MDR partnered with the Howard County Public School System (HCPSS) to evaluate drug prevention and education efforts across middle and high schools. The project responded to rising concerns about student substance use, particularly opioids, and was conducted in collaboration with the Howard County Health Department and HCPSS’s Coordinator for Student Support Programs, Kami Wagner. 

MDR used a three-tiered mixed-methods approach. First, quantitative analysis drew from HCPSS disciplinary records, Maryland’s Youth Risk Behavior Survey, and other public health datasets. Findings showed a 21% increase in opioid misuse among high school students and a 182% increase among middle schoolers since 2017. Vaping surpassed cigarette use, and substance-related infractions rose 393% in middle schools, especially among economically disadvantaged students. 

Second, MDR conducted a literature review of peer-reviewed research on adolescent substance use and school-based prevention programs. Models like Life Skills Training and Project ALERT were highlighted, with emphasis on tailoring interventions for high-risk groups and integrating harm reduction strategies. 

Third, MDR facilitated five online focus groups with 32 participants, including students, parents, and staff. Students expressed frustration with scare tactics and preferred relatable mentors and interactive education. Staff and parents cited concerns about punitive policies and limited resources. 

MDR’s deliverables included custom datasets, moderator guides, focus group execution and transcription, literature synthesis, and a final report with evidence-based recommendations. The project’s comprehensive methodology and inclusive stakeholder engagement provided HCPSS with a strong foundation to improve its drug prevention and education efforts.