The state of Connecticut recently held a major meeting with Congressional members, cabinet members, and funders to outline a plan to create major, population-level impact on improving the wellbeing of Connecticut's children and families. This presentation opened the discussion
6. Lifetime Prevalence of Disorders in US Adolescents (N=10,123)
25 billion dollar loss
40%
1-out-2 USA young adults will be afflicted with one or more of these disorders
35%
Anxiety
30%
25%
Substance
Behavior
20%
Mood
15%
10%
5%
Merikangas et al.,
0% 2010
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Age in Years
7. Nearly 3 out of 4 of the nation's 17- to 24-year-olds are ineligible
for military service for based on national epidemiological data
ā¢ Medical/physical
problems, 35 percent.
ā¢ Illegal drug use, 18
percent.
ā¢ Mental Category V (the
lowest 10 percent of the
population), 9 percent.
ā¢ Too many dependents
under age 18, 6 percent.
ā¢ Criminal record, 5
percent.
Army Times, Nov 5, 2009 ā¢ www.missionreadiness.org/PAEE0609.pd
8. Cumulative prevalence of psychiatric disorders by young adulthood: a
prospective cohort analysis from the Great Smoky Mountains Study.
By 21 years of age, 61.1% of
participants had met criteria for a
well-specified psychiatric disorder.
An additional 21.4% had met criteria
for a ānot otherwise specified
disorderā only, increasing the total
prevalence for any disorder to 82.5%.
9. The US has 75
million children
and teens.
40.4 million kids
had one
psychotropic med
in 2009
Wall
Street
Journal,
12-28-2010
10. How many of you
know a blue-collar,
middle-class, or
upper-class family
who is reasonably
intactā¦
with a child, teen, or adult child with
a mental, emotional, or behavioral
disorder?
11. ā¢ Business competitiveness?
What will the impact of these ā¢ Health care costs?
data be on Federal & State ā¢ Public safety & national security costs?
Governments on: ā¢ Social Security?
ā¢ Global Competitiveness?
12. So what?
Connecticut has 491,000
young people between the
ages of 10 to 19.
At least 83,000 will have a
teen depressionā¦
With collective lost lifetime
income ofā¦ $25 billion loss
Adolescent Depression Lowers Later-Life Earning Power by
an average of $300K
13. Child and
adolescent
depression
and related
disorders
can be
averted.
There are protective behavioral vaccinesā¦
15. Excess Healthcare costs of ADHD
$3,534
Total
These four years cost $3,534āwhich could be used avert
ADHD and other Psychiatric Diagnoses in 75-100 children.
16. So what?
In 2007, 5.4 million children
4-17 years of age had ever
been diagnosed with ADHD.
If each case average
excess cost of $3,534
That alone will
costā¦ $18.9 billion
17. Child and
adolescent
ADHD and
related
disorders
can be
averted.
There are protective behavioral vaccinesā¦
19. On ALL Our Childrenās futures having few
barriers to productive livesā¦
Title stealing Title
ADHD
Text Text
learning disabilities aggression
asthma depression
unstable work history
obesity cancer
depression bipolar/schizophrenia
hi-blood pressure heart-disease
violence exposure tobacco
diabetes
suicide alcohol
crime drugs
dangerous acts
All these disorders have almost the same
preventable causes that can be rapidly changedā¦
21. Humans are the only species with bi-directional
wealth and wellbeing transfer across generations
Youth return the favor as adults
Our
Our
Adults
Childre
adults and elders invest in children &
n
Elders
22. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted usā¦
Requiring more wealth transfer
5-Year 65-Year
Olds But elders voting to stop funds to kids Olds
Who are living
Who are less
longer though get
and less ableā¦
progressively sickerā¦
23. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted usā¦
5-Year 65-Year
Olds Olds
24. Key message about global competitionā¦
s ie
o crac
dem s s to
r rich a cce
the sa l enta
l,
o
th ese er from m d
y of arly uni tection relate
v
Man e ne o
hav an d pr oral and
n t io n of behavi rders
.
reve otional, ical diso d
p
em s of an
phy e ntion rs.
s prev isorde
a tion hese d .
U SA r n all t
The tectio How
pro competitive will
the USA be if
75% of our
pool of
employees
have a mental,
The USA has emotional,
4.6 million behavioral or
small related
businesses physical
under 25 disorder?
employees.
25. Practical recipe for rapid results to better our
futures
ā¢ Pick 4-5 practical, proven Behavioral Vaccines that
protect against many problem outcomes
ā¢ Make these Universally Accessible for All Families
ā¢ Adopt facilitative polices ACROSS govāt money silos
ā¢ Form public-private partnerships to facilitate rapid
action, mixed funds and sponsorships
ā¢ Have public scoreboard for rapid results
ā¢ Promote success & use of these tools in mass
media
PS: The current government ālogic modelsā for prevention ARE the problem.
26. The IOM Report
contains most of
the behavioral
vaccines that can
be scaled up for
universal access
quickly for rapid
results to protect
all Americaās
children &
families.
Several behavioral vaccines protect against multiple
Several behavioral vaccines protect against multiple
disorders
disorders
27. Substance Work Obesity,
Early Mental Illness Violence Cancer School
Abuse Problems etc
Sex Failure
Mood Lo Reward Lo Executive Lo Behavioral
Inattention Delay Function
Instability Competencies
Poor Immune-
STDās Motor Healing Special
Skills Multi-Inflammatory Brain & Body Response Dysfunction Ed
Major Connected Causes of the Adverse Trends Predicting MEBs & Related Illnesses
Reinforcement Antecedents Physiological Verbal Relations
more for anti-social cue anti-social influences trigger occasion perceived
than prosocial acts and threats adverse biological threats and related
behaviors mechanisms reactions
The Same Conditions Predict Multiple Disorders
28. Heart
Low Work Low
Delayed Mental health Addictions
Prosociality
Success
Health
Hi Sch.
etc Cancer
Sex Grad
Mood Hi Reward Hi Executive Hi Behavioral
Attention Delay
Stability Function Competencies
Good Immune-
Low Motor Healing Higher
Injuries Skills Multi Anti-Inflammatory Brain & Body Response Efficiency Ed
Multiple Behavioral Vaccines Protect the Futures of ALL Children, Youth and
Adults
Reinforcement Antecedents Physiological Verbal Relations
more for prosocial cue prosocial influences trigger occasion perceived
behaviors behaviors protective biological safety and
mechanisms affiliation
The Same Conditions Protect and Prevent
29. ā¢ Rapidly decreases disturbing, disruptive
Behavioral Vaccine behavior
Example:
PAX Good Behavior
ā¢ Increases reading test scores, high
school graduation & college entry
Game in just FIRST Grade
ā¢ Prevents every form of addiction
(tobacco,alcohol, drugs)
ā¢ Prevents violent crime and prison use
ā¢ Prevents multiple major mental illnesses
(ADHD, conduct disorders, anti-social
personality disorder, depression)
ā¢ Prevents suicide
ā¢ Prevents early vaginal sex
Costs less to deliver universally than mosts childhood medical vaccine, butā¦
30. How much might this
Cost Savings
behavioral vaccine save
for Americaās future?
PAX GBG pays back $4,637 to individuals,
taxpayers, and others per student exposed
in First Grade over 15 years.
Assuming 4,000,000 First Graders
each year in the US, that saves $18
billion every First Grade cohort by
age 21.
Source: Aos, S., Lee, S., Drake, E., Pennucci, A., Klima, T., Miller, M., et al. (2011). Return on Investment: Evidence-Based
Options to Improve Statewide Outcomes. (July), 8. Retrieved from http://www.wsipp.wa.gov/rptfiles/11-07-1201.pdf
31. What if we provided parenting supports for every family?
32. Substantiated Child Maltreatment
Control
Counties
Triple P Counties
Pre Post
Two Years Later
Prinz et al., 2009, Prevention Science
33. Child Abuse Hospital Injuries
Control Counties
Trip
l eP
Co
un
ties
Post
Pre
Two Years Later
Prinz et al., 2009, Prevention Science
34. Child Out-of-Home Placements
Control Counties
Triple
P Co
untie
s
Post
Pre
Two Years Later
Prinz et al., 2009, Prevention Science
36. ey message by showing dollar benefits
Use personalized
business models to
communicate to cost-
efficiency and benefits.
Show short-term
benefits
Allow decision makers
and advocates to
adjust cost savings to
their location.
37. Yes, there is a
logic model for
guiding local,
state and federal
policy makers to
achieve
population-level
prevention.
38. Yes, there are
even innovative
funding models
to achieve
population-level
prevention.
MISSION: READINESSIn a study being released Thursday Nov 5, 2009 in Washington, Education Secretary Arne Duncan and a group of retired military officers led by former Army Gen. Wesley Clark will sound the alarm bells and call young Americans ā relative lack of overall fitness for military duty a national security threat. The group, Mission: Readiness, will release a report that draws on Pentagon data showing that 75 percent of the nation ā s 17- to 24-year-olds are ineligible for service for a variety of reasons. Put another way, only 4.7 million of the 31.2 million 17- to 24-year-olds in a 2007 survey are eligible to enlist, according to a periodic survey commissioned by the Pentagon. This group includes those who have scored in the top four categories on the Armed Forces Qualification Test, or AQFT; eligible college graduates; and qualified college students. According to the Pentagon, the ineligible population breaks down this way: ā¢ Medical/physical problems, 35 percent.ā¢Illegal drug use, 18 percent.ā¢Mental Category V (the lowest 10 percent of the population), 9 percent.ā¢Too many dependents under age 18, 6 percent.ā¢Criminal record, 5 percent.