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And Others TITLE Prevention of Mental Disorders, Alcohol, and Other Drug Use in Children and Adolescents DOCUMENT RESUME ED 333 634 EC 300 387 AUTHOR Shaffer, David, Ed.; And Others TITLE Prevention of Mental Disorders, Alcohol, and Other Drug Use in Children and Adolescents. OSAP Prevention Monograph-2. INSTITUTION Alcohol, Drug Abuse, and Mental Health Administration (DHHS/PHS), Rockville, MD. Office for Substance Abuse Prevention.; American Academy of Child and Adolescent Psychiatry, Washington, DC. REPORT NO ADM-90-1646 PUB DATE 90 NOTE 484p. PUB TYPE Collecterl Works - General (020) -- Information Analyses (070) -- Guides - Non-Classroom Use (055) EDRS PRICE MF02/13c20 Plus Postage. DESCRIPTORS Adolescents; *Alcoholism; At Risk Persons; Behavior Disorders; Children; Chronic Illness; *Delivery Systems; *Drug Abuse; *Emotional Disturbances; Intervention; Learning Disabilities; Mental Disorders; Parent Influence; *Prevention; Professional Education; Public Policy; Research Needs; Suicide; Theory Practice Relationship ABSTRACT Compiled in this volume are summaries of the knowledge base oa prevention of alcohol and other drug use and mental disorders in children and adolescents. The papers address risk factors, preventive interventions, conceptual and methodological issues, epidemiology, identification, service delivery and treatment, research, and professional training. After an introduction by Irving Philips, papers with the following titles and authors are presented: "Commentary: The Integration of Problem and Prevention Perspectives: Mental Disorders Associated with Alcohol and Drug Use" (Morton M. Silverman); "Conceptual Issues in Prevention" (Arnold Sameroff and Barbara H. Fiese); "The Prevention of Child and Adolescent Disorders: From Theory to Research" (Raymond P. Lorion and others); "Prevention Programming as Organizational Reinvention: From Research to Implementation" (Richard H. Pric..and Raymond P. Lorion); "Public Policy: Risk Factor or Remedy?" (Leon Eisenberg); "Psychiatric Disorder in Parents as a Risk Factor for Children" (Michael Rutter); "Risks for Maladjustment Associated with Chronic Illness in Childhood" (I. Barry Pless and Terence M. Nolan); "Prevention of Psychiatric Morbidity in Children after Disaster" (Robert S. Pynoos and Kathi Nader); "Conduct Disorder: Risk Factors and Prevention" (D. R. Offord); "Prevention of Alcohol and Drug Abuse: A Critical Review of Risk Factors and Prevention StraAgies" (Karol L. Kumpfer); "Prevention Issues in Youth Suicide" (David Shaffer and others); "Prevention of Learning Disorders" (Archie A. Silver and Rosa A. Hagin); "Prevention of Psychiatric Disorders in Children and Adolescents: A Summary of Findiags and Recommendations from Project Prevention" (David Shaffer). Reference lists follow each chapter. (JDD) SCOPE OF INTEREST NOTICE 4071 The ERIC Facility hes assigned this document for processing to In our Judgment this document is also of interest to the ClearCc9- inghouses noted to the right Indexing should reflect their special points c.1 view I 11 1 IIOil V 5 DEPARTMENT OF EDUCATION Onse ii 1 elLn ill one!. S and imotovpment E MJCATIONAt RE SOuRC E S INF OF1MATION CE N1 PE PIC D 41/1"hs(In, unser,' has herh ,egyoclui ea as P, enven lihr" the oe,sot Orgar,tal.on gnat.no .rno.ove EtA 'tott ',antes nave um . nnamv ,ecnoduc ton ouant, r1),IS iii w.e* lr Opn.unS slate() n1^....1.cu fnertt 00 "V ,,e(esSc ly ,eivesehl Of Ri posa on cr pone I , I I I I I I I I BEST COPY AVAILABLE OSAP Prevention Monogi aph-2 PREVENTION OF MENTAL DISORDERS, ALCOHOL AND OTHER DRUG USE IN CHILDREN AND ADOLESCENTS Sponsors: Office for Substance Abuse Prevention American Academy of Child and Adolescent Psychiatry Editors: David Shaffer, M.B., B.S., F.R.C.P., F.R.C. Psych. Irving Philips, M.D. Norbert B. Enzer, M.D. Associate Editors: Morton M. Silverman, M.D. Virginia Anthony U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Alcohol, Drug Abuse, and Mental Health Administration Officc for Substance Abuse Prevention 5600 Fishers Lane Rockville, Maryland 20857 ii PREVENTION OF MENTAL DISORDERS OSAP Prevention Monographs are prepared by the divisions of the Office for Substance Abuse Prevention (OSAP) and published by its Division of Com- munication Programs. The primary objective of the series is to facilitate the transfer of prevention and intervention technology between and among resear- chers, administrators, policymakers, educators, and providers in the public and private sectors. The content of state-of-the-art conferences, reviews of innova- tive or exenr airy programming models, and review of evaluative studies are important elements of OSAP's information dissemination mission. This publication is the product of a project on the prevention of alcohol, drug use, and mental disorders in children and adolescents supported by OSAP and the American Academy of Child and Adolescent Psychiatry. The presentations herein are those of the authors and may not necessarily reflect the opinions, official policy, or position of OSAP; the Alcohol, Drug Abuse, and Mental Health Administration; the Public Health Service;or the U.S. Department of Health and Human Services. OSAP obtained permission from the copyright holder to reproduce the tables on pages 196-203, 206, 210, and the figure on page 213. Further reproduction of these materials is prohibited without specific permission of the copyright holder.All other material in this volume, except quoted passages from copyrighted sources, is in the public domain and may be used reproduced without permission from OSAP or the authors.Citation of source is appreciated. OSAP Production Officer: Timothy F. Campbell DHHS Publication No. (ADM)90-1646 Printed 1989, Reprinted 1990 Project Officer: Mel Segal, M.S.W. OSAP Prevention Monograph Series Elaine M. Johnson, Ph.D. Director, OSAP Robert W. Denniston Director, Division of Communication Programs, OSAP Foreword This volume is the second in a series of preventionmonographs of the Office for Substance Abuse Prevention and is cosponsoredby the American Academy of Child and Adolescent Psychiatry. It carefullydefines the knowledge base of prevention of and intervention in child and adolescentpsychiatric illnessei. Concern about the toll of alcohol and other drug use amongeildren and adolescents mirrors concern about other disorders.Chapters in this work examine alcohol and other drug problems, learningdisabilities, conduct disor- ders, public policy or lack thereof, psychiatric disorderdin parents, chronic posttraumatic stress disorderst and suicide. Chapters onconcept and methodology provide a necessary foundation on which the chapters ondisorders are developed. This volume is a tangible exhibit of our commitment toprevention and to the real hope it offers.It uniquely encompasses the many dimensions of our knowledge about treatment and the directions for futureresearch.This monograph informs child and adolescent psychiatrists, otherphysicians, educators, students, clinicians, policymakers, citizens, and parent groups. It illustrates our commitment to the transfer of information fromresearchers to clinicians and ultimately to front-line earlyintervention programs as the key to prevention. The understanding of each disordersheds light on the others and on the dynamics of a most important, yetvulnerable, group of children. We hope that the knowledge shared will stimulate and direct treatmentresearch and suggest a pathway for the future. Elaine M. Johnson, Ph.D., Director Office for Substance Abuse Prevention Preface The Office for Substance AbusePrevention (OSAP) and theAmerican Academy of Child and AdolescentPsychiatzy (AACAP) are pleased topublish this volume on the prevention of alcoholand other drug use and mentaldisorders in children aiud adolescents. It isthe culmination of ProjectPrevention: An Intervention Initiative, an interdisciplinaryproject developed by theAACAP to educate child and adolescentpsychiatrists and other mentalhealth profes- sionals. Following a series of meetings, theProject Prevention SteeringCommittee outlined several' risk factors that areeasily identifiable and subject tomodifica- tion through preventive interventions.The steering committee thencommis- sioned experts to summarizeknowledge about these risk factors,the appropriate preventive interventions,and key conceptual andmethodological issues. These reviews summarize ourknowledge base for prevention efforts. Chapters 1-3 focus on prevention inchild and adolescent psychiatricdisorders including epidemiology, identification,and behavioral risk factors.Also ad- dressed are dimensions for change inservice delivery and treatment,research, and training in the profession. The Pew Charitable Trusts, theIttleson Foundation, and the vanAmeringen Foundation, Inc., provided support forthis project. The AACAP is amedical association whose main objective is toprovide a national forum for the stimula- tion and advancement of medicalcontributions to the knowledge, diagnosis,and treatment of psychiatric illnessesof children and adolescents. PewCharitable Trusts, the Ittleson Foundation, andthe van Ameringen Foundation,Inc., recognized the importance of providingprofessionals and the public with an adequate knowledge base about preventiveintervention and therefore provided critical support for this importantproject. In the 'United States, 12 percent of our63 million children are affectedby an identifiable maladjustment. About 3 millionof this group suffer from serious emotional illness. Prevention offers thebest hope of alleviating the problemsof mental illness and alcohol and otherdrug use. Prevention is ultimately theonly logical
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