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National Academies Press
Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary

Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary


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Over the last three decades, researchers have made remarkable progress in creating and testing family-focused programs aimed at fostering the cognitive, affective, and behavioral health of children. These programs include universal interventions, such as those for expecting or new parents, and workshops for families whose children are entering adolescence, as well as programs targeted to especially challenged parents, such as low-income single teens about to have their first babies, or the parents of children with autism. Some family-focused programs have been shown to foster significantly better outcomes in children, including enhanced educational performance, and reduced rates of teen pregnancy, substance abuse, and child conduct and delinquency, as well as reduced child abuse. The favorable cost-benefit ratios of some of these programs are due, in part, to the multiple and far-ranging effects that family-focused prevention programs targeting children can have. Other family-focused programs have shown success in smaller academic studies but have not been widely applied, or have not worked as effectively or failed when applied to more diverse real-world settings.

Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health is the summary of a workshop convened by the Institute of Medicine Forum on Promoting Children's Cognitive, Affective, and Behavioral Health to explore effective preventive interventions for youth that can modify risk and promote protective factors that are linked to mental, emotional, and behavioral health, and how to apply this existing knowledge. Based on the 2009 report Preventing Mental, Emotional, and Behavioral Disorders Among Young People, this report considers how to build a stronger research and practice base around the development and implementation of programs, practices, and policies that foster children's health and well-being across the country, while engaging multi-sectorial stakeholders. While research has advanced understanding of risk, promotive, and protective factors in families that influence the health and well-being of youth, a challenge remains to provide family-focused interventions across child and adolescent development at sufficient scale and reach to significantly reduce the incidence and prevalence of negative cognitive, affective, and behavioral outcomes in children and adolescents nationwide, as well as to develop widespread demand for effective programs by end users. This report explores new and innovative ways to broaden the reach and demand for effective programs and to generate alternative paradigms for strengthening families.

Product Details

ISBN-13: 9780309305440
Publisher: National Academies Press
Publication date: 10/29/2014
Pages: 118
Product dimensions: 8.80(w) x 5.90(h) x 0.20(d)

Table of Contents

1 Introduction 1

Selection of Family-Focused Preventive Programs 3

Organization of the Workshop Summary 4

References 5

2 Scaled-Up, Evidence-Based Family-Focused Preventive Programs 7

Nurse-Family Partnership 7

The Incredible Years® 10

Triple P-Positive Parenting Program 11

Keeping Foster and Kin Parents Supported and Trained (KEEP) 15

References 16

3 Emerging Settings for Implementing Family-Focused Preventive Programs 19

Pediatric Settings 19

School and Home Settings 25

Online Programs 28

References 32

4 Intermediary Organizations and Scale-Up 35

Invest in Kids 35

Evidence-Based Prevention and Intervention Support (EPIS) Center 37

Substance Abuse and Mental Health Services Administration Strategic Prevention Framework 38

Project LAUNCH 39


New York State Office of Mental Health Clinic Technical Assistance Center 41

REACH Institute 42

Washington State Institute for Public Policy 42

Summary of Intermediary Strategies to Aid Scale-Up 44

References 46

5 Expanding Programs Internationally 47

References 49

6 Scale-Up Challenges 51

Lack of Demand 52

Insufficient Organizational Capacity 53

Lack of Sustainable Funding 54

Factors Influencing Decision Making 56

Other Challenges 57

References 58

7 Meeting Scale-Up Challenges 59

Building Demand 59

Building Capacity 62

Providing a Supportive Infrastructure 64

Adapting and Improving Programs 65

Monitoring Programs 69

Building Sustainable Funding 70

Overcoming Organizational Silos 72

Other Scale-Up Strategies 74

Researching Implementation Strategies 75

References 76

8 Sum Up and Way Forward 79

References 82


A Workshop Agenda 83

B Speaker Biosketches 91

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