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PDF (Lessons learned in drug abuse prevention: a global review)

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LOCAL<br />

Education Programme for the Promotion of Health:<br />

Health Education to Prevent Drug Abuse<br />

REGION:<br />

Western Europe<br />

COUNTRY: Greece<br />

Organisation: University<br />

Mental Health Research<br />

Institute (UMHRI)<br />

TARGET GROUPS:<br />

● Youth (12 - 15 years)<br />

SETTINGS:<br />

● Secondary School<br />

IMPLEMENTING AGENTS:<br />

● Teachers<br />

PROJECT PURPOSE:<br />

A pilot project teach<strong>in</strong>g health<br />

education, life and psychosocial<br />

skills <strong>in</strong> two secondary schools<br />

over a period of three years<br />

COST: US $6,500 per year<br />

DURATION: 3 years<br />

Students and teacher <strong>in</strong>front of a health education exhibition at school.<br />

Background:<br />

Epidemiological surveys carried out by the University of Athens 1 and subsequently by<br />

the University of Mental Health Research Institute (UMHRI) 2 showed that the prevalence<br />

of illicit <strong>drug</strong> use <strong>in</strong> the general population has tripled <strong>in</strong> the years between 1984<br />

and 1998, from 4% to 12.2%. In 1998, higher percentages of lifetime prevalence<br />

were observed <strong>in</strong> young adults aged 18-35 (22%), and cannabis rema<strong>in</strong>ed the most<br />

popular illicit <strong>drug</strong> (12.1%). Another nation-wide study carried out by UMHRI <strong>in</strong> 1999<br />

among high school students aged 16 showed that 9.7% of the students reported hav<strong>in</strong>g<br />

experimented with or used <strong>drug</strong>s, with cannabis be<strong>in</strong>g the most popular choice,<br />

followed by ecstasy. 3 The mean start<strong>in</strong>g age for illicit <strong>drug</strong> use was 15 years. 4<br />

Under its national <strong>drug</strong> <strong>abuse</strong> <strong>prevention</strong> policy, Greece has established Prevention<br />

Centres, staffed by professionals, to carry out preventive programmes <strong>in</strong> the community<br />

and <strong>in</strong> schools all over the country. The results of pilot projects such as this one feed<br />

back <strong>in</strong>to the tra<strong>in</strong><strong>in</strong>g of <strong>prevention</strong> professionals and the development of educational<br />

materials to be used <strong>in</strong> schools and <strong>in</strong> the wider community.<br />

A health needs assessment of the target population was carried out <strong>in</strong> order to ensure<br />

an appropriate adaptation of the contents of the <strong>prevention</strong> materials to the real needs<br />

of the population. The assessment showed that <strong>in</strong> the pilot project area, students’<br />

psychological needs - such as the need for strengthen<strong>in</strong>g self-confidence and selfesteem,<br />

and for reduc<strong>in</strong>g anxiety and promot<strong>in</strong>g personal relationships – were found<br />

to be more prom<strong>in</strong>ent than their physical needs.<br />

50<br />

Sources: 1 Kokkevi, A., Malliori, M., Terzidou, M., Mostriou, A., Stefanis, C. 1997. Gender differences <strong>in</strong> substance<br />

use <strong>in</strong> high school students and the general population: trends between 1984 and 1993. Pompidou Group<br />

Symposium: ‘Women and <strong>drug</strong>s: Focus on <strong>prevention</strong>’, Proceed<strong>in</strong>gs 6-7 October 1995, p. 29-37 (Bonn, Council of<br />

Europe).<br />

2 Kokkevi, A., Loukadakis M., Plagiannakou, S., Politikou, K., Stefanis, C. 2000. Sharp <strong>in</strong>crease <strong>in</strong> illicit <strong>drug</strong> use <strong>in</strong><br />

Greece†: trends from a general population survey on licit and illicit <strong>drug</strong> use. European Addiction Research, Vol.<br />

6, no.1 p.42-49.<br />

3 Kokkevi, A., Terzidou, M., Politikou, K., Stefanis, C. 2000. Substance use among high school students <strong>in</strong> Greece:<br />

outburst of illicit <strong>drug</strong> use <strong>in</strong> a society under change. Drug and Alcohol Dependence, vol. 58p. 182-188.<br />

4<br />

Hibell, B., Anderson, B., Ahlstrom, S., Balakireva, O., Bjarnason, T., Kokkevi, A., Morgan, M. 2000. The 1999<br />

ESPAD report: alcohol and other <strong>drug</strong> use among students <strong>in</strong> 30 European Countries. Stockholm, CAN.

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