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
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)
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