The what, who, why, where, when, and how of primary prevention

Gullotta, Thomas P.

doi:10.1007/bf02196343

Cited by 22 publications

(11 citation statements)

References 11 publications

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“…major questions facing the field, namely, assessing the who, what, where, when, and how of prevention (Gullotta, 1994). If current recommendations are followed, then the next reviewers of primary prevention research will have a more complete, useful, and exciting array of studies and findings to evaluate.…”

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confidence: 99%

Primary Prevention Mental Health Programs: The Future is Exciting

Durlak¹,

Wells²

1997

American J of Comm Psychol

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Current outcome research on primary prevention mental health programs is encouraging and the future is exciting. Data continue to accumulate regarding the efficacy of preventive intervention. Exemplary programs can prevent multiple problems across different outcome domains suggesting the need for collaboration among preventionists across disciplines and research areas. The commentators on our review (Durlak and Wells, 1997) offered many useful suggestions to improve the next generation of research. Most recommendations fall broadly under the rubric of increasing the precision of theory, design, and program evaluation. If current recommendations for improving future research are followed, the next reviewers of primary prevention mental health programs for children and adolescents will have a more complete and useful database for analysis.

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confidence: 99%

Primary Prevention Mental Health Programs: The Future is Exciting

Durlak¹,

Wells²

1997

American J of Comm Psychol

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“…As Gullotta (1994) writes, primary prevention seeks to reduce the incidence of health problems in a population not yet showing signs of them, and as such operates on populations that can be described as 'healthy'. The difference from secondary prevention, therefore, turns on the clarity of the distinction between the presence of risk factors but the absence of formal indications for disease in the former, and disease indications in the latter.…”

Section: Risk Factors and Disease Indicatorsmentioning

confidence: 99%

Ethics of Early Intervention in Alzheimer’s Disease

2021

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Alzheimer's disease (AD) research, treatment, and prevention focus increasingly on developing personalized interventions based on personal genetic, biological, phenotypic data, for early intervention (EI) to limit harm. This approach has much to recommend it, but important ethical and philosophical challenges follow that should be considered, which we analyze here. We argue that advancing understanding of the causes of AD undermines the clarity of the distinction between primary and secondary prevention. This makes it increasingly unclear how primary and secondary categories can be appealed to as the basis for making judgements about what interventions are permissible, and for distinguishing between acceptably vs unacceptably early points in life to intervene. Timely efforts at prevention are vital for limiting harm from AD and given the logic of EI is that, in presence of risk, earlier is better, one might assume that earliest is best. This may or may not be the case; however, the permissibility of intervening in different ways at different stages of life is complex and turns on numerous contextual factors. We consider the particular ethical implications of intervening at different points in the life course, presenting a valuable resource for negotiating clinical and policy implications of EI in AD.

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“…These and other principles guide programs in the prevention of substance use and abuse, which we will discuss shortly. Gullotta (1983Gullotta ( , 1987Gullotta ( , 1994 and Gullotta and Bloom (2003) have described five technologies that are used to achieve illness prevention and health promotion. These technologies appear so often and in so many of the special topic areas of primary prevention that we are inclined to call them general strategies that should be considered as beginning points, and in combination, for any future preventive effort, including the prevention of substance abuse with adolescents.…”

Section: Explanatory Models Of Prevention and Substance Abusementioning

confidence: 99%

Adolescent Substance Abuse

Leukefeld¹

2009

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The what, who, why, where, when, and how of primary prevention

Cited by 22 publications

References 11 publications

Primary Prevention Mental Health Programs: The Future is Exciting

Primary Prevention Mental Health Programs: The Future is Exciting

Ethics of Early Intervention in Alzheimer’s Disease

Adolescent Substance Abuse

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