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In high-risk communities, programming must prove effective with youth who have already begun to use substances, not just deter those who have not yet started. As the graph below shows, CSAP-funded programs proved highly effective in reducing substance use among participants who reported using cigarettes, alcohol, or marijuana in the 30 days before entering their study program.
| Trends in 30-Day Substance Use Among Youth Who Initiated Substance Use Prior to Program Entry (n = 1,235) |
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| Note: Youth already using cigarettes, alcohol, and mariuana significantly reduced their use of substances after joining a prevention program. |
These findings indicate that the CSAP-funded prevention programs provide effective interventions for youth who have already been identified as initiating use.

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