This study examined the extent to which program comprehensiveness, pro
grammatic outcomes, program integration, and environmental factors are
being addressed by 336 urban and rural United States college and univ
ersity drug use prevention programs. College-based prevention programs
employed a range of programmatic goals, prevention communication chan
nels, and prevention strategies within a centralized department for dr
ug use prevention. Most program coordinators reported no perceived cha
nge in alcohol, tobacco and other drug use, alcohol/drug-related probl
ems, faculty/staff drug use, and alcohol and drug-related crime result
ing from prevention efforts on campus. The level of prevention activit
y differed across institutional type.