Prevention is Primary<br />Published by APHA and Jossey-Bass<br />Edited by Larry Cohen, Sana Chehimi, and Vivian Chavez<b...
Agenda<br />Introduction <br />About Prevention is Primary <br />Part 1: Defining the Issues<br />Part 2: Key Elements of ...
Objectives<br />Discover frameworks and research available in Prevention is Primary<br />Learn how to use other Prevention...
Presenters<br />Larry Cohen, MSW<br />Executive Director<br />Prevention Institute<br />Larry Cohen, MSW<br />Executive Di...
About Prevention Institute<br />Primary prevention<br />Changing norms and policies<br />Focus on health equity<br />
Current U.S. health care spending<br />$2.2 Trillion<br />Behaviors & Environment<br />70%<br />Genetics 20%<br />Medical ...
Current U.S. health care spending<br />$2.2 Trillion<br />Prevention 4%<br />Behaviors & Environment<br />70%<br />Medical...
Return on investment with prevention<br />Savings at 5 Years<br />$16 Billion <br />Annual Savings<br /> In 5 Years<br />$...
Prevention and Public Health Fund, 2010-2019<br />
2011 Health Equity Summit: Oakland, CA<br />
Training Future Leaders<br />Motivation for second edition<br />New Sector Alliance<br />Academic outreach<br />Photo Cred...
Prevention Is Primary: Strategies for Community Well-Being, 2nd ed.<br />15 chapters, 46 expert contributors<br />Theory, ...
Part 1: Defining The Issues<br />The case for primary prevention<br />Social determinants of health/disparities<br />Resil...
Take 2Steps to Prevention<br />Environment<br />Exposures & Behaviors<br />Health  Care Services<br />
Heart Disease<br />Cancer<br />Stroke<br />Diabetes<br />Injuries & Violence<br />Causes of Death<br />
Photo courtesy of http://tycohealth-ece.com/files/d0003/ty_rn33d7.jpg<br />
Medical Care Alone Cannot<br /> Reduce Injuries and Inequities<br />Not the primary determinant of health<br />Treats one ...
The 1st<br />step ...<br />Environment<br />Exposures & Behaviors<br />Health  Care Services<br />
Making Links to Exposures & Behaviors<br />Diet & Activity <br />Patterns<br />Heart Disease<br />Cancer<br />Tobacco<br /...
Let’s take another <br />step ...<br />Environment<br />Exposures & Behaviors<br />Health  Care Services<br />
The Spectrum of Prevention<br />Influencing Policy and Legislation<br />Developing strategies to change laws and policies ...
The <br />Spectrum of <br />Prevention <br />is a tool for changing systems, norms, and environments.<br />
Norms<br />more than a habit<br />sanction behavior<br />based in culture & tradition<br />attitudes, beliefs, ways of bei...
Example: Breastfeeding<br />
The Spectrum of Prevention:Breastfeeding<br />Influencing Policy and Legislation<br />Developing strategies to change laws...
Part 2: Key Elements of Effective Prevention Efforts<br />Local<br />Business<br />Community organizing<br />Media advocac...
8 Steps to Building and Maintaining an Effective Coalition<br />8. Make improvements through evaluation<br />7. Maintain c...
Part 3: Prevention in Context<br />The built environment<br />Healthy food environments<br />Preventing violence<br />Rela...
Communities Taking Action: Profiles of Health Equity<br />
UNITY builds support for effective, scalable, sustainable efforts to prevent violence before it occurs so that urban youth...
UNITY City Network<br />Seattle<br />Minneapolis<br />Boston<br />Detroit<br />Newark<br />Richmond<br />Chicago<br />Phil...
Our tools and frameworks in action<br />Prevention is Primary is used at schools including:<br />University of Pennsylvani...
Other tools that have been adapted for classroom use<br />THRIVE at Case Western Reserve University School of Medicine<br ...
Publications<br />Order your copy of Prevention is Primary from the APHA Bookstore!<br />http://tinyurl.com/3wq8c9n<br />
Stay in touch with Prevention Institute<br />Sign up for e-alerts on our website: www.preventioninstitute.org<br />Follow ...
Quality prevention is the catalyst for change.<br />
Thank you!<br />APHA<br />Jossey-Bass<br />Participants<br />
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Prevention is Primary: Strategies for Community Wellbeing with Sana Chehimi and Larry Cohen

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  • SANAIntroduction (7 minutes) Why prevention? Why now? About Prevention is Primary (30 minutes)Part 1: Defining the IssuesPart 2: Key Elements of Effective Prevention EffortsPart 3: Prevention in ContextClosing (3 minutes)Question and Answer (10 minutes)
  • SANA
  • SANAI’m Sana Chehimi, Program Director at Prevention Institute, PIP co-editor and prevention enthusiast. Joining me today is our Executive Director and Founder, Larry Cohen, lead editor of PIP. Larry, will you share a little bit about why you came to found Prevention Institute and
  • LARRYPI was founded, nearly 14 years ago today, to serve as THE focal point for primary prevention in the country, and now, also internationally. Our work centers on “what can be done IN THE FIRST PLACE to prevent people from getting sick and injured?” The institute addresses how policies, institutional practices, and physical environments can be transformed to catalyze norms change that support health, equity and wellbeing. While we care about increased health and wellbeing for everyone, we start by addressing those in greatest need and who suffer from the greatest inequities. I’m now going to take a moment to share the current context for the focus on prevention.
  • LARRYNevertheless interest and commitment in prevention by emerging leaders is ever growing. This past weekend I had the honor of being asked to speak at the 2011 Health Equity Summit in Oakland, where Prevention Institute is based, that was convened by the Congressional Tri-Caucus, Asian &amp; Pacific Islander American Health Forum (APIAHF), and Association of Asian Pacific Community Health Organizations.I took participants through a series of slides we typically use, called “What’s health got to do with it” that showcase that many ways that our environments do not support health, equity or safety. Afterwards, I was inspired by the number of young professionals and advocates who came up to me and spoke of their deep commitment to prevention, and the fact that the textbook, Prevention is Primary, helped to clarify that commitment for them.There is hope.
  • LARRYIn fact, training future leaders is one of the aspects of my work that I am the most passionate about.Our goal in conceptualizing Prevention is Primary from the beginning was that it would serve as a needed resource to emerging leaders about the tools and frameworks and it is the heart of what Prevention Institute does: we recognize the need to make sure that the next generation of practitioners recognize intuitively “what health has to do with it” and that they have the tools and frameworks at their fingertips to do something about it.
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  • LARRYThe second section of the book takes on the key elements of effective prevention efforts.Each of these: working alongside communities to address and solve community needs; using the power of the media to influence the dialogue around prevention; knowing how to evaluate and showcase the impact of prevention; and engaging in true meaningful collaborationsAre all part of making the case for a continued investment in prevention.Over the past several weeks, as our organization has taken on some new and challenging work with tremendous potential, I have been reminded time and time again of how important these underlying elements are, no matter how advanced we may consider ourselves.
  • LARRYIn particular, it is clear that none of us do this work by ourselves: We all work in partnership. One chapter of the text is dedicated to just how we can make sure that we are not just creating more work for ourselves through these partnerships, but rather engaging in more meaningful and impactful work as a result. This is based on a key PI tool, 8 steps.
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  • Prevention is Primary: Strategies for Community Wellbeing with Sana Chehimi and Larry Cohen

    1. 1. Prevention is Primary<br />Published by APHA and Jossey-Bass<br />Edited by Larry Cohen, Sana Chehimi, and Vivian Chavez<br />
    2. 2. Agenda<br />Introduction <br />About Prevention is Primary <br />Part 1: Defining the Issues<br />Part 2: Key Elements of Effective Prevention Efforts<br />Part 3: Prevention in Context<br />Closing<br />Question and Answer<br />
    3. 3. Objectives<br />Discover frameworks and research available in Prevention is Primary<br />Learn how to use other Prevention Institute tools to complement Prevention is Primary<br />
    4. 4. Presenters<br />Larry Cohen, MSW<br />Executive Director<br />Prevention Institute<br />Larry Cohen, MSW<br />Executive Director<br />Prevention Institute<br />Sana Chehimi, MPH<br />Program Director<br />Prevention Institute<br />Sana Chehimi, MPH<br />Program Director<br />Prevention Institute<br />
    5. 5. About Prevention Institute<br />Primary prevention<br />Changing norms and policies<br />Focus on health equity<br />
    6. 6. Current U.S. health care spending<br />$2.2 Trillion<br />Behaviors & Environment<br />70%<br />Genetics 20%<br />Medical Care, 10%<br />Factors InfluencingHealth<br />National Health Expenditures<br />SOURCE:Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000<br />
    7. 7. Current U.S. health care spending<br />$2.2 Trillion<br />Prevention 4%<br />Behaviors & Environment<br />70%<br />Medical Services<br />96%<br />Genetics 20%<br />Medical Care, 10%<br />Factors InfluencingHealth<br />National Health Expenditures<br />SOURCE:Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000<br />
    8. 8. Return on investment with prevention<br />Savings at 5 Years<br />$16 Billion <br />Annual Savings<br /> In 5 Years<br />$5.60<br />Return on Investment<br />$1 Investment<br />SOURCE:Prevention for A Healthy America: Investments in Disease Prevention Yield Significant Savings, Stronger Communities, Trust for America’s Health, July 2008<br />
    9. 9. Prevention and Public Health Fund, 2010-2019<br />
    10. 10. 2011 Health Equity Summit: Oakland, CA<br />
    11. 11. Training Future Leaders<br />Motivation for second edition<br />New Sector Alliance<br />Academic outreach<br />Photo Credits: http://uninews.unimelb.edu.au/media/2008_05/girl-studying-outside_rs_ri.jpg<br />http://webmedia.unmc.edu/sorrellphotos/DrMichaelSorrellstudents.jpg<br />
    12. 12. Prevention Is Primary: Strategies for Community Well-Being, 2nd ed.<br />15 chapters, 46 expert contributors<br />Theory, concepts, and models<br />Updated in light of new national recognition for prevention<br />
    13. 13. Part 1: Defining The Issues<br />The case for primary prevention<br />Social determinants of health/disparities<br />Resilience-based approaches<br />Related tools:<br />Taking Two Steps Back to <br />Prevention<br />The Spectrum of Prevention<br />
    14. 14. Take 2Steps to Prevention<br />Environment<br />Exposures & Behaviors<br />Health Care Services<br />
    15. 15.
    16. 16. Heart Disease<br />Cancer<br />Stroke<br />Diabetes<br />Injuries & Violence<br />Causes of Death<br />
    17. 17. Photo courtesy of http://tycohealth-ece.com/files/d0003/ty_rn33d7.jpg<br />
    18. 18. Medical Care Alone Cannot<br /> Reduce Injuries and Inequities<br />Not the primary determinant of health<br />Treats one person at a time<br />Often comes late; can’t always restore health<br />
    19. 19. The 1st<br />step ...<br />Environment<br />Exposures & Behaviors<br />Health Care Services<br />
    20. 20.
    21. 21. Making Links to Exposures & Behaviors<br />Diet & Activity <br />Patterns<br />Heart Disease<br />Cancer<br />Tobacco<br />Stroke<br />Type 2 Diabetes<br />Alcohol <br />& Drugs<br />Injuries<br /> & Violence<br />SOURCE:McGinnis JM , Foege WH. Actual causes of death in the United States. <br />Journal of the American Medical Association. 1993; 270: 2207-2213.<br />
    22. 22. Let’s take another <br />step ...<br />Environment<br />Exposures & Behaviors<br />Health Care Services<br />
    23. 23.
    24. 24. The Spectrum of Prevention<br />Influencing Policy and Legislation<br />Developing strategies to change laws and policies <br />Changing organizational practices<br />Adopting legislation and changing norms<br />Fostering coalitions and networks<br />Convening groups and individuals for greater impact<br />Educating providers<br />Informing providers who influence others<br />Promoting Community Education<br />Reaching groups with information and resources<br />Strengthening individual knowledge and skills<br />Enhancing individual capacity<br />
    25. 25. The <br />Spectrum of <br />Prevention <br />is a tool for changing systems, norms, and environments.<br />
    26. 26. Norms<br />more than a habit<br />sanction behavior<br />based in culture & tradition<br />attitudes, beliefs, ways of being<br />taken for granted<br />behavior shapers<br />communicate regularity in behavior<br />
    27. 27. Example: Breastfeeding<br />
    28. 28. The Spectrum of Prevention:Breastfeeding<br />Influencing Policy and Legislation<br />Developing strategies to change laws and policies <br />Changing organizational practices<br />Adopting legislation and changing norms<br />Fostering coalitions and networks<br />Convening groups and individuals for greater impact<br />Educating providers<br />Informing providers who influence others<br />Promoting Community Education<br />Reaching groups with information and resources<br />Strengthening individual knowledge and skills<br />Enhancing individual capacity<br />
    29. 29. Part 2: Key Elements of Effective Prevention Efforts<br />Local<br />Business<br />Community organizing<br />Media advocacy<br />Evaluation of primary prevention programs<br />Working collaboratively<br />Related tool:<br />8 Steps to Building and Maintaining an Effective Coalition<br />Public Transit<br />Health Care Providers<br />Faith Community<br />Public Health<br />
    30. 30. 8 Steps to Building and Maintaining an Effective Coalition<br />8. Make improvements through evaluation<br />7. Maintain coalition vitality<br />6. Develop a successful structure<br />5. Anticipate necessary resources<br />4. Convene the coalition<br />3. Devise preliminary objectives and activities<br />2. Recruit the right people<br />1. Analyze program objectives and determine whether to form a coalition<br />
    31. 31. Part 3: Prevention in Context<br />The built environment<br />Healthy food environments<br />Preventing violence<br />Related tool:<br />Communities Taking Action: Profiles of Health Equity<br />
    32. 32. Communities Taking Action: Profiles of Health Equity<br />
    33. 33. UNITY builds support for effective, scalable, sustainable efforts to prevent violence before it occurs so that urban youth can thrive in safe environments with ample opportunities and supportive relationships.<br />UNITY is funded by the Centers for Disease Control and Prevention as part of the CDC’s national youth violence prevention initiative, Striving to Reduce Youth Violence Everywhere (STRYVE), and in part by The California Wellness Foundation and The Kresge Foundation.<br />www.preventioninstitute.org/UNITY<br />
    34. 34. UNITY City Network<br />Seattle<br />Minneapolis<br />Boston<br />Detroit<br />Newark<br />Richmond<br />Chicago<br />Philadelphia<br />Cleveland<br />Oakland<br />Denver<br />(San Jose)<br />Louisville<br />St. Louis<br />Los Angeles<br />Nashville<br />San Diego<br />Tucson<br />Houston<br />New Orleans<br />www.preventioninstitute.org/UNITY<br />
    35. 35. Our tools and frameworks in action<br />Prevention is Primary is used at schools including:<br />University of Pennsylvania<br />San Francisco State University<br />Boston College<br />San Jose State University<br />
    36. 36. Other tools that have been adapted for classroom use<br />THRIVE at Case Western Reserve University School of Medicine<br />The Spectrum of Prevention at schools including:<br />University of Pennsylvania School of Social Policy and Practice<br />UC Berkeley School of Public Health<br />Developing Effective Coalitions: An Eight-Step Guide at the University of Pennsylvania School of Social Policy and Practice<br />
    37. 37. Publications<br />Order your copy of Prevention is Primary from the APHA Bookstore!<br />http://tinyurl.com/3wq8c9n<br />
    38. 38.
    39. 39. Stay in touch with Prevention Institute<br />Sign up for e-alerts on our website: www.preventioninstitute.org<br />Follow us on Twitter: @preventioninst<br />Like us on Facebook: www.facebook.com/pages/prevention-institute<br />Find us on LinkedIn<br />
    40. 40. Quality prevention is the catalyst for change.<br />
    41. 41. Thank you!<br />APHA<br />Jossey-Bass<br />Participants<br />

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