Understanding normative practice in drug education is a key to identifying
means of improving preventive intervention outcomes. In this paper, we repo
rt findings of an observational study in which drug education in multiple p
eriods of 146 middle school classes was categorized minute-by-minute accord
ing to the type of instruction provided to students. Results indicate that
nearly half of all drug education focused on providing students with knowle
dge. Alternative methods, particularly those that have shown programmatic e
ffectiveness, and those that address risk and protective factors known to b
e highly predictive of drug use onset, were relatively ignored. Further, te
achers showed relatively low consistency in understanding concepts other th
an knowledge based on comparisons of their ratings of intended instructions
with those of trained observers. Nonetheless, there is evidence that some
teachers systematically attempted to address drug prevention from either a
social influence or an affective education perspective. These findings sugg
est that if improvements in the effectiveness of drug education are to be s
een in the future, a relatively radical transformation of approaches to tea
ching will be needed.