The document discusses several topics related to primary prevention mental health programs including methodology, outcomes, prevention in other areas, issues with study inclusion and classification, ecological impact, parent programs, and cost analyses. Key points include that collectively studies have examined large samples and focused on outcomes like antisocial behavior, aggression, and risk status. Prevention research tends to be categorized which limits learning across fields, and some non-mental health focused programs have achieved positive mental health outcomes. Involving parents in programs remains a challenge with low attendance rates. Cost analyses have shown some prevention programs can return $8-45 for every dollar spent but support depends on multiple factors beyond cost savings.