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Primary, secondary and tertiary prevention are three terms that map out the range of

interventions available to health experts


Prevention includes a wide range of activities known as interventions aimed at reducing risks or
threats to health. You may have heard researchers and health experts talk about three categories of
prevention: primary, secondary and tertiary. What do they mean by these terms?
Primary prevention aims to prevent disease or injury before it ever occurs. This is done by
preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviours
that can lead to disease or injury, and increasing resistance to disease or injury should exposure occur.
Examples include:

legislation and enforcement to ban or control the use of hazardous products (e.g. asbestos) or
to mandate safe and healthy practices (e.g. use of seatbelts and bike helmets)

education about healthy and safe habits (e.g. eating well, exercising regularly, not smoking)

immunization against infectious diseases.


Secondary prevention aims to reduce the impact of a disease or injury that has already occurred.
This is done by detecting and treating disease or injury as soon as possible to halt or slow its progress,
encouraging personal strategies to prevent reinjury or recurrence, and implementing programs to
return people to their original health and function to prevent long-term problems. Examples include:

regular exams and screening tests to detect disease in its earliest stages (e.g. mammograms
to detect breast cancer)

daily, low-dose aspirins and/or diet and exercise programs to prevent further heart attacks or
strokes

suitably modified work so injured or ill workers can return safely to their jobs.
Tertiary prevention aims to soften the impact of an ongoing illness or injury that has lasting effects.
This is done by helping people manage long-term, often-complex health problems and injuries (e.g.
chronic diseases, permanent impairments) in order to improve as much as possible their ability to
function, their quality of life and their life expectancy. Examples include:

cardiac or stroke rehabilitation programs, chronic disease management programs (e.g. for
diabetes, arthritis, depression, etc.)

support groups that allow members to share strategies for living well

vocational rehabilitation programs to retrain workers for new jobs when they have recovered
as much as possible.

https://www.iwh.on.ca/wrmb/primary-secondary-and-tertiary-prevention

Primary Prevention
Primary prevention includes methods to avoid the occurrence of a disorder or disease altogether. Most
population-based health promotion efforts are of this type. This method targets individuals and groups
who have a high risk of developing a mental illness based on biological, social, or psychological risk
factors. Primary prevention programs might include teaching parents effective parenting skills, distributing
condoms to students who are at high risk for STIs or teen pregnancy, or providing social support to
children of divorce. Research has found such programs to be highly effective, and financially speaking the
cost of implementing such primary prevention programs is often much lower than the ultimate cost of
caring for individuals after they have been diagnosed with the disorder or disease.
Secondary Prevention
Secondary prevention includes methods to diagnose and treat a disorder or disease in its early stages
before it causes significant distress. This approach also aims to lower the rate of established cases. An
example of a secondary prevention program is rape crisis counseling. After being raped, an individual
may develop or be in the early stages of developing a number of disorders such as depression, anxiety, or
post-traumatic stress disorder (PTSD). Early intervention through counseling can help minimize the
progression of one or more of these mental health issues.
Tertiary Prevention
Tertiary prevention includes methods to reduce the negative impact of existing disorders or diseases by
reducing complications and restoring lost function. These methods include interventions that prevent
relapse, promote rehabilitation, and reduce the nature of the disorder. Examples of tertiary prevention
programs include Alcoholics Anonymous (AA), diabetes control programs, and home visits to those who
are chronically ill.
Source: Boundless. Preventing Psychological Disorders. Boundless Psychology. Boundless, 26 May.
2016. Retrieved 29 Aug. 2016 from https://www.boundless.com/psychology/textbooks/boundlesspsychology-textbook/psychological-disorders-18/introduction-to-abnormal-psychology-90/preventingpsychological-disorders-387-12922/

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