School-based prevention of digital and gambling-related harms: an example from the Netherlands

Abstract

Helder op School (“Clear-headed at School”) is a national prevention programme in the Netherlands that supports schools in promoting healthy behaviours among students. While originally focused on substance use, it has expanded to address emerging digital risks, including problematic gaming and gambling-like mechanisms embedded in online games. The programme works with secondary schools and vocational colleges to implement a comprehensive prevention framework, combining school policy development, parental engagement, student education and staff training. A key component is the professional development programme “Identifying and Supporting Gambling Problems”, which equips teachers to recognise early signs of harm linked to loot boxes, in-game purchases and other monetisation systems. The training includes an e-learning module on gambling risks and mechanics, followed by practical sessions delivered by prevention specialists from regional addiction services. Teachers are supported to identify behavioural warning signs, initiate supportive conversations and refer students to appropriate services. This approach is highly relevant as many gaming-related harms first become visible in educational settings through changes in sleep, concentration, attendance and wellbeing. Strengthening school capacity is therefore a critical component of a public health response.

This presentation will share implementation insights, describe challenges encountered in practice, and explore how school-based prevention models can be adapted and scaled across European contexts.