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U of M PUBH 3003 - Strategies in Prevention

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Pubh 3003 1st Edition Lecture 6 Outline of Last Lecture I. Substance Abusea. Spectrumb. DisordersII. Mental Health and Mental Disorders a. Diagnosis and Treatmentb. Justice Systems III. Mental Health StudiesOutline of Current Lecture I. Prevention Strategies II. ApproachesIII. TheoriesIV. Signs of riskV. StrategiesVI. Lessons from prevention research Current LecturePrevention StrategiesThe Scare Approach- Not effective for most youthDoes reinforce nonuse to those with no intention of using in first place Those who are:1. Those who are thinking of using 2. Knows someone using3. Are using themselvesAre seldom influenced by this approach The pharmacology approachThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.Immense levels of scientific knowledge about drugs  people will be less likely to use drugs The Decision Making Approach - Teaches decision making skills - However, people do not making decisions on rational scientific information - Decision making is a complex process and involves intrapersonal, interpersonal, communal, environmental, societal and political considerationsThe Shotgun approach - Being a student and herding into your school auditorium or gym and listening to a number of speakers on the subject of drug abuse? This is itThe Ex- Addict Approach Not particularly helpful as a primary- prevention strategy A. Just because a person once used the drugs, does not make them a good educator B. It’s a modified scared tactic (seems to be effective for students who have no intention of drug use)C. Mixed MessagesEven if someone does get hooked they can get clean and have a good life.It won’t happen to me, “im not that stupid”HOWEVER, Ex- Addict is essential tertiary prevention educator for rehabilitation.DARE programSubstance Abuse Prevention Thoery 1. Identify the factors that predict substance abuse;2. Explain the mechanisms through which they operate;3. Identify the internal and external variables that influence these mechanisms, including cultural factors4. Predict points to interrupt the course leading to substance abuse; and 5. Specify the interventions to prevent the onset of substance abuseRisk and protective factory theoryRisk and protective factors and associated with:- Substance - Violence- Teen Pregnancy- Delinquency - School drop outEarly Signs of RiskAggressive behavior, lack of self control, difficult temperamentFamily situations that heighten risk- Lack of attachment and or nurturing by parents or caregivers- Caregiver abuses drugs- Lack of setting clear limits and expectationsEnvironmental Situations that heighten risks:- Poor Social Skills- Academic Struggles - Associating with peers that abuse drugsPrimary PreventionTwo strategies: - Prevent initial use- Minimize chance of problems developing from use (ex: drink and drive)Secondary PreventionMinimize Problems- Turn things around for people who are using but are not yet dependentExamples: Education/ Skills to recognize the warning signs of dependencyTertiary Prevention Minimize Mortality and Morbidity Examples: Chemical dependency treatment; reinforce drug-free lifestyle after non useLesson from prevention research 1. Enhance protective factors and reverse or reduce risk factors 2. Address all forms of drug abuse legal, illegal, or inappropriate use of legally obtained drugs 3. Tailored to address risks specific to population or audience characteristics (age, gender,ethnicity, etc)4. Family based programs should enhance family bonding, parenting skills, practice in developing, discussing and enforcing family policies on substance abuse 5. Designed to intervene as early as infancy6. Focus on age appropriate needs 7. Community programs combining two or more effective programs can be more effective than just one8. Should be long term with booster and repeated programs 9. Use interactive techniques (role


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