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The Role of Prevention
Based on the tragic impact that behavioral health issues continue to have on people, decade after decade, it has become clear that we—our country, communities, organizations, individuals—need to do something different than what we have been doing. Prevention is the answer, and it is neither a fad nor a gimmick. It is the next generation of wellness!
Addiction is one of the world’s toughest problems, but evidence shows prevention can work, and the same is true for other behavioral health issues. Prevention does not replace treatment and recovery, which is important work that has saved and improved millions of people’s lives. But reaching people earlier can help even more.
STEPS is uniquely focused on prevention by helping people improve their lives. Many agree it makes sense to avoid the pain of substance abuse and behavioral issues rather than waiting until someone has a life-altering crisis to offer treatment.
Prevention means stopping something from happening. What does that mean for issues like addiction? And how do we do it? We can address some of those answers by learning from advancements being made in other areas of healthcare.
“An ounce of prevention is worth a pound of cure.” (Benjamin Franklin)
Learning from Healthcare
The CDC is the leading national public health institute in the United States. Few people realize, however, that its full name is the Centers for Disease Control and Prevention. Modern healthcare is changing, and many people may not be aware of it. It is moving toward more proactive treatment before illnesses get too serious.
“The right preventive care at every stage of life helps all Americans stay healthy, avoid or delay the onset of disease, keep diseases they already have from becoming worse or debilitating, lead productive lives, and reduce costs.” (“Preventative Health Care” by the Centers for Disease Control and Prevention)
The Surgeon General of the United States agrees and believes this holds true for addiction as well:
“Few would disagree with the notion that preventing substance use disorders from developing in the first place is ideal. Prevention programs and policies are available that have been proven to do just that.” (The Surgeon General’s Report)
Understanding Addiction is a Disease
Cancer is a disease that is progressive and sometimes fatal. But, caught early enough, it can often be treated successfully, and even prevented. Hundreds of billions of dollars are going toward the treatment and prevention of cancer.
Addiction works the same way, because it also is: (a) a medical disease; (b) progressive; (c) sometimes fatal; (d) treatable and even preventable. But yet we have not chosen to invest significantly in prevention in this area.
“Addiction is a preventable, chronic disease.” (Hazelden Betty Ford Foundation)
As cancer progresses, it moves through a series of stages if not treated effectively. Addiction is also a progressive disease with successive stages marked by symptoms such as:
- Stage 1: We don’t cope with life well and form bad habits, but we don’t recognize the harm they can cause.
- Stage 2: Addiction is a disease of the brain, and its effects expand over time. Negative thinking spreads to other areas, and we become more self-absorbed and impulsive, but we rationalize the negative aspects of our condition.
- Stage 3: We face negative consequences in surrounding areas of our life, become more compulsive in our behavior, and avoid treatment through our own denial and isolation.
- Stage 4: Full addiction sets in, and our overall well-being—even our life—may be in jeopardy.
“Too often, the practice of medicine in the United States is focused on treatment. But what if we doctors changed how we think about battling disease? What if we focused on prevention, rather than treatment?” (“Changing the Focus of Healthcare: From Treatment to Prevention”)
For many diseases, preventive care includes health services like screenings, check-ups, and patient counseling that are used to prevent illnesses, or to detect them at an early stage when treatment is likely to work best. Getting preventive services and making healthy lifestyle choices are key steps to health and well-being. We need to do the same things for addiction.
“There are more people with substance abuse disorders than people with cancer. There are prevention strategies and treatment strategies that can address multiple substance use disorders. The problem that we have right now is that we’re not implementing many of these evidence-based interventions.” (“Surgeon General Murthy Wants America To Face Up To Addiction” in NPR)
The Next Generation of Wellness
Can we learn lessons from what’s happening in healthcare?
What can we do to have an impact on addiction and other behavioral health issues that is different from what we have been doing? What role do life-enhancing wellness skills play? How do we do it?
We’ll address those questions in the context of defining the next generation of wellness. Which can be done by looking at five phases of what we will refer to as a Life Enhancement and Prevention program called “PACES”:
Preparation: Developing integrated wellness-based life skills.
- Lesson from healthcare: Training on overall life wellness.
- What we do differently: Prevention using a holistic approach.
- How we do it: Provide life skills education in 5 areas of wellness:
- Emotional – Resilience principles that can be learned and practiced.
- Mental – Decision-making and coping skills to enhance mental health.
- Social – Healthy relationships and community and helping each other.
- Spiritual – Higher values and faith in God plus a relationship with him.
- Personal – Self-worth and being comfortable and content in our own skin.
Awareness: Diagnosis and preventative action earlier in the disease cycle.
- Lesson from healthcare: Testing and screening to enhance early diagnosis.
- What we do differently: Take preventative action early before issues worsen.
- How we do it:
- Communications – Expand awareness so people understand behavioral health problems and how to prevent them.
- Tools and resources – Use evidence-based methodologies to help people increase awareness and take positive steps.
Connection: Informed support and help from other people.
- Lesson from healthcare: Regular medical counseling by doctors.
- What we do differently: Involving other people in prevention.
- How we do it:
- Wellness training – Online education organizations and people use anytime, anywhere, conveniently, and confidentially.
- Prevention programs – For parents (through churches), employees (through companies), students (through schools), and individuals (online) with an approach emphasizing grace, vulnerability, and love versus judgement, shame, and control.
Education: Teaching “how to” methods to manage life well.
- Lesson from healthcare: Increased availability of healthcare information.
- What we do differently: Teaching practical steps to take to make progress.
- How we do it:
- Seminar training – Understanding risks, warning signs, and how to take positive steps.
- Tools and methodologies – Practical methods to assess status and take positive steps.
Steps: Purposeful life planning and proactive intervention.
- Lesson from healthcare: Having a proactive plan for the prevention of disease.
- What we do differently: Building wellness plans for organizations and individuals.
- How we do it:
- Organizations – Providing guidance and resources for them to help their people.
- Individuals – Offering resources and guidance to build a personal or family plan.
“It turns out our behaviors – shaped by our physical and social environments – are the primary determinants of health and well-being. Prevention can reduce the risk factors that lead to chronic diseases, slow their progression, improve overall health and reduce health care spending.” (“The Power of Prevention” in U.S. News & World Report)
Life Enhancement and Prevention programs help people live in a purposeful manner, develop wellness-based life skills, increase their resilience, and address the factors that can lead them toward addiction before they reach the crisis stage.
Life Enhancement and Prevention is the next generation of wellness. And it works.
Question: What role can you play to help people prevent addiction?
Action: Read the STEPS Journey Blog and share articles with others.
