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Counting the stitches that count: Preventive intervention promises and public health

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American Journal of Community Psychology

Abstract

Continued public support for the design, implementation, and dissemination of preventive interventions depends on achievement of four major criteria: (a) Reductions in the incidence or prevalence rates of diagnosable emotional and behavioral disorders, (b) reductions in the need for mental health services through effective primary and secondary interventions, (c) enhancement of the effectiveness of obtained services as screening and early detection efforts are implemented, and (d) reductions in the nation's health care costs associated with emotional and behavioral dysfunctions. Strategies including risk reduction, risk avoidance, health promotion, empowerment, and resource development are preventive insofar as they contribute to achievement of the aforementioned outcomes.

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References

  • Albee, G. W. (1982). Preventing psychopathology and promoting human potential.American Psychologist, 37, 1043–1050.

    PubMed  Google Scholar 

  • Albee, G. W. (1986). Advocates and adversaries of prevention. In M. Kessler and S. E. Goldston (Eds.),A decade of progress in primary prevention. Hanover, NH: University Press of New England, pp. 309–332.

    Google Scholar 

  • Caplan, G. (1964).The principles of preventive psychiatry. New York: Basic Books.

    Google Scholar 

  • Cowen, E. L. (1973). Social and community interventions.Annual Review or Psychology, 24, 423–472.

    Google Scholar 

  • Cowen, E. L. (1986). Primary prevention in mental health: Ten years of retrospect and ten years of prospect. In M. Kessler and S. E. Goldston (Eds.)A decade of progress in primary prevention. Hanover, NH: University Press of New England, pp. 3–46.

    Google Scholar 

  • Department of Health and Human Services (1991).Healthy People 2000: National Health Promotion and Disease Prevention Objectives. DHHS Publication No. (PHS) 91-50212. U.S. Government Printing Office: Washington, DC.

    Google Scholar 

  • Eisenberg, L. (1989). Public policy: Risk factor or remedy? In D. Shaffer, I. Philips, and N. B. Enzer (Eds.),Prevention of mental disorders, alcohol and other drug use in children and adolescents. OSAP Prevention Monograph-2 (DHHS Publication No. ADM 89-1646). Washington, D.C: U.S. Government Printing Office, pp. 125–156.

    Google Scholar 

  • Flay, B. R. (1986). Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs.Preventive Medicine, 15, 451–474.

    PubMed  Google Scholar 

  • Harwood, H. J., Napolitana, D. M., Kristiansen, P. L., & Collins, J. J. (1984).Economic costs to society of alcohol and drug abuse and mental illness: 1980. Research Triangle Park, NC: Research Triangle Institute.

    Google Scholar 

  • Kellam, S. G., Werthamer-Larsson, L., Dolan, L. J., Brown, C. H., Mayer, L. S., Rebok, G. W., Anthony, J. C., Laudoff, J., Edelsohn, G., & Wheeler, L. (1991). Developmental epidemiologically based preventive trials: Baseline modeling of early target behaviors and depressive symptoms.American Journal of Community Psychology, 19, 563–584.

    PubMed  Google Scholar 

  • Kessler, M., & Albee, G. W. (1977) An overview of the literature of primary prevention. In G. W. Albee and J. M. Joffe (Eds.),The issues: An overview of primary prevention. Hanover, NH: University Press of New England, pp. 351–399.

    Google Scholar 

  • Klein, D. C., & Goldston, S. E. (Eds.) (1977).Primary prevention: An idea whose time has come. Washington, D.C. U.S. Government Printing Office.

    Google Scholar 

  • Kuhn, T. S. (1970).The structure of scientific revolutions. Chicago, IL: The University of Chicago Press.

    Google Scholar 

  • Lorion, R. P. (Ed.) (1990).Protecting the children: Strategies for optimizing emotional and behavioral development. New York: The Haworth Press.

    Google Scholar 

  • Lorion, R. P., & Ross J. G. (Eds.) (1992). Programs for change: Office for Substance Abuse Prevention demonstration models.Journal of Community Psychology (Special issue).

  • Lorion, R. P., Price, R. H., & Eaton, W. W. (1989). The prevention of child and adolescent disorders: From theory to research. In D. Shaffer, I. Philips, and N. B. Enzer (Eds.),Prevention of mental disorders, alcohol and other drug use in children and adolescents. OSAP Prevention Monograph-2 (DHHS Publication No. ADM 89-1646). Washington, B.C.: U.S. Government Printing Office, pp. 55–96.

    Google Scholar 

  • Lorion, R. P., Myers, T. G., Bartels, C., & Dennis, A. (1994). Preventive intervention research: Pathways for extending knowledge of child/adolescent health and pathology. In T. Ollendick and R. Prinz (Eds.),Advances in Clinical Child Psychology (Vol. 16). pp. 109–140. New York: Plenum Publishing Co.

    Google Scholar 

  • Meinert, C. L. (1986).Clinical trials: Design, conduct, analysis. New York: Oxford University Press.

    Google Scholar 

  • National Mental Health Association (1986).The prevention of mental-emotional disabilities: Report of the National Mental Health Association Commission on the Prevention of Mental-Emotional Disabilities (Vols. I & II). Washington, D.C.: National Mental Health Association.

    Google Scholar 

  • Price, R. H., Cowen, E. L., Lorion, R. P., & Ramos-McKay, J. (Eds.) (1988).14 ounces of prevention: A casebook for practitioners, Washington, C.C.: American Psychological Association.

    Google Scholar 

  • Roberts, M. C., & Peterson, L. (Eds.) (1984).Prevention of problems in childhood: Psychological research and applications. New York: Wiley-Interscience.

    Google Scholar 

  • Sameroff, A. J., & Fiese, B. H. (1989). Conceptual issues in prevention. In D. Shaffer, 1. Philips, and N. B. Enzer (Eds.),Prevention of mental disorders, alcohol and other drug use in children and adolescents. OSAP Prevention Monograph-2 (DHHS Publication No. ADM 89-1646). Washington, D.C.: U.S. Government Printing Office, pp. 23–53.

    Google Scholar 

  • Shadish, W. R. (1990). What can we learn about problems in community research by comparing it with program evaluation? In P. Tolan, C. Keys, F. Chertok, and L. Jason (Eds.),Researching community psychology: Issues of theory and methods. Washington, D.C.: American Psychological Association, pp. 214–223.

    Google Scholar 

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Lorion, R.P. Counting the stitches that count: Preventive intervention promises and public health. Am J Commun Psychol 21, 673–679 (1993). https://doi.org/10.1007/BF00942177

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