National Academies Press: OpenBook

Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities (2009)

Chapter: Appendix F: Intervention Research Portfolio One-Year Snapshot: Summary Analysis

« Previous: Appendix E: Tables of Risk Factors
Suggested Citation:"Appendix F: Intervention Research Portfolio One-Year Snapshot: Summary Analysis." National Research Council and Institute of Medicine. 2009. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, DC: The National Academies Press. doi: 10.17226/12480.
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Page 533
Suggested Citation:"Appendix F: Intervention Research Portfolio One-Year Snapshot: Summary Analysis." National Research Council and Institute of Medicine. 2009. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, DC: The National Academies Press. doi: 10.17226/12480.
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Page 534
Suggested Citation:"Appendix F: Intervention Research Portfolio One-Year Snapshot: Summary Analysis." National Research Council and Institute of Medicine. 2009. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, DC: The National Academies Press. doi: 10.17226/12480.
×
Page 535
Suggested Citation:"Appendix F: Intervention Research Portfolio One-Year Snapshot: Summary Analysis." National Research Council and Institute of Medicine. 2009. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, DC: The National Academies Press. doi: 10.17226/12480.
×
Page 536
Suggested Citation:"Appendix F: Intervention Research Portfolio One-Year Snapshot: Summary Analysis." National Research Council and Institute of Medicine. 2009. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, DC: The National Academies Press. doi: 10.17226/12480.
×
Page 537
Suggested Citation:"Appendix F: Intervention Research Portfolio One-Year Snapshot: Summary Analysis." National Research Council and Institute of Medicine. 2009. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, DC: The National Academies Press. doi: 10.17226/12480.
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Page 538

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Appendix F Intervention Research Portfolio One-Year Snapshot: Summary Analysis 533

TABLE F-1  Intervention Research Portfolio One-Year Snapshot: Summary Analysis 534 NIMH % of total NIDA % of total NIAAA % of total   (2006) (n = 51) (2006) (n = 79) (2007) (n = 53) Intervention Type             Universal 9 18 35 44 29 55 Selective 14 27 23 29 11 21 Indicated 12 24 22 28 15 28 Treatment 16 31 2 3 0 0 Treatment of parent 0 0 1 1 0 0 Not enough information to determine intervention type 1 2 1 1 2 4 Multiple intervention types (note that these are also 1 2 4 5 3 6 included in the numbers above) Trial Type             Efficacy 26 51 26 33 19 36 Effectiveness 17 33 29 37 28 53 Implementation/Dissemination 3 6 14 18 2 4 Not enough information to determine trial type 9 18 20 25 10 19 Multiple trial types (note that these are also included in 3 6 9 11 4 8 the numbers above) Efficacy and effectiveness 0 0 1 1 2 4 Effectiveness and implementation/dissemination 3 6 7 9 4 8               Economic Analysis 4 8 9 11 4 8 Target Outcome             Depression 13 25 2 3 1 2 Anxiety 8 16 1 1 0 0 Conduct problems 10 20 22 28 4 8 Other EBD outcomes (except substance abuse) 16 31 10 13 1 2 Substance use/abuse 7 14 72 91 53 100

Substance use-related problems unspecified 0 0 3 4 20 38 HIV/AIDS 14 27 16 20 7 13 Risky sexual behavior 15 29 22 28 7 13 Academic performance 9 18 17 22 3 6 Other outcomes 9 18 22 28 17 32 Not enough information to determine outcome 0 0 1 1 0 0 Multiple outcomes (note that these are also included in the 17 33 42 53 33 62 numbers above)             Targeted Risk Factor Individual 35 69 27 34 23 43 Screened early symptoms, deficits, or behaviors 16 31 20 25 16 30 Diagnosed disorder 17 33 6 8 1 2 Other individual risk factor 7 14 9 11 7 13 Family 3 6 10 13 0 0 Parents with mental or substance abuse disorder 0 0 2 3 0 0 Family disruptions 1 2 0 0 0 0 Child abuse, neglect, family violence 1 2 1 1 0 0 Foster care placement 1 2 2 3 0 0 Other family risk factor 0 0 5 6 0 0 Community or Multilevel 14 27 16 20 8 15 Poverty 10 20 13 16 4 8 Other community risk factor 4 8 6 8 5 9 High Risk Unspecified 1 2 6 8 4 8 No Risk Factor Indicated 7 14 31 39 24 45 Not Enough Information to Determine If Risk Factor 0 0 0 0 1 2 Targeted 535 continued

TABLE F-1 Continued 536 NIMH % of total NIDA % of total NIAAA % of total   (2006) (n = 51) (2006) (n = 79) (2007) (n = 53) Target Mediator             Child skills or beliefs 45 88 61 77 42 79 Family 9 18 33 42 14 26 School 2 4 5 6 2 4 College 0 0 0 0 6 11 Community 2 4 3 4 6 11 Policy 0 0 0 0 5 9 Other mediators 6 12 4 5 8 15 Not enough information to determine mediator 2 4 8 10 3 6 Targeted Developmental Phase             Prenatal 0 0 1 1 3 6 Early childhood (0-5) 4 8 6 8 1 2 Childhood (6-9, elementary school) 13 25 18 23 0 0 Early adolescence (10-13, middle school) 17 33 36 46 10 19 Adolescence (14-17, high school) 20 39 30 38 11 21 Young adulthood (18-25) 12 24 7 9 36 68 Children or youth, age unspecified 6 12 6 8 1 2 Not enough information to determine development phase 2 4 4 5 0 0 Demographics: Race/Ethnicity             White, non-Hispanic 1 2 4 5 0 0 Hispanic 3 6 4 5 1 2 African American 6 12 7 9 3 6 American Indian 1 2 6 8 0 0 Minority unspecified 0 0 3 4 0 0 Multiethnic unspecified 0 0 12 15 2 4 Race not specified 44 86 51 65 48 91

Other demographics             New immigrants to United States 0 0 3 4 0 0 International 6 12 7 9 5 9 Rural 4 8 9 11 6 11 Urban 7 14 10 13 4 8               Cultural Adaptation of Existing Intervention 3 6 10 13 1 2 Location of Intervention             Research setting 7 14 4 5 0 0 MH or SA service system 2 4 1 1 1 2 Health care system 4 8 3 4 7 13 School (K-12) 13 25 39 49 5 9 College 1 2 1 1 25 47 Home 4 8 4 5 2 4 Other settings 10 20 19 24 14 26 Not enough information to determine setting 17 33 22 28 12 23 Provider of Intervention             Research staff 27 53 25 32 21 40 MH or SA provider 3 6 2 3 1 2 Health care provider 1 2 2 3 3 6 Paraprofessional 1 2 1 1 0 0 Teacher 1 2 13 16 3 6 Other school staff or school staff unspecified 2 4 5 6 6 11 Media (videos, DVDs, CD-ROMs, etc.) 6 12 12 15 15 28 Other providers 11 22 14 18 17 32 Not enough information to determine provider 7 14 24 30 11 21 NOTE: MH = mental health; SA = substance abuse. Abstracts could be coded in more than one category, so totals may not equal the number of abstracts. 537

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Mental health and substance use disorders among children, youth, and young adults are major threats to the health and well-being of younger populations which often carryover into adulthood. The costs of treatment for mental health and addictive disorders, which create an enormous burden on the affected individuals, their families, and society, have stimulated increasing interest in prevention practices that can impede the onset or reduce the severity of the disorders.

Prevention practices have emerged in a variety of settings, including programs for selected at-risk populations (such as children and youth in the child welfare system), school-based interventions, interventions in primary care settings, and community services designed to address a broad array of mental health needs and populations.

Preventing Mental, Emotional, and Behavioral Disorders Among Young People updates a 1994 Institute of Medicine book, Reducing Risks for Mental Disorders, focusing special attention on the research base and program experience with younger populations that have emerged since that time.

Researchers, such as those involved in prevention science, mental health, education, substance abuse, juvenile justice, health, child and youth development, as well as policy makers involved in state and local mental health, substance abuse, welfare, education, and justice will depend on this updated information on the status of research and suggested directions for the field of mental health and prevention of disorders.

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