Mental health reimbursement from existing health insurance should be provided for preventive interventions that have proved effective under rigorous research standards such as those described in this report.
Dissemination activities should receive much higher priority than they have in the past. Agencies should disseminate results of research trials as well as evaluations of preventive intervention service programs. Funding of research trials should be continued only when investigators demonstrate a good publication record (including theoretical formulations and data from research trials). Interagency research conferences should be encouraged. A federal clearinghouse on preventive interventions in the mental health field should be considered, either as part of the council's function or as a separately funded initiative.
Training is an immediate and critical need in preventive intervention research. Congress and federal agencies should immediately take steps to develop and support the training of additional researchers who can develop new preventive intervention research trials as well as evaluate the effectiveness of current service projects. This training effort should include consortiums, seminars, fellowships, and research grants to attract existing researchers into prevention research, training programs for new investigators, and expansion of the training component of the specialized prevention research centers.
Research training should be focused on two groups—mid-career scientists and postdoctoral students. Training for these groups should be developed simultaneously, but the expectation is that the training efforts for these groups will produce two waves of personnel. As an immediate strategy, training opportunities with adequate stipends should be developed to attract talented mid-career scientists from related fields, such as risk research, epidemiology, treatment effectiveness research, and research on prevention of physical illnesses, who seek to make the transition to research on prevention of mental disorders. This could be done through existing fellowships and career development awards and through the development of creative consortiums, seminars, and mentoring. All training should be tailored to the needs and schedules of these scientists. Such training could have a substantial impact on the number of personnel within three years if there is a simultaneous increase in the funds available for peer-reviewed research projects (RO1s).
As a second strategy, training opportunities with sufficient stipends should be developed to attract talented postdoctoral-level trainees to preventive intervention research. Much more effort should be made to