Connecticut nurturing environments for rapid results rev2
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Can we make huge change to benefit children and families. This talk was before state, federal and private leaders on how we can reclaim our children's futures.
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Connecticut nurturing environments for rapid results rev2
- 1. Practical Evidence and Actions for Rapid Results to Protect America’s Futures By Dennis D. Embry, Ph.D. President/Senior Scientist PAXIS Institute dde@paxis.org Copyright © 2012, PAXIS Institute, All rights reserved. May be reproduced with permission.
- 2. why ? Thinking about nurturing every child in Connecticut & US
- 3. What do you wish to pack in our suitcases for life?
- 4. Surveying the Past Foretells Our Futures
- 5. Born NOW?
- 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 • 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
- 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 “not otherwise specified disorder” 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 intact… with a child, teen, or adult child with a mental, emotional, or behavioral disorder?
- 11. • 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?
- 12. So what? Connecticut has 491,000 young people between the ages of 10 to 19. At least 83,000 will have a teen depression… With collective lost lifetime income of… $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 vaccines…
- 14. Think about the cost of ADHD?
- 15. Excess Healthcare costs of ADHD $3,534 Total These four years cost $3,534—which 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 cost… $18.9 billion
- 17. Child and adolescent ADHD and related disorders can be averted. There are protective behavioral vaccines…
- 19. 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 same preventable causes that can be rapidly changed…
- 20. Youthanasia Here lies the future of America.
- 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 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…
- 23. We are the first civilization to abandon what Mother Nature, Evolution & God gifted us… 5-Year 65-Year Olds Olds
- 24. 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 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 • 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.
- 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 America’s 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- 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
- 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. • 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 sex Costs less to deliver universally than mosts childhood medical vaccine, but…
- 30. 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
- 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
- 35. What do these results mean fiscally?
- 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.
- 39. Our Futures
Editor's Notes
- 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.