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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities (2009)
Board on Children, Youth and Families (BOCYF)

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

Index

A

Academic.

See also Educational attainment;

School

competence, 76

engaged time, 184

information systems, 318

performance, 4, 10, 18, 77, 82, 88, 89, 90, 99, 100, 106, 107, 108, 109, 152, 158, 169, 180, 184-185, 210, 217, 231, 254, 255, 292, 293, 315, 344, 382, 390, 517, 535

priorities, 311

research, 303, 306-307, 333

standards, 79, 314-315, 369

training, see Workforce training

Academic–community collaborative approach, 306

Accreditation Council for Graduate Medical Education, 228, 365-366

ADAMHA Reorganization Act, 64

Adaptive control beliefs, 90, 102, 106, 141

Addictive disorders, 129-130.

See also Alcohol abuse and dependence;

Drug abuse;

Substance use and abuse

Administration for Children and Families, 270, 338, 347, 348, 354, 357, 381

Adolescence

antisocial behavior, 99, 167, 169, 171, 300, 383-384

anxiety, 192-193, 195, 530

bipolar disorder, 45, 50-51

brain development, 122, 127, 128, 142

comorbidities, 48

competence in, 76

cost-effectiveness of interventions, 256, 257, 260

costs of treatment, 16, 248, 249

decision making, 22

depression, 4, 46, 48, 55, 65, 91, 92, 152-153, 167, 195-196, 197, 225, 228, 238-239, 303-304, 379, 384, 390, 515, 524

design of programs, 329-330

developmental competencies, 72, 75, 76

eating disorders, 232-233

factors affecting healthy development, 76, 80

family disruption, 172, 174

foster care, 175

interventions, 18, 21, 22, 23-24, 25, 50, 59, 77, 90, 91, 98, 152-153, 155, 158, 159, 165, 167-170, 171, 172, 174, 175, 185, 187, 189, 192-193, 200, 201, 203, 209, 210, 216, 255, 256 n.16, 270, 303-304, 306-307, 351

maltreatment, 102, 103, 130, 226

mental health promotion, 203

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities Index A Academic. See also Educational attainment; School competence, 76 engaged time, 184 information systems, 318 performance, 4, 10, 18, 77, 82, 88, 89, 90, 99, 100, 106, 107, 108, 109, 152, 158, 169, 180, 184-185, 210, 217, 231, 254, 255, 292, 293, 315, 344, 382, 390, 517, 535 priorities, 311 research, 303, 306-307, 333 standards, 79, 314-315, 369 training, see Workforce training Academic–community collaborative approach, 306 Accreditation Council for Graduate Medical Education, 228, 365-366 ADAMHA Reorganization Act, 64 Adaptive control beliefs, 90, 102, 106, 141 Addictive disorders, 129-130. See also Alcohol abuse and dependence; Drug abuse; Substance use and abuse Administration for Children and Families, 270, 338, 347, 348, 354, 357, 381 Adolescence antisocial behavior, 99, 167, 169, 171, 300, 383-384 anxiety, 192-193, 195, 530 bipolar disorder, 45, 50-51 brain development, 122, 127, 128, 142 comorbidities, 48 competence in, 76 cost-effectiveness of interventions, 256, 257, 260 costs of treatment, 16, 248, 249 decision making, 22 depression, 4, 46, 48, 55, 65, 91, 92, 152-153, 167, 195-196, 197, 225, 228, 238-239, 303-304, 379, 384, 390, 515, 524 design of programs, 329-330 developmental competencies, 72, 75, 76 eating disorders, 232-233 factors affecting healthy development, 76, 80 family disruption, 172, 174 foster care, 175 interventions, 18, 21, 22, 23-24, 25, 50, 59, 77, 90, 91, 98, 152-153, 155, 158, 159, 165, 167-170, 171, 172, 174, 175, 185, 187, 189, 192-193, 200, 201, 203, 209, 210, 216, 255, 256 n.16, 270, 303-304, 306-307, 351 maltreatment, 102, 103, 130, 226 mental health promotion, 203

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities moderating factors for, 90 onset of MEB disorders, 1, 49, 54, 92 peer influences, 52, 85, 90, 96, 99, 106, 159, 168, 171, 181, 267, 270, 390, 528 pregnancy, 40, 55, 104, 107, 160, 168, 253, 517 prevalence of MEB disorders, 15, 42, 45, 46, 48 PTSD, 195 research on, 12, 218-219, 536 risk factors, 167-168, 172, 176, 177, 215, 225, 524, 526, 529, 530 risky sexual behavior, 99, 159, 160, 168, 169, 306-307, 383-384, 390 schizophrenia, 94, 95, 189, 280, 526 school dropout, 104 self-regulatory control, 137, 141, 146 substance abuse and dependence, 49, 51, 95-98, 99, 159, 167, 168, 169, 170, 171, 187, 200, 201, 203, 269, 287, 300, 324-325, 390, 529 surveys of, 35-36, 37-38, 46, 48, 51 violence exposure, 107 Adolescent Medicine Training Program Requirements, 228 Adolescent Transitions Program, 153, 158, 159, 168, 170, 256 n.16 African Americans, 38, 54, 90, 100, 159, 169, 179, 187, 198, 234, 342, 536 Agency for Healthcare Research and Quality, 162, 338, 361, 374 Ages and Stages Questionnaire, 228 Ages and Stages Questionnaire: Social-Emotional, 228, 232 Aggression age at onset, 164 design of interventions, 325 efficacy/effectiveness of interventions, 4, 68, 109, 152, 155, 158, 159, 164, 165, 166, 167, 170, 173, 179, 181-183, 184, 185, 209, 210, 217, 226, 284, 518 lifestyle factors and, 212, 214 and MEB disorders, 16, 29, 164, 181, 188, 259, 272, 523, 528 parental, 167, 208-209 prevention research centers, 342 risk factors for, 165 screening for, 226, 231 sex differences, 140, 272 Agoraphobia, 93 Alcohol, Drug Abuse, and Mental Health Administration, 64 Alcohol abuse and dependence. See also Substance use and abuse age at onset, 49 costs of, 252 definitions, xxiii developmental aspects, 97-98, 99 effectiveness of interventions, 18, 68, 98, 202-203, 204-205, 354 federal coordination of programs, 349 monitoring, 51 prevalence, 43, 44, 97 prevention-related events, 21 research funding, 340 risk factors, 16, 90, 96-98 underage drinking, 18, 21, 29, 97-98, 202-203, 204-205, 252, 340, 349, 354 Alcohol use disorder, xxiii, 43, 44 All Stars, 256 n.16 American Academy of Pediatrics, 23, 215, 238 American Board of Family Medicine, 366 American Board of Professional Psychology, 367 American Indians, 177, 203, 302-304, 536 American Legacy Foundation, 322 American Nurses Credentialing Center, 368 American Psychological Association, 23, 25 Angelman syndrome, 116-117, 119-120 Animal models, xxiv, 11, 116-117, 121, 126, 127, 130-131, 132, 134, 135, 140, 144, 145, 149, 213 Antisocial behavior costs, 1 design of intervention, 390 efficacy/effectiveness of interventions, 4, 109, 152, 158, 159, 163, 164, 171, 172, 181, 182, 183, 184, 186, 210, 272, 517, 518 genetic factors, 117-118, 234 protective factors, 90, 99, 108, 118 risk factors, xv, 99, 107, 108, 117-118, 163, 248, 324, 528 and substance abuse, 96-97 survey data, 383-384 treatments, 171

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities Anxiety disorders, 29. See also specific disorders age at onset, 72, 93 efficacy/effectiveness of interventions, 153, 176, 192-194 genetic factors, 117 neurodevelopmental factors, 133 pathways to, 106 prevalence, 39, 42, 43, 44, 45, 46, 72, 192 risk factors, 18, 52, 93-94, 530, 531 sex differences, 140 treatment strategies, 133-134, 136, 192 Anxiety sensitivity, 93, 193 Arachidonic acid, 213 Arizona State University, 342, 368 Association for Medical Education and Research in Substance Abuse, 361 Assuring Better Child Health and Development, 227-229 Athletic competence, 76 Attachment, 68, 77, 78, 89, 94, 99, 103-104, 131, 134-136, 141, 142, 146, 162, 175, 389, 516, 522, 523, 524, 530 Attention deficit hyperactivity disorder (ADHD), 29 age of onset, 49, 50, 72 comorbidities, 47, 48-49, 96 efficacy/effectiveness of interventions, 152, 159, 165, 186, 191, 214, 216 neurodevelopmental aspects, 133, 138, 139, 140-141 prevalence, 42, 43, 44, 45 racial/ethnic similarities, 45 risk factors, 54, 118, 131, 214, 215, 216, 528 sex differences, 45, 54, 140 stigma and labeling, 234 treatment strategies, 138 Australia, 165, 192, 391-392 Autism, 37, 39, 41, 48, 54, 115, 117, 118, 120, 123, 125-126, 136, 137, 213-214, 228 Autism spectrum disorders, 42, 191 Awareness, intervention, and methodology (AIM) approach, 23 B Baltimore public schools, 76, 184 Bayley Scales of Infant Development, 179 Beat the Timer game, 210 Behavior. See also Antisocial behavior; Conduct disorder hormonal influences, 140-141 Behavioral inhibition, 93, 94, 530 Benefits and costs of prevention, 5, 15 cost-benefit analysis, xxiii, 243, 244-245, 258 cost-effectiveness analysis, xxiii-xxiv, 243-245, 253-258, 259, 260 current knowledge, 3, 256-258 economic need for prevention, xiv, 245-252 intergenerational effects, 247 meta-analyses, 515 methodology, 242 morbidity and quality of life, 246-248 productivity costs, 242, 248-249 quality-adjusted life years, 244-245, 256 recommendations, 11, 260, 261 research needs, 11, 13, 259, 260, 261 total cost estimates, 251-252 utilization of services, 249-250 Bereavement, 83, 106, 154, 155, 209, 222, 315, 316, 319 parental, 89, 104, 105 post, 106 Big Brothers Big Sisters Program, 210-211 Bipolar disorder, 42, 45, 49, 50-51, 115, 120, 138, 191, 206 Blueprints for Violence Prevention, 22, 185, 200, 211, 309, 317, 353 Borderline personality disorder, 135-136 Boston University School of Public Health, 342 Brain development addictive disorders and, 129-130 apoptosis and synaptic pruning, 122, 125, 126-127, 129, 130, 134, 140, 144 cell differentiation and migration, 123-124, 140 communication connections, 124-126 complexities of, 121-123 continuation with age, 127-129 genetic influences, 114-120 hormonal influences, 140-141 neurulation, 123 nutrition and, 213 research advances in, 113-114 sensitive periods, 130-131

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities sex differences, 140-141 sources of knowledge on, 120-121 timeline, 122 Brief Infant-Toddler Social and Emotional Assessment, 228 C California, 205, 228, 322, 329, 349, 353 Carolina Abecedarian project, 158, 180, 254, 255 Carter Center Mental Health Program, 23, 25 CASASTART, 255 n.14 Casey Family Program, 175-176 Center for the Study and Prevention of Violence, 22, 185, 353 Centers for Disease Control and Prevention, 56, 381 Community Preventive Services Task Force, 180, 185 Guide to Community Preventive Services, 202 prevention initiatives, 180, 185, 347, 348, 349, 357 research funding, 338, 344-345 surveys, 37, 39, 40, 347, 348 Technical Assistance Centers, 357 Centers for Medicare and Medicaid Services, 57, 381 Charge to committee, 27-31 scope of study, xiv-xv, 2, 3, 30-31 terminology, 28-30 Chicago Child-Parent Centers, 254, 255 HIV Adolescent Mental Health Program, 170, 307 public school programs, 187, 204, 334 Child Abuse Prevention Program, 348 Child Behavior Check List, 232 Child Development project, 255 n.14 Child Development Review, 228 Child maltreatment adversity pathway, 106 and attachment, 134-135 and brain development, 130-131 efficacy/effectiveness of interventions, 4, 152, 181 emotional abuse, 100 meta-analyses, 515 prevalence, 102 preventive interventions, 25, 158, 181, 515 protective factors, 102, 117-118 reactive interventions, 174-175 and risk of MEB disorders, 99, 100, 101, 106, 117-118, 135-136, 172 screening for, 226, 234 sexual abuse, 52, 99, 102, 103, 106, 181, 515 Child-Parent Centers, 158, 180, 254-255 Child Support Enforcement Program, 101 Child Trends, 23-24 Child Well-Being Index, 55 Children (preadolescent). See also Child maltreatment; Early childhood; Family; Infants; Parenting; Preschool children; School age at onset of MEB disorders, 49-50, 141 aggressive and antisocial behavior, 164-167 anxiety, 93, 192-193, 530 attention problems, 95 brain development, 122, 126, 127-128, 142 comorbidies, 87 competence in, 76, 77, 99, 172 depression, 106, 195-196, 523 factors that affect healthy development, 79, 211-216 interventions, 155, 161, 164-167, 192-193, 194-196 neurotoxin exposures, 214-215, 324 nutrition, 213, 215-216 peer influences, 96 PTSD, 194-195 risk factors, 63, 87, 95, 96, 99-100, 106, 108, 123, 130, 161, 523, 526, 528, 530 schizophrenia, 526 self-regulatory control, 96, 137, 141 substance abuse, 96, 528 television viewing, 215 Children’s health, defined, 68 Children’s Health Act of 2000, 41 Clarke Cognitive-Behavioral Prevention Intervention, 196, 197 Clifford Beers Foundation, 23 Coalition for Evidence-Based Policy, 23 Cochrane Collaboration, 26 n.1

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities Cognitive-behavioral therapy, 153, 162, 188, 192, 194, 256 Cognitive reappraisal, 137, 138 Collaborative HIV Adolescent Mental Health Program, 306-307 Communities bonding to, 108 collective efficacy, 108 disadvantaged neighborhoods, 107-108 factors affecting healthy development, 78-80 implementation of interventions, 27, 298, 299, 305-307 infrastructure, 18 Internet and electronic media interventions, 188-189 mental health promotion, 77, 81 multicomponent interventions, 203 participatory research, 274-275, 304-305 prevention interventions, 187-189, 202-206 risk factors, 16, 88, 101, 106-109, 110, 221 screening, 221, 222-223, 232, 239 substance abuse interventions, 202-206 violence in, 106-109 Communities Mobilizing for Change on Alcohol, 204 Communities That Care, 188, 222-223, 232, 239, 300-301, 328, 349, 353, 356 Community Anti-Drug Coalitions of America, 350 Community-Based Participatory Prevention Research, 345 Community Mental Health Services Block Grant, 7, 372 Community Trials project, 205 Comorbidity of disorders defined, xxiii rates, 37, 46-48 Compassion Capital Fund, 348 Comprehensive Child Development Program, 253 n.12 Computerized Diagnostic Interview Schedule for Children, 39, 40 Conditioned learning, 132 Conduct disorder adversity pathways, 106 age at onset, 50 and competence, 76 cost and health burdens, 15, 250 cost-effectiveness of interventions, 256 efficacy/effectiveness of interventions, 4, 152, 158, 159, 166, 177, 186, 191 etiological theory, 267 intervention design and opportunities, 2, 379, 390 prevalence, 38, 42, 43, 44, 45, 47 protective factors, 118 race/ethnicity and, 54 risk factors, 16, 52, 54, 72, 214, 267, 529 screening for, 226 sex differences, 54, 140 synergy with other MEB disorders, 96 Conduct Problems Research Group, 186, 256 Congressional Mental Health Caucus, 24 Consolidated Appropriations Act of 2008, 21 Coordinating Council on Juvenile Justice and Delinquency, 349 Coping skills, xxvi, 66, 67, 74, 79, 80, 90, 92, 96, 99, 101, 104, 105-106, 174, 197, 209, 210, 272, 303, 390, 523 Cortisol reactivity, 90, 175 Cost-benefit analysis, xxiii, 151, 244-245, 258 Cost-effectiveness of interventions analysis, xxiii-xxiv, 27, 243, 244-245, 256, 260 disorder-specific, 256 early childhood, 4, 253-255 substance use, 256 youth development, 255 Costs. See Benefits and costs of prevention Council on Social Work Education, 366 Critical incident stress debriefing, 194 Cross-sectional studies, xxiv, 39, 48, 87 Cultural adaptations in interventions, xxiii, 6, 7, 11, 12, 14, 17, 160, 196, 198, 199, 216, 218, 233, 297, 298, 302-305, 306, 307, 313, 319-320, 326, 331, 335, 336, 343-344, 345, 386, 387, 395, 537 in screening, 233, 238

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities D Dads for Life, 173 Defining prevention cost-benefit perspective, 60-61; see also Indicated interventions; Selective interventions; Universal interventions current approach, 64-65 debates, 62-64 developmental perspective, 60 early frameworks, 60-61 IOM 1994 framework, xiv, 59-60, 61-62, 65 issues in, 59-64 mental health promotion component, 65-69 NAMHC approach, 62-63, 65 personalized medicine (preemptive psychiatry) concept, 63-64 public health perspective, 60, 61, 64 recommendations, 14, 69 treatment distinguished from prevention, xiii, xiv, 1, 2, 19, 29-30, 59, 60, 61, 62, 65, 69 Delinquency. See also Deviant peers comorbidities, 183 design of interventions, 267 efficacy/effectiveness of interventions, 68, 90-91, 168, 169, 170, 172-173, 183-184, 300, 301 grant programs, 348, 349 implementation of interventions, 187, 270, 289, 300, 301, 308, 316 opportunities for intervention, 390 rates, 54, 78 risk factors, 78, 89, 109, 167, 181, 183, 248, 267 screening for interventions, 223, 224 Delivery systems for services clearinghouses, 356 identifying effective interventions, 22, 352-355 linking research and services, 355-356 recommendations, 371-374 technical assistance, 356 Department of Education. See U.S. Department of Education Department of Health and Human Services. See U.S. Department of Health and Human Services Department of Justice. See U.S. Department of Justice Department of Labor. See U.S. Department of Labor Depression age at onset, 49, 50, 92, 106, 191 antidepressants, 120, 129 children and adolescents, 4, 46, 48, 55, 65, 91, 92, 152-153, 167, 195-196, 197, 225, 228, 238-239, 303-304, 379, 384, 390, 515, 524 comorbidities, 48, 96, 99, 153, 192, 528 cost and health burdens, 15, 181, 247, 248 cost-effectiveness of interventions, 253, 256 cultural adaptation of programs, 303 data sources, 511, 512, 513, 516, 517 efficacy/effectiveness of interventions, 4, 91, 152-153, 155, 176, 178, 180, 182, 184, 193-194, 195-197, 216, 225, 311, 377, 391-392 epidemiology, 30, 42-50, 54, 92, 103, 379, 384 genetic component, 52, 115, 117, 118, 120 gender and, 54, 92, 140 major depressive episode rates, 40, 46, 153, 195, 197 meta-analyses, 515 neurodevelopmental factors and, 129, 140 parental, 3, 4, 9, 52, 53, 87, 92, 93, 101, 104, 105, 161-162, 167, 172, 176, 178, 180, 196-197, 199, 209, 221, 222, 225, 226, 233, 237, 247, 256, 350, 389, 393 pathways to, 106, 512 peripartum, 161-162, 350 preventive interventions, 2, 25, 66, 92-93, 138, 172, 188, 195-197, 198, 199, 311, 312, 316, 389, 393, 394, 515 protective factors, 76, 89, 109-110, 214, 215, 225 research, 25, 38, 178, 344, 363, 385, 420 risk factors, 18, 52, 76, 91, 92-93, 99-100, 102, 103, 105, 106, 107, 109-110, 115, 117, 118, 167-168, 177, 178, 213-214, 225, 231, 238-239, 247, 522-525 screening for, 9, 38, 39, 40, 41, 46, 65, 161-162, 221, 226, 228, 234, 237, 238-239, 350, 389

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities self-care tools, 162 stigma, 234 training of researchers and interventionists, 363, 365, 369 treatment, 138, 162, 197, 215, 249 unipolar, 43 Depressogenic cognitive style, 92-93 Development and Well-Being Assessment, 38 Developmental cascades, 76 Developmental competence, xxiv, 67, 74-75 defining, 75-76 factors affecting, 77-81 preschool education and, 179 Developmental competencies, xxiv, xxvi, 12, 71, 72, 74, 75, 77, 99, 110, 160 Developmental delays, 100 Developmental framework age-related patterns of competence and disorder, 72 biopsychosocial interactions, 74, 75 developmental tasks, 74 ecological perspective, 73-74 mental health promotion, 74-81 multiple comtexts, 73-74, 85-86 recommendations, 109-111 research opportunities, 75-76, 81 risk and protective factors, 81-91 targeting interventions, 91-104 Developmental neuroscience brain development, 12-13, 113-114, 120-131 defined, xxiv genetic perspectives, 12-13, 114-120 neural systems, 131-134 and prevention, 4, 95, 141-146 recommendations, 11, 12-13, 148, 149, 374 Developmental screening, 163 Developmental tasks, accomplishment of, 12, 13, 14, 72, 74, 75-76, 77, 81, 92, 99, 172, 176, 217, 374-375. See also Developmental competencies Deviant peers, 52, 85, 90, 96, 99, 106, 159, 168, 181, 267, 270, 390, 528 Diagnostic and Statistical Manual of Mental Disorders, xv, xxiv, xxvi, xxvii, 7, 28-29, 40, 42, 45, 54, 56, 222, 225 Disability adjusted life years, 17, 242, 246, 248 n.5, 256 n.15 Disruptive behavior disorders. See also Conduct disorder; Oppositional defiant disorder age at onset, 49 comorbidities, 47, 48 efficacy/effectiveness of interventions, 158, 167, 184, 214 pathways, 272 prevalence, 38, 42, 43, 44, 46 research center, 342 sex differences, 45, 54, 272 Dissemination of program information. See also Implementation and dissemination of interventions defined, xxiv trials, xxiv Divorce, 4, 53, 56, 66, 83, 85, 86, 87, 88, 89, 102, 104-105, 106, 155, 158, 172, 173, 189, 221, 225, 237, 267, 278, 315, 319, 342, 370, 523, 524 Docosahexaenoic acid (DHA), 213 Dopamine transporter gene, 118 Drug abuse. See also Substance use and abuse adult outcomes, 99-100 age at onset, 49 college interventions, 201-202 community interventions, 203-204 costs of, 1, 242, 249, 251 curriculum “dosage” requirements, 308 data on, 38, 39, 40, 41, 48, 55, 383 effectiveness of interventions, 21, 68, 109, 153, 159, 169, 184, 187-198, 200-201, 204, 209, 211, 269, 287 epigenetic influences, 96, 120 etiological model, 271-272 evaluation of programs, 353, 355 impacts of, 181 infrastructure for prevention, 347, 348, 350, 357 international models, 394 longitudinal models, 265, 289 monitoring, 51, 55 opportunities for intervention, 390 parental, 52, 95-96, 237 pregnancy and, 161-162 prevalence, 42, 48, 51, 379 prevention-related events, 22 protective factors and mediaters, 96, 269, 272 public policies, 323-324, 381

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities research funding, 340, 342, 343 risk factors, 16, 96, 99, 101, 104, 108, 168, 528-529 school interventions, 308, 311, 314 screening for, 233 training in prevention, 359, 366 universal interventions, 19, 205, 272 Drug Abuse Resistance Education (DARE) program, 200-201, 256 n.16 Duke University, 342 Dysthymia, 103, 197, 522, 523, 524 E Early and Periodic Screening, Diagnostic, and Treatment, 227 Early childhood. See also Preschool children anxiety, 192-193 comorbidities, 48 cost-effectiveness of interventions, 253-255 education interventions, 152, 158 factors affecting healthy development, 77, 78 meta-analyses, 516 risk factors in, 522, 526, 528, 530 Early Childhood Comprehensive Systems initiative, 318, 348 Early Childhood Environment Ratings Scale, 310 Early Childhood Longitudinal Study-Kindergarten Cohort, 318 Early Head Start, 101, 178-179, 199, 271, 310, 329 Early Intervention Foster Care, 175 Earned Income Tax Credit, 101, 177, 178, 324 Eating disorders, 39, 42, 102, 138, 191, 206, 365, 516 EcoFIT (Ecological Approach to Family Intervention and Treatment), 153, 170 Economic issues. See Benefits and costs of prevention; Funding costs of MEB disorders, xiii, xv, 1-2, 5, 17, 242, 247 reimbursement for screening, 227, 235-236 reimbursement for services, 350-352 Economic Policy Institute, 100 Edinburgh Postnatal Depression Scale, 162 Educational attainment, 106, 160, 180 Effectiveness of interventions. See also Cost-benefit analysis; Evaluation of preventive interventions; specific MEB disorders clearinghouses, registries, and information resources, 22, 24, 25, 26-27, 353, 355 defined, xxiv federal resources tied to, 26 growth in research base, 21, 151-154 for multiple disorders, 153, 170 for multiple risk and protective factors, 86 principles of, 21, 23 standards of evidence, 24 statutory mandates, 21 trials, see Randomized prevention trials Efficacy of interventions, 3, 343. See also Personal or self-efficacy cost-efficacy, 257 cultural considerations, 302, 306 defined, xxv, 27, 266 design issues, 355, 373 established, 4, 16, 27, 64, 91, 165, 185, 216, 256, 297 funding for research, 344, 534 progression to implementation, 306, 307, 312, 319, 321, 325, 326, 327, 349 standards of evidence, 24, 354-355, 373 trials, xxv, 14, 153, 199, 257, 262, 266, 268, 273, 285, 294, 312, 325, 344, 355, 382, 394, 515 Eicosapentaenoic acid, 213 Epidemiology of MEB disorders age at onset, 1, 15, 28, 35, 49-50, 54, 72 comorbidity, 37, 46-48, 87 data collection and monitoring system, 6, 7-8, 36, 38, 51, 53, 54, 55-56, 98, 380, 383-384, 387, 395 defined, xxv incidence, xxv, 2, 4, 6, 9, 15, 27, 30, 31, 36, 37, 38, 40, 44, 49-51, 55, 56, 57, 92, 94, 152, 159, 170, 186, 195, 196, 197, 216, 217, 225, 257, 365, 377, 383, 387, 395 genetic studies, 117 prevalence, 6, 15, 27, 31, 35, 37, 38, 40, 42-49, 55-56, 57, 64, 72, 217, 365, 383, 387, 395

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities rate trends, 50-51 recommendations, 7-8, 55-56, 380 research methods and data, 36-42 risk exposure, 51-54, 56 sociodemographic groups at risk, 59 use in prevention, 35-37, 54 Epigenetics, xxv, 4, 11, 12-13, 31, 32, 63, 114, 119-120, 142, 145, 146, 147, 148, 262, 286 Ethical issues, 95, 143-144, 149, 207, 235, 269, 270-271, 274, 280-281, 282, 286, 386 Etiology of MEB disorders, xxv, xxvii, 12, 13, 53, 110, 117, 120, 143, 267, 269, 271-272, 292, 294, 365, 386 European Action Plan for Mental Health, 388-389 European Network for Mental Health Promotion and Mental Disorder Prevention, 391 Evaluation of preventive interventions challenges, 205-206 economic analyses, 242, 244-245, 258-262 funding, 293 nonrandomized designs, 286-288 recommendations, 7, 14, 336, 373, 380 trials, see Randomized preventive trials; Statistical analysis of trials Externalizing behaviors. See also Aggression; Attention deficit hyperactivity disorder; Conduct disorder; Drug abuse; Oppositional defiant disorder and competence, 76 defined, xxv efficacy/effectiveness of interventions, 173, 174, 177, 178, 182, 191, 209, 216 intervention design, 98 prevention-related events, 23-24 progression of, 106, 107, 164, 181, 272 protective/mediating effects, 89, 90, 98, 105 research needs, 178, 189 risk factors, 16, 82, 85, 88, 98, 101, 108-109, 160, 272 screening, 230-231, 369 F Familias Unidas, 170 Family. See also Divorce; Parent–child relationship; Parental; Single-parent households adversity pathways, 106 conflict, 92, 99, 101, 104, 105, 110, 167, 168, 170, 173 disruption, 3, 53, 102, 104-106, 158 dysfunction, 16, 91, 99, 102, 104-106, 526, 527 factors affecting healthy development, 78-80, 100-101 genetic studies, 115 mother–stepfather home, 88 protective processes, 92 Family Bereavement Program, 174 Family-focused prevention interventions adolescents, 160, 171 for child maltreatment, 174-175 combining school interventions with, 158, 165, 166, 185-187, 273, 312 for depressed parents, 3, 196-197 for divorcing families, 172-173 early adolescence, 167-170 early childhood and childhood, 164-167 efficacy/effectiveness of interventions, 4, 158, 160-178 fetal development and infancy, 160-161 foster care, 175-176 HIV/AIDS prevention model, 160, 168-170 home visiting, 162-164 maternal sensitivity and infant attachment, 162 parentally bereaved children, 173-174 peripartum depression, 161-162 poverty reduction, 4, 160, 176-178 preterm births and prenatal care, 161 spanning developmental periods, 172-176 teenage pregnancy prevention, 160 young adulthood, 171-172 Family Matters, 256 n.16 Family Talk Intervention, 199, 394 Fast Track, 152, 159, 182, 186, 210, 226, 250, 256, 259, 284 Fear extinction, 132, 133, 134 FEAR strategy, 193

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities Federal Executive Steering Committee on Mental Health, 349 Federal/National Partnership, 349 Finland, 392, 393-394 Food and Drug Administration, 258 Forum on Child and Family Statistics, 55, 379 Foster care, 104, 135, 171, 175-176, 267-268, 312, 316, 329, 365, 535 Foundation for Child Development, 55 Fragile X syndrome, 52, 116-117, 125-126 Framingham Heart Study, 51 FRIENDS framework, 192-193 Funding. See also individual agencies braiding of research and practice, 6, 7, 348-349, 372, 380 federal, 308-309, 339-345, 346-348 insurance, 350-352 organizational structure, 340-341 for preventive services, 308-309, 346-352 by private organizations, 346 recommendations, 372-373 for research, 7, 338-352 state, 349-350 G Garrett Lee Smith Memorial Act Suicide Prevention Program, 348 Gene association studies, 115 Generalized anxiety disorder, 43, 44, 153, 194 Genetics in developmental neuroscience, 4, 12-13, 114-120, 146-147 endophenotypes, 116 epigenetic effects, xxv, 4, 11, 12-13, 31, 32, 63, 114, 119-120, 142, 145, 146, 147, 148, 262, 286 gene–environment interactions and correlations, 4, 12-13, 53, 63-64, 90, 108, 114, 117-119, 144-145, 146, 147, 291 intervention opportunities, 247-248 research recommendations, 11, 148 as risk component, 52-53, 63, 92, 93, 94, 95, 96, 106, 117-118, 144-146 Genome defined, xxv modifications, 116, 120, 144, 147 Global Burden of Disease project, 247 Good Behavior Game, 152, 153, 158, 184, 186, 208, 209, 255 n.14, 272, 284, 293 Government Performance and Results Act of 1993, 21 Great Smoky Mountains Study, 49, 50, 52, 93 Guiding Good Choices, 255 n.14 H Hawaii, 76, 309-310 Head Start, 166, 178, 180-181, 199, 231, 255, 261, 270-271, 310, 347, 348 Health Resources and Services Administration, 41, 348, 349, 357, 361, 368, 381 Healthy Cities/Healthy Communities, 232 Healthy Families America, 309-310 Healthy Families New York, 158, 164, 310 Helping America’s Youth, 349 Hispanics, 38, 39, 54, 170, 199, 213, 231, 536 HIV/AIDS, 104, 174, 283, 329, 344, 535 prevention, 30, 168-170, 189, 281, 283, 306-307, 313, 332, 341 HIV SMART AntiRetroviral Trial, 329 Home Instruction Program for Preschool Youngsters, 253 n.12 Home visitation programs, 21, 25, 103-104, 142, 152, 154, 155, 156, 162-164, 174, 179, 186, 208, 226, 232, 253, 254, 273, 309-310, 317, 319, 350, 351, 354, 389, 393, 516 Home Visitor Trial, 273 Hypervigilance, 103, 136 I Illinois, 170, 187, 204, 228, 254, 255, 307, 315, 334, 350 Implementation and dissemination of interventions best practice guidelines, 309 capacity building, 317-318 challenges, 313-321 in child welfare settings, 312 community-driven, 27, 299, 305-307 community partnerships, 298

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities complementary strategies, 321-325 cultural adaptation of interventions, xxiii, 6, 7, 11, 12, 14, 17, 160, 196, 198, 199, 216, 218, 233, 297, 298, 299, 302-305, 306, 307, 313, 319-320, 326, 331, 335, 336, 343-344, 345, 386, 387, 395, 537 data systems, 318 dissemination and adoption of principles, 322-323 early childhood programs, 309-311 existing evidence-based programs, 298-302 experience with existing programs, 308-313 family-based interventions, 319-320 funding, 313-314 Internet and electronic media, 12, 13, 188-189, 190, 206, 218, 312, 330-331, 386, 387 in juvenile justice settings, 312 models, 300-302 monitoring, 317 organizational context, 320-321 participation and retention rates, 318-320 in primary care settings, 312-313 public education and, 321-322 public policy and, 323-325 recommendations, 7, 334-336 research needs, 325-334 scaling up interventions, 325-326, 330 in schools, 308-309, 311-312, 314-315 service system priorities, 314-316 training, 317 Implementation and dissemination research, 9, 12 advances in, 4, 16-17, 27 approaches, 325-328 cycle, 326 defined, xxv encouragement designs, xxv, 329-331 fidelity in, xxv, 307, 308, 309, 312, 313, 317, 320, 328, 330, 335, 336, 371, 374 identifying early adopters, 332 on increasing adoption and participation rates, 329-334 opinion leaders and, 332 market research and, 333 naturalistic large-scale public health research and, 333-334 REACH model, 325 recommendations, 11, 336 technology and, 13, 218, 331 trials, xxv, xxiv, 328-329 Impulse control disorders, 72, 100, 138, 140, 212, 528. See also Attention deficit hyperactivity disorder; Conduct disorder; Oppositional defiant disorder Incidence of MEB disorders. See Epidemiology; individual disorders Incredible Years Program, 158, 165, 166, 185, 273, 312 Indicated interventions challenges, 207 component in multilevel interventions, 168, 186, 312 cost-effectiveness, 259 defined, xxv-xxvi, 2, 61, 62, 63, 66, 69, 386 developmental neuroscience and, 143 effectiveness/efficacy, 63, 91-98, 153, 165, 179, 183, 189, 193, 195, 196, 197, 203, 207 examples, 66, 165 implementation, 73, 224, 312, 315-316, 319, 333, 347 infrastructure for, 340, 343, 347 opportunities for, 143, 149 preemptive psychiatry concept, 63 research funding and needs, 259, 340, 343, 534, 535 school-based, 183, 311-312, 315-316, 369 screening, 9, 154, 162, 221, 222, 223 substance use prevention, 18 Indices of Multiple Deprivation, 239 Individuals with Disabilities Education Act, 229-230 Infant Development Inventory, 228 Infant Health and Development Program, 253 n.12 Infant Toddler Social-Emotional Assessment, 232 Infants attachment, 68, 77, 78, 89, 94, 99, 103-104, 131, 134-136, 141, 142, 146, 162, 175, 389, 516, 522, 523, 524, 530

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities N National Academy of State Health Policy, 227, 228 National Advisory Mental Health Council (NAMHC), 21, 22, 23, 62, 65 National Anti-Drug Media Campaign, 205 National Association of Pediatric Nurse Practitioners, 238 National Association of School Psychologists, 29, 369 National Association of State Alcohol and Drug Abuse Directors, 350 National Association of State Mental Health Program Directors, 350 National Center for Chronic Disease Prevention and Health Promotion, 40 National Center for Health Statistics, 39 National Child Abuse Data System, 102 National Children’s Study, 38, 41 National Collaborative Perinatal project, 106 National Comorbidity Study, 25, 102 National Comorbidity Survey, 35, 37, 42, 46, 48, 49 National Comorbidity Survey-Replication, 35-36, 37, 49 National Council for Suicide Prevention, 25 National Death Index, 283 National Health and Nutrition Examination Survey, 38, 39, 46 National Health Interview Survey, 38, 39 National Highway Traffic Safety Administration, 323 National Household Survey on Drug Abuse, 40 National Implementation Research Network, 325 National Institute of Child Health and Human Development, 41, 339-340, 374 National Institute of Justice, 7, 372, 381 National Institute of Mental Health, 2, 27 Child and Adolescent Treatment and Preventive Intervention Research Branch, 341 cost estimates for mental disorders, 242 evaluation research, 6 prevention program agenda, 355, 372 prevention-related events, 21, 22, 23, 24, 25 prevention research branch, 340-341 prevention research centers, 341-343, 360 preventive intervention research, 64, 264, 339-344, 345, 367, 372, 374, 534, 536 Primary Prevention Branch, 341 social work program research, 367 training for researchers, 359-360, 361, 367 treatment intervention research, 340, 341 National Institute on Alcohol Abuse and Alcoholism, 2, 27-28, 339-344, 345, 359, 360, 374, 534, 536 National Institute on Drug Abuse, 2, 27, 41, 355 Division of Epidemiology, Services, and Prevention Research, 340 prevention-related events, 22, 24, 25 prevention research branch, 340 research funding, 265, 339-344, 345, 374, 534, 536 training grants, 359, 360 Transdisciplinary Prevention Research Centers, 264, 341, 342, 343, 360 National Institutes of Health Computer Retrieval of Information on Scientific Projects (CRISP), 359 n.22 coordination of funding across institutes, 8, 374, 375, 377, 380 linking research and service, 355 MEB prevention research funding, 8, 261, 338, 339, 359, 372, 375, 377 Office of Prevention Research, 349 Prevention Research Coordinating Committee, 339 recommendations for, 7, 9, 10, 11, 12, 110, 148, 149, 260, 294, 372, 374-375, 380, 381, 385 Research, Condition, and Disease Categorization system, 339 Roadmap, 264 training for researchers, 358, 359, 375 National Longitudinal Study of Adolescent Health, 102 National Prevention Network, 350 National Registry of Evidence-Based Programs and Practices, 22, 25, 353, 355 National Research Council, 22, 24, 27, 68, 230 National Science Foundation, 265

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities National Study of Delinquency Prevention in Schools, 308 National Survey of Children’s Health, 41 National Survey on Drug Use and Health, 38, 40, 46, 48, 55, 56 Netherlands, 392, 393 Neural systems. See also Brain development attachment, 134-136 compensatory and neuromodulatory systems, 138-139 defined, xxvi hormonal influences, 140-141 injury, 4, 95 learning and memory, 120, 123, 125, 128-129, 131-134, 140 self-regulatory control, 137-138 social relatedness, 136-137 synaptogenesis and synaptic pruning, 122, 125, 126-127, 129, 130, 134, 144 Neurotoxins, 161, 214-215, 324, 363 New Beginnings Program, 158, 172, 173 New England Coalition for Health Promotion and Disease Prevention, 24-25 New Freedom Commission on Mental Health, 21, 24, 234 New Mexico, 234 New York, 76, 107, 158, 163, 164, 307, 310, 315, 318 No Child Left Behind Act of 2001, 21, 56, 229, 311, 314-315, 318 Nonrandomized evaluations defined, xxvi interrupted time-series designs, 287 natural experiments, xxvi, 101, 119, 177, 333-334 pre-post designs, xxvii, 160, 205, 287, 354, 373 quasi-experimental trial, xxviii, 153, 160, 163, 175-176, 187, 194-195, 204, 205, 206, 352 regression discontinuity designs, 287-288 North American Prodrome Longitudinal Study, 208 North Carolina, 186, 228, 249, 350 Norway, 38, 391 Nurse-Family Partnership, 158, 163-164, 253-254, 255, 293, 298-299, 304, 308-309, 317-318 Nursing Child Assessment Satellite Training, 368 O Obsessive compulsive disorder, 42, 93, 117, 138 Obstetric complications, 94-95 Ohio, 234 Omega-3 fatty acids, 213-214 Oppositional defiant disorder, xxv, 41, 42, 43, 44, 45, 47, 50, 52, 72 n.1, 76, 117, 177, 186 Oregon Social Learning Center, 170, 175, 342 Other Social Influence/Skills Building Substance Prevention Program, 256 n.16 P Pacific Institute for Research and Evaluation, 342 Panic, 39, 43, 44, 93, 188 Parent–child relationship, 68, 76, 82, 88, 90, 96, 102, 105, 117-118, 158, 163, 165, 166, 168, 169, 170, 176, 204, 210, 255, 368, 389, 390, 524, 528. See also Attachment; Child maltreatment; Parenting Parent Management Training, 391 Parental aggression, 167, 208-209 death (bereavement), 52, 83, 89, 104, 105-106, 154, 155, 173, 174, 209, 222, 315-316, 319, 517 depression, 3, 4, 9, 52, 53, 87, 92, 93, 101, 104, 105, 161-162, 167, 172, 176, 178, 180, 196-197, 199, 209, 221, 222, 225, 226, 233, 237, 247, 256, 350, 389, 393 education, 68 HIV/AIDS, 174 incarceration, 99, 104 mental illness, 86, 88, 89, 93, 94, 99, 102, 172, 226 substance abuse, 52, 86, 97, 99 unemployment, 52, 87 Parenting consistency, 88, 105, 164 genetic component, 145 interventions, 89, 158, 162-165, 179, 209-210

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities maternal nurturing/neglect, 118-119, 136, 141 meta-analyses, 517 monitoring and supervision of children, 52, 96, 97, 99, 168, 170, 171, 212, 528 negative/harsh, 82, 88, 90, 92, 110, 164 overcontrolling and intrusive, 93-94 positive, 4, 68, 82, 105, 158, 163, 165, 167, 168, 171, 174, 188, 189, 208-210, 391 punitive, 85, 88, 91, 101 temperament and, 99 Parenting Through Change, 172-173 Parents’ Evaluation of Developmental Status, 228 Peer influences, 52, 85, 90, 96, 97-98, 99, 104, 106, 159, 168, 171, 181, 198-199, 200, 267, 270, 390, 528 Peer-to-peer tutoring, 210 Penn Optimism Program, 198 Penn Prevention Program, 198 Penn Resiliency Program, 196, 198 Pennsylvania, 186 Commission on Crime and Delinquency, Research-Based Programs Initiative, 349 Pennsylvania State University, 265 Perry Preschool Program, 158, 180 Personal or self-efficacy, 68, 75, 79, 80, 105-106, 166, 194, 209, 389 Pervasive developmental disorders, 42, 45, 191 Physical health problems, 17-18, 27, 77, 100, 102, 104, 141, 192, 211, 231, 247, 348, 382, 391, 531 Positive Attitudes Toward Learning in Schools, 234 Positive Parenting Program, 158, 165, 167, 188, 391 Posttraumatic stress disorder meta-analyses, 517 neural system disturbances and, 133 prevalence, 42, 43, 44 prevention interventions, 153, 194-195, 225, 517 risk factors, 103, 105, 107, 172 screening for, 226 Poverty analytical issues, 45, 87, 261 and developmental challenges, 100-101 efficacy/effectiveness of interventions, 101, 108, 166, 177, 186 and implementation of interventions, 211-212, 236, 311 moderating/mediational factors, 4, 76, 82, 89-90, 100, 176 natural experiment, 101, 177 and parent–child relations, 102 prevalence and incidence, 52, 53, 100, 324 preventive interventions, xv, xxviii, 3, 101, 219, 324, 391 research needs and initiatives, 12, 77, 101, 177-178, 190, 261, 386, 535 and risk of MEB disorders, 86, 99, 100-101, 102, 107-108, 110, 168, 176-177, 221, 382, 523, 524, 528 and screening, 9, 83, 222, 239 Prader-Willi syndrome, 116-117, 119-120 Pregnancy adolescent, 40, 55, 104, 107, 160, 168, 253, 517 fetal brain vulnerability, 11, 123, 148, 161, 213, 526 nutrition, 212-214 peripartum depression, 161-162 prenatal care, 141, 161 preterm births, 161 prevention, 155, 160, 168, 253, 517 programs and interventions, 141, 155, 158, 162-164, 179, 389 research needs, 148 risk factors for, 55, 107 smoking during, 118, 123, 131, 160-161, 163 substance abuse, 161 surveys, 40 Preintervention research, 83, 326 Preschool children behavioral concerns, 15 developmental competence, 179 interventions, 142, 179-181, 208 prevalence of MEB disorders, 45 screening for disorders, 231-232 teacher training, 369-370 President’s Commission on Excellence in Special Education, 229 Prevalence of MEB disorders. See also Developmental framework comorbidity, 46-48 cumulative, 46

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities data sources, 511-514 defined, xxvii generally, 1, 42-46, 64 lifetime, 72 multiple disorders, 43, 44 rate trends, 48-49 and screening, 223-225 Prevention of MEB disorders. See also Defining prevention; Interventions availability of programs, 1 benefits, generally, 241 core concepts, 17-18 defined, xiv, 36 economic perspective, 20, 241-244; see also Benefits and costs of prevention focus of, xv health promotion component, 59 interdisciplinary nature of, 18 philosophical perspective, 20 political science perspective, 20 population health perspective, 19 progress since 1994 IOM report, 21-27 rationale, 1-2, 19-20 treatment distinguished from, xiii, xiv, 1, 2, 19, 29-30, 59, 60, 61, 62, 65, 69 window of opportunity, 50, 54, 55 Prevention research. See also Evaluation of preventive interventions; Implementation and dissemination research; Randomized prevention trials; Research recommendations; individual agencies advances since 1994, 2, 4 communicating results, 143 defined, xxvii developmental neuroscience, 4, 144-146, 148-149 focus, 30 funding, 8, 9, 338-352 linking services to, 355-356 methodological challenges, 291-292 organizational structure, 8-9, 340-341, 380, 385 parity with treatment research, 9, 385 portfolio snapshot, 343-344 poverty reduction, 177-178 recommendations, 9, 292-294, 374-375, 380-385 research centers, 341-343 screening models, 9 Prevention Science and Methodology Group, 264-265 Prevention system component examples, 389-390 coordinated approach, 377-382 development of strategy, 379-380 funding, 384 goal setting, 379 international perspectives, 388, 390-392 monitoring system, 384 research refinement and expansion, 385-386 standard setting, 384 state and local system development, 382-384 training, 384 vision for the future, 387-388 Preventive interventions. See Communities; Indicated interventions; Interventions; School-based interventions; Selective interventions; Universal interventions Primary care, screening in, 161-162, 226, 227-229, 232, 236 Problem behaviors. See also Aggression; Alcohol abuse and dependence; Antisocial behavior; Drug abuse; Risky sexual behavior; Substance use and abuse; Violence defined, xxvii, 252 targeting, 181-183 Project Adapt, 328 Project ALERT, 200, 201, 256 n.16 Project Competence, 76 Project Launch, 348 Project Northland, 204, 256 n.16 Project STAR, 256 n.16 Project Toward No Tobacco Use, 256 n.16 Promising Practices Network, 22 Promoting Alternative Thinking Strategies, 142, 181, 182, 186, 210 PROmoting School-community-university Partnerships to Enhance Resilience, 301 Promotion. See Mental health promotion Protective factors. See also individual disorders and behaviors correlation with each other and with risk factors, 86 defining, xxvii, 82 developmental perspective, 81-91 effects of, 87-88

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities genetic, 117-118 influence over time, 88-91 intelligence as, 213 in multiple contexts, 85-86 for multiple disorders, 99 nutrition, 214 and preventive intervention design and evaluation, 83-85 research recommendations, 10, 111 Psychiatric genetics, 114 Public policy interventions, 98, 101, 202-203, 323-325, 370. See also Universal interventions Puerto Ricans, 38 R Raising Healthy Children, 209-210 RAND Corporation, 22, 210 Randomized prevention trials of adaptability, 273, 283-284 causal inferences from, 278-283 community partnerships, 274-275, 304-305 component evaluation, 283-284, 292 defined, xxviii design elements, 266-268 developmental neuroscience and, 145-146, 148-149 effectiveness trials, 268-269 efficacy trials, 268 encouragement designs, xxv, 270-271, 273, 329-331 ethical issues, 95, 269, 280-281, 282 etiological model, 267, 271-272 of extensibility, 273 group-based approaches, 276-278 growth in number of, 21, 28 head-to-head impact, 273 of implementability, 273, 294 to improve interventions, 269-270 Internet-based programs and testing, 284-285 for low-prevalence disorders, 283 meditational models, 86, 280-281, 291 NRH counterfactuals approach, 278-279 opportunities for, 283-286 pilot study, 267-268 population effects, 270-271 principal stratification approach, 280 replications, 292 risk and protective factors in design of, 83-85, 86 of scalability, 274 scientific logic of, 275-277 self-selection factors, 279-280 sequencing and long-term follow-up, 285-286 size reduction, 277-278 of sustainability, 274 testing theories of change and development, 271-272 variation in impact, 282 wait-list design, xxix, 167, 182, 194, 269, 281-282, 373 Reactive attachment disorder, 136 Recommendations. See also Research recommendations coordination across agencies, 5, 378-379 data collection and monitoring, 7-8, 55-56, 380 funding, 7, 372, 373, 376, 380 implementation, 7, 14, 239, 336, 373, 380 mental health promotion, 14, 69 national leadership, 5, 378 for researchers, 14, 69, 217, 262, 336 state and community networked systems, 6, 383 workforce development, 8, 376 Reducing Risks for Mental Disorders report, 2, 20-21 compared to current report, xiii-xiv, 28, 31 defining prevention, xiv, 21, 59-60, 61-62, 65 recommendations, 21, 22, 151, 340 Regional Centers for the Application of Prevention Technologies, 356 Research. See Prevention research Research recommendations adolescents and young adults, 12, 218-219 collaboration and joint funding, 10, 374-375 combining interventions, 12, 219 culturally appropriate adaptations, 11, 336 development of evaluations, 7, 14, 336, 373, 380 developmental competencies, 12, 110

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities economic analyses, 11, 260, 261 effectiveness/efficacy of interventions, 10, 12, 218, 293 implementation and dissemination of interventions, 10-11, 218, 294, 335 mass media and internet interventions, 12, 218 mental health promotion, 14, 69 neuroscience linkages, 11, 148, 149, 374 risk and protective factors, 10, 111 screening linked to interventions, 10, 238 Residential instability, 88, 106 Resilience, xxviii, 25, 56, 75, 77, 82, 88, 92, 134, 144-145, 190, 201, 210, 216, 311. See also Coping skills Retrospective studies, xxviii, 46, 54, 99-100 Rett syndrome, 116-117, 120, 125-126 Rhode Island, 350 Risk aversion, 53 Risk factors. See also Developmental framework; specific disorders and risk factors causal, 82 community-related, 16, 88, 101, 106-109, 110, 221 correlation with each other and with protective factors, 16, 29, 30, 86 cumulative effects, 16, 84, 86, 89 defining, xxviii, 81-82 developmental perspective, 16, 81-98 disorder-specific, 91-98 genetic component, 52-53, 63, 92, 93, 94, 95, 96, 106, 117-118, 144-146 individual-level, 221-222 influence over time, 88-91 main effect models, xxvi, 88 meditators, xxvi, 88, 89-90 moderators, xxvi, 88, 89-90 monitoring changes in exposure, 51-54, 56 in multiple contexts, 51, 81-82, 85-86, 109 for multiple disorders, 99-106, 107, 109 prevalence and incidence, 51-54 and preventive intervention design and evaluation, 83-85 rate trends, 53-54 research recommendations, 10, 111 school-related, 16, 106-109 sociodemographic groups, 59 specific vs. general effects, 16, 87-88, 109-110 targeting interventions, 91-109 variable, 82 Risky sexual behavior, 16, 30, 40, 90, 98, 99, 158, 159, 160, 168, 169, 181, 187, 209, 281, 332, 344, 383-384, 390, 535 Robert Wood Johnson Foundation, 365 Rochester Child Resilience Project, 77 Rutgers University, 342 S Safe and Drug-Free Schools Act of 1999, 21, 22, 311 Safe and Drug-Free Schools Program, 301, 314, 347 Safe Schools/Healthy Students Program, 309, 347, 354 Saving Lives, 205 Schizophrenia age at onset, 120, 191 drift hypothesis, 108 efficacy/effectiveness of interventions, 4, 30, 63 epidemiology, 42, 45 genetic association, 115, 117, 120 meta-analyses, 517 neurodevelopmental factors, 127 preventive interventions in prodromal stage, 95, 155, 206-208, 216, 225-226, 280-281 risk factors, 91, 94-95, 108, 109-110, 115, 117, 120, 123, 127, 225, 526 schizotaxia, 95 screening for, 95, 225-226 trial designs, 271, 280-281, 283 School bonding to, 85, 108, 109, 210 disadvantaged schools, 107 dropout, 104 factors affecting healthy development, 78-80 protective factors, 109 risk factors in, 108-109, 110 screening in, 229-232, 236 School-based interventions behavioral, 109, 152, 159, 181-183, 518-519

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities classroom management, 158-159, 166 college-level, 201-202 combining family interventions with, 158, 159, 165, 166, 185-187, 273, 312 curriculum “dosage” requirements, 308 for delinquency, 90-91 early childhood, 178-181 efficacy/effectiveness, 4, 90-91, 109, 152, 158-159 elementary, middle, and secondary school, 158, 181-187 group contingency, 109 mental health promotion, 77 meta-analyses, 517-519 multicomponent, 159, 170 peer leaders, 198, 200 preschool, 152, 179-181 sexual abuse prevention, 181 social and emotional learning, 152 for substance use and abuse, 90-91, 109, 159, 197-201, 517-518 violence prevention, 152, 518-519 School Lunch Program, 177, 324 Screening for prevention. See also individual disorders and risk factors assessment vs. screening, 237 community-level, 221, 222-223, 232, 239 computerized, 227 criteria, 222, 223-237 cultural adaptations, 233, 238 defined, 221 for developmental difficulties, 95 ethical issues, 207, 235 facilities or settings, 226, 227 goals for, 223 group-level, 222 individual-level, 221-222, 226 intervention availability and, 225-226 longitudinal implementation, 236-237 neuroscience applications, 142-143 objections to, 19, 143-144, 230, 233-234 parental involvement, 238 in preschool and day care, 231-232 prevalence of disorders and, 223-225 in primary care setting, 161-162, 226, 227-229, 232, 236 prodromal identification, 225-226 reimbursement for, 227, 235-236 reliability of, 19 research recommendations, 10, 238 in schools, 229-232, 236 targets, 226 tools/instruments, 228, 232-233, 235, 238 training for, 235-236 universal, 230-231 window of opportunity, 50 Seattle Social Development Program, 153, 159, 209 Selective interventions challenges, 207 component in multilevel interventions, 168, 185, 186 cost-effectiveness, 259 defined, xxviii, 2, 61, 62, 69, 386 efficacy or effectiveness, 64, 153, 165, 174, 183, 192, 193, 195, 207 examples, 19, 165, 315-316 implementation, 312, 315-316, 319 infrastructure for, 340, 343, 347 personalized medicine equated with, 63 rationale for, 62 screening approaches, 9, 154, 221, 223, 309 targets for, 94-95 Self-determination, 68, 75, 209 Self-esteem, xxvi, 67, 74, 76, 82, 90, 200, 302, 390 Self-regulatory skills, 78, 80, 96, 100, 131, 135, 137-138, 139, 141, 142, 146, 166 Separation anxiety disorder, 43, 44, 93 Serotonin transporter gene, 117, 146 Sexual behavior. See Risky sexual behavior Shared Youth Vision, 349 Single-parent households, 53, 85, 103, 167, 179, 211, 524, 531 Sleep-related breathing disorder, 212 Social and emotional learning, 134, 135, 152, 184-185, 311-312, 315, 516, 517 Social competence, 66, 100, 114, 131, 135, 183, 200, 518 Social inclusion, xxvi, 66, 67, 74 Social phobia, 43, 44, 93, 153 Social supports, 99, 106, 163, 524, 525 Society for Prevention Research, 23, 24, 258, 293, 354, 359 Society of Pediatric Psychology, 367 Sources of Strength, 332

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities South Carolina, 167, 205 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), 161, 177, 255, 324 Specific phobia, 43, 44, 93 Spirituality for Kids, 210 Standards of evidence, 24, 353, 354, 355, 367, 368, 369, 371, 372-374, 380 STARS for Families, 256 n.16 State Children’s Health Insurance Program, 324 Statistical analysis of trials blocking, 277 effect sizes, xxiv, 13, 146, 165, 174-175, 183, 185, 195, 200, 205, 206, 210, 218, 285, 319, 333 growth models, 288-289 growth plus context, 290 intent-to-treat analyses, 268, 291 latent transition analyses, 289 mediation analyses, 268, 289 missing or incomplete data, 290 multilevel modeling of contextual effects, 290 postintervention modeling, 291 Stigmatization issues, xv, 12, 29, 69, 143-144, 149, 207, 218, 226, 230, 233-234, 237, 238, 320, 322, 331, 349, 370, 379, 383, 387, 392 Strengthening Families Program, 158, 159, 168, 169, 200, 203, 255 n.14 Strong African American Families Program, 169 Substance Abuse and Mental Health Services Administration, 2, 27, 235 Center for Mental Health Services, 25, 64, 346-347, 357, 361 Center for Substance Abuse Prevention, 22, 300, 346-347, 353 n.13, 355, 357, 361 definition of mental disorders, 29 National Registry of Evidence-Based Programs and Practices, 22, 25, 26, 353, 355 Office of Applied Studies, 40 preventive services funding, 346-347, 348, 351, 355 recommendations to, 7, 8, 57, 372, 380, 381 research program and funding, 6, 64, 355, 361, 372, 380 Strategic Prevention Frameworks, 347, 348, 354, 356, 372 surveys, 40, 46, 48, 56, 57 technical assistance centers, 346-347, 356, 357 timeline of prevention-related events, 22, 25 training initiatives, 302, 361 Substance use and abuse. See also Alcohol abuse and dependence; Drug abuse adversity pathways to, 106 age at onset, 50, 72 brain development and, 129, 140 college-level approaches, 201-202 community approaches, 202-206 comorbidities, 47, 48 cost and health burdens, 15, 17, 29 cost-effectiveness of interventions, 256 defined, xxviii, 30 early use, 29 efficacy/effectiveness of interventions, 2, 4, 22-23, 95-97, 153, 158, 159, 169, 197-206, 256 genetic predisposition, 117, 120 interagency programs, 22-23 mediators of, 90-91 prevalence, 43, 44 risk factors, 16, 88, 89, 96, 98, 99, 102, 104-105, 106, 107 and risky behaviors, 247 school-based approaches, 90-91, 109, 159, 181-183, 197-201, 517-518 sex differences, 54, 140 Suicide AIM approach, 23 costs, 17, 252 effectiveness of interventions, 19, 109, 159, 184, 253, 281, 283, 303 federal prevention program, 347, 348, 349, 356 implementation of interventions, 303, 304, 332 international prevention efforts, 392 as outcome measure, 283 prevention-related reports, 21, 23, 24, 25 risk factors, 99-100, 206, 214, 221 screening, 19, 232-233, 234 state prevention programs, 349 surveillance, 347 teenage rates, 55

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities Surgeon General reports, 21, 22, 23 Surveillance. See Epidemiology of MEB disorders; individual surveys Systematic Screening for Behavior Disorders, 230-231 T Task Force on College Drinking, 203 Teen Screen, 234 Temperament, 93, 96, 99, 522, 523, 524, 528 Temperament and Atypical Behavior Scale, 228 Temporary Assistance to Needy Families, 177, 324 Tennessee, 163, 186 Terminology, xiv, 28-30, 56 Threat appraisal, 53, 106, 530 Tic disorders, 138, 139, 140 Timeline Follow Back interview, 202 Tobacco control, 18 Tools of the Mind, 142 Tourette syndrome, 41, 138, 139 Training. See Workforce training Transdisciplinary Prevention Research Centers, 342, 343 Translational research, xxix, 11, 149, 325, 343, 363, 374, 375, 384 Treatment of MEB, xiii, xiv, xxix, 1, 2, 16, 19, 21, 30-31, 36, 37, 51 Turner syndrome, 52 U Underage drinking. See Alcohol abuse and dependence United Kingdom, 38, 239, 250 National Institute for Health and Clinical Excellence, 188 Universal interventions, 50, 340, 343, 388 anxiety prevention, 192-193 CDC recommendations, 185 component in multilevel interventions, 165, 167, 185-186, 187 current programs, 165, 167, 168, 182, 184, 187, 198, 200 defined, xxix, 2, 61, 66, 69, 386 depression prevention, 198 design, 183 for eating disorders, 206 in ecological framework, 73 efficacy or effectiveness, 64, 170, 179, 182, 183, 184, 185, 187, 189, 195, 203, 206, 218, 226, 253, 259, 311-312, 333, 518 examples, 19, 66, 95, 141, 161, 170 funding, 347, 350 implementation, 311-312, 315-316, 319-320, 333 importance, 48 meta-analyses, 518 nonrandomized study designs, 288 promotion of mental health, 208, 212 rationale for, 61 research funding, 344, 534 for schizophrenia, 95 screening, 9, 154, 222, 226, 229, 230, 234, 369 substance use prevention, 18, 200, 203, 272, 289 training for, 221, 369, 370 trials, 207, 272, 273, 283, 288, 289, 344 University of Colorado at Boulder, 22, 309 University of Georgia, 342 University of Kentucky, 342 University of Southern California, 342 University of Washington, 368 U.S. Department of Education, 26, 229 Institute of Education Sciences, 7, 24, 372, 380, 381 Office of Safe and Drug-Free Schools, 7, 347 n.10, 372 prevention interventions, 22-23, 301, 347, 348, 355, 381 recommendations for, 5, 7, 8, 55-56, 239, 372, 373, 376, 379, 381 research funding, 338 technical assistance centers, 301, 357 timeline of prevention-related events, 22-23, 24 U.S. Department of Health and Human Services. See also individual agencies and bureaus Office of Disease Prevention and Health Promotion, 56 Office of the Assistant Secretary for Planning and Evaluation, 56, 381

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities recommendations for, 5, 7, 8, 55-56, 239, 372, 373, 376, 379, 381 research funding, 308, 338 SSHS Program, 347-348 surveys, 56 technical assistance centers, 357 timeline of prevention-related events, 22, 23, 25 U.S. Department of Justice Model Programs Guide, 353 Office of Juvenile Justice and Delinquency Prevention, 7, 22-23, 347, 348, 372, 381 recommendations for, 5, 7, 8, 55-56, 239, 372, 373, 376, 379, 381 research funding, 22-23 timeline of prevention-related events, 22-23, 24 U.S. Department of Labor, 349 U.S. Public Health Service, 230 Utah, 228 Utilization of health services, 17, 249-250 V Velocardiofacial syndrome, 52 Vermont, 228 Violence. See also Child maltreatment in communities and schools, 106-109 costs of, 250 effectiveness of programs, 22, 68, 152, 183, 185, 200, 211, 309, 317, 353 interagency programs, 22-23 prevention-related events, 21, 22-23 and risk of MEB disorders, 29, 87, 94, 99, 102, 104, 107 television exposure to, 215 Virginia Longitudinal Study of Child Maltreatment, 103 Vitamin D deficiency, 215-216 W Washington State, 186, 228, 253, 268 What Works Clearinghouse, 24, 353 Whites, 38, 100, 168, 169, 198, 200, 536 Williams syndrome, 52 Wisconsin, 204-205 Workforce training clinical psychologists, 367 costs, 164 current efforts, 361-370 education providers, 369-370 health care professionals, 207, 364-366 to implement and disseminate services, 317 law and judicial system, 370 neuroscience, 363 nurses, 164, 368 overview since 1994, 359-361 physicians, 364-366 prevention researchers, 362 for public awareness and public policy making, 370 public health, 363 recommendations, 8, 375-376 for screening, 235-236 social workers, 366-369 substance abuse and mental health counselors, 368-369 World Conference on the Promotion of Mental Health and Prevention of Mental and Behavioral Disorders, 23 World Federation for Mental Health, 23, 25 World Health Organization, xxv, 223, 224, 247, 388 Y Young adults antisocial behavior, 97, 152, 158, 184 anxiety, 76, 84, 192, 193-194, 531 bipolar disorder, 45 brain development, 127-128 defined, 81 n.2 depression, 76, 92, 525 developmental tasks, 81 factors affecting healthy development, 80 interventions, 155, 171-172, 176, 193-194, 201-202, 203, 208-209 mental health promotion, 212, 215 military service, 171-172 opportunities for intervention, 390 prevalence of MEB disorders, 45 research initiatives and needs, 12, 218-219, 344, 345, 348, 386, 536, 537 risk factors, 96-97, 171-172, 525, 527, 529, 531 schizophrenia, 94, 95, 191, 209, 527 screening, 232

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Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities smoking, 321 substance abuse, 96-97, 171, 192, 201-202, 203, 208-209, 347, 517, 529 surveys, 41 Youth development interventions, 255 Youth Risk Behavior Surveillance System, 40, 48, 383 Youth Speakers Bureau, 234