Raising Healthy Kids: Strategies for Whole Communities Preventing Mental, Emotional & Behavi...
What is a behavioralvaccine?It is a simple procedure (a kernel or arecipe of kernels) that, when usedrepeatedly, reduce mo...
If kernels are so good…
If kernels are so good…
www.GiveSimpleGifts.com ...
Behavior influence as consumer products…
“Behavioral health could learn from public health in endorsing a population heal...
What is a public-health approach? Potential harm is universal, Personal or Group Risk is Common, Stigmatizing Persons o...
A environmentalpolicy case study inreducing earlyrebelliousness, risktaking andsensation seekingThis risk factor can be ea...
Contextual example of such risk
So, what would be your prevention approach to prevent young children dashing into the stre...
Oh,prior prevention efforts in Swedenhad resulted in more fatalities…
A book about “me” being a SafePlayer
Adults defining boundaries of safeplay
Adults setting timer to watch safeplay in child
Parent praising safe play withstickers
Child removed from play if unsafethen given quick chance to be safe 2-minute Sit and Watch, if unsafe
Study 1 showed preschoolintervention alone had short-termbenefits
Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had lo...
Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had lo...
Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had lo...
Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had lo...
Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had lo...
Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had lo...
Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had lo...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/...
5.0% 2.0% ...
Families United case studyA plan to address statewide risk and protective factors trends among youth
Calculating RE-AIM for population- level change (PC) REACH = Total population bein...
Reach Reach is the absolute number, Representativeness refers to proportion (percent), and ...
Reach Reach is the absolute number, Representativeness refers to proportion (percent), and ...
Efficacy Efficacy/Effectiveness is the impact of this of this measured ability to pr a strategy on important outcome...
Efficacy Efficacy/Effectiveness is the impact of this of this measured ability to pr a strategy on important outcomes. ...
Adoption Adoption is the absolute number, Notice there can be multiple leve proportion, and representativeness of ...
Adoption Adoption is the absolute number, Notice there can be multiple leve proportion, and representativeness of...
Implementation Implementation, at a setting level the strategy that is recommended o (home, clinic, office, business, ...
Implementation Implementation, at a setting level the strategy that is recommended o (home, clinic, office, business, ...
Maintenance Maintenance is the extent to which At the individual level, maintenance a strategy, program or policy ...
“Behavioral health could learn from public health in endorsing a population health ...
What is a public health approach?
The first breakthrough will be FamiliesUnited… Launching this year Using all modern Internet tools to create a national ...
What is Families United?A set of simple, proven,and powerful tools toprotect all our childrenfrom the leadingcauses of lif...
Kernel #1 for United Families Relational Increase Family Positive Frame Monitoring. Parental & fa...
Kernel # 2 for United Families Reward Not Using or BreakingReinforcement Kernel Rules. Family r...
Kernel # 3 for United Families. Reduce Sleep Deprivation. Antecedent Kernel Ensuring a...
Kernel #4 for United Families. Physiological Change Brain Food or Fatty Acid Kernel Ratios...
Kernel # 5 of Families United. Relational Increase Parent Networking Frame to Child’s Friends Fam...
Families United get Families United ...
Families United Communities Use the website to create a community network, nested inside a national movement. (Website bei...
New sustainability mechanisms Other Individual Buyers U...
Binghamton New York
Binghamton New York
Explore the Vision Plant Seeds for Change Prepare to Move ...
Explore the Vision of FamiliesUnited
Exploring the Vision of Families United Download or watch videos and other...
1+2343-9$$ A.3/->...
Plant Seeds for Change
Planting Seeds of Change for Families United Find and share simple lo...
Prepare to Advance Change
Preparing to Advance Change for Families United Open doors for...
Act for Behavior Change
Acting for Behavior Change for Families United Act school, neighborhood or other teams for Behavior ...
Maintain and Grow the Change
Maintaining and Growing Families United Improvecontinuously ...
Dennis D. Embry, Ph.D. President/CEO ...
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
Preventing Mental, Emotional and Behavioral Disorders Part 2
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Preventing Mental, Emotional and Behavioral Disorders Part 2

This continues the workshop where practical applications to Oklahoma were discussed
Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Preventing Mental, Emotional and Behavioral Disorders Part 2

  • 1. Raising Healthy Kids: Strategies for Whole Communities Preventing Mental, Emotional & Behavioral Disorders - Pt. 2 Oklahoma Mental Health Conference - December, 2010 Seewww.paxis.orgwww.youtube. by Dennis D. Embry, Ph.D. com/ PAXIS Institutedrdennisembry December, 2010 Copyright © 2010, PAXIS Institute, All rights reserved. May be shared in its entirety with notice and attribution.
  • 2. What is a behavioralvaccine?It is a simple procedure (a kernel or arecipe of kernels) that, when usedrepeatedly, reduce morbidity and mortalityand/or increase wellbeing or health.Behavioral vaccines can be used byindividuals, families, schools, businesses,organizations to produce rapid populationlevel change. Embry, D. D. (2004). "Community-BasedPrevention Using Simple, Low-Cost, Evidence-Based Kernels and Behavior Vaccines." Journal of Community Psychology 32(5): 575.
  • 3. If kernels are so good…
  • 4. If kernels are so good…
  • 5. www.GiveSimpleGifts.com Login | SitemapThe new idea You can better your world, and you can better yourself with the evidence-based kernels found in Simple Gifts. Watch and learn how. Dennis D. Embry, Ph.D. News & Events Praise Back Stories New York State Prevention conference to feature kernels to The Prize Bowl worked to help my achieve widespread prevention on November 17... more ➝ son kick his drug addiction and stay in recovery... more ➝ Baltimore School District teachers involved in large study on the use of kernel to reduce problem behavior and increase academic We used the secret PAX-It notes for very difficult kids in our school, What are evidence-based kernel? achievement. The study is by Johns Hopkins and is funded by the Insitute on Education... more ➝ and... more ➝ Florida Governor’s Office promotes evidence-based kernels to Brain on The Ball really helped our twins do so much better in prevent child abuse and related problems... more ➝ their classes, and it improved the academics just like the research Alaska State Government holds training on apply Simple Gifts / indicated... more ➝ How are Simple Gifts Created? kernels to reduce delinquency and mental illness... more ➝ After being on meds for so long, I How to use this site? decided to use Happy Brain kernel with omega-3... more ➝ Who can use this site? Help picking Simple Gifts? Partners in Simple Gifts? Site Map | Values Commitment | Kernel Submissions / Opportunities Terms of Use | Privacy Policy | Contact Us Copyright © 2008 PAXIS Institute XHTML 1.0 Valid | CSS Valid
  • 6. Behavior influence as consumer products…
  • 7. “Behavioral health could learn from public health in endorsing a population health perspective”—(IOM, page 19). “Families and children have ready access to the best available evidence-based prevention interventions, The story of the delivered in their ownBroad Street water pump during the communities…in a respectfulcholera epidemic in non-stigmatizing way”—(IOM, London. page 387).
  • 8. What is a public-health approach? Potential harm is universal, Personal or Group Risk is Common, Stigmatizing Persons or Groups At Risk Reduces Prevention Results, and/or More Cost Efficient to Reach All Above “Case Finding.”
  • 9. A environmentalpolicy case study inreducing earlyrebelliousness, risktaking andsensation seekingThis risk factor can be easily measured inearly-childhood, and it predicts lifetimeinjuries, delinquency, alcohol/drug abuseabuse, and school difficulties.
  • 10. Contextual example of such risk
  • 11. So, what would be your prevention approach to prevent young children dashing into the street or parking lots?PS.This was onethe top 3-5causes ofdeath in OECDcountries from1960s-1980s.
  • 12. Oh,prior prevention efforts in Swedenhad resulted in more fatalities…
  • 13. A book about “me” being a SafePlayer
  • 14. Adults defining boundaries of safeplay
  • 15. Adults setting timer to watch safeplay in child
  • 16. Parent praising safe play withstickers
  • 17. Child removed from play if unsafethen given quick chance to be safe 2-minute Sit and Watch, if unsafe
  • 18. Study 1 showed preschoolintervention alone had short-termbenefits
  • 19. Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had long-termbenefits
  • 20. Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had long-termbenefitsStudy 3 showed strategy could beimplemented in 35 Head Startsnationally
  • 21. Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had long-termbenefitsStudy 3 showed strategy could beimplemented in 35 Head StartsnationallyStudy 4 showed parents couldchange child’s behavior from specialstory workbook
  • 22. Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had long-termbenefitsStudy 3 showed strategy could beimplemented in 35 Head StartsnationallyStudy 4 showed parents couldchange child’s behavior from specialstory workbookStudy 5 showed behavior change forover 100 preschoolers, with noadverse effect.
  • 23. Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had long-termbenefitsStudy 3 showed strategy could beimplemented in 35 Head StartsnationallyStudy 4 showed parents couldchange child’s behavior from specialstory workbookStudy 5 showed behavior change forover 100 preschoolers, with noadverse effect.Study 6 showed effort could besuccessful in a 3-city multiple baselinein New Zealand
  • 24. Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had long-termbenefitsStudy 3 showed strategy could beimplemented in 35 Head StartsnationallyStudy 4 showed parents couldchange child’s behavior from specialstory workbookStudy 5 showed behavior change forover 100 preschoolers, with noadverse effect.Study 6 showed effort could besuccessful in a 3-city multiple baselinein New ZealandStudy 7 is national campaign,adopted by 50% of New Zealandfamilies
  • 25. Study 1 showed preschoolintervention alone had short-termbenefitsStudy 2 showed preschool plusparenting intervention had long-termbenefitsStudy 3 showed strategy could beimplemented in 35 Head StartsnationallyStudy 4 showed parents couldchange child’s behavior from specialstory workbookStudy 5 showed behavior change forover 100 preschoolers, with noadverse effect.Study 6 showed effort could besuccessful in a 3-city multiple baselinein New ZealandStudy 7 is national campaign,adopted by 50% of New ZealandfamiliesStudy 8 replicates city results in US
  • 26. Kernels and 4-P’s used in multi-city/national Safe Playing campaign
  • 27. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally
  • 28. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses
  • 29. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses Media models of adoption by high-status people
  • 30. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses Media models of adoption by high-status people Media models showing rapid results/benefits
  • 31. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses Media models of adoption by high-status people Media models showing rapid results/benefits Public posting of rates of adoption/use
  • 32. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses Media models of adoption by high-status people Media models showing rapid results/benefits Public posting of rates of adoption/use Competitions between cities on adoptions
  • 33. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses Media models of adoption by high-status people Media models showing rapid results/benefits Public posting of rates of adoption/use Competitions between cities on adoptions Placement in supermarket or other easy venues
  • 34. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses Media models of adoption by high-status people Media models showing rapid results/benefits Public posting of rates of adoption/use Competitions between cities on adoptions Placement in supermarket or other easy venues Price free after filling out Safe Playing Promise (with address, etc.)
  • 35. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses Media models of adoption by high-status people Media models showing rapid results/benefits Public posting of rates of adoption/use Competitions between cities on adoptions Placement in supermarket or other easy venues Price free after filling out Safe Playing Promise (with address, etc.) Promotion for every family who wants their child to be safe
  • 36. Kernels and 4-P’s used in multi-city/national Safe Playing campaign Proclamations in cities and nationally Endorsements/Sponsorships by prestige organizations AND businesses Media models of adoption by high-status people Media models showing rapid results/benefits Public posting of rates of adoption/use Competitions between cities on adoptions Placement in supermarket or other easy venues Price free after filling out Safe Playing Promise (with address, etc.) Promotion for every family who wants their child to be safe Product promises child will be safer in two weeks when steps followed
  • 37. 5.0% 2.0% 0.0% 18.0% Wisconsin Wisconsin 40.0% 16.0% 35.0% 14.0% 30.0% 12.0% 25.0% 10.0% 20.0% 8.0% 15.0% Youth Who Smoked During the Last 30 Days 6.0% Youth Who Smoked Every Day the Last 30 Days Baseline Reward and Reminder Baseline Reward and Reminder 45.0% 18.0% 10.0% Wyoming 4.0% Wyoming 40.0% 16.0% 5.0% 35.0% 2.0% 14.0% 30.0% 12.0% 0.0% 25.0% 10.0% 18.0% 20.0% 8.0% United States United States 40.0% 15.0% 16.0% 6.0% 10.0% 4.0% 35.0% 5.0% 14.0% 2.0% 0.0% 30.0% 12.0% 18.0% Wisconsin Wisconsin 40.0% 16.0% 25.0% 10.0% 35.0% 14.0% 20.0% 30.0% 8.0% 12.0% 25.0% 10.0% 15.0% 20.0% 6.0% 8.0% 10.0% 15.0% 4.0% 6.0% 10.0% 4.0% 5.0% 5.0% 2.0% 2.0% Source: YRBS, US Centers for Disease Control Source: YRBS, US Centers for Disease Control 0.0% 0.0% 0.0% 1995 1997 1999 2001 2003 2005 2007 1995 1997 1999 2001 2003 2005 2007 = Trend = Wyoming = Wisconsin =United States Why not publicize and reward clerks and stores for not selling tobacco or alcohol to minors if…Embry, D. D. and A. Biglan (2009). Reward and Reminder: An Environmental Strategy for Population- Level Prevention. National Registry of Effective Programs and Practices, Substance Abuse and Mental Health Administration.
  • 38. Families United case studyA plan to address statewide risk and protective factors trends among youth
  • 39. Calculating RE-AIM for population- level change (PC) REACH = Total population being IMPLEMENTATION = The percent RE-AIM MATH targeted (see census data) of persons/entities who actually Reach, Efficacy, adopted kernel who actually use Adoption, EFFICACY = The effect size it (needs to be at least 40% toImplementation, & difference produced by the kernel Maintenance 60%). or collection of kernels. MAINTENANCE = This is the ADOPTION = The percent of percent of people or settings who reach actually choose to use the keep doing the kernel over time. kernel or collection of kernels (must be above 20%-25% to achieve population-level change. Change = R * E * A * I * M for more info, visit www.re-aim.org
  • 40. Reach Reach is the absolute number, Representativeness refers to proportion (percent), and whether participants have representativeness of individuals characteristics that reflect the target populations characteristics. who participate in a given strategy. If the intent is to increase physical activity in sedentary people between the ages of 35 and 70, you wouldnt test your program on triathletes or toddlers.
  • 41. Reach Reach is the absolute number, Representativeness refers to proportion (percent), and whether participants have representativeness of individuals characteristics that reflect the target populations characteristics. who participate in a given strategy. 0% to 100%—higher number, leverages more result If the intent is to increase physical activity in sedentary people between the ages of 35 and 70, you wouldnt test your program on triathletes or toddlers.
  • 42. Efficacy Efficacy/Effectiveness is the impact of this of this measured ability to pr a strategy on important outcomes. the change if used—from none t This includes potential negative highly potent. effects, quality of life, and costs or increase in positive outcomes. Think of Be mindful that all strategies have negative effects that subtract from the good effects.
  • 43. Efficacy Efficacy/Effectiveness is the impact of this of this measured ability to pr a strategy on important outcomes. the change if used—from none t This includes potential negative highly potent. effects, quality of life, and costs or increase in positive outcomes. Think of Higher efficacy X more reach = more leverage Be mindful that all strategies have negative effects that subtract from the good effects.
  • 44. Adoption Adoption is the absolute number, Notice there can be multiple leve proportion, and representativeness of people or settings who must ado people, settings and/or staff who are the strategy to achieve results. willing to offer a strategy.
  • 45. Adoption Adoption is the absolute number, Notice there can be multiple leve proportion, and representativeness of people or settings who must ado people, settings and/or staff who are the strategy to achieve results. willing to offer a strategy. Hi efficacy X large reach X many adoptions = more leverage
  • 46. Implementation Implementation, at a setting level the strategy that is recommended o (home, clinic, office, business, etc), proven. This includes consistency o refers to how closely the user or delivery as intended and the time agents (e.g., staff members) follow and cost of the program.
  • 47. Implementation Implementation, at a setting level the strategy that is recommended o (home, clinic, office, business, etc), proven. This includes consistency o refers to how closely the user or delivery as intended and the time agents (e.g., staff members) follow and cost of the program.(efficacy X reach X adoptions) X robust implementation = Hi leverag
  • 48. Maintenance Maintenance is the extent to which At the individual level, maintenance a strategy, program or policy is the long-term effects on becomes routine or stable outcomes after 6 or more months organizationally. after adoption and implementation.
  • 49. “Behavioral health could learn from public health in endorsing a population health perspective”—(IOM, page 19). “Families and children have ready access to the best available evidence-based prevention interventions, The story of the delivered in their ownwater pump during the cholera communities…in a respectful epidemic in non-stigmatizing way”—(IOM, London. page 387).
  • 50. What is a public health approach?
  • 51. The first breakthrough will be FamiliesUnited… Launching this year Using all modern Internet tools to create a national mobilization Using powerful public health/social marketing tools Applying IOM findings Creating universal consumer access to proven behavioral prevention Combining common sense, good science, low cost with sustainability
  • 52. What is Families United?A set of simple, proven,and powerful tools toprotect all our childrenfrom the leadingcauses of lifetimesuffering, illness,disability and death—securing all our futures.
  • 53. Kernel #1 for United Families Relational Increase Family Positive Frame Monitoring. Parental & family Kernel clarity and commitment to their child about risky or disturbing behaviors such as Creates verbal not using alcohol, tobaccorelations for the and drugs (ATOD) and about behavior that child’s friends’ not using of alcohol, tobacco and drugs. The type of monitoring changes by age of child.
  • 54. Kernel # 2 for United Families Reward Not Using or BreakingReinforcement Kernel Rules. Family recognition and reinforcement of children and teens doing the right thing (e.g., not using ATOD or not engaging in deviant or risky behaviors. HappensAFTER the The rewards and recognition increase behavior intrinsic motivation to do the right thing, and cost little or no money The rewards and recognition create perceived warmth by children from parents and family.
  • 55. Kernel # 3 for United Families. Reduce Sleep Deprivation. Antecedent Kernel Ensuring a child has good sleep patterns, by reducing access to electronic media before bedtime. HappensBEFORE the Sleep deprivation is the silent behavior but deadly cause of many behavioral, school and health problems—including addictions.
  • 56. Kernel #4 for United Families. Physiological Change Brain Food or Fatty Acid Kernel Ratios in Child’s Diet. Increasing children’s “brain food” (omega-3 found in fish oil) protects a child’s basic brain function, brain receptors and brain chemistry from the risk of Changes ATOD as well as other problematicbiochemistry of behaviors including depression and behavior aggression. The main biological factor that has radically changed in the last 20 years, dramatically affecting behavior, mental health and physical health of our children.
  • 57. Kernel # 5 of Families United. Relational Increase Parent Networking Frame to Child’s Friends Families. Kernel Sharing and communicating the above with five of the parents of one’s child’s friends. Creates verbalrelations for the behavior
  • 58. Families United get Families United for all our children, for all our youth, for all our futures… !"#$%&())*+,-%&,+&.)#$,/&0/,+12&34#+&/55&(*$&4,56$#+&/+6& Families Un A Families United Promise %(*-4&/$#7& 4#/5-4%&,+&8(6%2& For Your C ited ity /County/S Card, as do many people 4#/5-4%&,+&),+62& tate P 4#/5-4%&,+&19,$,-2&/+6& lease join 4#/5-4%&,+&8#4/",($: Families U from all walks of life in the United is nited. Fam a gift to yo ilie ;4#+&4,56$#+&/+6&%(*-4&/$#&4#/5-4%&,+&8(6%2&),+62&19,$,-2&/+6& and other u, your fam s 8#4/",($2&</),5,#1&/$#&4/99,#$2&())*+,-,#1&/$#&1/<#$2&8*1,+#11#1& families in ily, Together, this comm community. 9$(19#$2&/+6&.)#$,/&,1&)($#&1#*$#&/+6&9$#9/$#6&<($&-4#&<*-*$#: =/),5,#1&>+,-#6&,1&/"/,5/85#&<($&#"#$%&</),5%2&4#59,+0&9$(-#-&#"#$%& children an we Families U can use the Simple nited to m ake unity. Gifts in 4,56&/+6&%(*-4&<$()&())(+&4/$)1&(<&/5(4(52&-(8/(2&/+6&(-4#$& d teens hav sure all our healthier, e a better, 6$*01?&14,#56&-4#)&<$()&6#9$#11,(+&/+6&(-4#$&())(+&&,551&(<& safer and more prod )(6#$+&1(,#-%?&/+6&0*/$6&/0/,+1-&#@9(1*$#&-(&6/+0#$(*1&/-1&(<& To redeem uctive live your gift, s. A Families United Gift card (-4#$12&",(5#+#&($&,+A*$,#1:&& =/),5,#1&>+,-#6&4#591&#"#$%&4,56&($&%(*-4&6(&8#--#$&,+&14((5&/+6& Go to www please… .SimpleGif ts.com Click on th to access a website, gives /4,#"#&4#/$-<#5-&0(/51&<($&-4#&<*-*$#:& BC3#&9$(),1#&5#/$+&)($#&/8(*-&=/),5,#1&>+,-#6&/-& Scratch off e Families the PIN n United bo x Simple Gif umber on them the tools to act— the 333:D,)95#E,<-1:()C=/),5,#1&>+,-#6: ts card, an the card n d enter it BC3#&9$(),1#&-(&14/$#&-4#&8#+#<,-1&(<&=/),5,#1&>+,-#6&-(&(-4#$12& umber. with 34(&,+&-*$+&/+&14/$#&-4#&8#+#<,-1&-(&&)($#&9#(95#: Make you videos, downloads and BC3#&9$(),1#&-(&/995%F/1&/99$(9$,/-#&-(&)%C(*$&</),5%F-4#& 9$("#+&D,)95#&E,<-1&-(&9$(-#-&/55&(*$&4,56$#+2&(*$&%(*-42&/+6& r co Families U mmitment to suppo nited in yo ur commu rt Browse an nity. more. (*$&<*-*$#1: !"#$%&! you and y d use the our childre Simple Gif n or teens. ts for ()%*+%,-."$/ 0"/1!/*/%2"-34&%5*/% Families U n ited An explanatory flyer. 67*")"#& G4#H&,<&3/+-& #& G4#H&,<&3/+-& #)/,5&*96/-#1 +/)#&9(1-#6 The above can have local sponsors on the materials for sustainability.
  • 59. Families United Communities Use the website to create a community network, nested inside a national movement. (Website being created by leading Web company in the US). Families learn and share how to use the evidence-based kernels to help their own children and their children’s friends.
  • 60. New sustainability mechanisms Other Individual Buyers United Way 9% 28% 6%Child Services 8% Blue Cross 9% Private Sector 17% Board of Supervisors 23%
  • 61. Binghamton New York
  • 62. Binghamton New York
  • 63. Explore the Vision Plant Seeds for Change Prepare to Move Change Act for Behavior Change Maintain and Grow Change
  • 64. Explore the Vision of FamiliesUnited
  • 65. Exploring the Vision of Families United Download or watch videos and other materials Explore the Vision Share info with others who can speak persuasively to • Get or download information • Share information with others diverse groups and leader by using your broad social • Find some early allies (6 to 12) network. Send hyperlink, call them, make Get info Share info presentations to them. Choose broad stakeholder & Find allies groups in the future of your community. Find some early, strong allies (at least 6 to 12) who can now go out and repeat the vision and possibilities and who can commit to help launch Families United in less than 12 months. NOTE: We will send you the hyperlink for downloads
  • 66. 1+2343-9$$ A.3/->$Supportive materials provided to you *,-;-.?=.$Q=9/$D+;3.P9$W9?2+/=,$T=,$/8-$A.3/->$D/+/-9$ Estimates Possible Benefits of Population-Wide Prevention for Children and Youth by State Select State: Alabama 1 4661900 Total <18 Age >65 Age Population Estimate Estimate Percent of US Popultion 2008 Census Estimate 4,661,900 1,142,166 652,666 1.53% (#3.5#6&7-8592$*2"&(#5#2(:;&$+<&5;+<5&.9&.5&4+55.8"#&9+&(#%-:#&32$=&4(#)#$928"#&4(+8"#35&23+$/&:;."%(#$&2$%&=+-9;&-5.$/&"+<>:+59& 59(29#/.#5?&.@&9;+5#&59(29#/.#5&2(#&32%#&-$.)#(52""=&2::#55.8"#&9+&@23.".#5?&9#2:;#(5?&2$%&+9;#(5A&B;.5&#5*329+(&5;+<5&:+59>#C:.#$9&(#5-"95A& Prevalence After Population- Adjusted Wide Adjuster for Average Current Prevention Average Cost Annual Cost Population Families of Problem of Problem Average Annual Estimated Annual Prevalence United Per Child Per Child Total Costs Costs Averted Child and Adolescent Problem Learning Disabilities 9.70% 9.22% $1,422 $157,543,456 $7,877,173 ADHD 7.00% 5.95% $1,200 $95,941,902 $14,391,285 Conduct Disorders 3.00% 2.82% $2,300 $78,809,420 $4,728,565 9.00% 8.55% $900 $92,515,406 $4,625,770 Policy brief Depression Bipolar Disorder 2.00% 1.88% $3,300 $75,382,923 $4,522,975 Child Psychotropic Use 7.00% 6.65% $2,200 $175,893,487 $8,794,674 Substantiated Child Maltreatment 0.15% 0.15% $9,184 $15,906,688 $318,134 Drunkeness, Drugs and Delinquency 7% 6.16% $991 $31,692,808 $3,803,137 Total Annual Estimated Child and Adolescent Morbibity Costs $723,686,089 Total Gross Estimated Annual Averted Costs Via Families United Population Wide Prevention: $49,061,714 Materials to explore the Estimated Prevention Expenditures per Child per Year for Families United: $9.27 Total Prevention Costs Per Year: $6,050,214 Net Annual Prevention Savings: $43,011,500 Percentage Amount vision Example Prevention Funding Mix: 100.0% $6,050,214 K;#&D,23.".#5&E$.9#%D&255-3#5&$#2(&-$.)#(52"&2::#55&9+& "+<>:+59?&#F#:*)#&4(#)#$*+$&59(29#/.#5G(29;#(&9;2$& Parent & Family Purchases: 20.0% $1,210,043 4(#)#$.+$&(2*+$.$/&@+(&9;#&@#<A&& Private Insurance: 10.0% $605,021 Foundations, United Ways, etc. 5.0% $302,511 B;.5&3+%#"&.5&&3+(#&".H#&9;#&:;."%&52@#9=&4(#)#$*+$& Private Sector Sponsorships: 2.0% $121,004 3+)#3#$9&825#%&+$&)#(=&/++%&(#5#2(:;A&B+%2=?& Public Insurance (i.e., Medicaid): 12.0% $726,026 .$%.).%-2"5&+(&@23.".#5&:2$&8-=&8.H#&;#"3#95?&:2(&52@#9=& Substance Abuse Prev. & Treat. Block Grant 8.0% $484,017 5#295?&2$%&2$=&$-38#(&+@&(#92."&825#%&4(+%-:95&9;29& Section 96.124c Pregn. Women & Children: 1.0% $60,502 .34(+)#3&4#(5+$2"?&;+3#&2$%&:+33-$.9=&52@#9=A&&B;#& Public Heath: 5.0% $302,511 :;."%&52@#9=&3+)#3#$9&2"5+&.$)+")#5&32$=&%.F#($9& Protective Services: 6.0% $363,013 +(/2$.I2*+$5&<;+&32=&4(+3+9#&9;+5#&52@#9=&3#25-(#5& Several videos Juvenile Justice: 6.0% $363,013 25&<#""&25&5-85.I#&9;#&52@#9=&4(+%-:95&@+(&@23."".#5&+(& Safe & Drug Free Schools (Gov.s Portion): 0.9% $54,452 5.9-2*+$5A&&B;-5?&2&5929#&2/#$:=&3./;9&4(+3+9#&2$%& Safe & Drug Free Schools (Schools Portion): 2.0% $121,004 /.)#&2<2=&.$@2$9&52@#9=&5#295A&&J&4(.)29#&;#2"9;& State Childrens Health Program (SCHIP): 2.0% $121,004 .$5-(2$:#&:+342$=&3./;9&%+&5+A&&J&;+54.92"&3./;9& Child Abuse Prev. & Treat. Act: 0.1% $6,050 4(+).%#&#)#(=&$#<&3+9;#(&<.9;&2$&.$@2$9&:2(&52@#9=& Comm. Mental Health Serv. Block Grant: 1.0% $60,502 %#).:#A&&&K(&/(2$%42(#$95&+(&42(#$95&3./;9&;2)#& Social Services Block Grant: 1.0% $60,502 4-(:;25#%&+$#A& Mobilizing tools Maternal & Child Health Block Grant: 2.0% $121,004 Child Care & Dev. Block Grant: 1.5% $90,753 (#)#$*+$&@+(&3#$92"?&#3+*+$2"&2$%&8#;2).+(2"& Special Education: 2.0% $121,004 4(+8"#35&:2$&8#&4(+3+9#%&.$&9;.5&523#&<2=&825#%&+$& Local United Ways/Community Foundations: 4.0% $242,009 4+4-"2*+$&"#)#"&4(#:#%#$9&59-%.#5A& Municipalities & Counties: 4.0% $242,009 Other: 4.5% $272,260 !"#$%#%&(#)#$*+$&,-$%.$/&01234"#& *+,-./$0$1+2345$*6,78+9-9:$ Early planning tools, *,3;+/-$<.96,+.7-:$ 1=6.>+?=.9@$A.3/->$B+59@$-/7C$ *,3;+/-$D-7/=,$DE=.9=,983E9:$ &#$ )#$ *6F437$<.96,+.7-$G3C-C@$H->37+3>I:$ )#$ !"#$ D6F9/+.7-$JF69-$$*,-;C$0$K,-+/C$L4=7M$N,+./$ including community !#$ D-7?=.$O(C%!)7$*,-P.C$B=2-.$0$Q834>,-.:$ !#$ !#$ *6F437$R-+/8:$ %#$ *,=/-7?;-$D-,;37-9:$ %#$ "#$ !#$ S6;-.34-$S69?7-:$ !#$ D+T-$0$U,6P$1,--$D78==49$GN=;CV9$*=,?=.I:$ benefit estimator %#$ %"#$ D+T-$0$U,6P$1,--$D78==49$GD78==4V9$*=,?=.I:$ D/+/-$Q834>,-.V9$R-+4/8$*,=P,+2$GDQR<*I:$ (#$ Q834>$JF69-$*,-;C$0$K,-+/C$J7/:$ Q=22C$H-./+4$R-+4/8$D-,;C$L4=7M$N,+./:$ &#$ (#$ D=73+4$D-,;37-9$L4=7M$N,+./:$ !#$ H+/-,.+4$0$Q834>$R-+4/8$L4=7M$N,+./:$ &#$ Q834>$Q+,-$0$U-;C$L4=7M$N,+./:$ %#$ %!#$ DE-73+4$W>67+?=.:$ How the effort can be #$ X=7+4$A.3/->$B+59YQ=226.3/5$1=6.>+?=.9:$ H6.373E+43?-9$0$Q=6.?-9:$ Z/8-,:$ evaluated using existing Preapared by PAXIS Institute, Tucson, AZ Copyright© 2009. For educational and policy use only data
  • 67. Plant Seeds for Change
  • 68. Planting Seeds of Change for Families United Find and share simple local data to estimate costs, provide baseline to measure “early wins” and bigger Plant Seeds changes• Find and share some local data• Sign up partners for change• Share benefits & science of change Share benefits and the science of Families United via Get local data Sign up partners the brief videos, printed synopses and publications (as needed). Sign up partners for change who can lend a hand from from every walk of life, occupation, neighborhood Sharebenefits & Science or organization who shares the vision of improving the futures of all our children. for change
  • 69. Prepare to Advance Change
  • 70. Preparing to Advance Change for Families United Open doors for collaboration. The planningPrepare to Advance Change documents online contains sample MOUs, • Open doors for collaboration • Put behavior change pieces together sponsorship or braided funding agreements, • Mobilize captains for action formula for distribution and presentations. Mobilize captains for Put all the Open doors for Put behavior change pieces together. Families collaboration action pieces together for United is like a product launch or big community behavior event—reaching many people as possible in change 30-60 days. Mobilize captains for action. Captains have the role of mobilizing the “troops” in their respective fields to hold or have Family United events in diverse settings.
  • 71. Act for Behavior Change
  • 72. Acting for Behavior Change for Families United Act school, neighborhood or other teams for Behavior Organize school, neighborhood or other teams for• Organize behavior change. Team members need web tools• Deliver behavior change tools and events for the team members to reach families in their• Measure changes and shout out successes areas. Shout out successes Deliver behavior change tools and events. There are materials, supplies and equipment that may Deliver change need to be delivered, depending on the size of Organize teams for events. behavior change Measure changes and shout out successes. Every day during the campaign window there will be many opportunities measure changes and Measure Changes celebrate successes.
  • 73. Maintain and Grow the Change
  • 74. Maintaining and Growing Families United Improvecontinuously Improve continuously. This includes reviews of the Keep moving campaign to determine what produced the most forward Celebrate successes participation and engagement in actual Families United strategies. Celebrate successes. Immediate successes of participation rates, involvement, sponsorships, support of logistics need to be celebrated. Testimonials from families Maintain and Grow and others must be collected and publicized. • Improve continuously • Celebrate successes Keep moving forward. Families United is a behavioral • Keep moving forward vaccine like hand-washing. People have to keep doing it; next year needs to be initiated at least 6 months beforehand.
  • 75. Dennis D. Embry, Ph.D. President/CEO PAXIS Institute PO 31205, Tucson, AZ 85751 Ph: 520-299-6770 dde@paxis.org Bea Ramirez, Executive Assistantpresentation available at:www.paxtalk.com bea@paxis.org.

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