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Julie Hynes, MA, CPS
Lane County Public Health Prevention Program
February 18, 2015
Focus
•Current conditions
•Defining prevention
•What works & what doesn’t
•What we’re doing in Lane
County
My path.
Leading Medical Conditions in the
Trillium Medicaid Population 2012
$0
$2
$4
$6
$8
$10
$12
$14
$16
$18
$20
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
Depression Asthma Bipolar
Disorder
Tobacco
Use
PTSD Attention
Deficit
Disorder
Child
Obesity
Diabetes Chemical
Dependency
Adult
Obesity
TotalMemberCostinMillionsofDollars
PercentofMembers
% of Members
Total Cost
of Americans who meet the
medical criteria for
addiction started
smoking, drinking, or using other
drugs
before age 18.
of Americans who meet the 
medical criteria for 
addiction started 
smoking, drinking, or using 
other drugs
before age 18.
The top two
drugs used by
high school
students in
Lane County…
Alcohol is the drug of choice
for youth…
Source: Student Wellness Survey, 2014
8th Grade Students – past 30 days
Norms
MOTOR VEHICLE INJURY
is the leading cause of
death among Oregonians
age 10-24.
What is #2?
SUICIDE is the 2nd
leading cause of death
among Oregonians age
10-24.
Source: Oregon Health Authority (2012) 
2014 Student Wellness Survey
Tobacco, alcohol, and
other drug use/abuse
Scientific consensus that we can
prevent these problems
Delinquency and crime
Premature or unsafe sex
Depression and
suicidality
School failure, dropout
contribute
If these programs continue to be
shown as not effective, why do we
continue funding them?
Evidence-based prevention is a good
investment
$61 $120 $880
$1,200
$15
$30,828
$79,935 $94,900
$50
$5,050
$10,050
$15,050
$20,050
Annual cost per person per family
PREVENTION in action
In Lane County!
• PREVENTION
• HARM REDUCTION
• DENORMALIZATION
On average, for
EVERY $1 SPENT,
$35 IS SAVED
by playing what game?
a) Candy Crush Saga
b) Scrabble
c) Call of Duty: Ghosts
d) Monopoly
e) Good Behavior Game
The Good Behavior Game
• K-2 Classroom teams in elementary school earn small
rewards for being on-task and cooperative
• Impulse control
$35 is saved in future costs of:
– 50% reduction in the use of tobacco or other
drugs over a child's lifetime
– 50% to 70% reduction in mental health
difficulties (e.g. ADHD and conduct symptoms)
– Reduction in observable symptoms
of Oppositional Defiance and Conduct Disorders
Source: http://www.slideshare.net/Drdennisembry/good-behavior-game-review
On average, for every $1 spent on
the Good Behavior Game,
• PROTECTION .
preventionlane.org
facebook.com/
preventionlane
twitter.com/
preventionlane

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