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Presentation to the California Prevention Collaborative Summit. The IOM Model and its Implications for Prevention Planning. Presented by Joël L. Phillips Center for Applied Research Solutions (CARS) & Community Prevention Institute (CPI) April 25, 2006. Purpose of the Workshop.
The IOM Model and its Implications for Prevention Planning
Joël L. Phillips
Center for Applied Research Solutions (CARS) &
Community Prevention Institute (CPI)
April 25, 2006
Prevent: “Keep something from happening”
However, different notions about what that something is:
(that is total number of new and old cases)
What is the nature/typical history of the behavior?
Situations Linked to Health Consequences
Early Manifestation of the Behavior/ Condition
Outcome: Total Manifestation of Behavior/ Condition
Critical Point 2
Critical Point 3
Critical Point 1
Three Steps in the Process
First: R. Gordon. 1982, 1987 – presented model considering prevention by populationand risk.
Used the Terms:
Focus: Still on Health Consequences
Second: Institute of Medicine (IOM). In a major publication in 1994, (“Reducing the Risk for Mental Disorder: Frontiers for Prevention Intervention Research” Patrick Mrazek and Robert Haggerty (eds).
Presented the full Continuum of Care Model:
Focus: Mental Health
Third: Approximately 2000, CSAP adopts language – mandates use by states (2003)
Focus: Substance Use/Abuse
Different levels of prevention are distinguished by the level of risk
of disorder/distress in various populations groups targeted.
Universal Prevention Measures:
Selected Prevention Measures:
Indicated Prevention Measures:
Average Risk Status of Population
Average Need for Prevention
Increased risk status as a function of group/class risk
– Increased need for prevention
Implications for Intervention
Direct, Indirect Efforts
Implications for Treatment
High risk status or a function of individual risk factors
- High need for prevention
To reduce existing cases
To reduce complications
To reduce new cases
Group Exercise 1
Group Exercise 2
Group Exercise 3
Intensity of Intervention
Degree of Risk
IOM approach requires:
But it gives us:
This document is a product of the Community Prevention Institute (CPI), a project of the Center for Applied Research Solutions (CARS), to provide no-cost technical assistance and training to communities throughout California. CPI is funded and directed by the California Department of Alcohol and Drug Programs. For more information about CPI, go to: www.ca-cpi.org or www.cars-rp.org.