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The National Academies of Sciences, Engineering and Medicine
Forum on Promoting Children's Cognitive Affective and Behavioral Health
Forum on Promoting Children's Cognitive Affective and Behavioral Health
Division of Behavioral and Social Sciences and Education

Forum for Children's Wellbeing: Special Issue
American Journal of Preventive Medicine

Realizing Population-Level Improvements for All Children's
Cognitive, Affective, and Behavioral Health
Editors: C. Hendricks Brown and William Beardslee


Realizing Population-Level Improvements for All Children's Cognitive, Affective, and Behavioral Health: Introduction to the Special Issue

Editors:     C. Hendricks Brown and William Beardslee

Realizing Improvements in Primary Care

Primary Health Care: Potential Home for Family-Focused Preventive Interventions

Family-focused prevention programs have been shown to effectively reduce a range of negative behavioral health outcomes but have had limited reach. This paper discusses the existing advantages of primary care settings and lays out a plan to move toward realizing the potential public health impact of family-focused prevention through widespread implementation in primary healthcare settings.

Authors:   Laurel K. Leslie, MD, MPH; Christopher J. Mehus, PhD; J. David Hawkins, PhD; Thomas Boat, MD; Mary Ann McCabe, PhD; Shari Barkin, MD; Ellen C. Perrin, MD; Carol W. Metzler, PhD; Guillermo Prado, PhD; V. Fan Tait, MD; Randall Brown, MD, PhD; William Beardslee, MD


U.S. Preventive Services Task Force Approach to Child Cognitive and Behavioral Health

The U.S. Preventive Services Task Force makes recommendations regarding clinical preventive services for primary care clinicians based on the best available scientific evidence. This review describes the meaning of the grades used by the Task Force, how these grades are determined, and the grades assigned to childhood cognitive, affective, and behavioral health recommendations. The review also summarizes common themes in the evidence gaps and the future research necessary to advance the field and improve child health outcomes.

Authors:   Alex R. Kemper, MD, MPH, MS; Iris R. Mabry-Hernandez, MD, MPH; David C. Grossman, MD, MPH


Innovative Approaches to Adapting Programs to Match Community and Organizational Needs

The Adaptome: Advancing the Science of Intervention Adaptation

Evidence-based interventions offer promise of population-level benefit if accompanied by findings of implementation science to facilitate adoption, widespread implementation, and sustainment. This paper argues for the development of strategies to advance the science of adaptation in the context of implementation that would more comprehensively describe the needed fit between interventions and their settings, and embrace opportunities for ongoing learning about optimal intervention delivery over time.

Authors:   David A. Chambers, DPhil; Wynne E. Norton, PhD


Evidence-Based Decision Making in Youth Mental Health Prevention

Evidence-based decision making embodies the scientific approach, and is worth consideration within primary prevention, given its early success in secondary intervention of youth mental health. This paper articulates strategies to capitalize on knowledge relevant to prevention efforts through evidence-based decision making.

Authors:   Leslie R. Rith-Najarian, MA; Eric L. Daleiden; Bruce F. Chorpita, PhD

Prevention Strategies by Federal Agencies

Lessons Learned From Dissemination of Evidence-Based Interventions for HIV Prevention


In 1999, the Centers for Disease Control and Prevention was called upon to disseminate evidence-based HIV prevention interventions (EBIs) to be implemented by health departments, community-based organizations, drug treatment centers, and clinics. The Diffusion of Effective Behavioral Interventions Project was initiated in 2000 to begin the dissemination of these interventions into public health practice. This paper explores lessons learned and offers guidance for other large, national, evidence-based public health dissemination projects.

Authors:   Charles B. Collins Jr., PhD; Tobey N. Sapiano, MPH

Underage Drinking : A Review of Trends and Prevention Strategies


Underage drinking and its associated problems have profound negative consequences for underage drinkers themselves, their families, their communities, and society as a whole, and contribute to a wide range of costly health and social problems. This paper focuses on underage drinking laws and their enforcement because these constitute perhaps the most fundamental component of efforts to limit youth access to and use of alcohol.

Authors:   Frances M. Harding; Ralph W. Hingson, ScD, MPH; Michael Klitzner, PhD; James F. Mosher, JD; Jorielle Brown, PhD; Robert M. Vincent, MSEd; Elizabeth Dahl, JD; Carol L. Cannon, MA

Sustaining Partnerships for Prevention Services

Increasing the Delivery of Preventive Health Services in Public Education

The delivery of prevention services to children and adolescents through traditional healthcare settings is challenging for a variety of reasons. This paper proposes that an equitable, efficient manner in which to promote health across the life course is to integrate efforts from public health, primary care, and public education through the delivery of preventive healthcare services, in particular, in the education system.

Authors:   Gracelyn Cruden, MA; Kelly Kelleher, MD; Sheppard Kellam, MD; C. Hendricks Brown, PhD


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