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Summary Community psychology week 8

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In depth Community psychology notes. this is all you need to CUM the exam.

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  • May 30, 2018
  • 19
  • 2017/2018
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Week 8


A Prevention, Early Intervention, Treatment Framework
and other environmental considerations
J.J. McWhirter Page | 1



A COMPREHENSIVE PREVENTION, EARLY INTERVENTION, TREATMENT
FRAMEWORK

What serves as treatment intervention for one problem usually serves as preventive
strategy for another more advanced problem

Factors which contribute to risk: demographic characteristics [social class +
economic conditions, family, community + school stressors] + personal
characteristics, attitudes + behaviours

As risk factors increase without concurrent increase in protective factors, children +
adolescents become increasingly likely to be at imminent risk

Protective factors: buffer/protect young people who might otherwise be at greater
risk

• Just like risk factors, protective factors are also present at individual level
(social skills + intelligence), family level (authoritative parenting + strong
attachments between child + parent) + community level (accessible resources
like social + medical services + parks, and strong linkages between family +
community)

Prevention efforts that support + maximize protective factors while reducing risk
factors are more likely to be successful



When formulating model that incorporates prevention, early intervention + treatment
– must consider:

1. Role of school
2. Linkage between problems of young people + prevention
3. Interplay between treatment + prevention




Prevention as an intervention approach

, Week 8


HISTORY OF PREVENTION PROGRAMS

➢ 1960s: drug prevention programs to provide information [emphasis on drugs
rather than why people use them]
➢ 1970s: drug prevention programs addressed personal + social factors
Page | 2
correlated with drug abuse + provide more accurate information [affective
education]
➢ 1980s: emphasized behavioural strategies [social competency + prosocial
coping – life skills]
➢ 1990s: systematic incorporation of affective, cognitive + behavioural areas +
emphasized development of both skills + prosocial attitudes
➢ 2000s: beginning of development of concern with program effectiveness
▪ Deeper insight – pages 58-60



PREVENTION DEFINED

Prevention: stop something before it happens

Caplan – categories of intervention:

Primary prevention Secondary prevention Tertiary prevention


reduction of new prevalence rates for
harmful effects of an
incidence rates of those at risk of
existing disorder
disorder developing disorder




Gordon – different classification system which identified targeted populations:

Universal prevention Selected prevention Indicated prevention

individual/subgroup of only individuals + groups
everyone in population
population at high risk



Institute of Mental Health – defined prevention efforts as only those occurring before
onset of disorder



Prevention as an intervention approach

, Week 8


Several criticisms regarding applicability of recognized definitions:

• Initially created to classify prevention efforts for physical disorders
• Institute of Mental Health definition uses disease-based model [excluding
social + political change + health-promoting interventions as part of Page | 3
prevention]



Romano + Hage – define prevention efforts as those having one or more of
following:

1. Stops [prevents] problem behaviour from ever occurring
2. Delays onset of problem behaviour
3. Reduces impact of existing problem behaviour
4. Strengthens knowledge, attitudes + behaviours that promote emotional +
physical well-being
5. Supports institutional community + government policies which promote
physical + emotional well-being


• Encompasses goals of primary, secondary + tertiary prevention + includes
prevention efforts within larger social systems + acknowledges counselors’ +
other human service professionals’ role as agents of social change
• Must determine which prevention practices + implementation strategies will be
most effective with what individuals + what communities at what time > individual
+ context-specific factors + interaction among factors in creation +
implementation of interventions



DESCRIPTION OF FRAMEWORK

Operates along several continuums + provides intervention components that
encompass society + community, family + schools




Prevention as an intervention approach

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