CENTER FOR PREVENTION AND EARLY INTERVENTION

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CENTER FOR PREVENTION AND EARLY INTERVENTION

• A COLLABORATION BETWEEN THE JHU
• BLOOMBERG SCHOOL OF PUBLIC HEALTH,
• THE JHU UMD DEPARTMENTS OF
• PSYCHIATRY AND THE BALTIMORE CITY
• PUBLIC SCHOOL SYSTEM

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OVERALL AIM

• TO ASSESS THE FEASIBILITY OF INTEGRATING
  PROMISING PREVENTIVE AND EARLY INTERVENTIONS
  DESIGNED TO REDUCE EARLY AGGRESSIVE DISRUPTIVE
  BEHAVIOR AND TO PREVENT LATER ANTISOCIAL
  BEHAVIOR, DEPRESSION, AND SUBSTANCE ABUSE

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CENTER FOR PREVENTION AND EARLY INTERVENTION

• SPECIFIC OBJECTIVES
• THE CENTER PLANS TO EXAMINE THE FEASIBILITY OF AN
  INTEGRATED APPROACH TO PREVENTION AND EARLY
  INTERVENTION IN THE ELEMENTARY MIDDLE SCHOOL
  SETTING

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CENTER FOR PREVENTION AND EARLY INTERVENTION

• SPECIFIC OBJECTIVES
• THIS INTEGRATED APPROACH FEATURES THE NESTING OF
  INDICATED AND TREATMENT INTERVENTIONS WITHIN A
  UNIVERSAL CLASSROOM-BASED PREVENTIVE INTERVENTION

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CENTER FOR PREVENTION AND EARLY INTERVENTION

• THE GOAL OF THIS NESTED APPROACH IS TO SEAMLESSLY
  LINK CHILDREN WHO DO NOT RESPOND TO THE UNIVERSAL
  INTERVENTION TO INDICATED PREVENTIVE
  INTERVENTIONS OR TREATMENT SERVICES

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Interconnected Systems for Meeting the
Needs of All Children
Systemic collaboration is essential to establish
inter-program connections within and across
Systems of prevention, early intervention, and
treatment.
Adapted from Adelman et al. (UCLA Center for
Mental Health in the Schools)
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INTERVENTION INITIATIVES

• COMBINATION OF TWO UNIVERSAL CLASSROOM BASED
  INTERVENTIONS GOOD BEHAVIOR GAME (GBG)
  PROMOTING ALTERNATIVE THINKING STRATEGIES (PATHS)

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INTERVENTION INITIATIVES

• COMBINATION OF TREATMENT AND INDICATED
  INTERVENTIONS (THE INCREDIBLE YEARS) IN K-3 WITH
  THE UNIVERSAL CLASSROOM-BASED INTERVENTIONS

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INTERVENTION INITIATIVES

• COMBINATION OF INDICATED AND TREATMENT
  INTERVENTIONS (COPING POWER) IN GRADES 4-5 WITH
  THE UNIVERSAL INTERVENTIONS

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ASSESSMENT INITIATIVES

• TO DEVELOP AND ASSESS THE FEASIBILITY OF A
  WEB-BASED, MULTISTAGE ASSESSMENT SYSTEM FOR
• MONITORING CHILDRENS ACADEMIC AND SOCIAL
  EMOTIONAL FUNCTIONING
• AND IDENTIFYING CHILDREN IN NEED OF INDICATED AND
  EARLY TREATMENT INTERVENTIONS.

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ASSESSMENT INITIATIVES

• TO DEVELOP METHODS AND MEASURES FOR ASSESSING THE
  ORGANIZATIONAL FACTORS INFLUENCING IMPLEMENTATION
  OF THE CENTERS SCHOOL-BASED INTERVENTIONS.

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METHODOLOGICAL INITIATIVES

• APPLY AND EXTEND INNOVATIVE STATISTICAL
  METHODS DESIGNED TO
• DETECT SUB-GROUP VARIATION IN INTERVENTION
  RESPONSE
• ESTIMATE INTERVENTION EFFECTS IN THE PRESENCE
  OF VARIATION IN THE LEVEL OF THEIR
  IMPLEMENTATION
• IMPROVE THE INTERPRETABILITY OF LATENT VARIABLE
  MODELS EMPLOYED

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METHODOLOGICAL INITIATIVES

• DEVELOP METHODS TO ESTIMATE THE POTENTIAL DISTAL
  ECONOMIC BENEFITS OF THE CENTERS INTERVENTION
  INITIATIVES BASED ON KNOWLEDGE OF THEIR IMPACT ON
  MORE PROXIMAL OUTCOMES.

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METHODOLOGICAL INITIATIVES

• EMPLOY THESE NEW METHODS IN DESIGNING THE RO1
  SUPPORTED EFFECTIVENESS TRIALS THAT EVOLVE OUT OF
  THE CENTERS PILOT INTERVENTION AND ASSESSMENT
  INITIATIVES