Page 33 - Demo

Opportunities for PreventionSometimes the %u201cPrevention Triangle%u201d (which provides the structure for the Bolton Prevention Framework ) is depicted as upstream and downstream prevention opportunities. Looking at this way can sometimes help to understand the opportunities for prevention.The upstream-downstream model of prevention is a way of thinking about how to stop problems before they start, rather than just dealing with the effects.Upstream prevention focuses on tackling the root causes of issues%u2014like improving housing, education, and healthcare so that fewer people get sick or struggle later. We also know this as Primary Prevention. Midstream prevention works on reducing risks as they appear, such as offering free health screenings ormental health support in schools to catch problems early. We also know this as Secondary Prevention.Downstream prevention deals with the consequences of issues that have already happened, like hospital treatments or crisis interventions for homelessness. We also know this as Tertiary Prevention. COMMUNITYUnderstanding the Risks (Environment and Context;Primary Prevention)\ the bridge\Preventing people falling in the river in the first placeEarly Identification andIntervention(Secondary Prevention)\ a rope\Shortening the period in the river and promoting early recoveryDownstream Intervention(Tertiary Prevention)\ people out of the river\Understanding theCommunityPopulation structure, differences between communities, community assets33Tool 2