The ISSUP Exchange

In the final episode of Prevention Unpacked with Dr. Zili Sloboda: Vision, Legacy & The Future of Prevention, the conversation looks ahead and brings the series full circle.Drawing on decades of global experience, Dr. Zili Sloboda shares her vision for where prevention must go over the next 10 to 20 years. She reflects on what it would mean for prevention to be fully recognised as a profession, embedded across health, education, and social systems, and guided by a true culture of prevention rather than short-term solutions.The episode explores emerging frontiers shaping the future of the field, including digital environments, climate change, misinformation, neuroscience, and equity. Dr. Sloboda speaks candidly about the need for stronger integration between research and practice, new training pathways, and leadership grounded in respect, listening, and collaboration.As the conversation turns to legacy, Dr. Sloboda reflects on the moments that have mattered most in her career, the role of global networks such as ISSUP and ICUDDR, and what gives her hope for the next generation of prevention professionals. The series closes with a powerful reminder that prevention is not a static outcome, but a living, evolving process carried forward by people, partnerships, and shared purpose.Featured Voices Host – A/Prof. Goodman Sibeko ISSUP Global Scientific Advisor.Head of Addiction Psychiatry, University of Cape Town.LinkedIn: goodmansibekoTwitter/X: @profgsibekoGuest – 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[00:35] – The Future of Prevention Over the Next 10–20 Years[02:22] – Integrating Prevention into Health and Social Systems[04:46] – Emerging Challenges: Digital Change, Climate, and Equity[06:45] – Leadership Philosophy in Global Prevention Work[09:41] – Professional Collaboration and Field Connectivity[12:03] – Advice for Early and Mid-Career Prevention Professionals[15:10] – Career Reflections and Defining Achievements[18:08] – Hope for the Future of Prevention[19:09] – Closing ReflectionsAbout 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.

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: goodmansibekoTwitter/X: @profgsibekoGuest – 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 ScienceAbout 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.

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: goodmansibekoTwitter/X: @profgsibekoGuest – A/Prof. Nadine HarkerSpecialist 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 ReflectionsAbout 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. 

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: goodmansibekoTwitter/X: @profgsibekoGuest – A/Prof. Nadine HarkerSpecialist 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 ReflectionsAbout 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. 

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: goodmansibekoTwitter/X: @profgsibekoGuest – A/Prof. Nadine HarkerSpecialist 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 ReflectionsAbout 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. 

Building the Future Together: Joanna Travis-Roberts on 10 Years of ISSUPA special three-part series celebrating 10 years of of the International Society of Substance Use Professionals (ISSUP).  In this second episode, host Associate Professor Goodman Sibeko speaks with Chief Executive Joanna Travis-Roberts about the remarkable journey of ISSUP itself. From its official launch in Bangkok in 2015 to a thriving global network of over 45,000 members, Joanna takes us behind the scenes of ISSUP’s founding, exploring the early partnerships, critical decisions, and challenges that shaped its identity.Joanna reflects on the administrative hurdles of starting a global platform, the evolution of governance and leadership, and the unique role of ISSUP’s national chapters in adapting the mission to local contexts.More than a history lesson, the episode captures the values that continue to define ISSUP: openness, inclusivity, and a commitment to strengthening the global substance use workforce. With candid reflections on both obstacles and successes, it’s a compelling look at how an ambitious vision grew into a collaborative home for prevention, treatment, and recovery professionals worldwide.Featured Voices Host – A/Prof. Goodman Sibeko ISSUP Global Scientific Advisor.Head of Addiction Psychiatry, University of Cape Town.LinkedIn: goodmansibekoTwitter/X: @profgsibekoGuest – Joanna Travis-Roberts Chief Executive of ISSUPLearn more about Joanna on issup.netTime Stamps[00:00] – Introduction[01:05] – The 2015 Bangkok Launch and Early Collaborations[04:09] – Identifying Needs and Building a Home for the Workforce[06:32] – Shaping ISSUP’s Structure, Governance, and Global Challenges[11:09] – Establishing Trust: ISSUP as Collaborator Not Rival[14:18] – Transformative Initiatives: National Chapters and Global Reach[21:05] – Events, Conferences, and the Value of In-Person Connection[23:40] – National Chapters Driving Local Impact and Training[26:01] – Closing ReflectionsAbout 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. 

What does the evidence tell us about Motivational Interviewing (MI), and what might the future of research hold?In the final episode of the ISSUP Exchange series, A/Prof. Goodman Sibeko and Professor Stephen Rollnick explore the research behind MI, discussing why it remains effective across so many settings. With over 2,500 randomised trials, MI is one of the most studied approaches in behavioural health, but some of the most valuable insights come from understanding how and why it works.They look at the importance of process research, the impact of brief interventions in emergency settings, and how MI principles are now used beyond clinical practice, including in staff development, leadership, and team culture. The episode also touches on professionalisation in addiction services, AI's potential in MI training, and how embedding empathy and autonomy into systems can support both clients and practitioners.Whether you're a researcher, trainer, or frontline practitioner, this episode offers a thoughtful look at where MI is making a difference and how it can continue to shape people-centred care.Featured Voices Host – A/Prof. Goodman Sibeko ISSUP Global Scientific Advisor.Head of Addiction Psychiatry, University of Cape Town.LinkedIn: goodmansibekoTwitter/X: @profgsibekoGuest – Professor Steve Rollnick Clinical Psychologist.Co-founder of Motivational Interviewing. Visit: www.stephenrollnick.comTime Stamps[00:00] – Introduction [00:54] – Defining Competence in Motivational Interviewing[03:10] – The Role of Leadership in Effective Training[05:04] – Organisational Culture and Change[09:59] – The Importance of Helpfulness Skills[12:44] – Training Models and Their Effectiveness[16:02] – What Strengthens MI Competence in the Real WorldAbout 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. 

What does it really mean to “step back” in a helping conversation? And how can practitioners cultivate genuine curiosity and empathy while still focusing on change?In this second episode of our four-part ISSUP Exchange series, A/Prof. Goodman Sibeko continues his conversation with Professor Stephen Rollnick, clinical psychologist and co-founder of Motivational Interviewing (MI). Together, they unpack what MI looks like in real-world practice and what it takes to truly empower clients, without trying to "fix" them.This episode explores the importance of self-awareness, the common traps practitioners fall into, and how stepping back can actually lead to more effective and respectful behaviour change conversations. Professor Rollnick introduces his “6 Cs” for personal guidance in practice and training—calm, curious, compassionate, and more; and explains how these qualities underpin both effective MI and sustainable, rewarding work in the helping professions.If you’re a practitioner, trainer, or someone who works with people in any kind of support capacity, this episode offers essential insights into how to be present, collaborative, and truly helpful.Featured Voices Host – A/Prof. Goodman Sibeko ISSUP Global Scientific Advisor.Head of Addiction Psychiatry, University of Cape Town.LinkedIn: goodmansibekoTwitter/X: @profgsibekoGuest – Professor Steve Rollnick Clinical Psychologist.Co-founder of Motivational Interviewing. Visit: www.stephenrollnick.comTime Stamps[00:00] – Introduction [01:28] – Empowering Clients in MI [03:58] – The role of Self-Awareness in Practice[07:03] – The 6 C's of Effective Practice [09:57] – Curiosity and Empathy in Practice[13:37] – Keeping the Focus on Change[15:00] – The Collaborative nature of MIAbout 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.