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Common Elements of Adolescent Prevention Programs: Minimizing Burden While Maximizing Reach

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Abstract

A growing number of evidence-based youth prevention programs are available, but challenges related to dissemination and implementation limit their reach and impact. The current review identifies common elements across evidence-based prevention programs focused on the promotion of health-related outcomes in adolescents. We reviewed and coded descriptions of the programs for common practice and instructional elements. Problem-solving emerged as the most common practice element, followed by communication skills, and insight building. Psychoeducation, modeling, and role play emerged as the most common instructional elements. In light of significant comorbidity in poor outcomes for youth, and corresponding overlap in their underlying skills deficits, we propose that synthesizing the prevention literature using a common elements approach has the potential to yield novel information and inform prevention programming to minimize burden and maximize reach and impact for youth.

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References

  • Accurso, E. C., Taylor, R. M., & Garland, A. F. (2011). Evidence-based practices addressed in community-based children’s mental health clinical supervision. Training and Education in Professional Psychology, 5(2), 88–96. doi:10.1037/a0023537.

    Article  PubMed Central  PubMed  Google Scholar 

  • Aseltine, R. H., & DeMartino, R. (2004). An outcome evaluation of the SOS suicide prevention program. American Journal of Public Health, 94, 446–451. doi:10.2105/AJPH.94.3.446.

    Article  PubMed Central  PubMed  Google Scholar 

  • Atkins, M., & Frazier, S. (2011). Expanding the toolkit or changing the paradigm: Are we ready for a public health approach to mental health? Perspectives on Psychological Science, 6, 483–487.

    Article  Google Scholar 

  • Atkins, M., Graczyk, P., Frazier, S., & Adil, J. (2003). Toward a new model for school-based mental health: Accessible, effective, and sustainable services in urban communities. School Psychology Review, 32, 503–514.

    Google Scholar 

  • Barth, R. P., Lee, B. R., Lindsey, M. A., Collins, K. S., Strieder, F., Chorpita, B. F., et al. (2012). Evidence-based practice at a crossroads: The timely emergence of common elements and common factors. Research on Social Work Practice, 22(1), 108–119. doi:10.1177/1049731511408440.

    Article  Google Scholar 

  • Becker, K. D., & Stirman, S. W. (2011). The science of training in evidence-based treatments in the context of implementation programs: Current status and prospects for the future. Administration and Policy in Mental Health, 38(4), 217–222. doi:10.1007/s10488-011-0361-0.

    Article  PubMed Central  PubMed  Google Scholar 

  • Biglan, A., Brennan, P. A., Foster, S. L., & Holder, H. D. (2004). Helping adolescents at risk: Prevention of multiple problem behaviors. New York, NY: Guildford Press.

    Google Scholar 

  • Botvin, G. J., Griffin, K. W., & Nichols, T. D. (2006). Preventing youth violence and delinquency through a universal school-based prevention approach. Prevention Science, 7, 403–408. doi:10.1007/s11121-006-0057-y.

    Article  PubMed  Google Scholar 

  • Botvin, G. J., Schinke, S. P., Epstein, J. A., & Diaz, T. (1994). Effectiveness of culturally focused and generic skills training approaches to alcohol and drug abuse prevention among minority youths. Psychology of Addictive Behaviors, 8, 116–127. doi:10.1037/0893-164X.8.2.116.

    Article  Google Scholar 

  • Bringewatt, E. H., & Gershoff, E. T. (2010). Falling through the cracks: Gaps and barriers in the mental health system for America’s disadvantaged children. Children and Youth Services Review, 32, 1291–1299. doi:10.1016/j.childyouth.2010.04.021.

    Article  Google Scholar 

  • Brody, G. H., Murry, V. M., Gerrard, M., Gibbons, F. X., Molgaard, V., McNair, L. D., et al. (2004). The strong African American families program: Translating research into prevention programming. Child Development, 75, 900–917. doi:10.1111/j.1467-8624.2004.00713.x.

    Article  PubMed  Google Scholar 

  • Cappella, E., Frazier, S., Atkins, M., Schoenwald, S., & Glisson, C. (2008). Enhancing schools’ capacity to support children in poverty: An ecological model of school-based mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 35, 395–409. doi:10.1007/s10488-008-0182-y.

    Article  PubMed Central  PubMed  Google Scholar 

  • Carnegie Council on Adolescent Development. (1995). Great transitions: Preparing adolescents for a new century. New York, NY: Carnegie Corporation of New York.

    Google Scholar 

  • Caspi, A., Henry, B., McGee, R. O., Moffit, T. E., & Siva, P. A. (1995). Temperamental origins of child and adolescent behavior problems: From age 3 to age 15. Child Development, 66, 56–68.

    Google Scholar 

  • Chaplin, T. M., Cole, P. M., & Zahn-Waxler, C. (2005). Parental socialization of emotion expression: Gender differences and relations to child adjustment. Emotion, 5, 80–88.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Becker, K. D., & Daleiden, E. L. (2007). Understanding the common elements of evidence-based practice: Misconceptions and clinical examples. Journal of the American Academy of Child and Adolescent Psychiatry, 46(5), 647–652.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Bernstein, A., & Daleiden, E. L. (2011). Empirically guided coordination of multiple evidence-based treatments: An illustration of relevance mapping in children’s mental health services. Journal of Consulting and Clinical Psychology, 79(4), 470–480. doi:10.1037/a0023982.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77(3), 566–579. doi:10.1037/a0014565.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Daleiden, E., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Services Research, 7(1), 5–20. doi:10.1007/s11020-005-1962-6.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., & Weisz, J. R. (2005). MATCH-ADC: A modular approach to treatment for children with anxiety, depression, or conduct problems. Unpublished treatment manual.

  • Cole, P. M., Teti, L. O., & Zahn-Waxler, C. (2003). Mutual emotion regulation and the stability of conduct problems between preschool and early school age. Development and Psychopathology, 15, 1–18. doi:10.1017/S0954579403000014.

    Article  PubMed  Google Scholar 

  • Coutinho, M. J., Oswald, D. P., & Best, A. M. (2002). The influence of sociodemographics and gender on the disproportionate identification of minority students as having learning disabilities. Remedial and Special Education, 23(1), 49–59. doi:10.1177/074193250202300107.

    Article  Google Scholar 

  • D’Zurilla, T. J., & Nezu, A. M. (2007). Problem-solving therapy: A positive approach to clinical intervention (3rd ed.). New York, NY: Springer.

    Google Scholar 

  • D’Zurilla, T. J., & Sheedy, C. F. (1991). Relation between social problem-solving ability and subsequent level of psychological stress in college students. Journal of Personality and Social Psychology, 61, 841–846. doi:10.1037/0022-3514.61.5.841.

    Article  PubMed  Google Scholar 

  • Domitrovich, C. E., Bradshaw, C. P., Greenberg, M. T., Embry, D., Poduska, J. M., & Ialongo, N. S. (2010). Integrated models of school-based prevention: Logic and theory. Psychology in the School, 47(1), 71–88.

    Google Scholar 

  • Dryfoos, J. G. (1996). Adolescents at risk: Shaping programs to fit the need. The Journal of Negro Education, 65(1), 5–18.

    Article  Google Scholar 

  • Dubow, E. F., & Tisak, J. (1989). The relation between stressful life events and adjustment in elementary school children: The role of social support and social problem-solving skills. Child Development, 60, 1412–1423.

    Article  CAS  PubMed  Google Scholar 

  • Dubow, E. F., Tisak, J., Causey, D., & Hryshko, A. (1991). A two-year longitudinal study of stressful life events, social support, and social problem-solving skills: Contributions to children’s behavioral and academic adjustment. Child Development, 62, 583–599.

    Article  CAS  PubMed  Google Scholar 

  • Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Scellinger, K. B. (2011). The impact of enhancing social and emotional learning: A meta-analysis of school based universal interventions. Child Development, 82(1), 405–432. doi:10.1111/j.1467-8624.2010.01564.x.

    Article  PubMed  Google Scholar 

  • Durlak, J. A., Weissberg, R. P., & Pachan, M. (2010). A meta-analysis of after-school programs that seek to promote personal and social skills in children and adolescents. American Journal of Community Psychology, 45, 294–309. doi:10.1007/s10464-010-9300-6.

    Article  PubMed  Google Scholar 

  • Durlak, J. A., & Wells, A. M. (1997). Primary prevention mental health programs for children and adolescents: A meta-analytic review. American Journal of Community Psychology, 25, 207–214.

    Article  Google Scholar 

  • Durlak, J. A., & Wells, A. M. (1998). Evaluation of indicated preventive intervention (secondary prevention) mental health programs for children and adolescents. American Journal of Community Psychology, 26, 775–802.

    Article  CAS  PubMed  Google Scholar 

  • Eaton, D. K., Kann, L., Shanklin, S., Ross, J., Hawkins, J., et al. (2008). Youth risk behavior surveillance—United States, 2009. Morbidity and Mortality Weekly Report Surveillance Summary, 59(5), 1–142.

    Google Scholar 

  • Eccles, J. S., Barber, B. L., Stone, M., & Hunt, J. (2003). Extracurricular activities and adolescent development. Journal of Social Issues, 59, 865–889. doi:10.1046/j.0022-4537.2003.00095.x.

    Article  Google Scholar 

  • Eccles, J. S., & Templeton, J. (2002). Extracurricular and other afterschool activities for youth. Review of Research in Education, 26, 113–180.

    Article  Google Scholar 

  • Eisen, M., Pallitto, C., Bradner, C., & Bolshun, N. (2000). Teen risk-taking: Promising prevention programs and approaches. Washington, DC: Urban Institute.

    Google Scholar 

  • Elias, M. J., & Tobias, S. E. (1990). Problem solving/decision making for social and academic success. West Haven, CT: National Education Association Professional Library.

    Google Scholar 

  • Embry, D. D., & Biglan, A. (2008). Evidence-based kernels: Fundamental units of behavioral influence. Clinical Child and Family Psychology Review, 11, 75–113. doi:10.1007/s10567-008-0036-x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Farrell, A. D., Meyer, A. L., & White, K. S. (2001). Evaluation of Responding in Peaceful and Positive ways (RIPP): A school-based prevention program for reducing violence among urban adolescents. Journal of Clinical Child Psychology, 30, 451–463. doi:10.1207/S15374424JCCP3004_02.

    Article  CAS  PubMed  Google Scholar 

  • Flay, B. R., Biglan, A., Boruch, R., Gonzalez Castro, F., Gottfredson, D., Moscicki, E. K., et al. (2005). Standards of evidence. Prevention Science, 6(3), 151–175.

    Article  PubMed  Google Scholar 

  • Forbes, E. F., & Dahl, R. E. (2005). Neural systems of positive affect: Relevance to understanding child and adolescent depression? Development and Psychopathology, 17, 827–850. doi:10.1017/S095457940505039X.

    Article  PubMed Central  PubMed  Google Scholar 

  • Freudenberg, N., & Ruglis, J. (2007). Reframing school dropout as a public health issue. Preventing Chronic Disease: Public Health Research, Practice, and Policy, 4(4), 1–11.

    Google Scholar 

  • Gaffney, L. R., & McFall, R. M. (1981). A comparison of social skills in delinquent and nondelinquent adolescent girls using a behavioral role playing inventory. Journal of Consulting and Clinical Psychology, 49, 959–967. doi:10.1037/0022-006X.49.6.959.

    Article  CAS  PubMed  Google Scholar 

  • Gager, P. J., & Elias, M. J. (1997). Implementing prevention programs in high-risk environments: Application of the resiliency paradigm. American Journal of Orthopsychiatry, 67, 363–373. doi:10.1037/h0080239.

    Article  CAS  PubMed  Google Scholar 

  • Goodman, S. H., Gravitt, G. W., & Kaslow, N. J. (1995). Social problem solving: A moderator of the relation between negative life stress and depression symptoms in children. Journal of Abnormal Child Psychology, 23, 473–485.

    Article  CAS  PubMed  Google Scholar 

  • Gottfredson, D. C., & Gottfredson, G. D. (2002). Quality of school-based prevention programs: Results from a national survey. Journal of Research in Crime and Delinquency, 39(1), 3–35. doi:10.1177/002242780203900101.

    Article  Google Scholar 

  • Gottfredson, G. D., Gottfredson, D. C., & Czeh, E. R. (2000). Summary: National study of delinquency prevention in schools. Ellicott City, MD: Gottfredson.

    Book  Google Scholar 

  • Hamby, S., & Grych, J. (2013). Evidence-based interventions need to be more systematic, not more disruptive. American Psychologist, 68, 476–477.

    Article  PubMed  Google Scholar 

  • Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64–105. doi:10.1037/0033-2909.112.1.64.

    Article  CAS  PubMed  Google Scholar 

  • Hinshaw, S. P. (2002). Process, mechanism, and explanation related to externalizing behavior in developmental psychopathology. Journal of Abnormal Child Psychology, 30(5), 431–446. doi:10.1023/A:1019808712868.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E., & Blase, S. (2011). Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspectives on Psychological Science, 6, 21–37. doi:10.1177/1745691610393527.

    Article  Google Scholar 

  • Kuntsche, E., Knibble, R., Engels, R., & Gmel, G. (2007). Drinking motives as mediators of the link between alcohol expectancies and alcohol use among adolescents. Journal of Studies on Alcohol and Drugs, 68(1), 76–85. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17149520.

  • Lambert, R., & McCarthy, C. (Eds.). (2006). Understanding teacher stress in an age of accountability. Greenwich, CT: Information Age.

    Google Scholar 

  • Lauer, P. A., Akiba, M., Wilkerson, S. B., Apthorp, H. S., Snow, D., & Martin-Glenn, M. L. (2006). Out-of-school-time programs: A meta-analysis of effects for at-risk students. Review of Educational Research, 76(2), 275–313. doi:10.3102/00346543076002275.

    Article  Google Scholar 

  • Levin, R. L., Heller, W., Mohanty, A., Herrington, J. D., & Miller, G. A. (2007). Cognitive deficits in depression and functional specificity of regional brain activity. Cognitive Therapy and Research, 31, 211–233. doi:10.1007/s10608-007-9128-z.

    Article  Google Scholar 

  • Lindberg, L. D., Boggess, S., Porter, L., & Williams, S. (2000a). Teen risk taking: A statistical portrait. Washington, DC: Urban Institute.

    Google Scholar 

  • Lindberg, L. D., Boggess, S., Porter, L., & Williams, S. (2000b). Multiple threats: The co-occurence of teen health risk behaviors. Washington, DC: Urban Institute.

    Google Scholar 

  • Lochman, J. E., & Dodge, K. A. (1994). Social-cognitive processes of severely violent, moderately aggressive, and nonaggressive boys. Journal of Consulting and Clinical Psychology, 62, 366–374. doi:10.1037/0022-006X.62.2.366.

    Article  CAS  PubMed  Google Scholar 

  • Lynskey, M., & Hall, W. (2000). The effects of adolescent cannabis use on educational attainment: A review. Addiction, 95(11), 1621–1630.

    Article  CAS  PubMed  Google Scholar 

  • Lyon, A., Frazier, S. L., Mehta, T. G., Atkins, M. S., & Weisbach, J. (2011). Easier said than done: Intervention sustainability in urban after-school programs. Administration and Policy in Mental Health and Mental Health Services Research, 38(6), 504–517. doi:10.1007/s10488-011-0339-y.

    Article  PubMed Central  PubMed  Google Scholar 

  • Melnick, S., & Hinshaw, S. P. (2000). Emotion regulation and parenting in AD/HD and comparison boys: Linkages with social behaviors and peer preference. Journal of Abnormal Child Psychology, 28, 73–86. doi:10.1023/A:1005174102794.

    Article  CAS  PubMed  Google Scholar 

  • National Research Council and Institute of Medicine. (2002). Community programs to promote youth development. Washington, DC: National Academy Press.

    Google Scholar 

  • Peters, R. (1988). Mental health promotion in children and adolescents: An emerging role for psychology. Canadian Journal of Behavioral Science, 20(4), 389–402. doi:10.1037/h0079941.

    Article  Google Scholar 

  • PracticeWise. (2009). Psychosocial and combined treatments coding manual. Satellite Beach, FL: Author.

    Google Scholar 

  • Reinecke, M., Dattilio, F., & Freeman, A. (Eds.). (2006). Cognitive therapy with children and adolescents: A casebook for clinical practice (2nd ed.). New York, NY: Guilford.

    Google Scholar 

  • Rosenshine, B. (2012). Principles of education: Reserarch-based strategies that all teachers should know. American Educator, 36(1), 12–39.

    Google Scholar 

  • Rotheram-Borus, M., Swendeman, D., & Chorpita, B. F. (2012). Disruptive innovations for designing and diffusing evidence-based intervention. American Psychologist, 67(6), 463–476. doi:10.1037/a0028180.

    Article  PubMed Central  PubMed  Google Scholar 

  • Segrin, C. (2000). Social skills deficits associated with depression. Clinical Psychology Review, 20, 379–403. doi:10.1016/S0272-7358(98)00104-4.

    Article  CAS  PubMed  Google Scholar 

  • Shernoff, E., Atkins, M., Frazier, S., Marinez-Lora, A., & Jakobsons, L. (2011). Teachers supporting teachers in urban schools: What iterative research designs can teach us. School Psychology Review, 40, 465–485. Retrieved from http://eric.ed.gov/?id=EJ962062.

  • Silk, J. S., Steinberg, L., & Morris, A. (2003). Adolescents’ emotion regulation in daily life: Links to depressive symptoms and problem behaviors. Child Development, 74, 1869–1880. doi:10.1046/j.1467-8624.2003.00643.x.

    Article  PubMed  Google Scholar 

  • Spence, S. H., Donovan, C., & Brechman-Toussaint, M. (1999). Social skills, social outcomes, and cognitive features of childhood social phobia. Journal of Abnormal Psychology, 108, 211–221. doi:10.1037/0021-843X.108.2.211.

    Article  CAS  PubMed  Google Scholar 

  • Spence, S. H., & Marzillier, J. S. (1981). Social skills training with adolescent male offenders: II. Short term, long-term and generalised effects. Behaviour Research and Therapy, 19, 349–368. Retrieved from http://www.sciencedirect.com/science/article/pii/0005796781900565.

  • Spence, S. H., Sheffield, J., & Donovan, C. (2002). Problem solving orientation and attributional style: Moderators of the impact of negative life events upon the development of depressive symptoms in adolescence? Journal of Clinical Child and Adolescent Psychology, 31, 219–229. doi:10.1207/S15374424JCCP3102_07.

    Article  PubMed  Google Scholar 

  • Suh, S., & Suh, J. (2007). Risk factors and levels of risk for high school dropouts. Professional School Counseling, 10(3), 297–306.

    Google Scholar 

  • Suveg, C., & Zeman, J. (2004). Emotion regulation in children with anxiety disorders. Journal of Clinical Child & Adolescent Psychology, 33, 750–759. doi:10.1207/s15374424jccp3304_10.

    Article  Google Scholar 

  • Tarter, R. E., Vanyukov, M., Giancola, P., Dawes, M., Blackson, T., Mezzich, T., et al. (1999). Etiology of early age onset substance use disorder: A maturational perspective. Development and Psychopathology, 11, 657–683. doi:10.1017/S0954579499002266.

    Article  CAS  PubMed  Google Scholar 

  • Wagner, M., Kutash, K., Duchnowski, A. J., Espstein, M. H., & Sumi, W. C. (2005). The children and youth we sere: A national picture of the characteristics of students with emotional disturbances receiving special education. Journal of Emotional and behavioral Disorders, 13(2), 79–96. doi:10.1177/10634266050130020201.

    Article  Google Scholar 

  • Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., et al. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69(3), 274–282. doi:10.1001/archgenpsychiatry.2011.147.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Sandler, I. N., Durlak, J. A., & Anton, B. S. (2005). Promoting and protecting youth mental health through evidence-based prevention and treatment. American Psychologist, 60(6), 628–648. doi:10.1037/0003-066X.60.6.628.

    Article  PubMed  Google Scholar 

  • Wilson, D. B., Gottfredson, D. C., & Najaka, S. S. (2001). School-based prevention of problem behaviors: A meta-analysis. Journal of Quantitative Criminology, 17, 247–272. Retrieved from http://link.springer.com/article/10.1023%2FA%3A1011050217296.

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Correspondence to Maya M. Boustani.

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Michele Bechor, Sonya M. Dinizulu, Erin R. Hedemann, Robert R. Ogle and Dave S. Pasalich are listed in alphabetical order.

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Boustani, M.M., Frazier, S.L., Becker, K.D. et al. Common Elements of Adolescent Prevention Programs: Minimizing Burden While Maximizing Reach. Adm Policy Ment Health 42, 209–219 (2015). https://doi.org/10.1007/s10488-014-0541-9

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