LNOB - Leave No One Behind

Dianova’s new campaign aims to demand access to addiction treatment for all, as an essential human right – this week focuses on young people and adolescents – click here to access dedicated page

Globally, only one in five people with substance use disorders received treatment in 2021. In the various regions of the world, there are great disparities in the type, quality and ease of access to treatment services. Moreover, not all types of treatment available respect human rights and are based on evidence and recognized quality standards

More vulnerable populations

Among people who use drugs, certain populations are even more vulnerable because they are stigmatized and discriminated against; in addition they experience many obstacles when seeking help and support:

LGBTQI+ PEOPLE – People who identify as lesbian, gay, bisexual, transgender, questioning and intersex experience more social stigma, discrimination and stress as compared with cis and heterosexual people. As a result, they are likely to refrain from seeking help, because of previous or anticipated experiences of discrimination.

OLDER PEOPLE – Addiction is a reality among the elderly, yet the addiction problems they face remain invisible and very few services are dedicated to their needs. As a result, they tend to avoid addiction treatment services.

YOUNG AND ADOLESCENTS – Adolescents who use drugs are more likely to have other problems such as mental health problems, experiences of social vulnerability, and other stress factors. However, treatment programmes lack services tailored to their needs.

WOMEN – Women face multiple barriers to treatment: overall, 1 in 3 people with problematic substance use are women, but only 1 in 5 people in treatment are women.

We all need to move forward and provide solutions for everyone

To do this, it is crucial to respond to the needs of each segment of the population, through investment and concrete actions. This is what Dianova will endeavour to show throughout this campaign. 

Each week, the campaign will be dedicated to each of the groups most vulnerable in terms of access to treatment. This week focuses on young people and children

Young people are more vulnerable to substance use

Epidemiological evidence suggests that people who begin experimenting with drugs during early adolescence are more likely to develop substance use disorders


  • Adolescence is a critical period of physical and emotional development, making it more vulnerable to the possible consequences of substance use
  • Young people are the most vulnerable group to drug use. In 2021, 5.3 % of 15- to 16-year-olds worldwide (13.5 million people) had used cannabis in the previous year
  • Substance use during adolescence affect key social and developmental transitions and can interfere with normal brain maturation, with potentially lifelong consequences
  • Research has shown that alcohol use in early adolescence doubles the risk of developing serious alcohol-related disorders compared with later use
  • Some studies have shown that chronic cannabis use in adolescence can lead to a loss of cognitive ability in certain contexts
  • Adolescents who use drugs are likely to have other other problems, such as mental health problems, experiences of social vulnerability, stress factors and other areas of vulnerability

Calls to action

It is therefore essential to initiate treatment as soon as possible, yet less than a third of adolescents with substance use and mental health problems receive care tailored to their needs


Adolescents need a specific care pathway tailored to their needs. It is essential that services for children and young people are based on respect for their rights

Adolescents have age-specific treatment needs that may differ from those of adults. A comprehensive analysis must take into account the rights of children and adolescents and the gender perspective


Providing effective support for young people with drug problems means avoiding the dogma of abstinence as the only option, while also implementing harm reduction approaches

Addiction treatment approaches for adolescents must be tailored to their needs: in some cases, cessation of use may not be desired or achievable, and practioners should offer clear advice in order to reduce the negative impact of drug use without requiring abstinence


Addiction services need to adapt to the realities of young people and their needs, while avoiding outdated narratives and fear-based approaches

Prevention programmes for adolescents must be grounded in evidence and use interventions that target salient risk and protective factors at the individual, family, and/or community levels

In the face of addiction, it is essential to move forward and provide solutions for everyone, leaving no one behind. It is therefore essential to respond to the needs of each segment of the population, through investment and concrete actions

Creative Concept

The campaign avoids the use of stock photos and instead focuses on one key message: LEAVE NO ONE BEHIND, and its acronym LNOB

With its simple, modern graphics – black lettering on a very contemporary yellow/green background – the campaign avoids the trap of those classic photos that tend to lose their potential by being seen over and over again.

The important thing is the message. How do you get it across? By making purely graphic and symbolic choices that evoke an emotional response. In the example above page the word BEHIND is almost hidden by the first part of the slogan ‘LEAVE NO ONE’, suggesting that a section of the population is being side-lined, rejected and denied their existence and needs.

The other side of the graphic element repeats the acronym LNOB and provides a message, a fact or a call to action, either general or specific to the population concerned.

Target Audience

  • POLICYMAKERS, to advocate that the diversity of people, their needs and their vulnerabilities be better taken into account in addiction policies and services, particularly for the groups mentioned in this document.
  • HEALTH PROFESSIONALS, in order to raise their awareness, particularly among addiction professionals, of the need to ensure that everyone is adequately served in primary care, referral and specialist services. Awareness-raising, training and self-analysis of skills should be promoted.
  • GENERAL PUBLIC, to put an end to the stigmatization and discrimination experienced by women, LGBTQI+ people, older adults and young people when they have substance use disorders.
  • PEOPLE AFFECTED, so that they can identify the problems they face and feel more confident in seeking specialist help.


The LNOB campaign has been developed by Dianova International with support from CAMURUS through a sponsorship agreement. For compliance reasons Camurus has reviewed the campaign material(s) before its release, but had no influence on its development or content.

Camurus is a Swedish science-led biopharmaceutical company committed to improving the lives of patients with severe and chronic diseases – view website: https://www.camurus.com/ 

Campaign’s materials


Social Media Kit: EN ES FR

Campaign’s Briefing: EN ES FR

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