The recently released National Drug Control Strategy (2022) from the White House Office of National Drug Control Policy (ONDCP) lays out a comprehensive plan to, not only enhance access to treatment and increase harm reduction strategies, but also increase implementation of evidence-based prevention programming at the community level. Furthermore, the Strategy provides a framework for enhancing our national data systems to inform policy and to evaluate all components of the plan. However, not only are there several missing components to the Strategy that would assure its success, but there is a lack of structure to support a national comprehensive service delivery system that is informed by epidemiological data, and trains and credentials those delivering evidence-based prevention, treatment, and harm reduction/public health interventions within community settings. This paper provides recommendations for the establishment of such a structure with an emphasis on prevention. Systematically addressing conditions known to increase liability for behavioral problems among vulnerable populations and building supportive environments are strategies consistently found to avert trajectories away from substance use in general and substance use disorders (SUD) in particular. Investments in this approach are expected to result in significantly lower rates of SUD in current and subsequent generations of youth and, therefore, will reduce the burden on our communities in terms of lowered social and health systems involvement, treatment needs, and productivity. A national strategy, based on strong scientific evidence, is presented to implement public health policies and prevention services. These strategies work by improving child development, supporting families, enhancing school experiences, and cultivating positive environmental conditions.

白宫国家药物管制政策办公室 (ONDCP) 最近发布的国家药物管制战略 (2022) 制定了一项综合计划，不仅要加强获得治疗的机会和增加减少危害的战略，还要加强循证医学的实施社区一级的预防规划。此外，该战略为加强我们的国家数据系统提供了一个框架，以便为政策提供信息并评估该计划的所有组成部分。然而，该战略不仅缺少几个确保其成功的组成部分，而且还缺乏支持国家综合服务提供系统的结构，该系统以流行病学数据为依据，并培训和认证提供循证预防的人员， 治疗，社区环境中的减少危害/公共卫生干预措施。本文为建立这种以预防为重点的结构提出了建议。系统地解决已知会增加弱势群体行为问题责任的条件并建立支持性环境是一贯发现的策略，可以避免偏离一般物质使用和特别是物质使用障碍 (SUD) 的轨迹。对这种方法的投资预计将显着降低当代和后代青年的 SUD 发生率，因此将减轻我们社区在社会和卫生系统参与、治疗需求和生产力降低方面的负担。以强有力的科学证据为基础的国家战略，提出实施公共卫生政策和预防服务。这些策略通过改善儿童发展、支持家庭、增强学校体验和培养积极的环境条件来发挥作用。