The use of psychoactive substances expanded in Western society from the 19th century onwards, with some becoming the target of prohibition. Within the topic of drugs, several relevant topics can be highlighted for debate, such as types of use and possibilities for preventing related risks. These risks can be both individual and social. Due to its social relevance, the consumption of alcohol and other drugs by young people leads to a defense of the debate on this topic in schools. This thesis aimed to understand practices and conceptions of educators who graduated from the course Education, Drugs and Health in Schools, taught through the Center for Distance Higher Education Foundation of the State of Rio de Janeiro (Cecierj). Research instruments included questionnaires applied through online forms and semi-structured interviews conducted remotely due to the COVID-19 pandemic. A descriptive statistical analysis of the objective questions of the dialogue was carried out, while the open questions and interviews were investigated using Content Analysis (BARDIN, 2016). Educators were found who value and use dialogical approaches and are guided by the perspective of harm reduction. Regarding the development of these works, different obstacles were reported, such as the difficulty of establishing partnerships due to lack of interest in the subject or concerns related to taboos and the tendency towards prohibitionist approaches. There are also concerns about possible accusations of drug promotion, fear of disapproval by those responsible and by agents linked to drug trafficking in school environments. Despite this, reports on projects initiated with active and interested participation of students. These projects were influenced by training in drug education, presenting quality indicators. It stands out, however, its dependence on individual initiatives of educators, who do not have institutional support and public policies for continuing training in drug education and for the work itself.