1. INTRODUCTION TO CLINICAL PSYCHOLOGY, THIRD CANADIAN EDITION by John Hunsley and Catherine M. Lee
Chapter 10

2. Overview Questions Approaches to prevention
Promoting evidence-based parenting
Prevention of violence
Prevention of internalizing disorders
Prevention of substance abuse
Prevention of problems in those exposed to trauma or loss
For next class

3. Common Prevention and Health Promotion Programs for Physical Health

4. Vaccination Programs
Costs & benefits?
Equivalent for mental health?

5. Poverty Estimates Canada USA 1994: 1994 Children 15.4%
Older adults: 4.9%
2008
Children 13.3%
1994
Children 24.9%
Older adults: 20.6
2008
Children 23.1%

6. Poverty and Stress
Poverty is associated with an accumulation of stressors?
What are some of these stressors?

7. Prevention
World Economic Forum estimated that, globally, the cost of mental disorders in 2010 was 2.5 trillion dollars
By 2030 the cost is predicted to be 6 trillion dollars a year

8. An ounce of prevention is worth a pound of cure
Benjamin Franklin
An ounce of prevention is worth a pound of cure
A politician, rather than a social scientist introduced the phrase that an ounce of prevention is worth a pound of cure; concept that investment in prevention pays dividends in the long run

9. Approaches to Prevention
Universal preventive interventions
Selective preventive interventions
Indicated preventive interventions
Primary prevention
Secondary prevention

10. Approaches to Prevention
Risk reduction model for prevention
Consider influences both “within” and “outside” the person
Individual factors
School/work context
Family/social factors
Life events and situations
Community and cultural factors
Across these contexts, consider both:
Risk factors, such as…
Protective factors, such as…

11. How can basic research inform prevention?
What have you learned in other psychology courses that could inform programs for the prevention of problems?

12. Promoting Evidence-Based Parenting
Home visiting programs
Parent training programs
Incredible Years
Triple P Positive Parenting Program
Level 1 (Universal): media-based information
Level 2: parenting seminars or brief information sessions
Level 3: for mild to moderate problems, services rom primary health care providers
Level 4 (Standard): for severe problems, services in individual, group, or online format
Level (Enhanced) 5: parenting skills + focus on parents’ own issues and parent supports

13. Prevention of Violence
Addressing the physical abuse of children
Addressing youth violence (bullying and conduct disorder)
Olweus Bullying Prevention Program
KiVa Program
Fast Track Program

14. Prevention of Internalizing Disorders
Anxiety disorders
Coping Koala Program
Depression

15. Prevention of Substance Abuse
Include skills development (e.g., stress management, problem-solving, social skills, assertiveness)
Involve peers, school, home, and community
Programs should be sensitive to developmental and cultural factors
Use of interactive programs is crucial for success

16. Prevention of problems in those exposed to loss and trauma
Be cautious about well-intended programs and assumptions
The case of critical incident stress debriefing
Must remember variability in how people effectively deal with grief and loss
Cognitive-behavioural Interventions (individual and group), can have positive impact for traumatized children/youth
Provide knowledge about trauma and its sequelae
Normalize reactions to extreme situations
Emphasize skills to cope with emotional reactions
Develop skills to reduce avoidance of trauma-related stimuli

17. For next class…

18. Copyright Notice
Copyright © 2014 John Wiley & Sons Canada, Ltd. All rights reserved. Reproduction or translation of this work beyond that permitted by Access Copyright (The Canadian Copyright Licensing Agency) is unlawful. Requests for further information should be addressed to the Permissions Department, John Wiley & Sons Canada, Ltd. The purchaser may make back-up copies for his or her own use only and not for distribution or resale. The author and the publisher assume no responsibility for errors, omissions, or damages caused by the use of these programs or from the use of the information contained herein.
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