The National Academies Press

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1 Introduction
Pages 13-30

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From page 13... ... In the decade since the 2009 NRC and IOM report was published, a growing body of research has significantly strengthened this foundation. The scientific basis for designing and implementing programs to support healthy MEB development and prevent MEB disorders has been falling into place, and there is no reason why the United States cannot achieve the vision of a nation of healthy young people who grow up to be healthy adults. Read the entire page →
From page 14... ... Nevertheless, MEB health remains a primary concern because the nation is not effectively mitigating the risks that contribute to poor MEB health outcomes; these risks are prevalent and current data do not show improvement over past years. As our charge directed, we focus both on the promotion of healthy MEB development and the prevention of MEB disorders, and we note that there are no crisp boundaries between healthy MEB development and disorder in the lives of children and youth. Read the entire page →
From page 15... ... (3) What interventions have been effectively implemented and what program and policy gaps must be addressed to better achieve the prevention of MEB disorders and promotion of healthy MEB development, such as workforce development and infrastructure to support implementation at scale? Read the entire page →
From page 16... ... and integrative approaches (e.g., optimizing evidence-based interventions with mindfulness, meditation, yoga) play in fostering healthy MEB development of children and youth? Read the entire page →
From page 17... ... . Anxiety disorders are the most common MEB disorders among children and adolescents (31.9%) Read the entire page →
From page 18... ... . MEB disorders are a growing burden for affected young people and their families. Read the entire page →
From page 19... ... We therefore believe that the stagnant progress in fostering healthy MEB development and preventing MEB disorders is worthy of national concern and attention to issues beyond those addressed in the 1994 and 2009 studies. Read the entire page →
From page 20... ... . The 2009 report includes an updated version of the half-moon figure from the 1994 report, reflecting the role of both promotion of MEB health and prevention of MEB disorders (see Figure 1-2) Read the entire page →
From page 21... ... COMMITTEE'S APPROACH TO ITS CHARGE The 2009 NRC and IOM report focuses on the individual: on single gene influences, single risk factors, single points in development, and individual families and children. Since its release, the critical importance of promoting healthy development, in addition to preventing risks, has been underscored by growing evidence about the key conditions in families, neighborhoods, and communities that encourage or interfere with healthy MEB development, including environmental, biological, and behavioral factors. Read the entire page →
From page 22... ... These insights have important implications for future efforts to foster healthy MEB development. At the same time, researchers have significantly expanded understanding of what is necessary for effective implementation of strategies to promote MEB health and prevent MEB disorders. Read the entire page →
From page 23... ... are an important component of any effort to promote MEB health. These developments are important, but despite this progress, the overall prevalence rates of MEB disorders have not improved; even the most effective treatments go only so far given the many chronic disorders and persistent sources of risk. Read the entire page →
From page 24... ... ; biological, social, and psychological influences with varying effects across developmental phases; and reciprocal influences at the individual, community, and societal levels. 3 The complexity of the interactions among these and other influences on MEB development underscored the need to reconsider the individual-centric approach that has been typical in child care and treatment -- to consider factors at multiple levels and across sectors that encourage healthy MEB development and promote resiliency. Read the entire page →
From page 25... ... Accordingly, this report is framed to emphasize the importance of integrating promotion efforts to maximize their impact across the population of children and youth. The breadth of the dual goals of promoting healthy MEB development and reducing the incidence and prevalence of MEB disorders among all young people made it evident that a multifaceted public health strategy involving all sectors and institutions serving children and youth would be needed. Read the entire page →
From page 26... ... A Community Approach to Fostering Healthy MEB Development Children are deeply embedded in communities, which in turn are integrated within the larger society. Public health approaches to promoting healthy MEB development and preventing MEB problems are essential to achieving population-level impacts on MEB health outcomes and may have significant effects on behaviors, but they lack the power to address broader influences on health and development. Read the entire page →
From page 27... ... 4 We arranged teleconferences to hear from experts on topics including adverse childhood experiences, measurement tools and methodology, National Institutes of Health funding opportunities for prevention activities, public health approaches to fostering MEB health, monitoring of the social-emotional development of young children, prevention and implementation science, and the role of businesses in 4Videos and slideshows from these presentations are available on the study website, see http://nas.edu/MEB-Health. Read the entire page →
From page 28... ... Finally, Chapter 11 returns to the vision with which this introductory chapter opened -- of the potential impact of a decade in which healthy MEB development for children and youth is a top priority in the United States. In that final chapter, we offer recommendations for pursuing an agenda for fostering healthy MEB development and outline priorities for research to support sustained momentum toward that vision. Read the entire page →
From page 29... ... . Effect of a primary care-based psychological intervention on symptoms of common mental disorders in Zimbabwe: A randomized clinical trial. Read the entire page →
From page 30... ... . Prevalence of adverse childhood experiences from the 2011–2014 Behavioral Risk Factor Surveillance System in 23 states. Read the entire page →

From page 13...

... In the decade since the 2009 NRC and IOM report was published, a growing body of research has significantly strengthened this foundation. The scientific basis for designing and implementing programs to support healthy MEB development and prevent MEB disorders has been falling into place, and there is no reason why the United States cannot achieve the vision of a nation of healthy young people who grow up to be healthy adults.

1 Introduction Pages 13-30

1 Introduction
Pages 13-30