This study assesses the effectiveness of a strategy for obtaining active wr
itten parental consent for the outcome evaluation of an alcohol, tobacco, a
nd other drug (ATOD) abuse prevention program. A local school-based strateg
y that was implemented in 16 middle schools in ten rural and suburban schoo
l districts is presented. Using a multiple case study approach and an adequ
acy of performance analysis, it was found that seven of the ten districts a
chieved a minimum consent rate goal set at 70% (ranged from 53% to 85%, ave
rage rate of 72%). Only two districts achieved a desired consent rate of 80
%. Interviews with a key contact person in each school district provided pr
ofile information that distinguished districts that were successful in impl
ementing an active parental consent strategy from those that were not succe
ssful. A cost effectiveness analysis showed that this local school-based st
rategy for obtaining parental consent for program evaluation was more cost
effective than in previous studies. However, more than 20% of the data coll
ection costs involved obtaining active written consent. Methodological and
practical implications are discussed.