The DUSEM framework
Eight domains. One moving system.
DUSEM examines the person, substance, environment, purpose, and aftermath together. There is no magic first step and no tidy finish line.
01Knowledge
Know the substance, the source, the interactions, and what you do not know.
02Motivation
Understand what the use is meant to change, create, avoid, or escape.
03Set
Account for mindset, expectations, mental health, and current capacity.
04Setting
Treat the physical and social environment as part of the drug experience.
05Dose
Think in amounts, potency, timing, accumulation, and individual variability.
06Administration
Route, pace, equipment, and combinations can radically change the risk.
07Recovery
Plan for sleep, nutrition, hydration, support, and the aftermath of use.
08Evaluation
Look back honestly, update the system, and stop outsourcing outcomes to luck.