Slide 1AnnouncementsExam 1 RecapTaxonomies of Prevention: IOM ModelTaxonomies of Prevention: ComparisoniClicker Review QuestionsiClicker Review QuestionsiClicker Review QuestionsPrevention: A population focusPrevention & PromotionSlide 16Slide 17Prevention vs. PromotionPREVENTION & PROMOTION IIPSYC 23, Class 17February 28, 2020ANNOUNCEMENTSReflection paper #5 due Saturday at 9 pmOffice Hours today to discuss Exam 1Room 318EXAM 1 RECAPExam 1 Grades PostedMean: 22.3 (89.1%)No differences across formsOffice Hours today to discuss (room 318)If you’re concerned, please see me! There are many more points up for grabs this semester.90 - 100 80 - 89 70 - 79 Less than 700102030405060Exam 1 ScoresTAXONOMIES OF PREVENTION: IOM MODEL A report by the U.S. Institute of Medicine (IOM; 1994)Universal Preventive MeasuresFor everyone in a given population groupExample: TV ads about why drugs are badSelective Preventive MeasuresFor groups of people at above-average risk for specific problemsExample: screening for colon cancer after 45 years oldIndicated Preventive MeasuresFor individual people who are at high risk for developing disorder in the future, especially if they show early symptoms (but not treatment for full disorder)E.g., programs for children who experienced child abuseTAXONOMIES OF PREVENTION: COMPARISONCaplanIOM ReportPrimaryUniversalSecondarySelectiveIndicatedTertiaryXICLICKER REVIEW QUESTIONSA flu vaccine, available to all individuals, is an example of which type of prevention?a) Primary/Universalb) Selectivec) Indicatedd) TertiaryICLICKER REVIEW QUESTIONSJenn starts a program that has the goal of preventing homelessness. Her program provides financial support and other assistance to families where the primary breadwinner has recently lost their job. What type of prevention is this?a) Primaryb) Secondaryc) TertiaryICLICKER REVIEW QUESTIONSJenn starts a program that has the goal of preventing homelessness. Her program provides financial support and other assistance to families who are behind on rent and could be evicted any moment. What type of prevention is this?a) Universalb) Selectedc) IndicatedPREVENTION: A POPULATION FOCUS•Prevention programs focus on reducing the rate of disorders within a population•Programs need to measure their success!•Incidence: The rate of new cases of a disorder during a given period (usually a year)•Prevalence: The total number of cases in a population•Prevention programs aim to lower the incidence of new cases, and ultimately lower the prevalence in a population•Tertiary prevention could actually increase prevalence if it keeps people alive and functioning well with a disorder for longerPREVENTION & PROMOTIONPromotion approach: the goal of intervention should not just be the prevention of disorder but the enhancement of wellness and competenceMoving beyond just minimal functioning to functioning at fullest potentialContinuing debate about where to focus our time and resourcesPrevention of disorder?Promotion of wellbeing & competence?In reality, often difficult to separate the two goals of health promotion and problem preventionMental IllnesspreventionMental Health promotionvs. What are the goals/outcomes?Bullying preventionPromoting safe school climatesvs. What are the goals/outcomes?PREVENTION VS. PROMOTIONWhat are some criticisms of prevention?What are some criticisms of