Lecture 20: Secondary Prevention Flashcards
(24 cards)
What is secondary prevention? [1]
Finding and helping people early so their problems don’t get worse
Stop things from becoming more serious.
Give [4] examples of secondary prevention programs for young people.
- Mentors
- stopping gangs
- anti-bullying
- help with the law or drugs
What does it mean for secondary prevention to be targeted? [1]
We need to know who is at risk of having problems
Focus on people likely to have issues.
How do we know if someone is at risk? [3]
Things like:
- abuse at home
- being aggressive
- hanging out with the wrong people.
Why are substance use programs a type of secondary prevention? [1]
They help people with drug or alcohol problems before it leads to more trouble.
Treatment to prevent bigger problems.
Less drug use = less crime risk.
What makes substance use treatment work better? [2]
- Longer programs
- finishing treatment
Longer treatment = better results.
Dropout is common without support.
What are [4] common barriers to drug treatment?
- Stigma
- comorbid mental health disorders
- lack of social support
- drop out
What are substance use courts trying to do? [1]
They try to use the court to get people into treatment for their drug or alcohol problems instead of jail.
Work better for adults than youth.
Are substance use courts helpful? [2]
- They can sometimes help adults commit fewer crimes.
- It’s less clear for young people.
Why are youth drug courts less effective? [1]
Youth are already helped in regular court with therapy.
What are the [3] critiques of substance use courts?
- Little standardization
- Most do not adhere to the RNR principles
- Ethical issues
Critique #1 of Substance use courts: Standardization [3]
- There is little standardization across substance use courts.
- Each court has different rules and processes
- No shared structure across Canada
Critique #2 of Substance use courts: RNR [2]
- Most do not follow Risk-Need-Responsivity principles.
- Treatment is not matched to people’s needs
RNR makes treatment more effective
Critique #3 of Substance use courts: Ethics [3]
- Most use abstinence-based rules, not harm-reduction.
- Can block meds and raise health risks
- Less support for safe recovery
What is secondary prevention for child sexual abuse (CSA)? [1]
Trying to help people who are attracted to children so they don’t hurt anyone.
Aims to prevent CSA before it happens.
Why has secondary prevention for CSA been slow to develop? [2]
Some people think:
- it can’t be stopped
- these individuals are simply “monsters”.
Misconceptions hindered progress.
Do people attracted to children always want to hurt them? [1]
No, many do not want to offend and want to avoid legal trouble
Where can someone attracted to children go for help? [2]
Therapy but:
- It can be hard to find help because of fear
- some professionals may not work with them.
Even if no crime was done, help is rare.
What kind of help do CSA prevention programs offer? [4]
- Therapy
- coping tools
- medication
- support groups.
CBT to build self-control and manage thoughts.
What did the review of CSA prevention programs find? [2]
- Most programs focus on protecting kids
- more programs are needed to help those at risk of offending.
What were the [2] key findings for adult CSA prevention programs?
- Programs can help reduce looking at CSA material
- Programs can change harmful thoughts and feelings.
What were the [2] key findings for child/youth CSA prevention programs?
- Programs can increase knowledge about CSA
- Programs help young people avoid harmful behaviour.
What is Talking for Change in Canada? [2]
- A program that offers therapy for people struggling with attraction to children.
- Offers chat line and group/solo therapy.
Safe, supportive therapy (not anonymous).
What are [4] barriers to CSA prevention programs?
- Stigma
- fear
- lack of anonymous help
- few trained workers
