violence david’s story – born to fail. the plan violence reduction – the context public health...
TRANSCRIPT
Violence
David’s Story – Born to Fail
The PlanThe Plan
• Violence Reduction – The Context
• Public Health – A useful Lens
• Early Years – Could it be Magic ? • David’s Story – Knew that would happen!!
• ChangeChange – Can we make it Irresistible?
“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
“One manifestation of this is the rise of new epidemics such as obesity, addiction-related harm, declining well-being, rising rates of depression and anxiety and widening inequalities. The tools of modernity have proven unsuccessful in tackling such “diseases.”
Learning our way into the future public health: a proposition
Journal of Public Health Vol 33
September 2011Phil Hanlon, Sandra Carlisle, Margaret Hannah, Andrew Lyon, David Reilly
“We have been fixated on the causes of disease rather the mechanisms that can create health.”
Sir Harry Burns
Chief Medical Officer
2011
Sense of Coherence Sense of Coherence
• Your world is structured, predictable and explicable
• You have the internal resources to meet the demands
• The demands are seen as challenges worthy of investment and engagement
Sir Harry Burns
Chief Medical Officer 2011
ViolenceViolence
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
The The HOWHOW
Surveillance
Systematic data collection
Identify risk / protective factors
Research why it occurs
Develop and evaluate interventions
Find out what works.
Implement
Scale up and evaluate effective programmes
Understand theUnderstand theCausesCauses of Violenceof Violence
Two components to Violence:
• The propensity to be violent - personal factors
• The triggers of violence - social factors
The Wave Report 2005 “Violence and what to do about it”
What do Employers What do Employers Want ?Want ?
Percentage of Employers reporting an employee skill gap
Future Skills Bar Chart. See Future Skills Scotland Website, Employer Survey 2004, p27, fig 15.
0% 10% 20% 30% 40% 50% 60%
Literacy
Using numbers
Advanced IT or software
Strategic management
Basic computer literacy / using IT
Written communication
Other technical and practical skills
Oral communication
Team working
Problem solving
Customer handling
Planning and organising
Death
Conception
Adoption of Health-risk Behaviors
Social, Emotional, & Cognitive Impairment
EarlyDeath
Adverse Childhood ExperiencesToxic Stress
Disease, Disabilityand Social Problems
ACEs are fundamental risk factors for disease and early death
Consequences: long-termConsequences: long-term
Secondary
Preschool
Primary
Higher Education
Rates of Return to Human CapitalRates of Return to Human Capital
EconomicsEconomics
“A major determinant of successful schools is
successful families. Schools work with what
parents bring them. They operate more effectively if parents reinforce them by encouraging and motivating children”
Professor James Heckman
Chicago University
Ecological Model = The Frame Ecological Model = The Frame
IndividualRelationshipCommunitySocietal
Parenting Lack of knowledge Friends that engage in violencePrevalence of gang cultureViolent families – siblings/parentsLack of significant adults/positive role model
Cultural norms Legitimisation of violenceAccess to and use of alcoholLack of aspiration Dependancy
Tolerance
Lack of punishment for pre cursor offences – knife carryingLack of visible swift justiceLinks to deprivationScottishness
Inequality
Lack of communication skillsPoor behavioural controlImpulsivenessAggressive behaviourLack of skills to deal with conflict Inability to judge risk
Lack of “life” skillsExclusion from Services/SchoolsNutrition Diet HealthAlcohol Lack of employment opportunities
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
Scottish Government Economic Strategy
National Outcomes
SOAs
NATIONAL POLICIES
NATIONAL PERFORMANCE
LIFE JOURNEY
Valuing our Young People
More Choices More Chances
ChallengesChallenges
• Wicked problems – Leaders not technicians
• Professional Gangs = Territorialism
• Outcomes not processes
• Assets not deficits
Coalition of the WillingCoalition of the Willing
• Deciding WHAT we do is EASY
• Deciding HOW we do it is HARD
• Knowing WHY we do it is AGREEMENT
RelationshipsRelationships
AMAZING PEOPLE
DO AMAZING THINGS
Aspire to build a cathedral and not a garden shed.