The ISSUP Exchange

ISSUP

The ISSUP Exchange Podcast series explores the evolution in responses to the challenges of substance use from an evidence, quality standards and ethical best practice perspective. From research and training to networking and knowledge-sharing: we help to link it all up and make sure you see the big picture.

  1. Prevention Unpacked with Dr. Zili Sloboda: Workforce, Capacity & Global Development Pt.3

    3 DAYS AGO

    Prevention Unpacked with Dr. Zili Sloboda: Workforce, Capacity & Global Development Pt.3

    In this third episode of Prevention Unpacked with Dr. Zili Sloboda, the focus shifts from science to the people who make prevention possible. Dr. Sloboda reflects on why workforce development has become central to the future of prevention, and why evidence alone is never enough without skilled, supported professionals to put it into practice. She speaks candidly about the competencies that matter most in prevention work, from care and humility to monitoring, feedback, and fidelity in implementation. The conversation explores how prevention has moved toward professionalisation through shared standards, training frameworks, and global networks, including the role of the Universal Prevention Curriculum in creating a common language across regions. Dr. Sloboda also shares lessons from delivering training in diverse cultural contexts, what prevention professionals around the world have in common, and where gaps in training and research still exist. This episode also tackles the harder questions: how to sustain and retain the prevention workforce, why career pathways remain underdeveloped, and what still keeps Dr. Sloboda concerned about the future of the field. It closes with a forward-looking reflection on online and blended learning, youth engagement, and what gives her hope for the next generation of prevention professionals. Featured Voices Host – A/Prof. Goodman Sibeko ISSUP Global Scientific Advisor. Head of Addiction Psychiatry, University of Cape Town. LinkedIn: goodmansibeko Twitter/X: @profgsibeko Guest – Dr Zili Sloboda Dr Zili Sloboda is a global leader in prevention science whose work has shaped evidence-based prevention practice worldwide. Time Stamps [00:00] – Introduction [00:40] – Why Workforce Development Matters in Prevention [01:13] – What Makes a Strong Prevention Professional [03:25] – Building Professional Identity in Prevention [05:29] – The Universal Prevention Curriculum and Closing Gaps [08:24] – Lessons from Training Across Regions and Cultures [10:14] –Barriers to Sustaining the Prevention Workforce [13:49] – Online and Blended Learning for Workforce Development [17:45] – Closing Reflections About the ISSUP Exchange The ISSUP Exchange podcast series explores the evolution of responses to the challenges of substance use—from research and training to ethics, quality standards and evidence-based practice. We connect the dots so you can see the big picture. Explore more episodes and join the ISSUP podcast community here>>> About ISSUP ISSUP is a global network that unites, connects, and shares knowledge across the substance use prevention, treatment, and recovery support workforce. Our mission is to make our members’ work as effective as possible—by providing access to training, resources, and a vibrant professional community.

    20 min
  2. Prevention Unpacked with Dr. Zili Sloboda: Science, Translation & the Evolution of Prevention Pt.2

    23 JAN

    Prevention Unpacked with Dr. Zili Sloboda: Science, Translation & the Evolution of Prevention Pt.2

    In this episode of Prevention Unpacked with Dr. Zili Sloboda, the conversation turns to how prevention science actually became a field. Dr. Sloboda reflects on the early days, when prevention was often dismissed as vague or unmeasurable, and traces how theory, rigorous research, and cross-disciplinary work helped give the field credibility. She explains why prevention is more than information sharing, how learning and development shape what works at different ages, and why community context matters just as much as evidence. The discussion also digs into the harder part of the work: translating research into real-world practice. From siloed funding systems to policymaker impatience for quick results, Dr. Sloboda speaks candidly about why prevention struggles to gain traction and what still needs to change to build a genuine culture of prevention. This episode is a grounded look at where prevention science came from, what it has achieved, and why the work is far from finished. Featured Voices Host – A/Prof. Goodman Sibeko ISSUP Global Scientific Advisor. Head of Addiction Psychiatry, University of Cape Town. LinkedIn: goodmansibeko Twitter/X: @profgsibeko Guest – Dr Zili Sloboda Dr Zili Sloboda is a global leader in prevention science whose work has shaped evidence-based prevention practice worldwide. Time Stamps [00:00] – Introduction [00:42.] – What Prevention Science Really Means [03:48] – Why Theory, Rigor, and Learning Matter [06:29] – How Prevention Science Gained Credibility [09:07] – Key Milestones That Shaped the Field [11:25] –Turning Research into Real-World Prevention [15:01] – Culture, Belief, and Communicating Why Prevention Works [17:02] - Universal Principles and Adapting to Local Contexts [18:50] – Global Reflections and the Future of Prevention Science About the ISSUP Exchange The ISSUP Exchange podcast series explores the evolution of responses to the challenges of substance use—from research and training to ethics, quality standards and evidence-based practice. We connect the dots so you can see the big picture. Explore more episodes and join the ISSUP podcast community here>>> About ISSUP ISSUP is a global network that unites, connects, and shares knowledge across the substance use prevention, treatment, and recovery support workforce. Our mission is to make our members’ work as effective as possible—by providing access to training, resources, and a vibrant professional community.

    21 min
  3. Prevention Unpacked with Dr. Zili Sloboda: The Journey and Vision Pt.1

    14 JAN

    Prevention Unpacked with Dr. Zili Sloboda: The Journey and Vision Pt.1

    In this first episode of Prevention Unpacked, Associate Professor Goodman Sibeko speaks with Dr. Zili Sloboda about the early experiences that shaped her life and career. The conversation traces her childhood in New York, her exposure to international cultures, and the personal influences that sparked her interest in people, behaviour, and social systems. Dr. Sloboda reflects on her academic path through sociology, public health, and epidemiology, sharing how her early work in medical settings and substance use research shaped her thinking about prevention. She describes the mentors, moments, and turning points that guided her toward a lifelong commitment to understanding behaviour and preventing harm before it begins. This opening episode traces the origins of a career that would later shape prevention science, beginning not with research, but with curiosity, people, and a lifelong interest in how lives unfold. Featured Voices Host – A/Prof. Goodman Sibeko ISSUP Global Scientific Advisor. Head of Addiction Psychiatry, University of Cape Town. LinkedIn: goodmansibeko Twitter/X: @profgsibeko Guest – Dr Zili Sloboda Dr Zili Sloboda is a global leader in prevention science whose work has shaped evidence-based prevention practice worldwide. Time Stamps [00:00] – Introduction [01:52] – Childhood, Early Life, And International Influences [05:59] – How Prevention Science Developed As A Field [14:49] – Motivation and Impact in the Field [19:52] – Learning from Challenges and Leading with Humility [22:38] – Lessons from Defining Moments and Leadership Experiences [24:39] –Real-World Experience in Advisory Roles [26:41] – Closing Reflections About the ISSUP Exchange The ISSUP Exchange podcast series explores the evolution of responses to the challenges of substance use—from research and training to ethics, quality standards and evidence-based practice. We connect the dots so you can see the big picture. Explore more episodes and join the ISSUP podcast community here>>> About ISSUP ISSUP is a global network that unites, connects, and shares knowledge across the substance use prevention, treatment, and recovery support workforce. Our mission is to make our members’ work as effective as possible—by providing access to training, resources, and a vibrant professional community.

    28 min
  4. Workplace Prevention in Practice Pt.4: Building Resilient and Healthy Work Environments

    26/11/2025

    Workplace Prevention in Practice Pt.4: Building Resilient and Healthy Work Environments

    In this final episode, Associate Professors Goodman Sibeko and Nadine Harker shift the focus from individual-level responses to the organisational systems that shape wellbeing at work. The conversation looks at how workplaces can create environments that reduce stressors and promote healthier behaviours before problems escalate. Prof. Harker highlights the role of leadership commitment, ongoing wellness initiatives, and policies that prioritise prevention rather than once-off interventions. She also discusses challenges such as cost, organisational culture, and the need for clear pathways for referral and reintegration when employees return from treatment. A reflective close to the series, drawing together key lessons for organisations, policymakers, and practitioners working to embed prevention in real-world settings. Featured Voices  Host – A/Prof. Goodman Sibeko  ISSUP Global Scientific Advisor. Head of Addiction Psychiatry, University of Cape Town. LinkedIn: goodmansibeko Twitter/X: @profgsibeko Guest – A/Prof. Nadine Harker Specialist Scientist in the Alcohol, Tobacco and other Drug Research Unit of the South African Medical Research Council.  Time Stamps [00:00] – Introduction [00:39] – What Resilience Means Today [01:46] – Designing Healthy Work Environments [02:05] – Social Capital and Team-Based Prevention [05:30] – Micro Interactions and Leadership Modeling [10:33] – Workplace Assessment and Practical Next Steps [11:03] – Wellness Days, Screening, and Ongoing Programmes [14:12] –Measuring Success and Low-Hanging Metrics [15:15] – Closing Reflections About the ISSUP Exchange  The ISSUP Exchange podcast series explores the evolution of responses to the challenges of substance use—from research and training to ethics, quality standards and evidence-based practice. We connect the dots so you can see the big picture.  Explore more episodes and join the ISSUP podcast community here>>> About ISSUP  ISSUP is a global network that unites, connects, and shares knowledge across the substance use prevention, treatment, and recovery support workforce. Our mission is to make our members’ work as effective as possible—by providing access to training, resources, and a vibrant professional community.

    16 min
  5. Workplace Prevention in Practice Pt.3: Policy, Ethics, and Compliance in Workplace Prevention

    12/11/2025

    Workplace Prevention in Practice Pt.3: Policy, Ethics, and Compliance in Workplace Prevention

    In this episode, Associate Professors Goodman Sibeko and Nadine Harker unpack how workplaces can uphold legal and ethical standards while promoting mental health and preventing substance use. Prof. Harker discusses what makes a workplace policy both lawful and humane, stressing that alignment with national legislation must go hand in hand with fairness and inclusion. She also underscores the value of collaboration, bringing HR teams, trade unions, and leadership into the same conversation from the outset. Their discussion moves beyond policy design to the practical realities of putting it into action: how managers can overcome financial and cultural barriers, and why reintegration and aftercare are essential for employees returning from treatment. Featured Voices  Host – A/Prof. Goodman Sibeko  ISSUP Global Scientific Advisor. Head of Addiction Psychiatry, University of Cape Town. LinkedIn: goodmansibeko Twitter/X: @profgsibeko Guest – A/Prof. Nadine Harker Specialist Scientist in the Alcohol, Tobacco and other Drug Research Unit of the South African Medical Research Council.  Time Stamps [00:00] – Introduction [00:44] – Aligning Workplace Policy with National Frameworks [03:20] – Inclusive Policy Development and Representation [05:26] – Balancing Compliance, Ethics, and Support [07:27] – Commitment and Universal Prevention Strategies [11:19] – Implementation Barriers and the “Illness vs. Wellness” Mindset [14:05] – Substance Use, Workplace Safety, and Reintegration [15:25] – Closing Reflections About the ISSUP Exchange  The ISSUP Exchange podcast series explores the evolution of responses to the challenges of substance use—from research and training to ethics, quality standards and evidence-based practice. We connect the dots so you can see the big picture.  Explore more episodes and join the ISSUP podcast community here>>> About ISSUP  ISSUP is a global network that unites, connects, and shares knowledge across the substance use prevention, treatment, and recovery support workforce. Our mission is to make our members’ work as effective as possible—by providing access to training, resources, and a vibrant professional community.

    16 min
  6. Workplace Prevention in Practice Pt.2: Early Identification and Support in the Workplace

    06/11/2025

    Workplace Prevention in Practice Pt.2: Early Identification and Support in the Workplace

    In this third episode, Associate Professor Goodman Sibeko and Associate Professor Nadine Harker discuss how workplaces can identify early signs of substance use and mental health challenges among employees, and respond appropriately before issues escalate. Prof. Harker explains the occupational factors that increase risk, the visible and behavioural cues supervisors should look out for, and the importance of distinguishing between informal and formal referrals. She outlines how supervisors can express concern, make soft referrals to employee wellness or HR, and when formal action becomes necessary. The discussion also covers how consistent health promotion, supportive policies, and structured employee assistance programmes can help organisations address problems early, reduce stigma, and maintain both compassion and productivity. Featured Voices  Host – A/Prof. Goodman Sibeko  ISSUP Global Scientific Advisor. Head of Addiction Psychiatry, University of Cape Town. LinkedIn: goodmansibeko Twitter/X: @profgsibeko Guest – A/Prof. Nadine Harker Specialist Scientist in the Alcohol, Tobacco and other Drug Research Unit of the South African Medical Research Council.  Time Stamps [00:00] – Introduction [00:22] – Occupational Risk Factors and Early Warning Signs [04:11] – Training Supervisors to Respond [06:42] – Soft Referrals and Organisational Duty of Care [11:30] – Formal Referrals and Employee Assistance Programmes [11:10] – When Help Is Declined [11:57] – Closing Reflections About the ISSUP Exchange  The ISSUP Exchange podcast series explores the evolution of responses to the challenges of substance use—from research and training to ethics, quality standards and evidence-based practice. We connect the dots so you can see the big picture.  Explore more episodes and join the ISSUP podcast community here>>> About ISSUP  ISSUP is a global network that unites, connects, and shares knowledge across the substance use prevention, treatment, and recovery support workforce. Our mission is to make our members’ work as effective as possible—by providing access to training, resources, and a vibrant professional community.

    13 min
  7. Workplace Prevention in Practice Pt.1: Shifting Workplace from Reaction to Care

    29/10/2025

    Workplace Prevention in Practice Pt.1: Shifting Workplace from Reaction to Care

    In this first episode, Associate Professor Goodman Sibeko sits down with Associate Professor Nadine Harker to unpack what it really means for a workplace to take prevention seriously. Together, they explore how organisations can move beyond awareness campaigns to build genuine, prevention-oriented cultures. Prof. Harker reflects on the shift from traditional workplace wellness models to a broader public health approach, one that views the workplace as part of a wider ecosystem and emphasises shared responsibility across leadership levels. She discusses how stigma continues to shape responses to mental health and substance use, and why visible, informed leadership is critical to changing that. The discussion highlights how consistent policy, management engagement, and everyday practices can embed prevention into organisational life, making wellbeing a core part of how workplaces operate. Featured Voices  Host – A/Prof. Goodman Sibeko  ISSUP Global Scientific Advisor. Head of Addiction Psychiatry, University of Cape Town. LinkedIn: goodmansibeko Twitter/X: @profgsibeko Guest – A/Prof. Nadine Harker Specialist Scientist in the Alcohol, Tobacco and other Drug Research Unit of the South African Medical Research Council.  Time Stamps [00:00] – Introduction [00:24] – The Shift Toward a Public Health Approach [03:40] – Leadership and Visible Commitment [05:52] – Confronting Stigma and Building Universal Training [08:14] – Policy, Practice, and Building a Culture of Prevention [12:20] – Closing Reflections About the ISSUP Exchange  The ISSUP Exchange podcast series explores the evolution of responses to the challenges of substance use—from research and training to ethics, quality standards and evidence-based practice. We connect the dots so you can see the big picture.  Explore more episodes and join the ISSUP podcast community here>>> About ISSUP  ISSUP is a global network that unites, connects, and shares knowledge across the substance use prevention, treatment, and recovery support workforce. Our mission is to make our members’ work as effective as possible—by providing access to training, resources, and a vibrant professional community.

    13 min
  8. Workplace Prevention in Practice (Intro): Getting to know Nadine Harker

    29/10/2025

    Workplace Prevention in Practice (Intro): Getting to know Nadine Harker

    Before exploring how workplaces can promote prevention and wellbeing, Associate Professor Goodman Sibeko introduces Associate Professor Nadine Harker, the voice and perspective behind much of this work. In this opening conversation, Prof. Harker shares the path that led her into public health, what draws her to issues of mental health and substance use, and how her academic and professional experiences have shaped her approach. The discussion offers context for her work and sets the stage for the conversations ahead on leadership, culture, and prevention in the workplace. Featured Voices  Host – A/Prof. Goodman Sibeko  ISSUP Global Scientific Advisor. Head of Addiction Psychiatry, University of Cape Town. LinkedIn: goodmansibeko Twitter/X: @profgsibeko Guest – A/Prof. Nadine Harker Specialist Scientist in the Alcohol, Tobacco and other Drug Research Unit of the South African Medical Research Council.  Time Stamps [00:00] – Introduction [01:37] – Professor Harker, background and early work [04:08] – Inside the South African Medical Research Council (SAMRC) [06:06] – Reimagining Prevention with Unlimited Resources [7:43] – Closing Reflections About the ISSUP Exchange  The ISSUP Exchange podcast series explores the evolution of responses to the challenges of substance use—from research and training to ethics, quality standards and evidence-based practice. We connect the dots so you can see the big picture.  Explore more episodes and join the ISSUP podcast community here>>> About ISSUP  ISSUP is a global network that unites, connects, and shares knowledge across the substance use prevention, treatment, and recovery support workforce. Our mission is to make our members’ work as effective as possible—by providing access to training, resources, and a vibrant professional community.

    8 min

About

The ISSUP Exchange Podcast series explores the evolution in responses to the challenges of substance use from an evidence, quality standards and ethical best practice perspective. From research and training to networking and knowledge-sharing: we help to link it all up and make sure you see the big picture.