Evidence based

prevention in schools: scaling up

Experiences from EU-Dap TOT network

International Standards for Drug Use Prevention,

23-25 January in Vienna

EU-Dap History

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• 7 European countries

• 2002-2005

• Sample: 7079 Students

• Pretest – 12 lessons intervention –Posttest

• A reduced chance for recent drunkenness of 30%, for daily smoking of 28% and for cannabis use of 23%

• EB school based CSI prevention program: Public Domain

Action ResearchAction ResearchAction ResearchAction Research

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Slide 2

2 voeg world map uit artikel implementatie toe als aparte dia (merits aan EC, UNODC en Mentor…) Peer van der Kreeft, 19/01/2012

ICAA Estoril, October 2009

The Unplugged CurriculumThe Unplugged CurriculumThe Unplugged CurriculumThe Unplugged Curriculum12 Lessons12 Lessons12 Lessons12 Lessons1.1.1.1. OpeningOpeningOpeningOpening

2.2.2.2. To be or not to be in a groupTo be or not to be in a groupTo be or not to be in a groupTo be or not to be in a group

3.3.3.3. Choices Choices Choices Choices –––– alcohol, risk and protectionalcohol, risk and protectionalcohol, risk and protectionalcohol, risk and protection

4.4.4.4. Your beliefs, norms and information: Your beliefs, norms and information: Your beliefs, norms and information: Your beliefs, norms and information: do they reflect reality?do they reflect reality?do they reflect reality?do they reflect reality?

5.5.5.5. Smoking the cigarette drug Smoking the cigarette drug Smoking the cigarette drug Smoking the cigarette drug –––– inform inform inform inform yourselfyourselfyourselfyourself

6.6.6.6. Express yourselfExpress yourselfExpress yourselfExpress yourself

7.7.7.7. Get up, stand upGet up, stand upGet up, stand upGet up, stand up

8.8.8.8. Party TigerParty TigerParty TigerParty Tiger

9.9.9.9. Drugs Drugs Drugs Drugs –––– Get informedGet informedGet informedGet informed

10.10.10.10. Coping competencesCoping competencesCoping competencesCoping competences

11.11.11.11. Problem solving and decision makingProblem solving and decision makingProblem solving and decision makingProblem solving and decision making

12.12.12.12. Goal settingGoal settingGoal settingGoal setting

3 Parent evenings3 Parent evenings3 Parent evenings3 Parent evenings• Better understanding of your teenagersBetter understanding of your teenagersBetter understanding of your teenagersBetter understanding of your teenagers

• Parenting a teenager means growing up Parenting a teenager means growing up Parenting a teenager means growing up Parenting a teenager means growing up togethertogethertogethertogether

• A good relationship with my child also A good relationship with my child also A good relationship with my child also A good relationship with my child also mean setting up rules and limitsmean setting up rules and limitsmean setting up rules and limitsmean setting up rules and limits

Effective program componentsEffective program componentsEffective program componentsEffective program components

• Information about drugs/ perceived Information about drugs/ perceived Information about drugs/ perceived Information about drugs/ perceived benefitsbenefitsbenefitsbenefits

• Normative beliefNormative beliefNormative beliefNormative belief

• Focus on specific influence based Focus on specific influence based Focus on specific influence based Focus on specific influence based skillsskillsskillsskills

• Interactive delivery (skills training) Interactive delivery (skills training) Interactive delivery (skills training) Interactive delivery (skills training)

• Teacher training and expert supportTeacher training and expert supportTeacher training and expert supportTeacher training and expert support

• Involve family and communityInvolve family and communityInvolve family and communityInvolve family and community

• Cultural sensitivityCultural sensitivityCultural sensitivityCultural sensitivity

Mentor project IKEA social initiative

UNODC project regional off. Middle East & North Africa

EC Drug Information projects

DISSEMINATION

ItalyGreeceSwedenSpain

BelgiumPoland

Czech RepublicAustria

GermanyRomaniaLithuaniaCroatia

SlowakiaCyprusFrance

°21.06.11

MoroccoEgypt

Jordan

Kuwait

Lebanon United Arab Emirates

Russian Federation Kyrgyzstan

Training for scaling up

Unplugged[…] five elements with evidence from

strong reviews were found to be similar for

all three domains:

-use of theory;

-addressing social influences, especially

social norms;

-addressing cognitive-behavioral skills;

-training of facilitators;

-and multiple components

(Peters et al. 2011)5

EU-Dap Faculty: EC

Cofunded project

“The overarched goal of the EU-Dap TOT network is to ensure Quality Control of efficacy tested school-based programmes based on a Comprehensive Social Influence model during the dissemination stage.”

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EU-Dap TOT Model: 15

European Countries• Training

Seminars

• TOT cluster

training WS’s

• Future summer

and winter

schools

• Manualisation

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Training: 2 directions

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Faculty Team Trainer

↓

National Master trainer

↓

Trainers

↓

Teachers

↓

Pupils

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Opening up for other

programs1. evidence based programs;

2. school-based (possible family or community component);

3. containing a life skills training/ CSI component;

4. not widely implemented at this stage;

5. cooperation between practitioners and researchers;

6. clear position in universal, selective or indicated spectrum;

7. accessibility of documentation and licenses;

8. practice oriented programs, able to use the existing Faculty

tools;

9. interactive training model

10.diversity in the developmental stage.

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Training Standards

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Training and certification

• Pitfalls:

– Many trainers

– Trickle down effect

• Need for certification of professionals and programs: 2 examples of promising practice

– Czech Republic & Slovenia

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Certification Benefits

• Quality standards for preventive action –

cost effectiveness vs. RCT

• Motivation/incentives for prevention

deliverers

• Financial support for accredited

interventions

• Increasing the interest of various target

groups

• Sensitizing stakeholders13

Contributions to Quality

Standards• Independent accreditation body (e. g. EUSPR

for Europe)

• TOT network to include

adaptation/implementation instructions in program materials

• Translating research findings: Including

distinction core elements/adaptable elements

• Adaptations and studies in several setting and

cultures would increase critical mass and spur on more study

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Q & Awww.eudap.net

www.eudapfaculty.net

johan.jongbloet@hogent.be

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