Universal Prevention for Every Child and Youth:
                           To Save Our Country




                       ...
Goals today…
                            Learn how multiple causes of morbidity and mortality (e.g., obesity,
            ...
Objectives
                             Develop a personal plan to apply evidence-
                             based kern...
Friday, November 5, 2010
Friday, November 5, 2010
Friday, November 5, 2010
2009:
                           Institute of Medicine Report
                             Disturbing, disruptive and
    ...
Nearly 75 percent of the nation's 17- to 24-year-
                              olds are ineligible for service
          ...
Nearly 75 percent of the nation's 17- to 24-year-
                              olds are ineligible for service
          ...
Oppositional defiance, conduct disorders, and
                           personality disorders are increasing & worse here....
Rates of obesity in youth have increased epidemically.




                           http://www.cdc.gov/obesity/data/tren...
Serious addictions are happening younger ages.




Friday, November 5, 2010
Grades 8, 10,** and 12




                           80%



                                                             ...
Grades 8, 10,** and 12




                           80%



                                                             ...
Prescription drug
                           abuse has largely
                           replaced illegal drug
          ...
Two to three times as many American children are
                           being prescribed psychiatric drugs…

Friday, N...
Emotional problems and suicides have increased
                           among America’s youth.

Friday, November 5, 2010
Tribal youth behavior is
                                    happening across all
                           communities a...
And, an generation is being raised with parents on
                              war deployment in the middle of these tre...
Old American holocausts still affect descendants.

Friday, November 5, 2010
Friday, November 5, 2010
Friday, November 5, 2010
All these trends harm all our
                                                futures




Friday, November 5, 2010
These adverse trends
                           among children and youth…
                            (A) Are NOT an issue...
Friday, November 5, 2010
2009:
                           Institute of Medicine Report
                           provides a concise review of
    ...
Cultural Trend:
                           Sleep Deprivation
                               IOM Report (IOM, page 212)



...
Data on Sleep Deprivation
                             On the average, school-age children
                             ha...
Sleep Deprivation caused by…
                             TV’s in children’s bedrooms
                             Compute...
Sleep Deprivation caused by…
                             TV’s in children’s bedrooms
                                    ...
Sleep Deprivation causes…
                             Significant risk of alcohol, tobacco and
                           ...
Sleep Improvement evidence-based kernels
                             Curfew one-hour before bedtime for:
                ...
Sleep Deprivation…
                           (A) Is NOT an issue among children and
                               youth ...
Parental Monitoring and
                               Parental Networking
                                       (IOM, pa...
Data on Parental Monitoring
                             Warm and firm statement of rules by parents
                      ...
Data on parental networking                        “She needs to
                                                         ...
For older youth (7th to 12th graders), parents or
                           families might use a “Blunt Statement.”
     ...
Parental Monitoring…
                           (A) Is NOT an issue among children and
                               yout...
Friday, November 5, 2010
Friday, November 5, 2010
The lack Parental Networking
                           to protect their children…
                           (A) Is NOT a...
Peer, Family, & Cultural Rewards
                                    for NOT breaking rules
                              ...
Data on social reinforcements for breaking rules
                             High levels of reinforcement and attention
 ...
Social reinforcement for rule
                           breaking and deviance…
                           (A) Is NOT an i...
Diet change in essential
                                      “brain food”
                                       IOM Rep...
Good Brain Oils
                           Omega 3 fatty acid largely found
                           in fish like salmon,...
Data on “Brain Food”:
                            Omega-3 deficiency

Friday, November 5, 2010
Prevention Impact of Psychosis
                           30%
                           24%                         27.5%...
Brain food deficiency…
                           (A) Is NOT an issue among children and
                               you...
Our lives, communities, businesses and futures
                           will be just fine if we ignore all this.




Frid...
Friday, November 5, 2010
outhanasia
              Is the untimely deviance,
          disability, disease, disorder and
            even death of o...
Take 2-minute to summarize this and be prepared
                           to share your summary for 60 seconds or less…

...
Let’s hypothesize: What’s obviously and not so
                           obviously different today from 20-30 years ago?
...
Obvious   Not Obvious




Friday, November 5, 2010
Non-obvious: Evolutionary Mis-match




Friday, November 5, 2010
Hypothesis: Evolutionary “inflammatory” processes

Friday, November 5, 2010
Redness, rubor, a response of body tissues to
                                                       injury or irritation;...
Human Infectious/Biological Threats                       Human Predatory Threats


                               Evoluti...
Evolutionary Path
                            of a Child’s Life




Friday, November 5, 2010
K                                                                         R
                               Path           ...
Obesity
                             Conduct
                             Disorders


                                    ...
Major Ecologic Causes of the Dual Inflammatory Threats to Children & Youth

                           Physiological     An...
Multi-Inflammatory Threat Reaction




                            Major Ecologic Causes of the Dual Inflammatory Threats to...
Mood                              Reward         Executive      Behavioral
                                              A...
Substance                       Work         Obesity,
         Early             Mental Illness                   Violence...
Apparent consumption o inoleic acid (% of dietary energy) among
                                                          ...
1 pound =
                             453.59237 grams
                               25 pounds =
                        ...
1 pound =
                             453.59237 grams
                               25 pounds =
                        ...
What you can do to have an “anti-inflammatory” diet
                             Eliminate or reduce all products that cont...
Built
                                  Evolution                           Environment                                   ...
Organized recess
                           Cooperative games and structured games during recess have more
               ...
Cellphones
                           Place cellphones on curfew 1 hour before bedtime. The phones go
                    ...
Evolution                          Matching Law                                  Reinforcer Diet                          ...
Simplified Matching Law




            B = predicted behavior rate
        k = A “rubber-band” like asymptotic        Halv...
Language, physiological, medication or substance
                                          abuse effect on behavior




  ...
What is the matching law (immediate rewards) for?




                                                                {Fla...
Embry et al. (1996) School-Community Reinforcement Study

                             Positive      Peer-to-       Social...
40.0%                                                                                            16.0%

                  ...
40.0%                                                                                            16.0%

                  ...
Evolution                          Friend & Foe                               Daily Verbal Diet                           ...
Relational-Frame Example:
                           “Families United Promise”

                                          ...
The Gift of Clarity and
                                    Commitment

Friday, November 5, 2010
A teacher invents a way to save the classroom
                           from Hell




                                   ...
A Baltimore City K-8




Friday, November 5, 2010
Friday, November 5, 2010
Summary of results…
                           • 70 plus studies                   • Follow up now from 1st grade to
     ...
Universal Triple P
                                                                         Level One



                 ...
Friday, November 5, 2010
Nurturing Policies and Practices for
                           “Anti-Inflammatory” Responses
                             ...
Big changes requires leverage




Friday, November 5, 2010
Big change = RE-AIM

                              Reach X Efficacy X Adoption X Implementation X Maintenance =
          ...
Peer-to-Peer Learning Game




Friday, November 5, 2010
Some truths…
                            Culture determines biology; and biology determines
                            cu...
That’s happening, too…




Friday, November 5, 2010
A poll…



Friday, November 5, 2010
Our economy will be
                           hurt by these trends in
                           America’s youth.

      ...
Our national security will be
                           hurt by these trends among
                           America’s y...
Our health-care costs will
                           go up because of these
                           trends in our yout...
These trends will worsen
                           our local, state and
                           national debt crisis.
...
The Time is
                           up for thinking
                              about the
                           ...
How much will it cost to change these trends in your community?


                           Between $1 and $2 per child i...
See and map
                           a new future…




Friday, November 5, 2010
Friday, November 5, 2010
“Behavioral health could learn from
                                         public health in endorsing a population
     ...
What if prevention science (evidence-based
                           kernels) met…
                             Amazon.co...
SImpleGifts.Com




Friday, November 5, 2010
Go to: www.paxis.org/kernelspaper




Friday, November 5, 2010
What is a kernel?
                               Is the smallest unit of scientifically
                               prov...
Friday, November 5, 2010
Friday, November 5, 2010
Includes instructions              Home!QuickStart!for!Beat!The!Timer!


                                                 ...
If kernels are so good…

Friday, November 5, 2010
If kernels are so good…

Friday, November 5, 2010
Are you an everyday
                           scientist?
                           Human beings are the only organism on...
Are you an everyday
                           scientist?
                           Human beings are the only organism on...
Reversal Design Example




Friday, November 5, 2010
Another
                           reversal
                           design
                           example




Frida...
Increase                 Decrease




                           The vision of change in all our children, youth and
     ...
The first breakthrough will be Families United…
          Launching this year
          Using all modern Internet tools to ...
What is Families United?
                           A set of simple, proven, and
                           powerful tools...
What do United Families do?
                             Increase Family Positive Monitoring.
                            ...
What do United Families do?
                             Reward Not Using or Breaking Rules.
                             ...
What do United Families do?
                             Reduce Sleep Deprivation. Ensuring a child
                      ...
What do United Families do?
                             Change Brain Food or Fatty Acid Ratios in
                       ...
What do Families United do?
                             Increase Parent Networking to Child’s
                           ...
Universal Prevention for Every Child and Youth: To Save Our Country
Universal Prevention for Every Child and Youth: To Save Our Country
Universal Prevention for Every Child and Youth: To Save Our Country
Universal Prevention for Every Child and Youth: To Save Our Country
Universal Prevention for Every Child and Youth: To Save Our Country
Universal Prevention for Every Child and Youth: To Save Our Country
Universal Prevention for Every Child and Youth: To Save Our Country
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Universal Prevention for Every Child and Youth: To Save Our Country

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This powerpoint goes through why low cost evidence-based kernels can provide universal prevention. This all day workshop happened in upstate New York in May of 2010.

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Universal Prevention for Every Child and Youth: To Save Our Country

  1. 1. Universal Prevention for Every Child and Youth: To Save Our Country Dennis D. Embry, Ph.D. President/CEO, PAXIS Institute dde@paxis.org • SimpleGifts.com Tweet and use #FamUnited #SimpleGifts Friday, November 5, 2010
  2. 2. Goals today… Learn how multiple causes of morbidity and mortality (e.g., obesity, diabetes, substance abuse, mental illness, poor cognitive processes) are linked to four basic evolutionary mechanisms triggered by current society. Learn how low-cost, evidence-based kernels—the fundamental units of behavioral influence—can be used to address the common, linked causes of morbidity and mortality affecting America’s future. Learn how a communities can organize to impact common causes of morbidity and mortality using low-cost evidence based kernels. Friday, November 5, 2010
  3. 3. Objectives Develop a personal plan to apply evidence- based kernels on one’s immediate family. Develop a plan to apply evidence-based kernels in one’s workplace to affect morbidity, mortality, productivity and wellbeing. Develop steps for community mobilization for applying the scientific and practical knowledge gained to improve community indicators of health, safety and wellbeing Friday, November 5, 2010
  4. 4. Friday, November 5, 2010
  5. 5. Friday, November 5, 2010
  6. 6. Friday, November 5, 2010
  7. 7. 2009: Institute of Medicine Report Disturbing, disruptive and aggressive behaviors have been increasing in the United States for more than 20 years. The United States has more of these problems than many other rich countries. Friday, November 5, 2010
  8. 8. Nearly 75 percent of the nation's 17- to 24-year- olds are ineligible for service • Medical/physical problems, 35 percent. • Illegal drug use, 18 percent. • Mental Category V (the lowest 10 percent of the population), 9 percent. • Too many dependents under age 18, 6 percent. • Criminal record, 5 percent. Army Times, Nov 5, 2009 • www.missionreadiness.org/PAEE0609.pd Friday, November 5, 2010
  9. 9. Nearly 75 percent of the nation's 17- to 24-year- olds are ineligible for service • Medical/physical problems, 35 percent. • Illegal drug use, 18 percent. • Mental Category V (the lowest 10 percent of the population), 9 percent. • Too many dependents under age 18, 6 percent. • Criminal record, 5 percent. Army Times, Nov 5, 2009 • www.missionreadiness.org/PAEE0609.pd Friday, November 5, 2010
  10. 10. Oppositional defiance, conduct disorders, and personality disorders are increasing & worse here. Friday, November 5, 2010
  11. 11. Rates of obesity in youth have increased epidemically. http://www.cdc.gov/obesity/data/trends.html Friday, November 5, 2010
  12. 12. Serious addictions are happening younger ages. Friday, November 5, 2010
  13. 13. Grades 8, 10,** and 12 80% Youth Marijuana Trends 8th Grade 10th Grade 12th Grade 60% 40% 20% Source. The Monitoring the Future study, the University of Michigan. 0% '75 '77 '79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07 '09 YEAR Friday, November 5, 2010
  14. 14. Grades 8, 10,** and 12 80% Youth Marijuana Trends 8th Grade 10th Grade 12th Grade 60% 40% What caused this decline? 20% Source. The Monitoring the Future study, the University of Michigan. 0% '75 '77 '79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07 '09 YEAR Friday, November 5, 2010
  15. 15. Prescription drug abuse has largely replaced illegal drug use in America’s young people Friday, November 5, 2010
  16. 16. Two to three times as many American children are being prescribed psychiatric drugs… Friday, November 5, 2010
  17. 17. Emotional problems and suicides have increased among America’s youth. Friday, November 5, 2010
  18. 18. Tribal youth behavior is happening across all communities and social classes Friday, November 5, 2010
  19. 19. And, an generation is being raised with parents on war deployment in the middle of these trends Friday, November 5, 2010
  20. 20. Old American holocausts still affect descendants. Friday, November 5, 2010
  21. 21. Friday, November 5, 2010
  22. 22. Friday, November 5, 2010
  23. 23. All these trends harm all our futures Friday, November 5, 2010
  24. 24. These adverse trends among children and youth… (A) Are NOT an issue among in your community. (B) MIGHT be an issue in your community. (C) ARE is an issue in your community. Friday, November 5, 2010
  25. 25. Friday, November 5, 2010
  26. 26. 2009: Institute of Medicine Report provides a concise review of some of the trends harming the success and wellbeing of all our children. Friday, November 5, 2010
  27. 27. Cultural Trend: Sleep Deprivation IOM Report (IOM, page 212) Friday, November 5, 2010
  28. 28. Data on Sleep Deprivation On the average, school-age children have a sleep deficit of .5 - 1.5 hours per night. This multiplies out to a deficit of 2.5 - 7.5 hours per five day school week. Friday, November 5, 2010
  29. 29. Sleep Deprivation caused by… TV’s in children’s bedrooms Computers in bedrooms Gameboys in bedrooms Cellphones in bedrooms Friday, November 5, 2010
  30. 30. Sleep Deprivation caused by… TV’s in children’s bedrooms Televisions in Children’s Bedrooms in 1997 Computers in bedrooms 60% Gameboys in bedrooms 45% Cellphones in bedrooms 30% 15% 25.6% 37.%% 55.8% …Rapidly since 1990 0% Preschoolers (2-5) Elementary (6-11) Secondary (12-17) Friday, November 5, 2010
  31. 31. Sleep Deprivation causes… Significant risk of alcohol, tobacco and other drug use Increased risk of early sexual behavior and violence School problems Family/home problems 25.6% 37.%% 55.8% Friday, November 5, 2010
  32. 32. Sleep Improvement evidence-based kernels Curfew one-hour before bedtime for: Televisions Computers Gameboys Cellphones 25.6% 37.%% 55.8% General reduction of passive media Friday, November 5, 2010
  33. 33. Sleep Deprivation… (A) Is NOT an issue among children and youth in your community (B) MIGHT be an issue among children and youth in your community. (C) IS an issue among children and youth in your community. Friday, November 5, 2010
  34. 34. Parental Monitoring and Parental Networking (IOM, page 168, 171, 189) Friday, November 5, 2010
  35. 35. Data on Parental Monitoring Warm and firm statement of rules by parents have a large impact on deviant behavior of teens. Lower delinquency rates Lower rates of drunken behavior Less general ATOD and other problems Harshness about rules invites teen rebellion Lax rules invite deviant behavior. Friday, November 5, 2010
  36. 36. Data on parental networking “She needs to be home and in bed by midnight.” Reduces alcohol, tobacco and other drug use Reduces delinquency Reduces teen pregnancy “Who are “Hi, just checking to the adults see if my Increases school success there?” What’s their phone son is there?.” number.” Friday, November 5, 2010
  37. 37. For older youth (7th to 12th graders), parents or families might use a “Blunt Statement.” “I/we don’t want you to be drunk, stoned or high from any type of alcohol or drug. I/we don’t want you to be with any other youth including your Clear rules kernel friends ________, _________, or _________, if they are drunk, stoned or high from any kind of alcohol or drugs period. If this happens at any time or at any place, we want you to call us ASAP so that we can pick you up and take you home. Is that understood? I/we are going to talk to all your friends’ parents about our family’s wish to protect you, and our desire that we don’t want you or your friends to be involved with alcohol or drug use at all. What questions do you have?” Friday, November 5, 2010
  38. 38. Parental Monitoring… (A) Is NOT an issue among children and youth in our community (B) MIGHT be an issue among children and youth in our community. (C) IS an issue among children and youth in our community. Friday, November 5, 2010
  39. 39. Friday, November 5, 2010
  40. 40. Friday, November 5, 2010
  41. 41. The lack Parental Networking to protect their children… (A) Is NOT an issue among children and youth in your community (B) MIGHT be an issue among children and youth in your community. (C) IS an issue among children and youth in your community. Friday, November 5, 2010
  42. 42. Peer, Family, & Cultural Rewards for NOT breaking rules IOM Report (page 165, 170,171, 181) Friday, November 5, 2010
  43. 43. Data on social reinforcements for breaking rules High levels of reinforcement and attention happen for deviant behavior: Increases delinquency Increases alcohol, tobacco and other drug use Decreases school success Being Good Acting Bad Friday, November 5, 2010
  44. 44. Social reinforcement for rule breaking and deviance… (A) Is NOT an issue among children and youth in your community (B) MIGHT be an issue among children and youth in your community. (C) IS an issue among children and youth in your community. Friday, November 5, 2010
  45. 45. Diet change in essential “brain food” IOM Report (page 211-2) Friday, November 5, 2010
  46. 46. Good Brain Oils Omega 3 fatty acid largely found in fish like salmon, walnuts, and flax. Also what grandmothers made children take, “cod liver oil”. Bad Brain Oils Omega 6 found largely in vegetable oils in processed food such as soybean, cottonseed, and similar oils. HIgh grain fed meats and eggs. Always in deep fried foods. NOT olive oil. Friday, November 5, 2010
  47. 47. Data on “Brain Food”: Omega-3 deficiency Friday, November 5, 2010
  48. 48. Prevention Impact of Psychosis 30% 24% 27.5% 18% 12% Omega-3 sufficiency 6% 0% 4.9% Omega-3 Placebo Friday, November 5, 2010
  49. 49. Brain food deficiency… (A) Is NOT an issue among children and youth in your community (B) MIGHT be an issue among children and youth in your community. (C) IS an issue among children and youth in your community. Friday, November 5, 2010
  50. 50. Our lives, communities, businesses and futures will be just fine if we ignore all this. Friday, November 5, 2010
  51. 51. Friday, November 5, 2010
  52. 52. outhanasia Is the untimely deviance, disability, disease, disorder and even death of our children’s futures by unconscious and conscious cultural practices. Friday, November 5, 2010
  53. 53. Take 2-minute to summarize this and be prepared to share your summary for 60 seconds or less… Friday, November 5, 2010
  54. 54. Let’s hypothesize: What’s obviously and not so obviously different today from 20-30 years ago? Friday, November 5, 2010
  55. 55. Obvious Not Obvious Friday, November 5, 2010
  56. 56. Non-obvious: Evolutionary Mis-match Friday, November 5, 2010
  57. 57. Hypothesis: Evolutionary “inflammatory” processes Friday, November 5, 2010
  58. 58. Redness, rubor, a response of body tissues to injury or irritation; characterized by pain and swelling and redness and heat. Excitation, excitement, fervor, fervour the state of being emotionally aroused and worked up Inflaming arousal to violent emotion Firing, ignition, kindling, lighting the act of setting on fire or catching fire Hypothesis: Evolutionary “inflammatory” processes Friday, November 5, 2010
  59. 59. Human Infectious/Biological Threats Human Predatory Threats Evolutionary Adaptive Responses Evolutionary Adaptive Responses (Simplified) (Simplified) Neuro-Hormones Mood Modulators Reward Delay Intra-Group Threat Attributional Generalized Localized Modulators Affiliation Bias (Inflammatory) Inflammatory Inflammatory (Anti-Inflammatory) Out-Group Response Response Stress Modulators Aggress. (Inflammatory) Intra-Group Cooperation Tit-for-Tat Beh. Bias Anti-Inflammatory Regulators Puberty/Sex (Anti-Inflammatory) Modulators (Inflammatory) Friday, November 5, 2010
  60. 60. Evolutionary Path of a Child’s Life Friday, November 5, 2010
  61. 61. K R Path Path Evolutionary Path of a Child’s Life Probability of short-life and Probability of long-life and doubtful reproductive success reproductive success Friday, November 5, 2010
  62. 62. Obesity Conduct Disorders Homicide & Suicide Early Sex Early Pregnancy Addictions Aggression Asthma Disabilities R PATH = Risky Adolescence Friday, November 5, 2010
  63. 63. Major Ecologic Causes of the Dual Inflammatory Threats to Children & Youth Physiological Antecedents Reinforcement Verbal Relations Friday, November 5, 2010
  64. 64. Multi-Inflammatory Threat Reaction Major Ecologic Causes of the Dual Inflammatory Threats to Children & Youth Physiological Antecedents Reinforcement Verbal Relations Friday, November 5, 2010
  65. 65. Mood Reward Executive Behavioral Attention Stability Delay Function Competencies Immune- Motor Healing Skills Multi-Inflammatory Threat Reaction Functions Major Ecologic Causes of the Dual Inflammatory Threats to Children & Youth Physiological Antecedents Reinforcement Verbal Relations Friday, November 5, 2010
  66. 66. Substance Work Obesity, Early Mental Illness Violence Cancer School Abuse Problems etc Sex Failure Mood Reward Executive Behavioral Attention Stability Delay Function Competencies Immune- STD’s Motor Healing Special Skills Multi-Inflammatory Threat Reaction Functions Ed Major Ecologic Causes of the Dual Inflammatory Threats to Children & Youth Physiological Antecedents Reinforcement Verbal Relations Friday, November 5, 2010
  67. 67. Apparent consumption o inoleic acid (% of dietary energy) among Australia, Canada, UK and USA for the years 1961–2000 #" +651.-:8- A-0-;- BC BD+2 +,,-./012340567,1840 492:804:/83 -38; $ & ' <=2/0/.>?@ ( % * ) ! # " #$(" #$(% #$'" #$'% #$&" #$&% #$$" #$$% !""" Evolution Neonates Breast Milk “Risky” Beh. In the Rife Valley, the Successful human American infants have Almost all adolescent human brain evolution neonates born with been getting steadily less risky behaviors have now the result of eating fish 60-day supply of omega-3 (n3) and more been documented to be pro-inflammatory related to low n3 and high in omega-3 not omega-3 in omega-6 (n6) in breast high n6 in US diet savannah animals subcutaneous fat from milk change in last 50 years mother’s diet See Broadhurst, Cunnane, & See HIbbeln et al. (2007).Maternal seafood Crawford (1998). Rift Valley lake fish See Ailhaud et al. (2006).Temporal changes consumption in pregnancy and in dietary fats: Role of n6 and shellfish provided brain-specific neurodevelopmental outcomes in childhood Hibbeln et al. (2006). Healthy intakes of n-3 polyunsaturated fatty acids in excessive nutrition for (ALSPAC study): an observational cohort adipose tissue and n-6 fatty acids: estimations considering early Homo study worldwide diversity. development and relationship to obesity Physiological Adaptation Friday, November 5, 2010
  68. 68. 1 pound = 453.59237 grams 25 pounds = 11,339.8 grams 11,339.8 x 9 calories p/gram = 102,058 calories p/y = 75 Big Mac Meals (Mac + Fries + Large Coke) Friday, November 5, 2010
  69. 69. 1 pound = 453.59237 grams 25 pounds = 11,339.8 grams 11,339.8 x 9 calories p/gram = 102,058 calories p/y = 75 Big Mac Meals (Mac + Fries + Large Coke) Friday, November 5, 2010
  70. 70. What you can do to have an “anti-inflammatory” diet Eliminate or reduce all products that contain soybean, Total oil in EPA DHA EPA each # of capsules cottonseed, corn, safflower, sunflower and canola oil (most Cost (Eicosapentanoic (Docosaphexanonic + capsule acid in each acid in each needed fast food) (Includes non- capsule) capsule) DHA essential oils) Use omega-3 enriched eggs 1,000 mg 2,100 mg Use virgin olive oil for salads and regular olive oil for (Unconcentrated $ 180 mg 120 mg 300 mg cod liver oil) 7 caps per day cooking Eat two servings per wk of oily fish (salmon, trout, tuna, 1,000 mg 2,000 mg (molecularly $$ 300 mg 200 mg 500 mg black cod, sardines, mackerel) distilled 4 caps per day Use range/grass fed chicken, pork or beef (not grain fed) Follow Grandmothers’ Wisdom on fish oil 1,100 mg 2,000 mg $$$ 600 mg 400 mg 1,000 mg (highly purified) 2 caps per day Friday, November 5, 2010
  71. 71. Built Evolution Environment Play Diet “Risky” Beh. Running and walking Mixed environments American children have The change in play is 5-10 miles per day in versus “residential” dramatically changed associated with an the pursuit of settings increase their play from outdoor increase in most DSM-IV play, imaginative play, plus many behavior and reinforcers has long grades and reduce free-play, multi-age play, academic problems plus history in humans. conduct problems. and rough and tumble health issues in youth. Such movement play to solo screen time increases BDNF. See Szapocznik et al. (2006). The impact of the built environment on children's school See Clements (2004). An Investigation of See Bramble & Lieberman (2004). conduct grades: The role of diversity of use the Status of Outdoor Play. Contemporary See Kuo & Taylor (2004). A potential natural Endurance running and the evolution in a Hispanic neighborhood Issues in Early Childhood. treatment for attention-deficit/hyperactivity of Homo disorder: evidence from a national study. Antecedent Movement Inflammatory/Anti-inflammatory Friday, November 5, 2010
  72. 72. Organized recess Cooperative games and structured games during recess have more impact on physical activity and Body Mass Index (BMI) for children than PE in school. Cooperative games also increase academic achievement and reduced ADHD plus reduce aggression or bullying. Active physical responding Children and youth sit for approximately five hours in school plus whatever time they spend in a vehicle to and from school. Using physical responding during instruction increases academic achievement, reduces disruptions, ADHD, and decreases BMI. Friday, November 5, 2010
  73. 73. Cellphones Place cellphones on curfew 1 hour before bedtime. The phones go into the possession of parents and returned to child in am. This has multiple benefits. Computer games & Internet All hand-held games into control of parents 1 hour before bedtime. Console games and computers with Internet have software that shuts off access to those programs or Internet 1 hour before bed. Television Do not place TV in child’s bedroom (or adult’s). Not one study shows benefit of TV in bedroom, and almost all show harm. Friday, November 5, 2010
  74. 74. Evolution Matching Law Reinforcer Diet “Risky” Beh. Humans are A simple 3-term algebra Multiple data sets and When children or youth apparently unique in formula predicts either controlled studies show receive differential rates the ability to use risky or non-risky that children and youth in of peer and adult behavior in human in general receive low levels reinforcement for arbitrary sounds and real-world settings of reinforcement for prosociality virtually all symbols to reinforce related to differential prosociality, with adverse risk behaviors decline. behavior in others. verbal/social effects on behavior reinforcement. See Hayes, Barnes-Holmes & Roche. See Biglan & Hinds, E. (2009). Evolving (2001). Relational frame theory: A See Plaud, (1992). The prediction and prosocial and sustainable neighborhoods and post-Skinnerian account of human See Biglan et al. (2004). Helping control of behavior revisited: A review of the communities. Adolescents at Risk. language and cognition matching law.of intergroup conflict Reinforcement Adaptation Friday, November 5, 2010
  75. 75. Simplified Matching Law B = predicted behavior rate k = A “rubber-band” like asymptotic Halvor Teigen, K. (2002). One hundred years of laws in psychology. American constant Journal of Psychology, 115(1), 103-118. rp =rate of reinforcement for target Pierce, W. D., & Epling, W. F. (1995). The applied importance of research on the matching law. Journal of Applied Behavior Analysis, 28(2), 237-241. behavior Correia, C. J., Simons, J., Carey, K. B., & Borsari, B. E. (1998). Predicting drug use: rv =rate of reinforcement for all other Application of behavioral theories of choice. Addictive Behaviors, 23(5), 705-710. behaviors Friday, November 5, 2010
  76. 76. Language, physiological, medication or substance abuse effect on behavior Rate influenced by: Rate influenced by: • Reinforcements • Reinforcement • Antecedents • Antecedents • Relational-frames • Relational-frames Friday, November 5, 2010
  77. 77. What is the matching law (immediate rewards) for? {Flannery, 2003 #4} Friday, November 5, 2010
  78. 78. Embry et al. (1996) School-Community Reinforcement Study Positive Peer-to- Social Home Notes Peer Notes Competence Violence Friday, November 5, 2010
  79. 79. 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 10.0% Baseline Reward and Reminder 4.0% Baseline Reward and Reminder 45.0% 18.0% 5.0% Wyoming 2.0% Wyoming 40.0% 16.0% 0.0% 35.0% 14.0% Reward & 18.0% Wisconsin Wisconsin 40.0% 30.0% 16.0% 12.0% 35.0% 25.0% 14.0% 10.0% 30.0% 12.0% Reminder: 20.0% 8.0% 25.0% 10.0% 15.0% 6.0% 20.0% 8.0% 10.0% 4.0% 15.0% 6.0% 5.0% 2.0% 10.0% 4.0% 0.0% 5.0% 2.0% 18.0% 0.0% Wisconsin Wisconsin Impact on 40.0% 16.0% 18.0% United States United States 35.0% 40.0% 14.0% 16.0% 30.0% 35.0% 14.0% 12.0% prevalence 30.0% 25.0% 12.0% 10.0% 25.0% 20.0% 10.0% 8.0% 20.0% 8.0% 15.0% 6.0% 15.0% 6.0% 10.0% 4.0% 10.0% 4.0% 5.0% 2.0% 5.0% 2.0% 0.0% Source: YRBS, US Centers for Disease Control Source: YRBS, US Centers for Disease Control 0.0% 0.0% 18.0% 1995 1997 1999 2001 2003 2005 2007 1995 1997 1999 2001 2003 2005 2007 United States United States 40.0% 16.0% = Trend = Wyoming = Wisconsin =United States 35.0% 14.0% 30.0% 12.0% 25.0% 10.0% 20.0% 8.0% 15.0% Source: Youth Risk Behavior Survey (YRBS), Centers for Disease Control 6.0% 10.0% 4.0% 5.0% 2.0% Source: YRBS, US Centers for Disease Control Source: YRBS, US Centers for Disease Control 0.0% 0.0% 1995 1997 1999 2001 2003 2005 2007 1995 1997 1999 2001 2003 2005 2007 = Trend = Wyoming = Wisconsin =United States Friday, November 5, 2010
  80. 80. 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 10.0% Baseline Reward and Reminder 4.0% Baseline Reward and Reminder 45.0% 18.0% 5.0% Wyoming 2.0% Wyoming 40.0% 16.0% 0.0% 35.0% 14.0% Reward & 18.0% Wisconsin Wisconsin 40.0% 30.0% 16.0% 12.0% 35.0% 25.0% 14.0% 10.0% 30.0% 12.0% Reminder: 20.0% 8.0% 25.0% 10.0% 15.0% 6.0% 20.0% 8.0% 10.0% 4.0% 15.0% 6.0% 5.0% 2.0% 10.0% 4.0% 0.0% 5.0% 2.0% 18.0% 0.0% Wisconsin Wisconsin Impact on 40.0% 16.0% 18.0% United States United States 35.0% 40.0% 14.0% 16.0% 30.0% 35.0% 14.0% 12.0% prevalence 30.0% 25.0% 12.0% 10.0% 25.0% 20.0% 10.0% 8.0% 20.0% 8.0% 15.0% 6.0% 15.0% 6.0% 10.0% 4.0% 10.0% 4.0% 5.0% 2.0% 5.0% 2.0% 0.0% Source: YRBS, US Centers for Disease Control Source: YRBS, US Centers for Disease Control 0.0% 0.0% 18.0% 1995 1997 1999 2001 2003 2005 2007 1995 1997 1999 2001 2003 2005 2007 United States United States 40.0% 16.0% = Trend = Wyoming = Wisconsin =United States 35.0% 14.0% 30.0% 12.0% 25.0% 10.0% 20.0% 8.0% 15.0% Source: Youth Risk Behavior Survey (YRBS), Centers for Disease Control 6.0% 10.0% 4.0% 5.0% 2.0% Source: YRBS, US Centers for Disease Control Source: YRBS, US Centers for Disease Control 0.0% 0.0% 1995 1997 1999 2001 2003 2005 2007 1995 1997 1999 2001 2003 2005 2007 = Trend = Wyoming = Wisconsin =United States Friday, November 5, 2010
  81. 81. Evolution Friend & Foe Daily Verbal Diet “Risky” Beh. The evolution of Simply giving people As daily verbal diet of When language of speech and written different group names threats, enemies and connection, civility and language enables and colors of clothing will danger increase in belonging are introduced increase verbal and neighborhoods, in children and youth, control of others’ physical aggression communities and risky behaviors decline in behavior by arbitrary among children. Similar nations, DSM-IV controlled experiments. symbols and their effects found in stress symptoms increase and relationships chemistry. economies worsen. See Hayes, Barnes-Holmes & Roche. See Embry, Flannery, Vazsonyi, Powell, & (2001). Relational frame theory: A See Zullow (1991). Pessimistic rumination in Atha/ (1996). PeaceBuilders: A theoretically post-Skinnerian account of human See Sherif, M. (1958). Superordinate goals popular songs and newsmagazines predict driven, school-based model for early violence in the reduction of intergroup conflict economic recession via decreased prevention. language and cognition consumer optimism and spending Verbal relations adaptation Friday, November 5, 2010
  82. 82. Relational-Frame Example: “Families United Promise” 1 1.35 0.9 0.8 1.3 Mean drunkenness Mean delinquency 0.7 0.6 1.25 0.5 0.4 1.2 0.3 0.2 1.15 0.1 0 1.1 grade 7 grade 8 grade 9 grade 7 grade 8 grade 9 Figure 2 Repeated-measures analysis of variance displaying self-reported drunkenness (a) and delinquency (b) separately for youths in the intervention and control conditions Friday, November 5, 2010
  83. 83. The Gift of Clarity and Commitment Friday, November 5, 2010
  84. 84. A teacher invents a way to save the classroom from Hell 28 Friday, November 5, 2010
  85. 85. A Baltimore City K-8 Friday, November 5, 2010
  86. 86. Friday, November 5, 2010
  87. 87. Summary of results… • 70 plus studies • Follow up now from 1st grade to 29th year of life. – Many interrupted time-series - Reduced – Show less disruption - Special ed, ADHD, Bullying, Conduct disorders, violent crime, suicide – More engagement - Tobacco, illegal drug use, alcohol addictions – Three long-term gold standard - Increased high-school graduation, college studies entry - Obesity, teen pregnancy, & STD’s in process – Four more in progress 31 Friday, November 5, 2010
  88. 88. Universal Triple P Level One Selected Triple P Level Two Focus of parenting support in Primary Care Triple P Level three population level Triple P study Standard Triple P Level four The study focused on child maltreatment prevention among the large percentage of parents and families in a community. Enhanced Triple P Level five Friday, November 5, 2010
  89. 89. Friday, November 5, 2010
  90. 90. Nurturing Policies and Practices for “Anti-Inflammatory” Responses Policies for universal access to parenting supports Policies universal access to supports for teachers Changing institutional food policies Community reinforcement policies Other Community policies (TV, greeting, play) Community child and youth play and opportunities policies A consumer model for prevention science Friday, November 5, 2010
  91. 91. Big changes requires leverage Friday, November 5, 2010
  92. 92. Big change = RE-AIM Reach X Efficacy X Adoption X Implementation X Maintenance = Population level impact Friday, November 5, 2010
  93. 93. Peer-to-Peer Learning Game Friday, November 5, 2010
  94. 94. Some truths… Culture determines biology; and biology determines culture. Culture is made up antecedents practices, physiological practices, relational frame (language) practices, and reinforcement practices Culture determines nurture; and nurture determines culture. Behavior can be predicted by contextual biology and social reinforcement Big change is possible using small units of proven change called evidence-based kernels Friday, November 5, 2010
  95. 95. That’s happening, too… Friday, November 5, 2010
  96. 96. A poll… Friday, November 5, 2010
  97. 97. Our economy will be hurt by these trends in America’s youth. YES NO Friday, November 5, 2010
  98. 98. Our national security will be hurt by these trends among America’s youth. YES NO Friday, November 5, 2010
  99. 99. Our health-care costs will go up because of these trends in our youth. YES NO Friday, November 5, 2010
  100. 100. These trends will worsen our local, state and national debt crisis. YES NO Friday, November 5, 2010
  101. 101. The Time is up for thinking about the problem of our children’s futures and our country’s future… Friday, November 5, 2010
  102. 102. How much will it cost to change these trends in your community? Between $1 and $2 per child in your area… Many times less than an annual flu shot for children or teens Friday, November 5, 2010
  103. 103. See and map a new future… Friday, November 5, 2010
  104. 104. Friday, November 5, 2010
  105. 105. “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, delivered in their own communities…in The story of the Broad Street water pump a respectful non-stigmatizing way”— during the cholera epidemic in London. (IOM, page 387). Friday, November 5, 2010
  106. 106. What if prevention science (evidence-based kernels) met… Amazon.com Itunes youtube FaceBook With community mobilization. Friday, November 5, 2010
  107. 107. SImpleGifts.Com Friday, November 5, 2010
  108. 108. Go to: www.paxis.org/kernelspaper Friday, November 5, 2010
  109. 109. What is a kernel? Is the smallest unit of scientifically proven behavioral influence. • Are the active ingredients of evidence-based programs. • Is indivisible; that is, removing any part makes it inactive. Produces quick easily measured change that can grow much bigger change over time. Can be be used alone OR combined with other kernels to create new programs, strategies or policies. Friday, November 5, 2010
  110. 110. Friday, November 5, 2010
  111. 111. Friday, November 5, 2010
  112. 112. Includes instructions Home!QuickStart!for!Beat!The!Timer! Welcome to this Simple Gift. Reading and watching the QuickStart will… • Show you 7-basic steps for Beat the Timer. Customized for you • • Demo the 7-basic steps with a family. Help you select and create recipes for change using Beat the Timer. If you have not already done so, please watch the QuickStart video. With Email prompts 7-Steps!for!Beat!The!Timer! If you bake a cake, there are always some key main ingredients. If you miss Social Network one of those key ingredients, you don’t have a cake. Beat The Timer has seven key ingredients or steps to make it work. After learning 7-Steps for Beat The Timer, you can easily move on to making plan for any one of the Beat the Timer recipes. Briefly, here are the 7-steps. Moderated Q&A about how to apply Details follow on the next pages, with some pictures and examples. Step 1 - Announce Beat the Timer Step 2 - Say how long Timer will be set for Step 3 - Say what behaviors are to beat the timer Step 4 - Announce timer is about to begin. Step 5 - Praise positive behavior while timer is ticking Step 6 - Celebrate success and reward from the prize bowl Step 7 - Mark changes on success scoreboard So, lets learn more about each of these steps with some examples and helpful hints. Please watch the videos of Beat the Timer the timer being used by a real family in a real home. Please remember Beat The Timer and Simple Gifts are trademarks and copyrighted materials. This document is licensed for your family use only. Copyright © Simple Gifts, Inc and PAXIS Institute, 2009. All rights reserved. 1 Friday, November 5, 2010
  113. 113. If kernels are so good… Friday, November 5, 2010
  114. 114. If kernels are so good… Friday, November 5, 2010
  115. 115. Are you an everyday scientist? Human beings are the only organism on this planet that can consciously create a future environment for themselves. Other animals accidentally affect their environment. What makes an everyday scientist? What is it that you want to increase AND decrease in the future? Friday, November 5, 2010
  116. 116. Are you an everyday scientist? Human beings are the only organism on this planet that can consciously create a future environment for themselves. Other animals accidentally affect their environment. What makes an everyday scientist? What is it that you want to increase AND decrease in the future? Friday, November 5, 2010
  117. 117. Reversal Design Example Friday, November 5, 2010
  118. 118. Another reversal design example Friday, November 5, 2010
  119. 119. Increase Decrease The vision of change in all our children, youth and families… Friday, November 5, 2010
  120. 120. The first breakthrough will be Families United… 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 Friday, November 5, 2010
  121. 121. What is Families United? A set of simple, proven, and powerful tools to protect all our children from the leading causes of lifetime suffering, illness, disability and death—securing all our futures. Friday, November 5, 2010
  122. 122. What do United Families do? Increase Family Positive Monitoring. Parental & family clarity and commitment to their child about risky or disturbing behaviors such as not using alcohol, tobacco and drugs (ATOD) and about that child’s friends’ not using of alcohol, tobacco and drugs. The type of monitoring changes by age of child. Friday, November 5, 2010
  123. 123. What do United Families do? Reward Not Using or Breaking 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. The rewards and recognition increase 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. Friday, November 5, 2010
  124. 124. What do United Families do? Reduce Sleep Deprivation. Ensuring a child has good sleep patterns, by reducing access to electronic media before bedtime. Sleep deprivation is the silent but deadly cause of many behavioral, school and health problems—including addictions. Friday, November 5, 2010
  125. 125. What do United Families do? Change Brain Food or Fatty Acid 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 ATOD as well as other problematic behaviors including depression and 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. Friday, November 5, 2010
  126. 126. What do Families United do? Increase Parent Networking to Child’s Friends Families. Sharing and communicating the above with five of the parents of one’s child’s friends. Friday, November 5, 2010
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