How targeting teenage drug use before it starts seems to be paying off

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A drug prevention program that began in Montreal has been found to reduce the risk of substance use disorders in teens by offering them tools and strategies to cope with personality traits like impulsivity and anxiety.

"If a young person is reporting very high levels of these traits, they're more likely to use substances as a way to manage those traits," said Patricia Conrod, founder of the PreVenture program, who is also a psychiatry professor at the Université de Montréal and a scientist at Sainte-Justine hospital in Montreal.

A recent study in the American Journal of Psychiatry looked at the impact of PreVenture in 31 Montreal-area high schools over a five-year period.

Conrod told CBC News that the odds of developing a substance use disorder increase as students get older. The study found the program helped reduce the growth in the odds of substance use disorder by 35 per cent year over year, compared with a control group.

The program focuses on such traits as impulsivity, sensation seeking, anxiety sensitivity and hopelessness — all of which may lead teens to turn to substance use to cope. During two 90-minute workshops given in Grade 7, students gain insight into their own personalities and tools to manage them.

The program uses cognitive behavioural therapy, interactive exercises and group discussions to find personality-specific coping strategies.

Fara Thifault, 13, a Grade 7 student at Collège de Montréal, participated in a workshop last fall.

"I didn't realize I had negative thoughts, and when I did that [workshop], I realized, 'Yeah I get them a lot and this is how I can deal with them, so I feel better,'" she said.

Grade 10 student Romane Roussel, 16, said the workshops helped her, too.

"I'm less impulsive now because I use some techniques, I take a breather," she said.

Conrod said while a growing body of evidence supports the PreVenture program and others like it, schools across the country need sustained funding, including from federal and provincial governments, to deliver them more widely.

"Some substance use disorders are preventable, and we should be making sure that young people have access to the programs and the resources they need," she said.

The program is currently available in schools in five Canadian provinces, including Quebec, Ontario and British Colombia, as well as in several U.S. states.