Facilitating the Implementation of Evidence-Based Prevention and Mental Health Promotion Efforts in Schools

  • Patricia A. Graczyk
  • Celene E. Domitrovich
  • Joseph E. Zins
Part of the Issues in Clinical Child Psychology book series (ICCP)

Within the field of school-based mental health, a call for greater integration between treatment and prevention efforts has been sounded (Tashman et al., 1999). This integration is appropriate and logical for several reasons. First, practitioners in both fields are attempting to provide interventions that reduce youth risk for poor outcomes and improve their functioning in social, emotional, and academic domains. Second, innovative models of school-based mental health (e.g., Adelman & Taylor, 1999; Nastasi, Varjas, Bernstein, & Pluymert, 1998; Weist, 1997) and prevention (Institute of Medicine, 1994) have been proposed that are comprehensive and call for a spectrum of services to meet the needs of allstudents. While recipients of traditional school mental health services include primarily special education students or students with diagnosed disorders, potential recipients of comprehensive school-based mental health services and prevention programs can include the entire student body. Third, a union of school-based mental health and prevention efforts can reduce duplicity of efforts. Fourth, both fields recognize schools as an important setting for intervening with children and youth. Schools have extended and intensive accessibility to the majority of children and can provide ample opportunities for students to develop, practice, and receive recognition for emotionally appropriate and socially competent behaviors that are the foundation of mental health both within and beyond the classroom setting (Consortium on the School-Based Promotion of Social Competence, 1994; Evans, 1999; Weissberg, Caplan, & Sivo, 1989; Weissberg & Greenberg, 1998)

The major topic of this chapter is the implementation of effective school-based prevention and mental health promotion practices. We begin by providing an overview of the current state of the field. We then summarize what is meant by effective or evidence-based practices by using information garnered from two major program reviews, one of which has recently been completed and another that is ongoing. Next, we provide a conceptual lens through which implementation of school-based prevention programs can be viewed. Critical factors are identified, and a framework is presented that ties these factors together in a coherent and meaningful way. The ensuing discussion illustrates how this framework can help guide efforts to assess and monitor implementation quality to result in effective program delivery. The chapter concludes with a discussion of some of the challenges existing within the field relative to the utilization and evaluation of sound implementation practices


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  1. Adalbjamardottir, S., & Selman, R. L. (1997). “I feel I have received a new vision:” An analysis of teachers' professional development as they work with students on interpersonal issues. Teaching and Teacher Education, 13, 409–428.CrossRefGoogle Scholar
  2. Adelman, H. S., & Taylor, L. (1999). Mental health in schools and system restructuring. Clinical Psychology Review, 19,137–163.PubMedCrossRefGoogle Scholar
  3. American School Health Association (1998). School health: Findings from evaluated programs(2nd ed.). Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
  4. Beer, M., & Walton, E. (1990). Developing the competitive organization: Interventions and strategies. American Psychologist, 45,154–161.CrossRefGoogle Scholar
  5. Berndt, T. J., & Keefe, K. K. (1995). Friends' influence on adolescents adjustment to school. Child Development, 66,1312–1329.PubMedCrossRefGoogle Scholar
  6. Botvin, G. J. (2000). Life skills training: Promoting health and personal development Teacher's Manual1. Princeton, NJ: Princeton Health Press.Google Scholar
  7. Botvin, G. J., Baker, E., Dusenbury, L., Botvin, E. M., & Diaz, T. (1995). Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. Journal of the American Medical Association, 273,1106–1112.PubMedCrossRefGoogle Scholar
  8. Botvin, G. J., Baker, E., Dusenbury, L., Tortu, S., & Botvin, E. M. (1990). Preventing adolescent drug abuse through a multi-modal cognitive-behavioral approach: Results of a 3-year study. Journal of Consulting and Clinical Psychology, 58, 437–446.PubMedCrossRefGoogle Scholar
  9. Catalano, R. R, Berglund, M. L., Ryan, J. A. M., Lonczak, H. C, & Hawkins, J. D. (1998). Positive youth development in the United States: Research findings on evaluations of positive youth development programs(NICHD Publication), Washington, DC: U.S. Department of Health and Human Services.Google Scholar
  10. Center for Substance Abuse Prevention (2001). 2001 annual report of science-based prevention programs. Rockville, MD: Author.Google Scholar
  11. Chen, H. T. (1990). Theory-driven evaluations. Thousand Oaks, CA: Sage.Google Scholar
  12. Chen, H. (1998). Theory-driven evaluations. Advances in Educational Productivity, 7,15–34.Google Scholar
  13. Connell, D. B., Turner, R. R., & Mason, E. F. (1985). Summary of the findings of the School Health Education Evaluation: Health promotion effectiveness, implementation, and costs. Journal of School Health, 55, 316–323.PubMedGoogle Scholar
  14. Consortium on the School-Based Promotion of Social Competence (1994). The school-based promotion of social competence: Theory, research, practice, and policy. In R. J. Haggerty, L. R. Sherrod, N. Garmezy, & M. Rutter (Eds.), Stress, risk, and resilience in children and adolescents: Processes, mechanisms, and interventions(pp. 268–316). New York: Cambridge University Press.Google Scholar
  15. Cowen, E. L. (1998). Changing concepts of prevention in mental health. Journal of Mental Health, 7, 451–461.CrossRefGoogle Scholar
  16. Dane, A. V., & Schneider, B. H. (1998). Program integrity in primary and early secondary prevention: Are implementation effects out of control? Clinical Psychology Review, 18, 23–45PubMedCrossRefGoogle Scholar
  17. Domitrovich, C. E., & Greenberg, M. T. (2000). The study of implementation: Current findings from effective programs that prevent mental disorders in school-aged children. Journal of Educational and Psychological Consultation, 11,193–221.CrossRefGoogle Scholar
  18. Drug Strategies (1999). Making the grade: A guide to school drug prevention programs. Washington, DC: Author.Google Scholar
  19. Durlak, J. A. (1995). School-based prevention programs for children and adolescents. Thousand Oaks, CA: Sage.Google Scholar
  20. Durlak, J. A. (1998). Why program implementation is important. Journal of Prevention and Intervention in the Community, 17, 5–18.CrossRefGoogle Scholar
  21. Durlak, J. A., & Wells, A. M. (1998). Evaluation of indicated preventive intervention (secondary prevention) mental health programs for children and adolescents. American Journal of Community Psychology, 26, 775–802.PubMedCrossRefGoogle Scholar
  22. Elias, M. J., Zins, J. E., Weissberg, K. S., Greenberg, M. T., Haynes, N, M., Kessler, R., Schwab-Stone, M, E,, & Shriver, T, P. (1997). Promoting social and emotional learning: Guidelines for educators, Alexandria, VA: Association for Supervision and Curriculum Development.Google Scholar
  23. Elliot, D. (1998). Blueprints for violence prevention. Golden, CO: Venture PublishingGoogle Scholar
  24. Evans, S. W. (1999). Mental health services in schools: Utilization, effectiveness, and consent. Clinical Psychology Review, 19,165–178.PubMedCrossRefGoogle Scholar
  25. Gordon, R. (1983). An operational classification of disease prevention. Public Health Reports, 98, 107–109.PubMedGoogle Scholar
  26. Gordon, R. (1987). An operational classification of disease prevention. In J. A. Steinberg & M. M. Silverman (Eds.), Preventing mental disorders(pp. 20–26). Rockville, MD: Department of Health and Human Services.Google Scholar
  27. Gottfredson, D. C, Fink, C. M., Skroban, S., & Gottfredson, G. D. (1997). Making prevention work. In R. P. Weissberg, T. P. Gullotta, R. L. Hampton, B. A. Ryan, & G. R. Adams (Vol. Eds.), Healthy children 2010: Establishing preventive services(pp. 219–252). Thousand Oaks, CA: Sage.Google Scholar
  28. Gottfredson, D. C, Gottfredson, G. D., & Hybl, L. G. (1993). Managing adolescent behavior: A multiyear, multischool study. American Educational Research Journal, 30,179–216.Google Scholar
  29. Gottfredson, G. D., Gottfredson, D. C, Czeh, E. R., Cantor, D., Crosse, S. B., & Hantman, I. (2000). National study of delinquency prevention in schools. Ellicott City, MD: Gottfredson Associates, Inc.Google Scholar
  30. Graczyk, P. A., Weissberg, R. P., Payton, J. W., Elias, M. J., Greenberg, M. T., & Zins, J. E. (2000). Criteria for evaluating the quality of school-based social and emotional learning programs. In R. Bar-On & J. D. A. Parker (Eds.), The handbook of emotional intelligence(pp. 391–410). San Francisco: Jossey- Bass.Google Scholar
  31. Greenberg, M. T., Domitrovich, C, & Bumbarger, B. (1999). Preventing mental disorder in school-aged children: A review of the effectiveness of prevention programs. Report submitted to The Center for Mental Health Services (SAMHSA), Prevention Research Center, Pennsylvania State University (obtainable at Scholar
  32. Greenberg, M. T., Domitrovich, C, & Bumbarger, B. (2001). Preventing mental disorder in school-aged children: Current state of the field. Prevention & Treatment, 4,1–64.Google Scholar
  33. Greenberg, M. T., Domitrovich, C., Graczyk, P. A., & Zins, J. E. (in press). The study of implementation in school-based prevention research: Implications for theory, research, and practice. Reportsubmitted to The Center for Mental Health Services. Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
  34. Harachi, T. W., Abbott, R. D., Catalano, R. R, Haggerty, K. P., & Fleming, C. B. (1999). Opening the black box: Using process measures to assess implementation and theory building. American Journal of Community Psychology, 27, 711–731.PubMedCrossRefGoogle Scholar
  35. Hoagwood, K., & Koretz, D. (1996). Embedding prevention services within systems of care: Strengthening the nexus for children. Applied & Preventive Psychology, 5, 225–234.CrossRefGoogle Scholar
  36. Institute of Medicine (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academy Press.Google Scholar
  37. Kazdin, A. E. (1981). Acceptability of child treatment techniques: The influence of treatment efficacy and adverse side effects. Behavior Therapy, 12,493–506.CrossRefGoogle Scholar
  38. King, M. B., & Newmann, F. M. (2000). Will teacher learning advance school goals? Phi Delta Kappan,81, 576–580.Google Scholar
  39. Kolbe, L. J., Kann, L., & Brener, N. D. (2001). Overview and summary of the findings: School health policies and programs study 2000. Journal of School Health, 71, 253–259.PubMedCrossRefGoogle Scholar
  40. Linn, R. L. (2000). Assessments and accountability. Educational Researcher, 29, 4–16.Google Scholar
  41. Lochman, J. E. (1985). Effects of different treatment lengths in cognitive-behavioral interventions with aggressive boys. Child Psychiatry and Human Development, 16, 45–56.PubMedCrossRefGoogle Scholar
  42. Lochman, J. E. (1992). Cognitive-behavioral intervention with aggressive boys: Three year follow-up and preventive efforts. Journal of Consulting and Clinical Psychology, 60, 426–432.PubMedCrossRefGoogle Scholar
  43. Meichenbaum, D., & Turk, D. (1987). Facilitating treatment adherence. New York: Plenum.Google Scholar
  44. Nastasi, B. K., Varjas, K., Bernstein, R., & Pluymert, K. (1998). Exemplary mental health programs: School psychologists as mental health service providers. Bethesda, MD: National Association of School Psychologists.Google Scholar
  45. Newcomb, A. F., Bukowski, W. M., & Pattee, L. (1993). Children's peer relations: A meta-analytic review of popular, rejected, neglected, controversial, and average sociometric status. Psychological Bulletin, 113,99–128.PubMedCrossRefGoogle Scholar
  46. Parker, J. G., & Asher, S. R, (1987). Peer relations and later personal adjustment: Are low-accepted children at risk? Psychological Bulletin, 102, 357–389.PubMedCrossRefGoogle Scholar
  47. Patrikakou, E. N., Weissberg, R. P., & Rubenstein, M. I. (1999). School-family partnerships. In A, J, Reynolds, H. J. Walberg, & R. P. Weissberg (Eds.), Promoting positive outcomes: Issues in children's and families' lives(pp. 95–127). Washington, DC: CWLA Press.Google Scholar
  48. Payton, J., Wardlaw, D., Graczyk, P. A., Tompsett, C, Ragozzino, K., Bloodworth, M., Fleming, J., Garza, P., Bailey, J., & Weissberg, R. P. (2000). A review of school-based social and emotional learn- ing (SEL) programs: Project coding manual.Unpublished manuscript, University of Illinois at Chicago.Google Scholar
  49. Rones, M., & Hoagwood, K. (2000). School-based mental health services: A research review. Clinical Child and Family Psychology Review, 3, 223–241.PubMedCrossRefGoogle Scholar
  50. Salas, E., & Cannon-Bowers, J. A. (2001). The science of training: A decade of progress. Annual Review of Psychology, 52, 471–499.PubMedCrossRefGoogle Scholar
  51. Seligman, M. E. P. (1996). Science as an ally of practice. American Psychologist, 51,1072–1079.PubMedCrossRefGoogle Scholar
  52. Spoth, R. L., Redmond, C, & Shin, C. (2001). Randomized trial of brief family interventions for general populations: Adolescent substance use outcomes 4 years following baseline. Journal of Consulting& Clinical Psychology, 69, 627–642.CrossRefGoogle Scholar
  53. Sproull, L. S., & Zubrow, D. (1981). Performance information in school systems: Perspectives from organization theory. Educational Administration Quarterly, 17, 61–79.CrossRefGoogle Scholar
  54. Tashman, N. A., Weist, M. D., Acosta, O., Bickham, N. L., Grady, M., Nabora, L., & Waxman, R. (1999). Toward the integration of prevention research and expanded school mental health programs. Children's Services: Social Policy, Research, and Practice, 3, 97–115.Google Scholar
  55. U.S. Department of Health and Human Services (1999). Mental health: A report of the Surgeon General. Rockville, MD: Author.Google Scholar
  56. Wang, M. C, Haertel, G. D., & Walberg, H. (1997). Learning influences. In H. J. Walberg & G. D. Haertel (Eds.), Psychology and educational practice(pp. 199–211). Berkley, CA: McCutchan Publishing Company.Google Scholar
  57. Weiss, C. H. (1995). Nothing as practical as good theory: Exploring theory-based evaluation for comprehensive community initiatives for children and families. In J. P. Connell, A. C. Kubisch, L. B. Schorr, & C. H. Weiss (Eds.), New approaches to evaluating community initiatives: Concepts, methods, and contexts. New York: Aspen Institute.Google Scholar
  58. Weissberg, R. P., Caplan, M. Z., & Sivo, P. J. (1989). A new conceptual framework for establishing school-based social competence promotion programs. In L. A. Bond & B. E. Compas (Eds.), Primary prevention and promotion in the schools(pp. 255–296). Thousand Oaks, CA: Sage.Google Scholar
  59. Weissberg, R. P., & Greenberg, M. T. (1998). School and community competence-enhancement and prevention programs. In W. Damon (Series Ed.) & I. E. Sigel & K. A. Renninger (Vol. Eds.), Handbook of child psychology: Vol. 4. Child psychology in practice(5th ed., pp. 877–954). New York: Wiley. Google Scholar
  60. Weist, M. D. (1997). Expanded school mental health services: A national movement in progress. In T. Ollendick & R. J. Prinz (Eds.), Advances in clinical child psychology(Vol. 19, pp. 319–352). New York: Plenum.Google Scholar
  61. Yeaton, W. H., & Securest, L. (1981). Critical dimensions in the choice and maintenance of successful treatments: Strength, integrity, and effectiveness. Journal of Consulting & Clinical Psychology, 49, 156–167.CrossRefGoogle Scholar
  62. Zins, J. E., & Erchul, W. P. (2002). Best practices in school consultation. In A. Thomas & J. Grimes (Eds.), Best practices in school psychology IV(pp. 424–436). Silver Spring, MD: National Association of School Psychologists.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2003

Authors and Affiliations

  • Patricia A. Graczyk
    • 1
  • Celene E. Domitrovich
    • 2
  • Joseph E. Zins
    • 3
  1. 1.University of Illinois at ChicagoChicagoIllinois
  2. 2.Pennsylvania State UniversityUniversity ParkPennsylvania
  3. 3.University of CincinnatiCincinnatiOhio

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