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Prevention Systems

Research

Quality control

Organisation

... since prevention can be harmful ...

Does the intervention/policy fit to the system?

Develop checklists for European regions?

Variable modules for different systems?

And in a far future:

Identify and combine effective Kernels?

Funding for prevention

central?

regional?

local?

... from which sources?

... but how tightly is this translated into delivery at local level?

... and sustained

... or can become public policy?

Is strategic decision making

central?

regional?

local?

Is there a consultation with the local level (needs)?

Level of independence of local services?

Guidance and advice to local level?

Standards available and applied?

Conditional funding?

Funding for R & D for prevention?

Development of interventions

Evaluation of interventions

Which sectors or ministries do factually cooperate?

How to bring reasonable approaches from planning/science to the ground?

Health

Education

Youth & Social Affairs

Economy

Interior

Civil Society

Interventions

Registered and known?

Which behavioural change techniques?

or information and advice only?

Workforce

Manualised Programmes

Prevention Services

Environmental Policies (often at local level)

"Come-" or "Go-Services?"

Service providers

Implementation/dissemination

Fidelity - Transferability - Robustness

Yes: Örebro P. in SW + NL

No: GBG and Unplugged in Brazil + CZ

Yes: most parenting programmes

No: SFP in PL + SW

Fit to "System Requirements":

  • Different Modules?
  • Different Intensities?
  • Identifiable Kernels?
  • effective? (consistent positive outcomes)
  • effective contents?
  • certified?
  • ready for implementation?
  • addressing multiple behaviours?

Protective school environments (FI)

Regulations on alcohol (& cannabis)

Regulating Nightlife settings

Violence prevention and security

Attention to vulnerable neighbourhoods

Choice architecture (nudge)

to vulnerable families

to vulnerable individuals

on the street

in nightlife

at home

emergency rooms

Brief interventions

Mostly NGOs or Public Services?

Audited or autonomous?

Accredited?

Operating local or regional?

Economic interests?

Ideological orientation?

Originally active in treatment?

... have they actually access to

Early Detection in school, ratings 2013

low ----------- high

Importance of

local environmental policies

Manualised programmes versus local policies

Implementers

?

Schools

Families

Neighbourhoods

Nightlife settings

Those who select and decide about interventions

Sometimes: service providers

Universal Prevention

Curriculum 1

--> UNODC training

initiative

Training background?

Technical knowledge?

Ideological bias?

Aware about effective approaches?

Economic interests/pressure?

UPC 2

European Drug Prevention Quality Standards

Standards by CCSA, COPOLAD

Training background (social work vs. psychology)?

Training level? ..... Accredited? (CZ)

Professional bias

regulation = "prohibition"

norms = "fascism"

evaluation = "unnecessary"

evidence = "doesn't exist"

nudging = "manipulation"

manualisation = "evil"

indicated prevention = "medicalisation"

problem behaviour = "need for treatment"

Target Populations

Moderators

Selective and indicated (high vulnerability, low numbers)

High reach?

High acceptance?

High relevance?

out of school

in dysfunctional families

vulnerable personality traits

in deprived neighbourhoods

free-wheeling nightlife

Alcohol Control Scale 2015

Social norms

Harshness of drug legislation

Alcohol & Tobacco policies

Social inequality (Gini)

Social Capital

Urban policies

Financial strain/system capacity

Universal (low vulnerability, big numbers)

Gini Inequality index

Researcher

Smart policy maker

Irresponsible

policy maker

High coverage?

High availability?

How supportive are the

Moderators?

Gini + Alcohol + Tobacco-Scores

Different points of view & biases

Social worker

in schools

in functional families

in safe neighbourhoods

regulated nightlife

Local policy maker

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