Chemerys N. Medico-social substantiation of an optimized model of prevention of substance use by student youth

The dissertation is devoted to the scientific substantiation, development and implementation of an optimized model of prevention of psychoactive substance use by student youth at the regional level. It is based on the developed algorithm for providing medical and social support and counseling for student youth, which describes such components of preventive activity of addictive substance abuse as types of prevention, protective approaches, conceptual forms of dependence on psychoactive substances, methods in conducting counseling work, vector directions in motivational trainings. The subjects of management in the optimization model on a cross-sectoral approach arehealth and education institutions, social policy, law enforcement and justice.The main innovations of the model are introduction of additional competencies of health workers in the field of addiction prevention with emphasis on the primary level of providing medical care, the introduction of the function of medical coordinator, which provides organizational and methodological support of the individual when seeking help and conducting preventive measures, introducing differentiation of students target group educational institutions, depending on understanding of substance abuse problems when when students act as object that are not aware of the problem and the subject that opposes their use. The preventive component of the model is implemented through the technology of medical and social support of each individual case of treatment – "vasacantici". The blocks of scientific and legal support, accessibility of staff and ongoing professional development, including the acquisition of competencies in drug addiction, monitoring the quality of life of young people, the use of experience and proposals for the organization of addiction prevention by international and public organizations, provide the opportunity to optimize and operate the model. A major element of the national level of implementation of the model is the recognition by the population of personal responsibility for their own health, which should be reflected in the Targeted Long-Term Addiction Prevention Program and the Strategic Planning of Preventive Measures. It will be implemented by the Public Health Centers and the Regional Medical Centers for Addiction Prevention and Therapy.