Lesson 9 Summary

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Topic Progress:

In many communities and provinces, prevention and early intervention programs based on universal population health principles have been offloaded to the non-substance use workforce as a reduction in resources has been allocated to the treatment services for the small population of people with severe substance use disorders. Throughout this course, we have identified that the onset of substance use and substance disorders occurs in the adolescent years, and so it seems rational to provide population health programs to the general population during these high risk years.

In this lesson, we have examined what occurs to prevention programs when a population health model is not integrated into the dominant chronic (health) disease model. However, a secondary problem associated with providing population health prevention models is the paucity of research showing any evidence of their effectiveness. Having said that, research exists that indicates that some programs are more effective than others.

This lesson concludes our examination of the established and innovative approaches to the treatment and prevention of substance use and substance use disorders. In the next lesson, we will continue to explore in more depth the stigmas associated with substance use and concurrent disorders.

References

Foxcroft, D. R., & Tsertsvadze, A. (2011). Universal school-based prevention programs for alcohol misuse in young people. Cochrane Database of Systematic Reviews (Issue 5). Art. No.: CD009113. DOI: 10.1002/14651858.CD009113.

Foxcroft, D. R., & Tsertsvadze, A. (2012). Universal alcohol misuse prevention programs for children and adolescents. Perspectives in Public Health, 132(3), 128–134.

Gilbert, R. W. (2012). Preventing substance abuse. In Hart, K., Ksir, K., Hebb, A. O., Gilbert, R. W., & Black, S. Drugs, Society and Human Behaviour (1st Canadian Ed.). Whitby, ON: McGraw Hill Ryerson.

Lipp, A. (2011). Universal school-based prevention-programmes for alcohol misuse in young people. International Journal of Evidence-Based Healthcare, 9(4), 452–453.

Salvo, N., Bennett, K., Cheung, A., Chen, Y., Rice, M., Rush, B., Bullock, H., Bowlby, A., & the Evidence on Tap Concurrent Disorders Collaborative Team. (2012). Prevention of substance use in children/adolescents with mental disorders: A systematic review. Journal Canadian Academy Child Adolescence Psychiatry, 21(4), 245–252.

Stone, A. L., Becker, L. G., Huber, A. M., & Catalano, R. F. (2012). Review of risk and protective factors of substance use and problem use in emerging adulthood. Addictive Behaviors, 37, 747–775.