Violence David’s Story – Born to Fail The Plan • • • • • 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 wellbeing, 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 The HOW Surveillance Systematic data collection Implement Scale up and evaluate effective programmes Identify risk / protective factors Research why it occurs Develop and evaluate interventions Find out what works. Understand theCauses of Violence Two components to Violence: • The propensity to be violent - personal factors • 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. Consequences: long-term Death ACEs are fundamental risk factors for disease and early death Disease, Disability Early Death 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 Secondary Primary Preschool 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 Lack of punishment for pre cursor offences – knife carrying Lack of visible swift justice Links to deprivation Scottishness Inequality Community Relationship Cultural norms Parenting Legitimisation of violence Lack of knowledge Access to and use of alcohol Friends that engage in Lack of aspiration violence Dependancy Prevalence of gang culture Violent families – Tolerance siblings/parents Lack of significant adults/positive role model Individual 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 opportunities Purpose Scottish Government Economic Strategy National Outcomes NATIONAL PERFORMANCE SOAs birth LIFE JOURNEY 10 16 18 Valuing our Young People Early Years Framework More Choices More Chances Curriculum for Excellence GIRFEC Promoting Positive Outcomes (ASB) YJ Framework NATIONAL POLICIES Road to Recovery (Drugs) Alcohol framework Equally Well (Health Inequalities) 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.