacher connectedness: It is apparent that a perception of teacher connectedness has a protective effect on substance use and a wide range of other problem behaviours at the late elementary, middle and high school levels.[ix] [x] [xi] In an Alberta high school, students who liked only half their teachers or less (44% of the student total) were 70% more likely to use marijuana, 20% more likely to smoke, 43% more sexually active and two and a half times more likely to report depression.[xii] Middle school appears to be a critical period when students often sense a lack of connectedness; when they do perceive it during this period, it bodes well for them in high school.[xiii] [xiv] [xv] By concentrating not only on the curriculum content but also on the context, relationships, and processes for learning and teaching, teachers can contribute to well-being and academic success.[xvi] [xvii]

Social connectedness: It also appears that social or peer bonding may have a protective or risk enhancing effect depending on the nature and quality of the relationships; if bonding occurs with non-conventional peers or if social life is characterized by bullying or being threatened, social connections will have a risk enhancing effect. Ongoing teacher connectedness can offset the effects of poorer social connections.[xviii] [xix]

Overall school connectedness: Students with positive teacher, learning and social connectedness fare best in terms of later mental health and involvement in health risk behaviours, and are more likely to have good educational outcomes. So, it is important to consider how to enhance both teacher connectedness and social connectedness in ways that promote learning and well being.[xx]

Lack of school connectedness: Young people who are not engaged with learning and who have poor relationships with peers and teachers (e.g. being bullied, feelings of not belonging and feeling under stress) are more likely to experience academic problems, mental health problems and be involved in various health risk behaviours including substance use.[xxi] [xxii] [xxiii]

Higher risk students: Even students at high risk (e.g. having been suspended or detained) who perceive a connectedness with teachers are less likely to become involved in harmful substance use or other problem behaviours than counterparts who don’t have that sense.[xxiv] [xxv] Gender: Because girls tend to give greater priority to relationships than do boys, they are more likely to judge school culture in favourable terms and express a stronger sense of school belonging and attachment. Interpersonal dimensions of school environment are likely to have a stronger impact on their level of classroom participation and motivation for learning.[xxvi]

School norms: Students in junior and senior high school are more likely to use substances when the norms in school reflect a greater tolerance for substance use. These findings hold even after controlling for students’ own disapproval and for other student and school demographic characteristics.[xxvii] [xxviii]

Physical environment: Unsafe places or “un-owned” places, such as hallways, dining areas, and parking lots, where school personnel are not typically present and rules are more difficult to enforce can contribute to problems, including substance use problems by interacting with social norms and behaviour (e.g. verbal bullying; victimization). This interaction is important in understanding the problem as well as how best to intervene.[xxix]

The importance of leadership: many elements feed into the nature and quality of the relationships that determine the level of protection or risk to be found in a school but it is apparent that the tone needs to be set by school leadership. Leadership will determine the kinds of policies, the consistency with which they are enforced, and the extent to which students are able to contribute to them. Leadership (through hiring, training and modelling) can also influence the nature of the teacher-student relationship toward high expectations, respect, and task-focused learning (rather than a preoccupation with a results focus).[xxx] [xxxi]

Connectedness with a trusted adult at school (Mentor, Coach, Volunteer Parent)


School Rules and their Enforcement (Including Suspensions, Alternatives to Suspensions, Zero Tolerance Policies)


Alternative Programs and Recognition for Students not Achieving Academically


Transition between Elementary and High School


Frequent Home Moves Resulting in Multiple School to School Transitions


Concluding Remarks:

It is important to note that much of this research is based on cross-sectional surveys that are not able to determine causal effect. So, much of the school connection research is not designed to determine how much of the sense of connection comes from attributes of teachers and schools and how much is due to student traits and motivation or even parent or neighbourhood attributes. One recent study did show evidence of a “school effect” – a study of 2,500 Scottish students who attended elementary schools that had a positive school “ethos” (i.e. students felt attached to school, engagement with education, and got along with their teachers) and which took account of a wide range of other possible contributing factors (e.g. social class, deprivation, religion, family structure, parenting, disposable income and parental health behaviours, as well as prior health behaviours) found that they were less likely to smoke, drink and use illegal drugs at age 13 and 15 than students attending schools with a poor “ethos”.[xxxii] [xxxiii]

Although there is much to learn, it is clear that modification of the school environment to promote school connectedness (i.e. teacher and social bonding) has the potential to impact substance use, other problem behaviours and academic performance for an entire school population. Research on the effectiveness of interventions designed to do this can be found in Section IV D, Comprehensive Whole-school Approaches.


[i] West, P. (2006). School effects research provide new and stronger evidence in support of the health-promoting school idea [Editorial]. Health Education, 106(6), 421-424.
[ii] McNeely, C., & Faici, C. (2004). School connectedness and the transition into and out of health-risk behavior among adolescents: A comparison of social belonging and teacher support. Journal of School Health, 74(7).
[iii] West, P. (2006). School effects research provide new and stronger evidence in support of the health-promoting school idea [Editorial]. Health Education, 106(6), 421-424.
[iv] McNeely, C., & Faici, C. (2004). School connectedness and the transition into and out of health-risk behavior among adolescents: A comparison of social belonging and teacher support. Journal of School Health, 74(7).
[v] Catalano and Hawkins (1996) as cited in Loxley, W., Toumbourou, J.W., & Stockwell, T. (2004). The prevention of substance use, risk and harm in Australia: A review of the evidence. Retrieved September 30, 2007, from http://www.aodgp.gov.au/internet/wcms/publishing.nsf/content/health-pubhlth-publicat-document-mono_prevention-cnt.htm
[vi] Bond, L., Butler, H., Thomas, L., Carlin, J., Glover, S., Bowes, G., & Patton, G. (2007). Social and school connectedness in early secondary school as predictors of late teenage substance use. Mental health, and academic outcomes. Journal of Adolescent Health, 40.
[vii] Maddox, S.J., & Prinz, R.J. (2003). School bonding in children and adolescents: Conceptualization, assessment, and associated variables. Clinical Child and Family Psychology Review, 6(1).
[viii] DeWit, D.J., Akst, L., Braun, K., Jelley, J., Lefebvre, L., McKee, C. (2002). Sense of school membership: A mediating mechanism linking student perceptions of school culture with academic and behavioural functioning. Toronto, Canada: Centre for Addiction and Mental Health.
[ix] West, P., Sweeting, H., & Leyland, A. (2004). School effects on pupils’ health behaviors: Evidence in support of the health promoting school. Research Papers in Education, 19(3).
[x] McNeely, C., & Faici, C. (2004). School connectedness and the transition into and out of health-risk behavior among adolescents: A comparison of social belonging and teacher support. Journal of School Health, 74(7).
[xi] Wood, E.J., Dewit, D.J., Rye, B.J., Stevens Lavigne, A., Steep, B., Silverman, G., Ellis, K., Smythe, C., & Braun, K. (2000). Evaluating an in-school drug prevention program for at-risk youth. Alberta Journal of Educational Research, 46(2), 117.
[xii] University of Calgary, Population health intervention research centre. (n.d.). Feeling alienated at school: How risky health behaviours start. Retrieved August 31, 2007, from http://www.ucalgary.ca/PHIRC/html/snapshots.html
[xiii] McNeely, C., & Faici, C. (2004). School connectedness and the transition into and out of health-risk behavior among adolescents: A comparison of social belonging and teacher support. Journal of School Health, 74(7).
[xiv] Bond, L., Butler, H., Thomas, L., Carlin, J., Glover, S., Bowes, G., & Patton, G. (2007). Social and school connectedness in early secondary school as predictors of late teenage substance use. Mental health, and academic outcomes. Journal of Adolescent Health, 40.
[xv] Bryant, A., Jacquelynne, L., & Eccles, S. (2007). Psychosocial, motivational, and contextual profiles of youth reporting different patterns of substance use during adolescence. Journal of Research on Adolescence, 17(1), 51-88.
[xvi] Sellström, E., & Bremberg, S. (2006). Is there a "school effect" on pupil outcomes? A review of multilevel studies. Journal of Epidemiology and Community Health, 60, 149-155.
[xvii] West, P. (2006). School effects research provide new and stronger evidence in support of the health-promoting school idea [Editorial]. Health Education, 106(6), 421-424.
[xviii] McNeely, C., & Faici, C. (2004). School connectedness and the transition into and out of health-risk behavior among adolescents: A comparison of social belonging and teacher support. Journal of School Health, 74(7).
[xix] Bond, L., Butler, H., Thomas, L., Carlin, J., Glover, S., Bowes, G., & Patton, G. (2007). Social and school connectedness in early secondary school as predictors of late teenage substance use. Mental health, and academic outcomes. Journal of Adolescent Health, 40.
[xx] ibid
[xxi] Wood, E.J., Dewit, D.J., Rye, B.J., Stevens Lavigne, A., Steep, B., Silverman, G., Ellis, K., Smythe, C., & Braun, K. (2000). Evaluating an in-school drug prevention program for at-risk youth. Alberta Journal of Educational Research, 46(2), 117
[xxii] Bond, L., Butler, H., Thomas, L., Carlin, J., Glover, S., Bowes, G., & Patton, G. (2007). Social and school connectedness in early secondary school as predictors of late teenage substance use. Mental health, and academic outcomes. Journal of Adolescent Health, 40.
[xxiii] Maddox, S.J., & Prinz, R.J. (2003). School bonding in children and adolescents: Conceptualization, assessment, and associated variables. Clinical Child and Family Psychology Review, 6(1).
[xxiv] Voisin, D.R., Salazar, L.F., Crosby, R., DiClemente, R.J., Yarber, W.L., & Staples-Horne, M. (2005). Teacher connectedness and health-related outcomes among detained adolescents. Journal of Adolescent Health, 37, 337.
[xxv] Higgins, K., & Percy, A. (2006). Brief report: School exclusion drug use and delinquency in adolescence. Journal of Adolescence, 29, 829-836.
[xxvi] DeWit, D.J., Akst, L., Braun, K., Jelley, J., Lefebvre, L., McKee, C. (2002). Sense of school membership: A mediating mechanism linking student perceptions of school culture with academic and behavioural functioning. Toronto, Canada: Centre for Addiction and Mental Health.
[xxvii] Reid, R.J., Peterson, N.A., Hughey, J., & Garcia-Reid, P. (2006). School climate and adolescent drug use: Mediating effects of violence victimization in the urban high school context. The Journal of Primary Prevention, 27(3).
[xxviii] Kumar, R., O’Malley, P.M., Johnston, L.D., Schulenberg, J.E., & Bachman, J.G. (2002). Effects of school-level norms on student substance use. Prevention Science, 3(2).
[xxix] Reid, R.J., Peterson, N.A., Hughey, J., & Garcia-Reid, P. (2006). School climate and adolescent drug use: Mediating effects of violence victimization in the urban high school context. The Journal of Primary Prevention, 27(3).
[xxx] Sellström, E. & Bremberg, S. (2006). Is there a "school effect" on pupil outcomes? A review of multilevel studies. Journal of. Epidemiology and Community Health, 60,149-155.
[xxxi] Wood, E.J., Dewit, D.J., Rye, B.J., Stevens Lavigne, A., Steep, B., Silverman, G., Ellis, K., Smythe, C., & Braun, K. (2000). Evaluating an in-school drug prevention program for at-risk youth. Alberta Journal of Educational Research, 46(2), 117.
[xxxii] West, P., Sweeting, H., & Leyland, A. (2004). School effects on pupils’ health behaviors: Evidence in support of the health promoting school. Research Papers in Education, 19(3).
[xxxiii] West, P. (2006). School effects research provide new and stronger evidence in support of the health-promoting school idea [Editorial]. Health Education, 106(6), 421-424.



dmccall
dmccall
Latest page update: made by dmccall , Jan 25 2010, 4:57 PM EST (about this update About This Update dmccall Edited by dmccall

68 words added

view changes

- complete history)
Keyword tags: None (edit keyword tags)
More Info: links to this page

Anonymous  (Get credit for your thread)


There are no threads for this page.  Be the first to start a new thread.