By Steve Miller, CPS

When you walked into your first prevention meeting, you may have experienced it. The agenda looked promising. The coffee was strong. People seemed kind. And then someone said: “Once we align our SPF with the EBP portfolio and crosswalk it with the YRBSS and NSDUH data, we’ll be in a good place for the CADCA deliverables.” You nodded politely, but you had no idea what just happened. Welcome to prevention’s alphabet soup!

Prevention is filled with passionate, thoughtful people. It’s also filled with acronyms. If you’ve been in the field for a while, these feel normal. Acronyms help us move quickly. They allow us to reference complex systems, research frameworks, and federal agencies without repeating long titles every time. 

Why Acronyms Exist

Some acronyms are so common in prevention that we forget they’re not universal language. To prevention professionals, these are basic vocabulary words, but to a new coalition member they can feel like code. No one likes feeling like they walked into a room where everyone else got the handbook.

Then there are the acronyms people hesitate to ask about — especially if they think they should already know them; like YRBSS (Youth Risk Behavior Surveillance System) or CSAP (Center for Substance Abuse Prevention), or everyone's favorite SAMHSA (Substance Abuse and Mental Health Services Administration). If you’ve ever sat in a meeting thinking, I should probably know this by now, you’re not alone.

In some instances, prevention culture inadvertently promotes fluency in shorthand. The greater the number of acronyms one possesses, the more competent we may appear. However, competence does not equate to connection, and connection serves as the cornerstone of prevention.

When Language Builds Walls Instead of Bridges

I can’t imagine any of us use acronyms to exclude people. We use them because we’re busy. Because we’re writing grants. Because we’ve sat through hours of technical training and now they’re how we think. Because the alphabet soup has become familiar, but language shapes belonging.

Continue reading about acronyms

Say it once in full.

The first time you use an acronym in a meeting or document, say the full phrase. Every time. Even if you think everyone knows it.

Normalize clarification.

Model phrases like: “Let’s pause — I want to make sure we’re all on the same page.” “Would it be helpful to define that term?”

Watch for blank stares.

If energy drops after a jargon-heavy explanation, it may not be the content. It may be the language.

Ask: Who’s in the room?

Before defaulting to shorthand, consider whether youth, parents, community members, or new partners are present.

Remember your first meeting.

Think back to when you didn’t know what half the acronyms meant. Lead from that memory.

Young people are more likely to develop gambling problems than adults. Those who start gambling early are more likely to become addicted as they grow older. Risk factors include easy access to gambling, social acceptance, cultural norms, and early exposure during adolescence.