shown that extra effort in providing incentives, flexible schedules, personal contact, and the public support of important community leaders helps attract and retain program participants. Medical-based prevention programs Prevention within the medical field plays a large role in impeding substance abuse. This is largely seen when looking at the role nurses play in the opioid crisis in the United States. One program that nurses can get involved with regarding the opioid epidemic is medication-assisted treatment (MAT) system. This system is an evidence based approach that uses both therapy and medication to treat patients struggling with opioid addiction. Special training is required for nurses who want to participate in this program, meaning there are a limited number of nurses who can partake, however, it has greatly reversed the number of overdoses and deaths from opioids in the United States. Another type of program that nurses can assist in to reduce opioid addiction is called "eat, sleep, console." This is an approach that nurses can take when treating patients that can reduce which medications a patient needs and how long their hospital stay is. This is used for newborns that became exposed to opioids in utero, and it gives nurses the opportunity to educate their patients on how to reduce the side effects of addiction. Looking at it in whole, there are several different programs within the medical field that are used to treat substance abuse. Levels of Prevention There are three types of prevention which are all aimed to help reduce and or help deal with health problems that can be caused by substance use. The first intervention when dealing with substance use is primary use which involves ceasing the result of substances being used before it happens. Examples of primordial prevention include preventing the development of risk factors (e.g., depression) that increase a person's chances of developing a future substance use disorder. Examples of primary substance prevention would be the promotion of no interaction with the drug. Tertiary prevention is when the individual has to receive treatment for the substance that has been consumed. Examples include rehab & intensive outpatient therapy are examples of a few short-term preventions. Tertiary prevention involves an individual such as one suffering from substance use to receive treatment such as rehab or an intensive therapy but the process of recuperating will be longer due to the intense amount of intake within the body. National recognition