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Normalization of Prevention Principles and Practices to Reduce Substance Use Disorders Through an Integrated Dissemination and Implementation Framework

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Abstract

Major research breakthroughs over the past 30 years in the field of substance use prevention have served to: (1) enhance understanding of pharmacological effects on the central and peripheral nervous systems and the health and social consequences of use of psychoactive substances, particularly for children and adolescents; (2) delineate the processes that increase vulnerability to or protect from initiation of substance use and progression to substance use disorders (SUDs) and, based on this understanding, (3) develop effective strategies and practices to prevent the initiation and escalation of substance use. The challenge we now face as a field is to “normalize” what we have learned from this research so that it is incorporated into the work of those involved in supporting, planning, and delivering prevention programming to populations around the world, is integrated into health and social service systems, and helps to shape public policies. But we wish to go further, to incorporate these effective prevention practices into everyday life and the mind-sets of the public, particularly parents and educators. This paper reviews the advances that have been made in the field of prevention and presents a framework and recommendations to achieve these objectives generated during several meetings of prevention and implementation science researchers sponsored by the International Consortium of Universities for Drug Demand Reduction (ICUDDR) that guides a roadmap to achieve “normalization.”

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Notes

  1. Psychoactive substances when taken in or administered into one’s system, affect mental processes, e.g., perception, consciousness, cognition or mood and emotions and include alcohol, nicotine, caffeine, cannabis, opiates, cocaine, etc.

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Funding

Funding for this project was provided by the Bureau of International Narcotics and Law Enforcement Affairs grant #SINLEC19CA0381.

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Authors and Affiliations

  1. Applied Prevention Science International, Ontario, OH, USA

    Zili Sloboda

  2. Department of Mental Health Law and Policy, College of Community and Behavioral Sciences, University of South Florida, Tampa, FL, USA

    Kimberly A. Johnson

  3. International Consortium of Universities of Drug Demand Reduction, Tampa, FL, USA

    Kimberly A. Johnson

  4. Frank Porter Graham Child Development Institute, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA

    Diana H. Fishbein

  5. National Prevention Science, The Pennsylvania State University, State College, Harrisburg, PA, USA

    Diana H. Fishbein

  6. Northwestern University, Evanston, IL, USA

    C. Hendricks Brown

  7. College of Social Work, University of Tennessee, Knoxville, TN, USA

    J. Douglas Coatsworth

  8. Active Implementation Research Network, Inc, Chapel Hill, NC, USA

    Dean L. Fixsen

  9. Department of Psychiatry and School of Public Health, Columbia University, New York, NY, USA

    Denise Kandel

  10. Prevention Research Center (PRC), Pacific Institute for Research and Evaluation, Berkeley, CA, USA

    Mallie J. Paschall

  11. Universidad Peruana Cayetano Heredia, San Martín de Porres, Peru

    Fernando Salazar Silva

  12. Faculty of Health, Public Health Institute, Liverpool John Moores University, Liverpool, UK

    Harry Sumnall

  13. Departments of Pharmaceutical Sciences, Psychiatry, and Human Genetics, University of Pittsburgh, Pittsburgh, PA, USA

    Michael Vanyukov

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  1. Zili Sloboda
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Correspondence to Zili Sloboda.

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Sloboda, Z., Johnson, K.A., Fishbein, D.H. et al. Normalization of Prevention Principles and Practices to Reduce Substance Use Disorders Through an Integrated Dissemination and Implementation Framework. Prev Sci 24, 1078–1090 (2023). https://doi.org/10.1007/s11121-023-01532-2

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