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Family Support in Prevention Programs for Children at Risk for Emotional/Behavioral Problems

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Abstract

We conducted a review of empirically based prevention programs to identify prevalence and types of family support services within these programs. A total of 238 articles published between 1990 and 2011 that included a family support component were identified; 37 met criteria for inclusion. Following the Institute of Medicine’s typology, prevention programs were categorized as universal, selective, or indicated; programs containing more than one prevention level were characterized as multi-level. Family support types included those led by a mental health professional, led by a peer, or team-led. Among the 37 prevention programs reviewed, 27% (n = 10) were universal, 41% (n = 15) were selective, 16% (n = 6) were indicated, and 16% (n = 6) were multi-level. The predominant model of family support was professionally led (95%, n = 35). Two (n = 5%) provided team-led services. None were purely peer-led. In terms of content of family support services, all (100%, n = 37) provided instruction/skill build. Information and education was provided by 70% (n = 26), followed by emotional support (n = 11, 30%) and instrumental or concrete assistance (n = 11, 30%). Only 14% (n = 5) provided assistance with advocacy. The distribution of models and content of services in prevention studies differ from family support within treatment studies. As family support is likely to be an enduring component of the child and family mental health service continuum, comparative effectiveness studies are needed to inform future development.

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Acknowledgments

Supported by Grants No. This R21MH90146-01 and P20 MH 078178-0, both from the National Institute for Mental Health (NIMH). We wish to thank Maura Crowe for her contribution to this manuscript.

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Authors and Affiliations

  1. Mental Health Services and Policy Research, New York State Psychiatric Institute, Columbia University, 100 Haven Ave, Suite 31D, New York, NY, 10032, USA

    Mary A. Cavaleri, S. Serene Olin & Kimberly E. Hoagwood

  2. Columbia University, New York, NY, USA

    Annie Kim

  3. Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA

    Barbara J. Burns

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  1. Mary A. Cavaleri
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  2. S. Serene Olin
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  3. Annie Kim
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  4. Kimberly E. Hoagwood
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  5. Barbara J. Burns
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Correspondence to Mary A. Cavaleri.

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Cavaleri, M.A., Olin, S.S., Kim, A. et al. Family Support in Prevention Programs for Children at Risk for Emotional/Behavioral Problems. Clin Child Fam Psychol Rev 14, 399–412 (2011). https://doi.org/10.1007/s10567-011-0100-9

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