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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

Strategies for Scaling Effective
Family-Focused Preventive
Interventions
to Promote
Children’s Cognitive, Affective,
and Behavioral Health

WORKSHOP SUMMARY

Margie Patlak, Rapporteur

Forum on Promoting Children’s Cognitive, Affective, and Behavioral Health

Board on Children, Youth, and Families

     INSTITUTE OF MEDICINE AND
NATIONAL RESEARCH COUNCIL
OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

THE NATIONAL ACADEMIES PRESS    500 Fifth Street, NW    Washington, DC 20001

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This activity was supported by contracts between the National Academy of Sciences and the American Academy of Pediatrics (Unnumbered Award); the American Board of Pediatrics (Unnumbered Award); the Annie E. Casey Foundation (213.0427); Autism Speaks (Unnumbered Award); the Centers for Disease Control and Prevention (200-2011-38807, TO #16); the Department of Justice Office of Juvenile Justice and Delinquency Prevention (2013-MU-MU-0002); the National Institutes of Health (HHSN26300035); the Robert Wood Johnson Foundation (71071); the Substance Abuse and Mental Health Services Administration (HHSP233201300244P); and the William T. Grant Foundation (182528). Additional support came from the American Orthopsychiatric Association, the American Psychological Association, the Hogg Foundation for Mental Health, the Society for Child and Family Policy and Practice, the Society of Clinical Child and Adolescent Psychology, and the Society of Pediatric Psychology. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

International Standard Book Number-13: 978-0-309-30544-0
International Standard Book Number-10: 0-309-30544-6

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2014 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: Institute of Medicine (IOM) and National Research Council (NRC). 2014. Strategies for scaling effective family-focused preventive interventions to promote children’s cognitive, affective, and behavioral health: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Victor J. Dzau is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

PLANNING COMMITTEE FOR THE WORKSHOP ON STRATEGIES FOR SCALING TESTED AND EFFECTIVE FAMILY-FOCUSED PREVENTIVE INTERVENTIONS TO PROMOTE CHILDREN’S COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH1

J. DAVID HAWKINS (Chair), Social Work Endowed Professor of Prevention, University of Washington School of Social Work

WILLIAM R. BEARDSLEE, Director, Baer Prevention Initiatives; Chairman Emeritus, Department of Psychiatry, Boston Children’s Hospital; and Gardner/Monks Professor of Child Psychiatry, Harvard Medical School

DARA BLACHMAN-DEMNER, Social Science Analyst, Crime, Violence, and Victimization Research Division, National Institute of Justice

UMA KOTAGAL, Senior Vice President for Quality, Safety and Transformation and Executive Director, James M. Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital Medical Center

MARY ANN McCABE, Society for Child and Family Policy and Practice, Society of Pediatric Psychology, Associate Clinical Professor of Pediatrics, George Washington University School of Medicine, and Affiliate Faculty in Psychology, George Mason University

RUTH PEROU, Acting Mental Health Coordinator, Program Performance and Evaluation Office, Centers for Disease Control and Prevention

EVE REIDER, Health Scientist Administrator, Prevention Research Branch, National Institute on Drug Abuse

PAT SHEA, Deputy Director, Technical Assistance and Prevention, National Association of State Mental Health Program Directors

ANDY SHIH, Senior Vice President of Scientific Affairs, Autism Speaks

LAUREN SUPPLEE, Director, Division of Family Strengthening and Social Science Research Analyst, Office of Planning, Research, and Evaluation, Administration for Children and Families, Department of Health and Human Services

JOSÉ SZAPOCZNIK, Professor and Chair, Department of Public Health Sciences and Director, Miami Clinical Translational Science Institute and Center for Family Studies, University of Miami

________________

1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

FORUM ON PROMOTING CHILDREN’S COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH1

WILLIAM R. BEARDSLEE (Co-Chair), Director, Baer Prevention Initiatives; Chairman Emeritus, Department of Psychiatry, Boston Children’s Hospital; and Gardner/Monks Professor of Child Psychiatry, Harvard Medical School

C. HENDRICKS BROWN (Co-Chair), Professor, Departments of Psychiatry, Behavioral Sciences, and Preventive Medicine, Northwestern University

DARA BLACHMAN-DEMNER, Social Science Analyst, Crime, Violence, and Victimization Research Division, National Institute of Justice

THOMAS F. BOAT, Christian R. Holmes Professor and Dean, College of Medicine and Vice President for Health Affairs, University of Cincinnati

FELESIA R. BOWEN, Assistant Professor and Director, Center for Urban Youth, Rutgers College of Nursing

DAVID A. BRENT, Academic Chief, Child and Adolescent Psychiatry, Western Psychiatric Institute and Clinic and Professor of Psychiatry, Pediatrics, and Epidemiology, School of Medicine, University of Pittsburgh

DAVID A. CHAMBERS, Associate Director, Dissemination and Implementation Research and Chief, Services Research and Clinical Epidemiology Branch, Division of Services and Intervention Research, National Institute of Mental Health

WILMA PETERMAN CROSS, Senior Public Health Advisor, Office of Disease Prevention, National Institutes of Health

LAUREN FASIG, Director, Children, Youth, and Families Office and Public Interest Directorate, American Psychological Association

COSTELLA GREEN, Branch Chief, Division of Community Programs, Center for Substance Abuse Prevention, Substance Abuse and Mental Health Service Administration

J. DAVID HAWKINS, Social Work Endowed Professor of Prevention, University of Washington School of Social Work

KIMBERLY E. HOAGWOOD, Society of Clinical Child and Adolescent Psychology, American Psychological Association and Professor and Vice Chair for Research, Department of Child and Adolescent Psychiatry, New York University School of Medicine

________________

1Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

COLLEEN HORTON, Policy Program Officer, Hogg Foundation for Mental Health, University of Texas, Austin

UMA KOTAGAL, Senior Vice President for Quality, Safety and Transformation and Executive Director, James M. Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital Medical Center

LAUREL K. LESLIE, Board of Directors, American Board of Pediatrics; Professor of Medicine and Pediatrics, Tufts University School of Medicine; and Director, Center for Aligning Researchers and Communities for Health, Tufts Clinical and Translational Science Institute

MARY ANN McCABE, Society for Child and Family Policy and Practice, Society of Pediatric Psychology, Associate Clinical Professor of Pediatrics, George Washington University School of Medicine and Affiliate Faculty in Psychology, George Mason University

JUSTIN MILNER, Senior Research Associate, Urban Institute

WILLIAM MODZELESKI, Senior Consultant, SIGMA Threat Management Associates

JENNIFER NG’ANDU, Program Officer, Robert Wood Johnson Foundation

JENNIFER OPPENHEIM, Public Health Advisor and Director, Project LAUNCH, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration

LAWRENCE A. PALINKAS, Albert G. and Frances Lomas Feldman Professor of Social Policy and Health and Director, Behavior, Health, and Society Research Cluster, University of Southern California School of Social Work

RUTH PEROU, Acting Mental Health Coordinator, Program Performance and Evaluation Office, Centers for Disease Control and Prevention

EVE REIDER, Health Scientist Administrator, Prevention Research Branch, National Institute on Drug Abuse

MARY JANE ROTHERAM-BORUS, Bat-Yaacov Professor of Child Psychiatry and Biobehavioral Sciences and Director, Global Center for Children and Families, Department of Psychiatry, University of California, Los Angeles

PAT SHEA, Deputy Director, Technical Assistance and Prevention, National Association of State Mental Health Program Directors

ANDY SHIH, Senior Vice President of Scientific Affairs, Autism Speaks

JOSÉ SZAPOCZNIK, Professor and Chair, Department of Public Health Sciences and Director, Miami Clinical Translational Science Institute and Center for Family Studies, University of Miami

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

VERA FRANCES TAIT, Associate Executive Director and Director, Department of Child Health and Wellness, American Academy of Pediatrics

VIVIAN TSENG, Vice President of Programs, William T. Grant Foundation

JENNIFER TYSON, Social Science Analyst, Office of Juvenile Justice and Delinquency Prevention, Department of Justice

DONALD WERTLIEB, Professor Emeritus, Eliot-Pearson Department of Child Development, Tufts University

Project Staff

MORGAN A. FORD, Senior Program Officer

TARA MAINERO, Research Associate

STACEY SMIT, Senior Program Assistant

AMANDA PASCAVIS, Program Assistant

REBECCA JONES, Christine Mirzayan Fellow (January-April 2014)

KIMBER BOGARD, Director, Board on Children, Youth, and Families

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

Felesia R. Bowen, Rutgers College of Nursing

Jennifer Wyatt Kaminski, Centers for Disease Control and Prevention

Irwin Sandler, Arizona State University

José Szapocznik, University of Miami

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Jeanne Brooks-Gunn, Columbia University. Appointed by the National Research Council and the Institute of Medicine, she was respon-

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×

sible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Page xiii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18808.
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Over the last three decades, researchers have made remarkable progress in creating and testing family-focused programs aimed at fostering the cognitive, affective, and behavioral health of children. These programs include universal interventions, such as those for expecting or new parents, and workshops for families whose children are entering adolescence, as well as programs targeted to especially challenged parents, such as low-income single teens about to have their first babies, or the parents of children with autism. Some family-focused programs have been shown to foster significantly better outcomes in children, including enhanced educational performance, and reduced rates of teen pregnancy, substance abuse, and child conduct and delinquency, as well as reduced child abuse. The favorable cost-benefit ratios of some of these programs are due, in part, to the multiple and far-ranging effects that family-focused prevention programs targeting children can have. Other family-focused programs have shown success in smaller academic studies but have not been widely applied, or have not worked as effectively or failed when applied to more diverse real-world settings.

Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health is the summary of a workshop convened by the Institute of Medicine Forum on Promoting Children's Cognitive, Affective, and Behavioral Health to explore effective preventive interventions for youth that can modify risk and promote protective factors that are linked to mental, emotional, and behavioral health, and how to apply this existing knowledge. Based on the 2009 report Preventing Mental, Emotional, and Behavioral Disorders Among Young People, this report considers how to build a stronger research and practice base around the development and implementation of programs, practices, and policies that foster children's health and well-being across the country, while engaging multi-sectorial stakeholders. While research has advanced understanding of risk, promotive, and protective factors in families that influence the health and well-being of youth, a challenge remains to provide family-focused interventions across child and adolescent development at sufficient scale and reach to significantly reduce the incidence and prevalence of negative cognitive, affective, and behavioral outcomes in children and adolescents nationwide, as well as to develop widespread demand for effective programs by end users. This report explores new and innovative ways to broaden the reach and demand for effective programs and to generate alternative paradigms for strengthening families.

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