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 ’ 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 ’ 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: • 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.
Connecticut nurturing environments for rapid results rev2
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
Nearly 3 out of 4 of the nations 17- to 24-year-olds are ineligiblefor military service for based on national epidemiological data • 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
Cumulative prevalence of psychiatric disorders by young adulthood: aprospective cohort analysis from the Great Smoky Mountains Study.By 21 years of age, 61.1% ofparticipants had met criteria for awell-specified psychiatric disorder.An additional 21.4% had met criteriafor a “not otherwise specifieddisorder” only, increasing the totalprevalence for any disorder to 82.5%.
The US has 75million childrenand teens.40.4 million kidshad onepsychotropic medin 2009 Wall Street Journal, 12-28-2010
How many of youknow a blue-collar,middle-class, orupper-class familywho is reasonablyintact…with a child, teen, or adult child witha mental, emotional, or behavioraldisorder?
• Business competitiveness?What will the impact of these • Health care costs?data be on Federal & State • Public safety & national security costs?Governments on: • Social Security? • Global Competitiveness?
So what?Connecticut has 491,000young people between theages of 10 to 19.At least 83,000 will have ateen depression…With collective lost lifetimeincome of… $25 billion lossAdolescent Depression Lowers Later-Life Earning Power byan average of $300K
Child and adolescent depression and related disorders can be averted.There are protective behavioral vaccines…
On ALL Our Children’s futures having few barriers to productive lives… 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 samepreventable causes that can be rapidly changed…
Humans are the only species with bi-directionalwealth and wellbeing transfer across generations Youth return the favor as adults Our Our Adults Childre adults and elders invest in children & n Elders
We are the first civilization to abandon whatMother Nature, Evolution & God gifted us… 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 able… progressively sicker…
We are the first civilization to abandon whatMother Nature, Evolution & God gifted us… 5-Year 65-Year Olds Olds
Key message about global competition… s ie o crac dem s s to r rich a cce the sa l enta l, Manufacturing, Employment in Enterprises with <= 20 Employees, 2006 o th ese er from m d Among Rich Democracies y of arly uni tection relate vMan e ne o hav an d pr oral and n t io n of behavi rders . reve otional, ical diso dp 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.
Practical recipe for rapid results to better ourfutures • Pick 4-5 practical, proven Behavioral Vaccines that protect against many problem outcomes • Make these Universally Accessible for All Families • Adopt facilitative polices ACROSS gov’t money silos • Form public-private partnerships to facilitate rapid action, mixed funds and sponsorships • Have public scoreboard for rapid results • Promote success & use of these tools in mass media PS: The current government “logic models” for prevention ARE the problem.
The IOM Reportcontains most ofthe behavioralvaccines that canbe scaled up foruniversal accessquickly for rapidresults to protectall America’schildren &families. Several behavioral vaccines protect against multiple Several behavioral vaccines protect against multiple disorders disorders
Substance Work Obesity,Early Mental Illness Violence Cancer School Abuse Problems etcSex Failure Mood Lo Reward Lo Executive Lo Behavioral Inattention Delay Function Instability Competencies Poor Immune-STD’s 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
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 HigherInjuries 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
• Rapidly decreases disturbing, disruptive Behavioral Vaccine behavior Example: PAX Good Behavior • Increases reading test scores, high school graduation & college entry Game in just FIRST Grade • Prevents every form of addiction (tobacco,alcohol, drugs) • Prevents violent crime and prison use • Prevents multiple major mental illnesses (ADHD, conduct disorders, anti-social personality disorder, depression) • Prevents suicide • Prevents early vaginal sexCosts less to deliver universally than mosts childhood medical vaccine, but…
How much might this Cost Savings behavioral vaccine save for America’s 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
What if we provided parenting supports for every family?
Substantiated Child Maltreatment Control Counties Triple P CountiesPre Post Two Years Later Prinz et al., 2009, Prevention Science
Child Abuse Hospital Injuries Control Counties Trip l eP Co un ties PostPre Two Years Later Prinz et al., 2009, Prevention Science
Child Out-of-Home Placements Control Counties Triple P Co untie s PostPre Two Years Later Prinz et al., 2009, Prevention Science
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.
Yes, there is alogic model forguiding local,state and federalpolicy makers toachievepopulation-levelprevention.
Yes, there areeven innovativefunding modelsto achievepopulation-levelprevention.