HLTH 237 Ch. 13-18 Flashcards

1
Q

What is primary prevention?

A

Preventing a health problem before it occurs by delaying or preventing the onset of substance use.

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2
Q

What is secondary prevention?

A

Early detection and intervention to prevent regular, frequent substance use.

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3
Q

What is tertiary prevention?

A

Managing and reducing the effects of substance use in someone already using problematically.

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4
Q

What are the two main focuses of prevention interventions?

A

Risk avoidance and risk reduction.

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5
Q

Who are the potential target groups for prevention interventions?

A
  • Non-users (those abstaining or postponing use)
  • Low-risk users (those using but not problematically)
  • At-risk users (those using problematically)
  • Relatives and friends of substance users
  • the larger family system
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6
Q

What are the three types of prevention interventions?

A

Universal, selective, and indicative.

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6
Q

What are the three main components of prevention programs?

A

Knowledge, attitudes and values, and skills

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6
Q

Why are attitudes and values important in prevention programs?

A

They shape an individual’s beliefs about substance use and influence decision-making.

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7
Q

How do skills help in prevention programs?

A

They equip individuals with coping mechanisms, refusal strategies, and problem-solving abilities.

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8
Q

What are common settings for youth prevention programs?

A
  • Classroom-based
  • School-wide
  • Community
  • Multiple settings
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9
Q

Who are potential facilitators of youth prevention programs?

A
  • Peers
  • Teachers
  • Program staff
  • Outside speakers
  • Police
  • Parents
  • Professional counselors
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10
Q

What are the three types of prevention?

A
  1. Primary: Preventing substance use before it starts
  2. Secondary: Early intervention for those who have begun using
  3. Tertiary: Reducing harm for those already using problematically
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10
Q

Who are the main target groups for prevention?

A
  • Non-users
  • Low-risk users
  • At-risk users
  • People affected by others’ use
  • Family systems
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11
Q

What are the three prevention strategy types?

A
  • Universal
  • Selective
  • Indicative
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12
Q

What are the three main components of prevention programs?

A
  1. Knowledge
  2. Attitudes and values
  3. Skills
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12
Q

What five elements make prevention programs effective?

A
  • Promoting protective factors and personal competence
  • Developing knowledge, skills, and supports
  • Including family and community
  • Building supportive policies and environments
  • Ensuring effective program delivery
13
Q

What key protective factors help prevent substance use?

A
  • Bonding and connectiveness
  • Resilience and self-determination
  • Various forms of competence (social, emotional, cognitive)
  • Positive identity and belief in future
  • Opportunities for positive involvement
13
Q

What important skills and knowledge should prevention programs teach?

A
  • How to handle internal pressures
  • Refusal and social skills
  • Accurate information about use rates
  • Consequences of substance use
  • Harm reduction strategies
14
Q

Why do most prevention programs fail?

A
  • Poor program selection
  • Lack of stakeholder involvement
  • Poor implementation fidelity
  • Inadequate teacher training
  • Improper evaluation
  • Using ineffective methods
15
Q

What are some ineffective methods of drug prevention programs?

A
  • Single-shot testimonials by former drug users
  • Inconsistent messaging
  • Fragmentary approaches
  • Focus on fear arousal with exaggerated dangers, graphic imagery, and frightening case studies
  • Glamorizing or romanticizing drugs or drug users
  • Not tailored for age, setting, or social background
  • Passive participation
16
Q

What are some issues with drug education in Ontario schools?

A
  • No standardized curriculum
  • No consistent mandates or regulations
  • Many students receive no drug education
  • Little evaluation of program effects
  • Poor evaluation methods
  • Limited evaluation shows the use of ineffective programs and methods
17
Q

What family factors influence drug use?

A
  • Close parent-child relationships (e.g., family dinners)
  • Positive, consistent discipline
  • Parental monitoring and supervision
  • Family involvement in the community
  • Parental drug use
  • Parental approval of drug use
  • Family instability and conflict
  • Marital discord
  • Abuse (physical, emotional, psychological)
18
Q

Why is family programming important in drug prevention, and what challenges does it face?

A
  • Parents directly influence children’s experiences and perspectives
  • Involving parents is effective for reaching at-risk youth
  • Family interventions include:
  • Providing parents with information
  • Enhancing parenting skills
  • Supporting parents with resources
  • Encouraging positive family interactions
  • Challenge: Parental involvement is often difficult to achieve
19
Q

What are the effects and limitations of Antabuse, Temposil, and Acamprosate in treating alcohol use?

A

**Antabuse & Temposil:
**
* Cause hangover-like reactions when alcohol is consumed
*
* Not commonly used anymore
*
* Require consistent use
*
* Effects may be due to placebo

Acamprosate:

  • Reduces withdrawal symptoms
  • Makes alcohol less pleasurable
  • Most effective for those motivated to quit
19
What are some forms of nicotine replacement therapy and their pros and cons?
* Patches, gum, lozenges: * Help quit smoking * Avoid harmful effects of smoking * E-cigarettes: * Can help people quit * Still contain harmful substances * Popular with youth * May lead to cigarette smoking
19
What is the confrontation and intervention approach, and what are its limitations?
* Believes people with addiction are in denial and don’t see the harm * Thinks traditional therapy doesn’t break through defenses * Assumes people need to hit “rock bottom” to change * Uses crisis and verbal confrontation to push change * Has little scientific evidence showing it works
19
What is therapeutic confrontation, and what are its possible effects?
* A counselor gives direct, honest feedback about substance use * Challenges denial and makes the person reflect on their behavior * Can be strong or gentle, depending on the situation **Possible effects: *** * Dropping out of treatment * * Lower self-esteem * Returning to drug use
19
What did the 2020 Vancouver Study find about treatment for substance use?
* Compared three groups: * People forced into treatment * People who chose treatment * People who didn’t attend treatment * Found no major differences in substance use or outcomes * Treatment didn’t show significant impact across groups