Transcript David`s story: Born to fail – The perfect storm`
Violence
David ’ s Story – Born to Fail
Th e P la n
• Violence Reduction – The Context • Public Health – A useful Lens • Early Years – Could it be Magic ? • • David’s Story –
Knew that would happen!!
Change
– 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 2011 Phil 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
• 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
Violence
The
WHAT “Interpersonal violence – violence between individuals in families and communities – is a
public health
problem.” Etienne Krug Director Department of Injuries and Violence Prevention World health Organisation
Surveillance Systematic data collection Implement Scale up and evaluate effective programmes
The
HOW
Identify risk / protective factors Research why it occurs Develop and evaluate interventions Find out what works.
Understand the Causes of Violence
Two components to Violence:
• The
propensity
factors to be violent -
personal
• The
triggers
of violence -
social
factors The Wave Report 2005 “Violence and what to do about it”
What do Employers Want ?
Percentage of Employers reporting an employee skill gap Planning and organising Customer handling Problem solving Team working Oral communication Other technical and practical skills Written communication Basic computer literacy / using IT Strategic management Advanced IT or software Using numbers Literacy 0% 10% 20% 30% 40% 50% 60% Future Skills Bar Chart. See Future Skills Scotland Website, Employer Survey 2004, p27, fig 15.
Death
Consequences: long-term
Early Death
ACEs are fundamental risk factors for disease
and Social Problems Adoption of Health-risk Behaviors Social, Emotional, & Cognitive Impairment Adverse Childhood Experiences
Toxic Stress Conception
Rates of Return to Human Capital
Higher Education Preschool Primary Secondary
Economics
“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
Societal Community Relationship Individual
Lack of punishment for pre cursor offences – knife carrying Lack of visible swift justice Links to deprivation Scottishness
Inequality
Cultural norms Legitimisation of violence Access to and use of alcohol Lack of aspiration Dependancy
Tolerance
Parenting
Lack of knowledge Friends that engage in violence Prevalence of gang culture Violent families – siblings/parents Lack of significant adults/positive role model Lack of communication skills Poor behavioural control Impulsiveness Aggressive behaviour Lack of skills to deal with conflict Inability to judge risk
Lack of “life” skills
Exclusion from Services/Schools Nutrition Diet Health Alcohol Lack of employment opportuni ties
birth Purpose Scottish Government Economic Strategy
LIFE JOURNEY
National Outcomes SOAs
NATIONAL PERFORMANCE
10 16 18 Early Years Framework
NATIONAL POLICIES
Valuing our Young People More Choices More Chances Curriculum for Excellence GIRFEC Promoting Positive Outcomes (ASB) YJ Framework Road to Recovery (Drugs) Equally Well (Health Inequalities) Alcohol framework Achieving our Potential (Poverty)
Challenges
• Wicked problems –
Leaders
not
technicians • Professional Gangs =
Territorialism
•
Outcomes
not
processes •
Assets
not
deficits
Coalition of the Willing
• Deciding
WHAT
we do is
EASY
• Deciding
HOW
we do it is
HARD
• Knowing
WHY
we do it is
AGREEMENT
Relationships
AMAZING PEOPLE DO AMAZING THINGS
Aspire to build a cathedral and not a garden shed.