Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth A National Agenda (2019) / Chapter Skim
Currently Skimming:
10 Exploring Recent Progress
10 Exploring Recent Progress
Pages 285-308
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 285... ...
1 SAMHSA and the other federal agencies with youth-related MEB health programs have emphasized the importance of building an evidence base for these programs (Interagency Working Group on Youth Programs, n.d.) and have provided funding for 1See https://www.samhsa.gov/about-us.
|
From page 286... ...
Program, discussed in Chapter 6. MIECHV, created by the Patient Protection and Affordable Care Act of 2010, is designed to improve maternal and child health, prevent child abuse, encourage positive parenting, and promote child development and school readiness through home visits with pregnant women and parents of young children (Paulsell, Del Grosso, and Supplee, 2014)
|
From page 287... ...
Department Prevention and prevention Innovation of Health and Initiative of sexually Evaluation Human Services transmitted infections Associated sexual risk behaviors Maternal, Infant Maternal health Replication U.S. Department and Early Child health Innovation of Health and Childhood Home Evaluation Human Services Visiting Program (MIECHV)
|
From page 288... ...
They do, however, share an emphasis on expanding the evidence base for promotion of MEB health and prevention of MEB disorders, and on using this evidence base to implement programs in communities more effectively. Several examples of such initiatives are described below.
|
From page 289... ...
. The commission issued a report in 2018 outlining a plan for promoting MEB health and preventing MEB disorders, and offering recommendations focused on investment in addressing behavioral problems early in young children and adolescents by applying an integrated behavioral health approach and on building the infrastructure for prevention and promotion (Cantwell, 2018)
|
From page 290... ...
. Oregon The PAX Good Behavior Game, an evidence-based program that promotes self-regulation, social-emotional learning, and a positive educational environment, has been implemented in classrooms in several Oregon counties.
|
From page 291... ...
. Efforts of Private Foundations Private foundations are also supporting efforts to build the research base and use it to implement initiatives that promote MEB health.
|
From page 292... ...
The policy team at Arnold Ventures performed a systematic review of programs and identified approximately a dozen that are supported by robust evidence. Government and nonprofit organizations can submit proposals for implementing these programs in their communities.
|
From page 293... ...
. Although such efforts seldom extend to consideration of child development outcomes and lifetime behavioral health for employees' families, the health and well-being of communities has become a growing focus for many businesses and business groups, such as the Business Roundtable, a voluntary association of business leaders that includes promoting expanded opportunity for all in its mission.
|
From page 294... ...
In short, because children's MEB health is a significant factor in the status of both potential employees and consumers within a population, efforts to foster the healthy MEB development of children and youth can have an impact on business opportunities and growth. One obstacle to business engagement in this area is that children are not the major purchasers of products.
|
From page 295... ...
This campaign engages leaders from business, government, nonprofits, health systems, academia, and the media in exploring critical links between business bottom lines and health outcomes that can be achieved by promoting healthy communities. This effort has featured a number of company programs addressing healthy MEB development and related goals, such as better nutrition, food security, and the creation of more play spaces (U.S.
|
From page 296... ...
For example, a systematic review showed the feasibility of using text messaging and apps to promote such behaviors as clinic attendance, contraceptive use, physical activity and weight management, human papillomavirus vaccination, smoking cessation, and sexual health behaviors among adolescents (Badawy and Kuhns, 2017)
|
From page 297... ...
. An additional concern associated with digital interventions is the possibility that third-party payers could use the evidence that digital tools are effective in preventing and treating MEB disorders to restrict reimbursement for in-person health care.
|
From page 298... ...
An important challenge for implementation science and practice will be determining the extent to which cost, program complexity, and the infrastructure required for effective implementation will limit or permit rapid, broader dissemination of this and similar programs. Home visiting programs, including NFP, served 156,000 families across the United States in 2017, reaching some families in 22 percent of rural and 36 percent of urban communities; these results were achieved with $1.5 billion appropriated through the Affordable Care Act over 5 years (Health Resources and Services Administration, n.d.)
|
From page 299... ...
These approaches may have a smaller impact on MEB outcomes for each individual child and family but affect a greater number of children overall. These choices represent trade-offs that need to be understood and factored into the selection of interventions; the same is true of policies that may improve MEB health.
|
From page 300... ...
Moreover, available funding and programs too often are not coordinated in the service of carefully articulated goals; even Medicaid policies vary from state to state. Box 10-2 describes several innovative financing solutions with the potential to generate sustainable and effective support for community-based prevention programs.
|
From page 301... ...
California county funding requests REFERENCES for recovery-oriented full service partnerships under the Mental Health Services Act. Community Mental Health Journal, Ali, K., Farrer, L 46(5)
|
From page 302... ...
. Examining the effects of schoolwide positive behavioral interventions and supports on student outcomes: Results from a randomized controlled effectiveness trial in elementary schools.
|
From page 303... ...
. A parent coach model for well-child care among low-income children: A randomized controlled trial.
|
From page 304... ...
. Web based psychotherapy for posttraumatic stress disorder in war-traumatized Arab patients: Randomized controlled trial.
|
From page 305... ...
. Survey of twelve children's hospital-based accountable care organizations.
|
From page 306... ...
. Systematic review of the impact of worksite wellness programs.
|
From page 307... ...
. Internet-delivered cognitive behavior therapy for children and adolescents: A systematic review and meta-analysis.
|
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.