is prevention really better than cure ?
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Is Prevention Really Better than Cure ?. DCS John Carnochan QPM FFPH Scottish Violence Reduction Unit COSLA - March 2011. - PowerPoint PPT PresentationTRANSCRIPT
Is Prevention Is Prevention
Really Really
Better than CureBetter than Cure??
DCS John Carnochan QPM FFPH
Scottish Violence Reduction Unit
COSLA - March 2011
“The challenges we face converge, intertwine and often remain largely beyond our understanding. Most of us suspect that the “experts” don’t really know what’s going on and that as a species we’ve released forces that are neither managed nor manageable.”
Thomas Homer-Dixon
(Paper by Prof Phil Hanlon University of Glasgow 2009
Violence – Context Violence – Context
Percentage Change in Specific Crime Types since 2000
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2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10
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Violence
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Percentage Change in Specific Crime Types since 2000
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2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10
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Per
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Violence
Acquistive
Anti-social
All Groups
Percentage Change in Specific Crime Types since 2000
-50%
-40%
-30%
-20%
-10%
0%
10%
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60%
2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10
Fiscal Year
Per
cen
tag
e C
han
ge
Violence
Acquistive
Anti-social
All Groups
Percentage Change in Specific Crime Types since 2000
-50%
-40%
-30%
-20%
-10%
0%
10%
20%
30%
40%
50%
60%
2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10
Fiscal Year
Per
cen
tag
e C
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Violence
Acquistive
Anti-social
All Groups
The The WHATWHAT
“ Interpersonal violence – violence between individuals in families and communities – is a public health problem.”
Etienne KrugDirector
Department of Injuries and Violence PreventionWorld health Organisation
2004
ChallengesChallenges
• Wicked problem – Leaders not technicians
• Partnership in action – policy and Practice• Outcomes not processes
• Assets not deficits
• Public health inspired response
– Interdisciplinary - Collaboration– Evidence-led - problem profile – outcome evaluation
– Prevention focused - earlier, more effective intervention – further upstream
– Whole population - ecological model
birth
Early Years Framework
GIRFEC
Curriculum for Excellence
YJ Framework
Promoting Positive Outcomes (ASB)
Achieving our Potential (Poverty)
Equally Well (Health Inequalities)
Road to Recovery (Drugs)
Alcohol framework
181610
Purpose
Government Economic Strategy
National Outcomes
SOAs
NATIONAL POLICIES
NATIONAL PERFORMANCE
LIFE JOURNEY
Valuing our Young People
More Choices More Chances
– Coalition – Collaboration - Consensus
– Dilution - everyone’s a partner; no-one’s Responsible– Outcomes – clear- defined – Shared – Fragmented delivery landscape
– Territorialism – professional Gangs– Lack of robust outcome Evaluation – Resources – state of public finances – Opportunity?– Leadership – out of the comfort zone – Adaptive
Communities – People
ChallengesChallenges
ChallengesChallenges
•Economics of Prevention:
–Measuring and evaluating outcomes
–Attributing outcomes to interventions
–Identifying agency consequence and benefit
–Measuring value
“There is nothing more difficult to carryout, nor more doubtful of success, nor more dangerous to conduct than to initiate a new order of things. For the reformer has enemies in all who profit by the old order and only lukewarm defenders in all those who profit by the new order”
Machiavelli, The Prince