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The Spectrum of
Prevention: A Tool for Effective and Comprehensive Public Health Practice
Benita Tsao
Moving Public Health Practice to the Next Level in Challenging Times
September 29, 2011
Image Source:
http://www.healthykidshealthycommunities
.org/communities/hamilton-county-oh
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HEALTHHEALTHHEALTHHEALTH
BEHAVIORBEHAVIORBEHAVIORBEHAVIORBEHAVIORBEHAVIORBEHAVIORBEHAVIOR
ENVIRONMENTENVIRONMENTENVIRONMENTENVIRONMENT
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It is unreasonable to expect that
people will change their behavior
easily when so many forces in the
social, cultural, and physical
environment conspire against
such change.
“
”
Institute of Medicine
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� Child Restraint and Safety Belt Use
� Smoking Prevention
� Minimum Drinking Age Laws
� Childhood Vaccinations
� Motorcycle and Bicycle Helmet Laws
� Reduced Lead Levels in Children
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NORMS
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Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
The Spectrum of Prevention
Strengthening Individual Knowledge & Skills
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The Spectrum of Prevention
Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
Strengthening Individual Knowledge & Skills
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Individual Knowledge & Skills
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Individual Knowledge & Skills
Photo courtesy of http://www.youthalive.org/
Youth Alive! Teens on Target
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The Spectrum of Prevention
Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
Strengthening Individual Knowledge & Skills
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Community Education
Truth Campaign
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www.ceasefirechicago.org
Community Education
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� Social marketing campaigns
� Media advocacy,
e.g., opinion articles,
letters to the editor
� Community events
Community Education
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The Spectrum of Prevention
Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
Strengthening Individual Knowledge & Skills
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SOURCE: Daniel Lobo
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Educating Providers
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The Spectrum of Prevention
Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
Strengthening Individual Knowledge & Skills
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Soda Menu Labeling Marketing to Kids Joint Use
Healthy Food Retail Transportation Health Reform
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Health in All Policies Task Force
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Health and
Public Health
Social
ServicesCriminal Justice
and Law
Enforcement
Education
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The Spectrum of Prevention
Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
Strengthening Individual Knowledge & Skills
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Kaiser Permanente Farmers’ Markets
Organizational Practices
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Library Cards for All in Salinas, Calif.
Organizational Practices
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Pharmacy Tobacco Bans
Organizational Practices
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The Spectrum of Prevention
Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
Strengthening Individual Knowledge & Skills
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Policy & Legislation
Photos courtesy of http://measurey.org/
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Policy & Legislation
Tobacco Free Parks
Montgomery County, Alabama
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Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
Strengthening Individual Knowledge & Skills
Data & Evaluation
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Spectrum
Synergy
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Benefits of the Spectrum
� Promotes comprehensive solutions to
complex problems � more effective
� Promotes coordination and collaboration
� more efficient
� Fosters strong partnerships and
community engagement
� sustainable outcomes
� Shifts norms
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What is Joint Use?
� A partnership to share facilities between a local school district and the corresponding city/county, parks and recreation department, or an organization such as the YMCA.
� These facilities can include (but are not limited to) outside tracks and fields, swimming pools, fitness centers, and gymnasiums.
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Pixley, California
� Ballet Folklorico
students originally
practiced on a
broken down
basketball court
� A joint use
agreement provided
students with a safe
place to practice,
play, and be
physically active
Joint Use of Facilities
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Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
The Spectrum of Prevention
Strengthening Individual Knowledge & Skills
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School district adopts a formal policy promoting Joint Use
Unlocking the gates & having a formal plan in place
School district working with YMCA may also want to include unions, parks & rec, insurance, etc.
Working with youth in identifying community challenges and opportunities
Raise awareness through programs like PhotoVoice
Gain buy-in of custodial staff & other “gate keepers” around the positive impact of Joint Use
1. Strengthening Individual
Knowledge & Skills
6. Influencing Policy
and Legislation
5. Changing Organizational
Practices
4. Fostering Coalitions
and Networks
3. Educating Providers
2. Promoting
Community Education
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A good solution
solves
multiple
problems.
Prevention Institute
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Linking Health Issues
Promoting Healthy Eating &
Active Living
Preventing Violence &
Injury
Tobacco Cessation & Prevention
Preventing Adverse Birth
Outcomes
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Addressing the Intersection
Safety
and
Violence
Healthy
Eating
and
Active
Living
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Addressing the Intersection
Food Deserts and Violence in Denver
Source: http://www.laht.com/article.asp?CategoryId=12395&ArticleId=396991
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Addressing the Intersection
Safe Routes to School
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Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
The Spectrum of Prevention
Strengthening Individual Knowledge & Skills
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www.preventioninstitute.org
TOOLS
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Community-Centered
Health Homes
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Addressing the Intersection
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Collaboration Multiplier
Data Concepts Funding Training Partners Key Issues Outcomes
Sum
Remainder:
Average: Sum: Product: Sum: Sum: Exponential
Product:
Crisis Centers
Education
Health
Faith
Business
Media
Law Enforcement
TOTALS
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Oakland, CA 94607
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www.preventioninstitute.org
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