Their research presents findings from several well-done studies whose initial focus was not mental health per se, which have achieved some positive mental health some positive mental health-related outcomes which were attained in addition to the positive impact achieved on the main trust on the intervention
It is not possible to identify what specific factors are responsible for these findings. These early interventions have been complex, multiyear, multicomponent programs combining early childhood education with a variety of family support services.
Several elementary-level academic interventions emphasizin peer tutoring or organizational changes in school policies and practices have also resulted in better peer relations , decreases in disruptive behavior and improved self-concepts.
Some physical health promotion programs have also had positive behavioral effects
Specific issues Study inclusion and classification Several commentators raised questions from some of the criteria for inclusion in the methods of classification or subdivision of studies and disagreed about the research and saw it more as a single step or a hypothesis for future studies.
The data collected more frequently assessed changes in attitudes of parents or teachers, teacher-child interactions, and finally, any assessment of how the psychological climate of the building was affected by the intervention.
It is often very difficult to determine whether prevention programs are sustained over time, however, publication practices do not encourage the inclusion of such information as part of a study of results.