The Miami Coalition has identified the determinants placing local youth at risk for substance abuse. HOST Behavioral Risks Attitudinal Risks and Perceptions AGENT ENVIRONMENT Determinants in place locally

HOST Behavioral Risks Any Inhalant, tobacco, alcohol or other non-medical drug use Levels of acute adolescent drug addiction Early initiation of drug use Aggressive behavior Early and persistent antisocial behavior

HOST Attitudinal Risks and Perceptions Belief that drug use not that harmful Parental attitudes about drug use Perceived approval by peers of drug use Belief that drug use is generally tolerated

Agent Availability of drugs - cocaine, heroin, Rohypnol, GHB MDMA, LSD, GHB, methamphetamine, ketamine, alcohol, tobacco, inhalants, et al Trafficking patterns as identified by HIDTA and Miami DEN

Environment Parent substance abuse Parenting skills, especially for children with identified risks Friends who use drugs

Determinants and Risk/Protective Factors with Measurements in Place to Track Miami-Dade’s Progress and Impact Prevalence of youthful substance abuse (including tobacco, inhalants, alcohol, or other non-medical drug use); Early initiation of substance use; Harmfulness of drug use as perceived by youth; Harmfulness of drug use as perceived by adults; Disapproval of friends’ drug use; Perceived prevalence of friends’ use; Perceived prevalence of siblings’ use; Understanding and ability of parents and other adults to speak with youth about the importance of not using drugs; Willingness and ability of youth to speak to friends and peers about the importance of not using drugs; Proportion of youth reporting anti-drug commercials made them less likely to use drugs; Proportion of youth reporting anti-drug commercials do not overstate the dangers of drug use; Essential elements of school prevention programs; Demand and need for youthful addiction treatment services; and Voter disapproval of drug legalization.