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What is Behavioral Health? - ✔✔✔A state of mental/emotional being and/or choices and actions that affect health and wellness.
What are some behavioral health problems? - ✔✔✔Substance abuse or misuse
Alcohol and drug addiction
Mental and substance use disorders
Serious psychological distress
Suicide
What two entities influence the field of prevention in behavioral health? - ✔✔✔The public health approach and the Institute of Medicine (IOM)
Continuum of Care
What is Public Health? - ✔✔✔It is what we, as a society, do collectively to assure the conditions for people to be healthy.
Public Health Approach Key Characteristics - ✔✔✔Promotion and prevention (focus on wellness and preventing problems)
Population based (focus on the population, not individual)
Risk and protective factors (factors that influence the problem)
Multiple contexts (contexts related to the ecological model by how one is influenced (family, community, school, and culture)
Developmental perspective ( consider the developmental stage of life)
Planning process (deliberate, active and ongoing planning process)
5 Questions of the Public Health Approach - ✔✔✔What - What substance use and other behavioral problems need to be addressed
Who - Who will the interventions focus on
When - When in the developmental stage is the intervention focusing on
Why - Why are these problems occurring? Risk and Protective Factors
How - How do we do effective prevention?
The IOM Continuum of Care Breakdown - ✔✔✔Promotion - involves interventions (e.g. programs, practices, or environmental strategies)
Prevention (3 types) - Universal (general public; community policies, education to physicians, social skills for youth), Selective (subgroup
identified as having a risk of developing SUD; prevention education for new immigrant families, peer support groups), Indicated (high-risk
individuals identified as having minimal signs; referral and information for those who violate campus or community policies on alcohol and drug
usage, screening and referral for older adults admitted to ER with alcohol related injuries)
Treatment - interventions and standard forms of treatment
Maintenance - interventions focusing on long-term treatment to reduce relapse
, Recovery - process of change where individuals improve their health and wellness
SAMHSA Eight Dimensions of Wellness - ✔✔✔occupational, physical, social, intellectual, spiritual, emotional, financial, environmental
Prevention History - ✔✔✔1950s - scare tactics through films and speakers
1960s - scare tactics, information about substance abuse
1970s - drug curricula based on factual information, curricula based on communication, decision-making, values clarification, and self-esteem
1980s - Parent-formed organizations to combat drug-abuse, social skills curricula, refusal skill training
1990s - Community-based approaches to prevention, environmental approaches, media campaigns, culturally sensitive programs
2000-2010 - evidence-based models, comprehensive programs, data-driven decision making
2010-present - evidence-based practices, strategic planning process, improved access to health insurance that covers mental health and
substance abuse services
Risk factors - ✔✔✔certain biological, psychological, family, community, or cultural characteristics that precede and are associated with a higher
likelihood of behavioral health problems
Protective factors - ✔✔✔characteristics at the individual, family, or community level that are associated with a lower likelihood of problem
outcomes
Risk and Protective Factor Domains - ✔✔✔Individual, family, community, and society
Developmental perspective in substance use prevention - ✔✔✔Interventions should be appropriate for the specific developmental stage of the
population
Prevention efforts that are aligned with key periods in young peoples' development are most likely to produce the desired long-term positive
effects
People are more vulnerable to substance abuse and other behavioral health problems when they have experienced untreated, unresolved
trauma
Stages of Change - ✔✔✔Pre-contemplation - no intention to change
contemplation - some awareness of the need/desire to change
preparation/determination - believes they can change and taking steps to begin
action - begun to make behavior change and making plans for maintaining the change
maintenance - Maintained new behavior for over 6 months
Relapse is always possible - a slip back to a previous pattern of behavior
Individual behavior change strategies - ✔✔✔Education based programs - develop the knowledge, attitudes, and skills they need to change
behavior, can be youth, parents, merchants, and servers