Blueprint for a National Prevention Infrastructure for Mental, Emotional, and Behavioral Disorders (2025) / Chapter Skim
Currently Skimming:
Appendix E: Related Reports of the National Academies of Sciences, Engineering, and Medicine
Appendix E: Related Reports of the National Academies of Sciences, Engineering, and Medicine
Pages 319-344
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 319... ...
This table adapts and expands a similar appendix that can be found in Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth (2019)
|
From page 320... ...
Recommendation 1: Community programs for youth should be based on a developmental framework that supports the acquisition of personal and social assets in an environment, and through activities, that promote both current adolescent well-being and future successful transitions to adulthood. Recommendation 2: Communities should provide an ample array of program opportunities that appeal to and meet the needs of diverse youth, and should do so through local entities that can coordinate such work across the entire community.
|
From page 321... ...
Recommendation 13-1: The federal government should make the healthy mental, emotional, and behavioral development of young people a national priority, establish public goals for the prevention of specific [mental, emotional, and behavioral] MEB disorders and for the promotion of healthy development among young people, and provide needed research and service resources to achieve these aims.
|
From page 322... ...
Recommendation 12-3: The U.S. Departments of Health and Human Services, Education, and Justice should fund states, counties, and local communities to implement and continuously improve evidence-based approaches to mental health promotion and prevention of MEB disorders in systems of care that work with young people and their families.
|
From page 323... ...
, education, and social work professionals should include prevention of MEB disorders and promotion of mental, emotional, and behavioral health. National certifying and accrediting bodies for training should set relevant standards using available evidence on identifying and managing risks and preclinical symptoms of MEB disorders.
|
From page 324... ...
Recommendation 11-2: Research funders should fund research on state- or community-wide implementation of interventions to promote mental, emotional, or behavioral health or prevent MEB disorders that meet established scientific standards of effectiveness.
|
From page 325... ...
Competencies Recommendation 4-1: Research funders, led by the National Institutes of Health, should increase funding for research on the etiology and development of competencies and healthy functioning of young people, as well as how healthy functioning protects against the development of MEB disorders. Recommendation 4-2: The National Institutes of Health should develop measures of developmental competencies and positive mental health across developmental stages that are comparable to measures used for MEB disorders.
|
From page 326... ...
, and in primary care settings; interventions to address poverty; approaches that combine interventions at multiple developmental phases; and approaches that integrate individual, family, school, and community-level interventions. For Researchers Recommendation 3-1: Research and interventions on the prevention of MEB disorders should focus on interventions that occur before the onset of disorder but should be broadened to include promotion of mental, emotional, and behavioral health.
|
From page 327... ...
RECOMMENDATION 7: The committee recommends that the Department of Health and Human Services work with relevant federal, state, and local public-sector and private-sector partners and stakeholders to facilitate the development of a performance measurement system that promotes accountability among governmental and private-sector organizations that have responsibilities for protecting and improving population health at local, state, and national levels. Primary Care and Public Health: Exploring Integration to Improve Population Health (2012)
|
From page 328... ...
Priority: Improve understanding of whether interventions intended to diminish the illegal carrying of firearms reduce firearm violence. Examples of research questions that could be examined: • What is the degree to which background checks at the point of sale are effective in deterring acquisition of firearms by those who are legally disqualified from owning one?
|
From page 329... ...
RECOMMENDATION 7-2: The Office of the Director of the National Institutes of Health (NIH) should develop a plan for advancing research using social and behavioral determinants of health collected in electronic health records.
|
From page 330... ...
If a separate office is not established for young adults, these responsibilities should be assigned to the adolescent health coordinator.
|
From page 331... ...
Communities in Action: Pathways to Health Equity (2017) CONCLUSION 3-2: Based on its review of the evidence, the committee concludes that health inequities are the result of more than individual choice or random occurrence.
|
From page 332... ...
RECOMMENDATION 9-4: Relevant federal departments and agencies should prioritize research and experimentation designed to find ways to mitigate the effects of contextual factors that impair the effectiveness of current programs to combat child poverty. These contextual factors include (1)
|
From page 333... ...
interventions; preschool and school interventions; and universal screening for risk and protective factors -- and in ensuring access to affordable treatment for parents and children to reduce risk; • developing both guidance and targeted accountability measures for use by states and local jurisdictions to identify effective ways of reducing the exposure of children and families to risks -- such as lead and air particulate matter; ineffective and inequitable disciplinary practices; unsafe sex and unintended pregnancies; use of tobacco, alcohol, and other drugs; traumatic experiences; and negative living conditions, including exposure to violence, unstable housing, food insufficiency, and underemployment -- that can contribute to unhealthy MEB development; • promoting coverage of behavioral health services for children and caregivers, especially those needed during pregnancy and the postpartum period and those offered by parenting programs, in reimbursement for private health insurance and Medicaid, encompassing both behavioral health promotion and risk prevention; • setting expectations for the adoption and evaluation of programs known to enhance social and emotional development in schools, in health care settings, and in communities; • supporting consistent polices on accreditation, certification, and licensing requirements for a multidisciplinary workforce oriented toward healthy MEB development in children and youth; and • supporting and collaborating with local and state initiatives that contribute to healthy MEB development. continued
|
From page 334... ...
RECOMMENDATION 7-5: Improve federal and state data collection on adolescent health and wellbeing, and conduct adolescent-specific health services and disseminate the findings. RECOMMENDATION 8-5: Foster greater collaboration between the child welfare, juvenile justice, education, and health systems.
|
From page 335... ...
RECOMMENDATION 5-3: The U.S. Department of Health and Human Services, state, tribal, and territorial government Medicaid agencies, health systems leaders, and state and federal policy makers should adopt policies and practices that improve the organization and integration of care systems, including promoting multidisciplinary team-based care models that focus on integrating preconception, prenatal, and postpartum care with a whole-family focus, development of new practice and payment models that incentivize health creation and improve service delivery, and structures that more tangibly connect health care delivery systems to other partners outside of the health care sector.
|
From page 336... ...
Public and private payers should create standards for the reimbursement of social care, including assessment and such treatment as chronic care management, behavioral health integration, and transitional care management. Medicare/Medicaid payment advisory commissions should evaluate models in which social workers and other social care workers are reimbursement-eligible providers of social care services.
|
From page 337... ...
Curricula should include evidence on the social determinants of health, protocols for working in interprofessional teams to address social needs in health care settings, interpersonal and organizational approaches to advancing health equity and decreasing health disparities, and competencies relating to collecting, securing, and using data and technology to facilitate social and health care integration. Schools of health professions should also engage social workers in instructional roles in order to model their participation in interprofessional teams and to provide information on social risk screening and social care resources and referrals.
|
From page 338... ...
Recommendation 3d: The Federal Health Information Technology Coordinating Committee should facilitate data sharing at the community level across diverse domains such as health care, housing, and education so as to support social care and health care integration. Recommendation 3e: Integrating social care and health care requires the sharing of new types of data between new partners, some of whom are covered by the privacy rule promulgated by the Health Insurance Portability and Accountability Act of 19964 and some of whom are not; therefore, the U.S.
|
From page 339... ...
Recommendation 4h: The Centers for Medicare & Medicaid Services, state Medicaid agencies, employers, and health plans should accelerate the movement to alternative payment models. The measurements aimed at assessing value in these models should include activity-based measures for social care integration and outcome measures that reflect social risk and protective factors.
|
From page 340... ...
Recommendation 5c: The Health Resources and Services Administration and other funders should support studies of the contribution of the social care workforce, including additional workers such as gerontologists and public interest lawyers, to addressing the social determinants of health in health and community care settings. Recommendation 5d: The Centers for Medicare & Medicaid Services, the U.S.
|
From page 341... ...
Department of Health and Human Services should fund additional research aimed at identifying, measuring, and evaluating the effectiveness of specific core components of programs and interventions focused on promoting positive health behaviors and outcomes among adolescents. Recommendation 2: The Division of Adolescent and School Health of the Centers for Disease Control and Prevention should • update and expand the Youth Risk Behavior Survey (YRBS)
|
From page 342... ...
Recommendation 4: The federal government should prioritize community input and expertise when changing or developing federal policies to advance health equity. Specifically, 1.
|
From page 343... ...
Recommendation 7: The Centers for Disease Control and Prevention should coordinate the creation and facilitate the use of common measures on multilevel social determinants of racial and ethnic health inequities, including scientific measures of racism and other forms of discrimination, for use in analyses of national health surveys and by other federal agencies, academic researchers, and community groups in analyses examining health, social, and economic inequities among racial and ethnic groups. Recommendation 8: Congress should increase funding for federal agencies responsible for data collection on social determinants of health measures to provide information that leads to a better understanding of the correlation between the social environment and individual health outcomes.
|
From page 344... ...
Recommendation 12: The federal government should undertake the following actions to advance health equity for American Indian and Alaska Native communities in both urban and rural settings by raising the prominence of the agencies that have jurisdiction. Specifically, a)
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.