Such problems as sexually transmitted diseases, alcohol and other drug
use, and acquaintance rape require college health professionals to fu
nction in primary and secondary preventive roles. In this article, the
authors draw upon counseling literature and college health practice t
o identify the central elements of preventive programs, highlight spec
ific intervention formats used in preventive work, and describe how in
terventions are assembled into coherent programs of prevention. To ill
ustrate the structure and process of long-range, institutionalized pre
ventive efforts, the authors describe an initiative addressing the pri
mary, secondary, and tertiary prevention of substance use at a health
sciences campus.