Page 129 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

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Appendix B

Workshop Agenda

Mental Health and Violence: Opportunities for Prevention and Early Intervention
A Workshop of the National Academies of Sciences, Engineering, and Medicine’s Forum on Global Violence Prevention
February 26–27, 2014

Keck Center of the National Academies of Sciences, Engineering, and Medicine
500 Fifth Street NW, Washington, DC 20001
Rooms 100 and 101 (Room 101 is the overflow room with webcasting)

Page 130 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

The goal of this workshop is to examine the evidence, research, and perspectives about mental health and violence to facilitate enhanced global action and policies for the prevention of violence associated with mental illness, as well as treat its consequences that occur around the world.

The workshop will explore a continuum of approaches for improving both mental health and violence prevention with the following objectives:

To arrive at a better understanding of the intersection of mental health and violence, including the following:
- The relationship between mental health and risk of both violence perpetration and victimization, as well as the mental health consequences of exposure to violence
- The extent to which improved mental health functioning and mental health services can address current concerns about violence in society
To explore a new model of the intersection of mental health and violence that will be useful for improving outcomes. The model will include the following:
- A description of mental health function as a continuum from optimal to dysfunctional, with problems ranging from minor to serious distress to antisocial behavior to severe mental illness
- Perpetration of violence, victims of violence, and exposure to violence
- Interpersonal, self-directed, and collective violence
- Neurobiology of violent behavior
- Multiple ecological levels to be considered
- A life-course/developmental perspective
- Means of violence perpetration, including access to weapons
- Identification of the multiple sectors that must be involved, as well as their intersection

Page 131 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

Day 1: Wednesday, February 26, 2014

8:00 AM	Continental Breakfast
8:10 AM	Welcome from the National Academies of Sciences, Engineering, and Medicine PATRICK KELLEY, National Academies of Sciences, Engineering, and Medicine’s Board on Global Health and African Science Academy Development Initiative
8:15 AM	Welcome and Workshop Goals PEGGY MURRAY, National Institute on Alcohol Abuse and Alcoholism, Workshop Planning Committee Co-Chair MARK ROSENBERG, The Task Force for Global Health, Workshop Planning Committee Co-Chair
8:45 AM	Opening Keynote The intersection of mental health and violence is a critical and complex public health problem. Considering the importance and complexity of the issue, this keynote address will focus on: What do we know? What do we need to know? And, what can we do now to improve outcomes in this area? THOMAS INSEL, National Institute of Mental Health

Page 132 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

9:15 AM	Operational Definitions for the Workshop This presentation will provide operational definitions of key terms for the new model being explored during the workshop, including mental health, mental illness, violence, conduct disorder, alcohol and substance use disorders, perpetrators, and victims. VICKIE MAYS, University of California, Los Angeles
9:45 AM	Ecological Framework This session will present an overview and discussions of risk and protective factors and intervention points related to mental health and violence at the individual, relationship, community, and societal levels. ERIC CAINE, University of Rochester Medical Center JANIS JENKINS, University of California, San Diego
10:30 AM	BREAK
10:45 AM	What Is the Relationship Between Various Mental Illnesses and Violence? This presentation will include what is known about the relationship between various mental illnesses and violence and why it is important for what is known to be represented accurately. The presentation will be followed by discussion with the workshop participants. MARK ROSENBERG
11:30 AM	Understanding the Neurocognitive Mechanisms of Violent Behavior This presentation will include a sketch of some of the neurocognitive mechanisms related to violence and how such mechanisms are affected by various factors, including stress and alcohol, and how they can be used for prediction. The presentation will be followed by discussion with the workshop participants. JAMES BLAIR, National Institute of Mental Health
12:00 PM	LUNCH

Page 133 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

1:00 PM	Experiences and Perspectives Related to Mental Health and Violence This session includes experiences and perspectives of mental health and violence, including stigma, victimization, and vulnerability, as well as media depictions of the relationship between mental illness and violence. The presentations will be followed by discussion with the workshop participants.
	Moderator/Panelist: DANIEL FISHER, Riverside Community Mental Health Center ELYN SAKS, University of Southern California (by video-conference) HARVEY ROSENTHAL, New York Association of Psychiatric Rehabilitation Services, Inc. Discussant: ROBERT BERNSTEIN, Judge David L. Bazelon Center for Mental Health Law

Part II: Exploring a New Model of the Intersection of Mental Health and Violence
Day 1: 2:00–5:15 PM and Day 2: 8:20 AM–2:15 PM

The objectives for this session are to explore a multifactorial model of the intersection of mental health and violence and to illuminate the current evidence of the effectiveness of key interventions for preventing violence and promoting mental health. Topics to be covered include detecting and assessing risk for mental health dysfunction and violence; the values and limitations of current assessments; the role of varying means of violence; the relationship of alcohol and alcohol use disorders in occurrences of violence; the opportunities in mental health service delivery for preventing violence and providing care to victims, perpetrators, and observers; and the critical significance of the interface between the criminal justice community and individuals with mental illness in preventing violence victimization and perpetration.

2:00 PM

Detecting and Assessing Mental Health Dysfunction and Risk for Violence
This panel will explore current capabilities to identify and assess mental health dysfunction and the risk for violence and how this affects treatment. Panelists will discuss both the

Page 134 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

	values and limitations of the current state of risk assessment and how assessment can be improved. The presentations will be followed by discussion with the workshop participants.
	Moderator: VICKIE MAYS SEENA FAZEL, University of Oxford, United Kingdom DUSTIN PARDINI, University of Pittsburgh DIETER WOLKE, University of Warwick, United Kingdom
3:30 PM	BREAK
3:45 PM	Mental Health and Means of Violence The means of violence vary by nation, culture, and often by circumstances of convenience. This panel will explore issues of access to means that include the legal and constitutional rights of individuals and the public at large. Panelists will examine practices and tools that show promise in the prevention of violence while balancing the needs and rights for individual and information privacy. The panel will also discuss the need for improvements in early and correct identification of people who are at risk for committing violence that do not create or compound barriers to seek needed care. Lastly, the panel will discuss what is needed to improve research and intervention design to contribute to better outcomes in violence prevention and early intervention. Panelists will present on firearms, homicide, and nonfatal injuries and pesticides, other means, and suicide. The presentations will be followed by discussion with the workshop participants.
3:45 PM	Moderator: MARK ROSENBERG DANIEL WEBSTER, Johns Hopkins Bloomberg School of Public Health MICHAEL PHILLIPS, Shanghai Jiao Tong University School of Medicine Discussant: MIKE LUO, The New York Times (by telephone)
5:15 PM	Summary of Day 1 and Wrap Up PEGGY MURRAY
5:30 PM	Adjourn Day 1

Page 135 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

Day 2: Thursday, February 27, 2014

8:00 AM	Continental Breakfast
8:15 AM	Opening and Summary of Day 1 PEGGY MURRAY MARK ROSENBERG
8:20 AM	Alcohol, Alcohol Use Disorders, and Violence Alcohol is one of the most significant risk factors for violence. At the same time, alcohol addiction and the harmful use of alcohol are among the identified alcohol use disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. This panel will focus on the unique role of alcohol consumption and alcohol use disorders in the occurrence of violence and current developments in interventions to address it. Presentations will cover a range of scientific and policy-focused activities ranging from basic research to human laboratory studies of behavior, and finally, evidence-based interventions and effective alcohol control policies. The presentations will be followed by discussion with the workshop participants.
8:20 AM	Moderator: PEGGY MURRAY KLAUS MICZEK, Tufts University KENNETH LEONARD, University at Buffalo TOBEN NELSON, University of Minnesota RONALDO LARANJEIRA, Universidade Federal de São Paulo, Brazil
9:45 AM	Violence Prevention and Mental Health Services This panel will describe how mental health services present the opportunity to prevent violence while providing care to those in need including victims and perpetrators of violence. Panelists will explore service and care access, current capabilities for risk identification and risk reduction, opportunities for early intervention and response, and strategies for improvement of mental health services for prevention and early intervention. The presentations will be followed by discussion with the workshop participants.
9:45 AM

Page 136 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

	Moderator: A.J. ALLEN, Eli Lilly and Company COLLEEN BARRY, Johns Hopkins Bloomberg School of Public Health SHARON STEPHAN, University of Maryland DÉVORA KESTEL, Pan American Health Organization
11:00 AM	BREAK
11:15 AM	Interface with the Justice Community and Opportunities for Intervention In the United States in the 1960s, deinstitutionalization of persons with mental illness shifted psychiatric care from long-term inpatient hospitals to community mental health and other outpatient facilities. Unintended consequences, including lack of adequate funding to mental health centers, lack of employment opportunities, and a dearth of low-income housing resulted in many people not receiving either adequate treatment or housing. Many mentally ill people were on the streets and had significant interface with the criminal justice system. This panel will examine that interface across the three components of criminal justice: law enforcement, criminal courts, and incarcerations. With a focus on each of the components and with a global perspective, panelists will present the challenges to balancing civil rights and public interest, the opportunities for creative interventions, and the obstacles and risks that remain. The presentations will be followed by discussion with the workshop participants.
11:15 AM	Moderator: MADELON BARANOSKI, Yale University SHELDON GREENBERG, Johns Hopkins University School of Education RAY KOTWICKI, Skyland Trail DAVID WEXLER, International Network of Therapeutic Jurisprudence PATRICK FOX, University of Colorado
12:45 PM	LUNCH
1:45 PM	How Are Interventions Being Evaluated? How Can Evaluation Be Improved? The principal goals of prevention science are to improve public health by identifying alterable risk and protective factors and to assess the effectiveness of prevention interventions including optimal modes for diffusion and dissemination. Theories

Page 137 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

of human development and social ecology are often used to design interventions that aim to elicit behavior change, especially those that examine violence or mental health from a life-course perspective. This session will examine the successful use and limitations of randomized controlled trials for determining efficacy of interventions for violence prevention; the alternative rigorous evaluation designs to evaluate their effectiveness and impact; and how well the programs are being implemented. Evaluation findings can lead to program or intervention adaptation, quality improvement for existing programs, improved design for future interventions, and sustainability for effective interventions. Partners to engage in evaluations and program impact improvement efforts will also be discussed.

HENDRICKS BROWN, Northwestern University

Moderator for question-and-answer session only:

KIMBERLY SCOTT, Health and Medicine Division

Part III: The Way Forward
2:15–4:00 PM

The objective for this session is to examine how to improve outcomes with respect to mental health and violence. The focus will be on three areas: research, policy change, and program development. Questions to be addressed include the following: How do we reframe the issue in a manner that will promote understanding and improve both mental health promotion and violence prevention? What are the most important research questions that need to be addressed? How do we communicate more effectively with the various constituencies that need to be involved? How do we mobilize the various sectors and actors who have important roles in research, program and policy development, financing, and implementation? What are the significant barriers and how can they be overcome? How should we move forward? What are the priority items for the agenda going forward? Panelists have been drawn from the perspectives of mental health services, criminal justice, culture and anthropology, mental health services in low- and middle-income countries, and violence prevention.

Page 138 Cite

Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24916.

×

2:15 PM	Reflections from the Workshop and the Way Forward
2:15 PM	Moderator: MARK ROSENBERG COLLEEN BARRY, Johns Hopkins Bloomberg School of Public Health SHELDON GREENBERG, Johns Hopkins University School of Education JANIS JENKINS, University of California, San Diego DÉVORA KESTEL, Pan American Health Organization JAMES MERCY, Centers for Disease Control and Prevention
3:30 PM	Open Discussion
4:00 PM	Workshop Adjournment

Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop (2018)

Chapter: Appendix B: Workshop Agenda

Appendix B

Workshop Agenda

Day 1: Wednesday, February 26, 2014

Day 2: Thursday, February 27, 2014

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Violence and Mental Health: Opportunities for Prevention and Early Detection: Proceedings of a Workshop (2018)

Chapter: Appendix B: Workshop Agenda

Appendix B Workshop Agenda

Day 1: Wednesday, February 26, 2014

Day 2: Thursday, February 27, 2014

Welcome to OpenBook!

Get Email Updates

Appendix B

Workshop Agenda