Journal of the American Academy of Child & Adolescent Psychiatry
PERSPECTIVENext Generation of Preventive Interventions
Section snippets
Development of Efficacious Interventions
The development and dissemination of efficacious interventions has been investigator‐driven, theory‐based, focused on changing a target behavior, and replicated with fidelity over time. Each of these characteristics creates challenges to broad dissemination of efficacious programs.
Investigator‐Driven. Creative, intuitive clinicians typically design multifaceted programs to change clients' behaviors. After efficacy is demonstrated, program dissemination usually depends on the persistence and
Alternative Successful Models of Intervention Dissemination
While prevention programs from academic researchers have not been broadly recognized and disseminated to the U.S. public, programs created with identified delivery vehicles and private enterprise prevention models have been highly successful in achieving broad dissemination.
First, there is a set of programs that have identified a “vehicle” for reaching communities and families. The Drug Abuse Reduction Education (DARE) program is an example of this model (Bureau of Justice Assistance, 1995).
Market Orientation for Prevention Programs
If academic researchers adopted a market orientation to disseminate and to refine their interventions through a private enterprise model, a paradigm shift would occur. This shift may accelerate the dissemination of efficacious interventions nationally and worldwide. Similar to businesses, prevention researchers want the public to buy their products (adopt healthier behaviors and lifestyles) and to make this happen in the most cost‐effective manner possible. We hope for a large market share (for
The Future: Embracing the Enemy?
Academic researchers have long divorced themselves from the market and private enterprise. A set of presumptions about the intentions, motives, and impact of market‐driven forces has led many researchers to be wary of collaborations and partnerships with the private sector. In particular, there are many potential conflicts of interest (Bowie, 1994). As a group most social science researchers endorse liberal positions on a variety of social science issues; for example, 74% are Democrats and only
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This paper was given as an invited address to the Biannual Meeting of the International Society for Research in Child and Adolescent Psychopathology, Vancouver, 2001.
This paper was written with support of NIMH Center Grant P30 MH 58107 . The authors thank Coleen Cantwell, Susan Cantwell, Amy Elkavich, Mark Etzel, and Danielle Seiden.
Letters to the Editor in response to this Perspective are encouraged. They will be forwarded to the authors, and selected letters will be published in the Journal.
M.K.D.