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I've been interested in whether a focus on personality types might be a better (or at least alternative) way of targeting prevention resources than the traditional risk and protective factors since coming across Patricia Conrod's work in the UK from a few years ago. I think it's worth looking a what she's found in the various RCTs that she and colleagues have done around the Preventure/Adventure intervention and the use of the Substance Use Risk Profile Scale to try to identify people at higher risk of developing substance misuse problems.
There is lots here that I recognise from the sector I'm working in - drug and alcohol treatment. For example, read the Chief Executive of Lifeline, Ian Wardle, in his just published essay Company Naratives in a Declining Industry: "Shrinkage in the form of planned disinvestment is now a frequent factor in driving procurement with the key priorities being the transfer of liability and radical year-on-year reductions in contract value." That said, I'm not sure that a value based proposition is good for what ails us either. Again from my sector, we've seen lots of iatrogenic practice performed and advocated for by sincere and passionate people and organisations.
Toggle Commented Dec 17, 2014 on Governing through unhappiness at potlatch
I think the effectiveness of programmes is a very interesting subject. Foxcroft and Tsertsvadze in their recent Cochrane review of school based alcohol prevention programmes did find a small number that have sufficient evidence to allow them to suggest they could be "considered as policy and practice options". And as I'm sure you'll be aware the economic modelling done for NICE suggests that even small effects if delivered universally can make economic sense, something that's reinforced by the Washington State Institute for Public Policy work on cost benefit ratios for various programmes. But, as I recently saw in an excellent presentation on the Blueprints website an intervention is one thing implementation is another. Whether this has any baring on the Drinkaware programme we'll have to wait and see.
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Jul 25, 2012