Texas is the land of professed public bootstraps, and very private suffering. There is not a family in Texas that has not been touched by the rising prevalence of mental, emotional, behavioral and related physical illnesses. In fact there is not a family in America that has not been so touched, based on the elegant epidemiological monitoring in the US.
So in the land of big hats, why cannot Texas take the lead in a very big idea that will save billions of dollars, improve health, increase the global economic competitiveness of the US, and improve our national security? All that sounds, well, frankly very patriotic and American. What is the really big idea?
First, virtually every mental, emotional, and behavioral disorder (including addictions) is preventable. How solid is that statement? Stamp on the ground ten times as hard as you can. Did you feel it? Well that is how solid the science is. You don’t hear it on your TV; you don’t hear that science in your newspaper or Time magazine; you don’t hear it from your health care provider; and people are not learning this at university. And absolutely nobody is lobbying the Texas Legislature or Governor about this science and possibility. I’ll wager you might not believe me, even though I am a pretty dang good scientist. So if you don’t believe me that the science exists, you can go to www.pubmed.gov and look every study or fact I site. After my talk, you will jabbering away at just about anybody who will listen.
Second, recovery from mental, emotional, and behavioral disorders—including very serious ones like schizophrenia and bipolar disorder—can go into remission. This remission and recovery is not dependent on medications. Now that is not a fact that you will hear on TV, or hear from the pharmaceutical detail people in your doctor’s office. Now I read almost everything I can on these problems, and I missed hearing about this science—until recently. That shows you how buried it is. At my plenary, you will hear about the practical science of recovery.
Third, there are ways to pay for all this using something called, “Social Impact Bonds.” So instead of Texas selling bonds for building another prison, bonds can be sold preventing or reducing the problems in the first place. Now there’s an idea. And, yes other countries are doing this.
The really big idea—a Texas big idea? Well, Texas could be the first place in America to do all this. That would change America, and all our futures.
The system claims to remove kids from homes for their own good but end up causing the kids more harm. This is my senior project topic on a corrupt, overloaded, and thoroughly broken foster care system. Advocacy to me is speaking out about needed changes, and educating the community while doing it.
"It works!" "I don't believe there are downsides to spanking!", "Spanking is not hitting and certainly not abuse!" , "It is a normal and necessary part of parenting in my community!". These arguments and many others are commonly used by parents to defend their use of spanking as a discipline technique. While many parents are continuing to spank their children, researchers are starting to reveal meta-analyses that conflict with the ideas behind the arguments in favor of spanking. This 90-minute webinar will provide service professionals with an in-depth look at spanking, the research behind it, and its effects on children's development.
Harvard University Brief on Causes and Cures of Bullying and Harassment Dennis Embry
Bullying and harassment in the 21st century in the United States is one of the symptoms of a broader epidemic of mental, emotional, behavioral and related physical illnesses—collectively the result of evolutionary mismatches and selection by consequences within the broader culture. Focusing on bullying and harassment per se may paradoxically serve to maintain multiple toxic conditions causing victimization that all here assembled find reprehensible.
The system claims to remove kids from homes for their own good but end up causing the kids more harm. This is my senior project topic on a corrupt, overloaded, and thoroughly broken foster care system. Advocacy to me is speaking out about needed changes, and educating the community while doing it.
"It works!" "I don't believe there are downsides to spanking!", "Spanking is not hitting and certainly not abuse!" , "It is a normal and necessary part of parenting in my community!". These arguments and many others are commonly used by parents to defend their use of spanking as a discipline technique. While many parents are continuing to spank their children, researchers are starting to reveal meta-analyses that conflict with the ideas behind the arguments in favor of spanking. This 90-minute webinar will provide service professionals with an in-depth look at spanking, the research behind it, and its effects on children's development.
Harvard University Brief on Causes and Cures of Bullying and Harassment Dennis Embry
Bullying and harassment in the 21st century in the United States is one of the symptoms of a broader epidemic of mental, emotional, behavioral and related physical illnesses—collectively the result of evolutionary mismatches and selection by consequences within the broader culture. Focusing on bullying and harassment per se may paradoxically serve to maintain multiple toxic conditions causing victimization that all here assembled find reprehensible.
What Does the Future Hold for Autism Families?DES Daughter
February 2017 presentation, by Jill Escher, MA, JD, via Germline Exposure, from the Autism in the Family Conference.
Sources : http://www.germlineexposures.org/what-does-the-future-hold.html
PDF : http://www.germlineexposures.org/uploads/6/4/0/9/6409433/whatdoesfutureholdforautismfamilies.pdf
Failure to Launch is a subject I recently addressed at the Innovations in Recovery Conference in April 2016.
According to Psychology Today, the term “failure to launch,” is an increasingly popular way to describe the difficulties some young adults face when transitioning into the next phase of development—a stage which involves greater independence and responsibility. Although this is how it is commonly thought of in industry, from my experience the seedling for this phenomena may have been planted in the early teen and young adult years by over-anxious and well-meaning parents (often called helicopter parents) who wanted a life much easier than they experienced for their offspring.
The effects of FTL can be clearly observed in 49-50-60 and, yes, even 70 years-old individuals who are in need of behavioral health care interventions. These individuals often still live at home or are supported by their parents and do not work. Even if they have been married and have children, they still act as if they were a child and take little responsibility for their financial well-being. My hope is that you find this presentation helpful as we work to reach this fascinating population!
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Creating an Evidence-Based Approach to Lifespan Suicide PreventionDennis Embry
Keynote: Address:
Humans appear to be the only species on the planet that kill themselves, which is the apparent result of the unique properties of language and the fact that other humans are the principal predator and the principal source of safety in our lives. Last year, three times as many America’s died from suicide as died at the height of the polio epidemic in the 1950s: 36,000 deaths from suicide, versus 3,000 from polio.
A public-health approach across the lifespan is required to reduce this terrible suffering and injury. A public-health campaign is less about the warning signs of suicide than specific actions that disable the “pump handle” to the wells of despair that result in suicidality.
This talk lays out four key principles from a lead article in a special issue of the American Psychologist on prevention, by the presenter and colleagues [1]. These principles arise from the consilience of evolutionary, medical, and behavioral sciences. The principles are not limited to the prevention of suicide; indeed, they principles address prevention of multiple mental, emotional, behavioral, and related physical disorders as outlined by the Institute of Medicine [2].
This talk integrates these principles with low-cost evidence-based kernels [3] and behavioral vaccines [4, 5] that can operate as an integrated public-health model to prevent multiple mental, emotional, behavioral, and related disorders [6]. This talk specifically shows how several apparently simple strategies can be promoted to prevent suicide across the lifespan, illustrated by data and practical mechanisms with rapid results and cost savings for multiple-silos of government and the private sector. The net result is happier, healthier, and productive citizens of all ages.
Breakout #1: Preventing Future Suicide from Pregnancy through Childhood Evidence-based Kernels and Behavioral Vaccines
This breakout expands on the keynote with specific evidence-based kernels and behavioral vaccines, organization and implementation details for low-cost strategies that can avert suicidality 10 to 20 years later cost effectively. One specific strategy that will be covered in greater detail is the Good Behavior Game (which is being widely promoted by in the US and Canada), as the only early elementary school strategy with lifetime scientific data on reducing sucidality [7]. Presently, the Substance Abuse and Mental Health Services Administration (SAMSHA) is funding 30 sties to do the Good Behavior Game, with 28 of those being supervised by Dr. Embry and his colleagues.
Breakout #2: Preventing Suicide from Adulthood through Senior Years
This breakout explores what science we have that shows pathways for preventing suicide among adults of all ages, beyond signs of suicide. This breakout links the principles from the keynote with evidence-based kernels and behavioral vaccines that can be used in multiple contexts and initiatives. Policies and practices can be scale
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What Does the Future Hold for Autism Families?DES Daughter
February 2017 presentation, by Jill Escher, MA, JD, via Germline Exposure, from the Autism in the Family Conference.
Sources : http://www.germlineexposures.org/what-does-the-future-hold.html
PDF : http://www.germlineexposures.org/uploads/6/4/0/9/6409433/whatdoesfutureholdforautismfamilies.pdf
Failure to Launch is a subject I recently addressed at the Innovations in Recovery Conference in April 2016.
According to Psychology Today, the term “failure to launch,” is an increasingly popular way to describe the difficulties some young adults face when transitioning into the next phase of development—a stage which involves greater independence and responsibility. Although this is how it is commonly thought of in industry, from my experience the seedling for this phenomena may have been planted in the early teen and young adult years by over-anxious and well-meaning parents (often called helicopter parents) who wanted a life much easier than they experienced for their offspring.
The effects of FTL can be clearly observed in 49-50-60 and, yes, even 70 years-old individuals who are in need of behavioral health care interventions. These individuals often still live at home or are supported by their parents and do not work. Even if they have been married and have children, they still act as if they were a child and take little responsibility for their financial well-being. My hope is that you find this presentation helpful as we work to reach this fascinating population!
Persuasive Essay On Dance - Tutus And Twirling. 005 Essay Example Dance Essays On Danceconcert Critique Examples L .... Dance: Dancing in the Rain versus Revelations Essay Example Topics .... 007 Essay Example Dance Topics Summary Format Gxart Critique Examples .... Dance Critique Essay Essay About Dance Critique, Dance Concert .... The Art of Dancing Essay Example Topics and Well Written Essays .... Ballet dance personal essay - Main Steps to Write a Superb Essay. dance assignments Essays Dances. 020 Explanation Letter Samples Essay Dance Thatsnotus. Essays about dance colleges. ᐅ Essays On Dance Free Argumentative, Persuasive, Descriptive and .... Essay on Dance in English for Students 500 Words Essay. essay about dance. Essays on dance - inhisstepsmo.web.fc2.com. Admission essay: Essays on dance therapy. Dance college essay. Dance Essay Examples. 2022-10-17. Narrative Essay: Dance critique essay. Gcse dance essays - proofreadit.x.fc2.com. Essays Dances Knowledge. 9 Long and Short Essay on Dancing in English 2023 Creative savantz. Hip-Hop Dance Analysis Essay Example Topics and Well Written Essays .... Sample Dance Essay Dances Jesus. Sacrosegtam: Art Of Dance Essay. 005 Essay Example Dance Why I Want To Go College Sample This Rebecca .... Research paper on dance Essays On Dance Essays On Dance
Creating an Evidence-Based Approach to Lifespan Suicide PreventionDennis Embry
Keynote: Address:
Humans appear to be the only species on the planet that kill themselves, which is the apparent result of the unique properties of language and the fact that other humans are the principal predator and the principal source of safety in our lives. Last year, three times as many America’s died from suicide as died at the height of the polio epidemic in the 1950s: 36,000 deaths from suicide, versus 3,000 from polio.
A public-health approach across the lifespan is required to reduce this terrible suffering and injury. A public-health campaign is less about the warning signs of suicide than specific actions that disable the “pump handle” to the wells of despair that result in suicidality.
This talk lays out four key principles from a lead article in a special issue of the American Psychologist on prevention, by the presenter and colleagues [1]. These principles arise from the consilience of evolutionary, medical, and behavioral sciences. The principles are not limited to the prevention of suicide; indeed, they principles address prevention of multiple mental, emotional, behavioral, and related physical disorders as outlined by the Institute of Medicine [2].
This talk integrates these principles with low-cost evidence-based kernels [3] and behavioral vaccines [4, 5] that can operate as an integrated public-health model to prevent multiple mental, emotional, behavioral, and related disorders [6]. This talk specifically shows how several apparently simple strategies can be promoted to prevent suicide across the lifespan, illustrated by data and practical mechanisms with rapid results and cost savings for multiple-silos of government and the private sector. The net result is happier, healthier, and productive citizens of all ages.
Breakout #1: Preventing Future Suicide from Pregnancy through Childhood Evidence-based Kernels and Behavioral Vaccines
This breakout expands on the keynote with specific evidence-based kernels and behavioral vaccines, organization and implementation details for low-cost strategies that can avert suicidality 10 to 20 years later cost effectively. One specific strategy that will be covered in greater detail is the Good Behavior Game (which is being widely promoted by in the US and Canada), as the only early elementary school strategy with lifetime scientific data on reducing sucidality [7]. Presently, the Substance Abuse and Mental Health Services Administration (SAMSHA) is funding 30 sties to do the Good Behavior Game, with 28 of those being supervised by Dr. Embry and his colleagues.
Breakout #2: Preventing Suicide from Adulthood through Senior Years
This breakout explores what science we have that shows pathways for preventing suicide among adults of all ages, beyond signs of suicide. This breakout links the principles from the keynote with evidence-based kernels and behavioral vaccines that can be used in multiple contexts and initiatives. Policies and practices can be scale
Three Easy Pieces for Maternal and Child Health Policy: MACHs Roundtable 2012 Dennis Embry
Troubles impact the future of our children in the modern world, many of which are traceable to what evolutionary thinkers call—evolutionary mismatch. I am a participant with the Evolution Institute, which says this about mismatch:
Natural selection adapts organisms to their past environments and has no ability to foresee the future. When the environment changes, adaptations to past environments can misfire in the current environment, producing a mismatch that can only be solved by subsequent evolution or by modifying the current environment. Mismatches are an inevitable consequence of evolution in changing environments.
Today, we examples of potential mismatch lurking in a whole range of mental, emotional, behavioral, and related disorders affecting maternal and child health. It this talk, I plan to explore how five simple policies might address mismatch that has created epidemics of autism, fetal alcohol effects, schizophrenia, depression, and other ills. These three policy categories emerge from robust science that challenges our conventional theories about the causes of troubling things like the rise of autism, serious mental illness, or aggressive and violent behavior.
In my experience as a prevention scientist, Manitoba is perhaps the only place in the Western Hemisphere capable of implementing policies and practices that might reverse adverse trends affecting the wellbeing of mothers and children for the future. So let us have a roundtable about three easy pieces for our futures:
1. Policy Goal 1: Reduce multiple sources of neuro-inflammation before pregnancy, during pregnancy and during childhood—using low-cost, scientifically proven evidence-based kernels [1].
2. Policy Goal 2: Recognize, reinforce and reward non-use of tobacco, alcohol & other drugs among women of childbearing age —using low-cost, scientifically proven evidence-based kernels [1].
3. Policy Goal 3: Create public-private partnerships to promote specific nurturing environments actionable strategies for children and their caregivers [2, 3]
References Utilized and Cited
1. Embry DD, Biglan A: Evidence-Based Kernels: Fundamental Units of Behavioral Influence. Clinical Child & Family Psychology Review 2008, 11(3):75-113.
2. Biglan A, Flay BR, Embry DD, Sandler IN: The critical role of nurturing environments for promoting human well-being. American Psychologist 2012, 67(4):257-271.
3. Embry DD: Behavioral Vaccines and Evidence-Based Kernels: Nonpharmaceutical Approaches for the Prevention of Mental, Emotional, and Behavioral Disorders. Psychiatric Clinics of North America 2011, 34(March):1-34.
Something has been happening in America. More and more young people are showing up with various mental, emotional, and behavioral disorders—based on the 2009 Institute of Medicine Report on the Prevention of Mental, Emotional, and Behavioral Disorders Among Young People. These disorders—from alcohol addiction to other serious mental and behavioral problems—are not just happening in K-12 education: they are fully present in larger numbers on college and university campuses. And, even more importantly, they are now epidemic in our broader society, causing untold damage to the fiscal stability of America, its national security, and global economic competitiveness.
Oddly, it is American institutions of higher learning that have pioneered the world’s best science why and how this epidemic is happening and what can be done to avert the problems. Still more oddly, it is not American institutions of higher learning leading the charge on applying that science—something at odds with the unique heritage of America applying science to better the world. Other rich democracies now lead in applying prevention science for the protection of their future generations.
American Colleges and Universities can become one of the drivers of great carbon revolution, not just a revolution in silicon technology. By a carbon revolution, this means resolving the problems of human behavior that are the largest burdens of social and economic pain and suffering.
In my presentations, I intend to outline how the youthful energies of our young people might be combined with prevention science for population-level prevention and protection against mental, emotional, behavioral and related physical disorders plaguing our futures.
• First, the presentation is aimed at evoking understanding of how these problems have arisen from fundamental evolutionary mismatch—something that my colleagues in the evolutionary sciences have started to map well.
• Second, the presentation gives concrete examples of how prevention science can be scaled to a public-health model to protect our young people and our broader society.
• Third, the presentation outlines how colleges and universities—students, faculty and staff—might have a leadership role in changing the trajectory of these problems rapidly.
• Fourth, the presentation maps how all this can be funded in a politically powerful way, which will in turn strengthen colleges and universities by reducing the huge rise in tuition and other costs that have well outpaced inflation. Indeed, the cost of higher education is now significantly higher in the US proportionately than that of other rich democracies.
I realize that this not a standard presentation about addictions among our college-age youth, decrying the alcohol industry or arguing over the age of drinking or the legalization of marijuana. I believe we must have a much bigger solution, not just for the sake of the young people on our campuses—but for all o
Rapid results for usa jobs and child family wellbeingDennis Embry
Imagine US Corporations repatriated and invested their $1.5 trillion overseas profits back into the use to increase employment in the nation's 4.6 million small businesses, reduce and prevent the nation's epidemic of mental, emotional, and behavioral disorders among our young people, and improved the health of the country and radically reduced the burden of our prisons on the taxpayers while improving public safety. Impossible? Hardly. The US tax code enables this to happen, and the US companies will only pay interest on their investments in the US—not the repatriated funds. This can happen through the vehicle of Social Impact Bonds, and the world-class prevention science of the United States. Please read and help us make this idea happen.
Connecticut nurturing environments for rapid results rev2Dennis Embry
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.
Connecticut Presentation for Major ChangeDennis Embry
The state of Connecticut recently held a major meeting with Congressional members, cabinet members, and funders to outline a plan to create major, population-level impact on improving the wellbeing of Connecticut's children and families. This presentation opened the discussion
Biglan et al the critical role of nurturing environments for promoting human ...Dennis Embry
The recent Institute of Medicine report on prevention (National Research Council & Institute of Medicine, 2009) noted the substantial interrelationship among mental, emotional, and behavioral disorders and pointed out that, to a great extent, these problems stem from a set of common conditions. However, despite the evidence, current research and practice continue to deal with the prevention of mental, emotional, and behavioral disorders as if they are unrelated and each stems from different conditions. This article proposes a framework that could accelerate progress in preventing these problems. Environments that foster successful development and prevent the development of psychological and behavioral problems are usefully characterized as nurturing environments. First, these environments minimize biologically and psychologically toxic events. Second, they teach, promote, and richly reinforce prosocial behavior, including self-regulatory behaviors and all of the skills needed to become productive adult members of society. Third, they monitor and limit opportunities for problem behavior. Fourth, they foster psychological flexibility—the ability to be mindful of one's thoughts and feelings and to act in the service of one's values even when one's thoughts and feelings discourage taking valued action. We review evidence to support this synthesis and describe the kind of public health movement that could increase the prevalence of nurturing environments and thereby contribute to the prevention of most mental, emotional, and behavioral disorders. This article is one of three in a special section (see also Muñoz Beardslee, & Leykin, 2012; Yoshikawa, Aber, & Beardslee, 2012) representing an elaboration on a theme for prevention science developed by the 2009 report of the National Research Council and Institute of Medicine. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
CAPE MAY: A Different Scientific Perspective About the Causes and Cures of Bu...Dennis Embry
The story of the bully is very old. You can read descriptions of bullies in the Old Testament. Bullying seems to be increasing. Why is that? Why is it that aggressive, disturbing and disruptive behaviors have steadily increased in America—much more than other rich countries? We see bullying at preschool, at elementary school, in secondary school. We see bullying in the workplace, in the media, in every walk of life imaginable. Why is this so? What has happened that this behavior is more prevalent? The causes of being a bully and being bully victim have increasingly intriguing scientific findings. This presentation outlines what might underlying causes of the increase and the implications for larger action in society. We will look a biology, the brain, behavior and even evolutionary findings to get a deeper understanding for action. Some of the causes of being a bully and being a bully victim will surprise you, and will lay the foundation for a culture freer of bullying.
Cape May New Jersey Presentation on PreventionDennis Embry
The story of the bully is very old. You can read descriptions of bullies in the Old Testament. Bullying seems to be increasing. Why is that? Why is it that aggressive, disturbing and disruptive behaviors have steadily increased in America—much more than other rich countries? We see bullying at preschool, at elementary school, in secondary school. We see bullying in the workplace, in the media, in every walk of life imaginable. Why is this so? What has happened that this behavior is more prevalent? The causes of being a bully and being bully victim have increasingly intriguing scientific findings. This presentation outlines what might underlying causes of the increase and the implications for larger action in society. We will look a biology, the brain, behavior and even evolutionary findings to get a deeper understanding for action. Some of the causes of being a bully and being a bully victim will surprise you, and will lay the foundation for a culture freer of bullying.
In this 1 hour presentation, a deeper unstinting of why crime prevention must incorporate evolutionary theory. Humans are the principle predator of humans, and the principle source of safety. This talk outlines several clear strategies with large preventive effects.
New Hampshire Keynote on Prevention for Whole County 11 10-11Dennis Embry
Cheshire County, NH, seeks to be the healthiest county in America by 2020. The County is off to a roaring start: it has statistical snapshots and research briefs. Now the summit is about moving into high-gear to influence the behavior of 77,000 people from birth to 100 to meet the challenge.
How will the organizers and advocates do this with due hast and cost-efficiency in terms of people power, money and time?
How will the organizers and advocates make increased wellness and reduced morbidity and mortality happen across all the categories —from healthy weights, to mental illness, to cancer, to unintentional or intentional injuries, to addictions, to self harm, and heart disease?
This talk lays out real answers from somebody who has done large scale prevention trials with success, with diverse problems.
First, people will learn to tackle the problems not so much by topic (i.e., each separate issue), but by tackling the underlying common threads that hold and cause multiple problems. When you cut the common thread, you have impact across many domains. This is called a multi-problem or syndemic approach, and participates will learn from examples how to apply this to real-world issues from the Research Briefs.
Second, people need to use powerful yet low cost tools to influence those 77,000 to make changes in their behavior—with enough people to tip the balance of change. We cannot do therapy with every citizen to achieve the change; we need a public health model that empowers each citizen—young or old—to act not just for themselves but also in ways that help the health and wellbeing futures of many others. Again, the talk and related activities will illustrate how such behavior change and mobilization can be done using the same basic toolkit over and over, with examples.
Third, the whole community needs a way to be invested in ALL OUR FUTURES, not just self. Why? Because, the aggregate success actually reduces the “behavioral contagion” causing many of these problems. And, health equals wealth, both an individual and community level. This part of the presentation gives examples and illustrations that can help create the healthiest county not just for 2020—but also for decades to come
Keynote talk: Vermont Assn. for Mental Health and Friends of Recovery Annual...Dennis Embry
Dear Attendees of the Vermont Association for Mental Health and Friends of Recovery Annual Conference,
I am delighted to be participating at your event about the very real possibility of preventing mental illness at a population level in Vermont, based on the world-class research reviewed in the 2009 Institute of Medicine Report on the Prevention of Mental, Emotional, and Behavioral Disorders in Young People.
Vermont is in a unique position in the history of America to implement strategies that could catapult our country into unparalleled wellbeing. During my work with you on Thursday, October 27, I will be discussing how the State can use the opportunity of its Health Care Initiative to do what impeccable science (and a good dose of grand-motherly wisdom) show is within our grasp:
• Prevent, avert, and/or reduce most mental, emotional, and behavioral disorders.
• Promote mental, emotional, and behavioral wellbeing that improves educational and workplace productivity.
When these are changed, the state’s economic wellbeing will be improved on multiple fronts, since these problems are the biggest cost centers of local, state and business operations.
If Vermont can do this, then its success can help move America into a place of greater fiscal and political safety for all our futures.
Thus, I join you with a spirit of practical optimism on Thursday, and invite you to download and share two recent papers related to our work together.
(Use this tiny hyperlink: http://bit.ly/IOM-EMBRY)
Embry, D. D. (2011). "Behavioral Vaccines and Evidence-Based Kernels: Non-pharmaceutical Approaches for the Prevention of Mental, Emotional, and Behavioral Disorders." Psychiatric Clinics of North America 34(March): 1-34.
The Institute of Medicine Report on the Prevention of Mental, Emotional and Behavioral Disorders Among Young People1 (IOM Report) provides a powerful map for how the United States might significantly prevent mental illnesses and behavioral disorders like alcohol, tobacco, and other drug use among America’s youth. This document is already shaping United States policies, and will almost certainly affect Canada and other countries’ policies. Mental, emotional, and behavioral disorders (MEBs) among America’s youth and young adults present a serious threat to the country’s national security2 and to our economic competitiveness compared with 22 other rich countries.3–7 Such MEBs are also the leading preventable cost center for local, state, and the federal governments.1,4 Further, safe schools, healthy working environments, and public events or places are seriously compromised by MEBs as well.
(Use this tiny hyperlink: http://bit.ly/EmbryBiglanKernels)
Embry, D. D. and A. Biglan (2008). "Evidence-Based Kernels: Fundamental Units of Behavioral Influence." Clinical Child & Family Psychology Review 11(3): 75-113.
This paper describes evidence-based kernels, fundamental units of behavioral influence that appear to u
Women In Medicine University of KansasDennis Embry
Specific Learning Objectives:
1. Learning the four key malleable factors for preventing multiple, interrelated mental, emotional, behavioral and physical disorders that are epidemic in America
2. 2. . Learning how to move from rationing of prevention to universal access to simple, scientifically proven strategies (e.g., evidence-based kernels and behavioral vaccines) that prevent the most costly burdens affecting children, youth, and adults.
3. 3. Learning actual examples that can be applied to improve practice, applied science and basic science as well as for personal or family benefit
Abstract:
“How are the children?” goes the greeting when chiefs of aboriginal peoples meet. The question is not about the chiefs’ own children, but about all the children of the tribe. The children and young adults today are not all right. The 2009 IOM Report on the Prevention of Mental, Emotional and Behavioral Disorders (and related physical disorders) shows that the prevalence rates in the US are the worst among the rich democracies, and continuing to get worse. These trends imperil the future security, safety, economic, and political stability of America.
Just as John Snow showed how the Cholera epidemic could be stopped by a simple strategy that provided “prevention for everyone,” so are there very simple strategies from robust science called “evidence-based kernels” and “behavioral vaccines” that prevent, avert or reduce almost every mental, emotional, behavior and related physical disorders. Prevailing scientific dogma, political policies, and mega-marketing by pharmaceutical companies obscures the clear potential to achieve major shifts in morbidity and mortality for the whole country.
This presentation show real world scientifically validated examples, many of which amusingly have significant histories from science at the University of Kansas over the past 45 years. Examples will be presented to show clinical, scientific and personal applications.
New prevention for everyone washington state aug 2011 copyDennis Embry
Washington State Educational Service District #113 had an exciting event in which virtually every level of community and government was present to learn how to apply evidence-based kernels and behavioral vaccines across the board to achieve large benefits in reducing or preventing mental, emotional, behavioral, and related physical health problems. This even was the first to engage in helping Dr. Embry write a new book for chaining
Nurturing the genius of genes the new frontier of education, therapy, and un...Dennis Embry
Not every child seems equally susceptible to the same parental, educational, or environmental influences even if cognitive level is similar. This study is the first ran- domized controlled trial to apply the differential susceptibility paradigm to education in relation to children’s genotype and early literacy skills. A randomized pretest–posttest control group design was used to examine the effects of the Intelligent Tutoring System Living Letters. Two intervention groups were created, 1 receiving feedback and 1 completing the program without feedback, and 1 control group. Carriers of the long variant of the dopamine D4 receptor gene (DRD4 7-repeat) profited most from the computer program with positive feed- back, whereas they performed at the lowest level of early literacy skills in the absence of such feedback. Our findings suggest that behind modest overall educational intervention effects a strong effect on a subgroup of susceptible children may be hidden.
Harvard Presentation on the Science of Bullying PrevetionDennis Embry
Dr. Dennis Embry presented a guest lecture at a one day event sponsored by Harvard University. Dr. Embry's comments focused on how broad scale evolutionary mismatch is causing vulnerability to multiple forms of mental, emotional, and behavioral disorders that are linked to bullying and harassment for both perpetration and victimization.
Our Futures Meeting in Central FloridaDennis Embry
Central Florida Behavioral Health Network met on June 8-9 at the Manatee County Chamber of Conference and United Way conference center. The aim of this two days is to implement a collection of evidence-based based kernels to achieve population level changes for protection against multiple mental, emotional, behavioral and related disorders. Dr. Dennis Embry from PAXIS presented and consulted with the coalitions
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Target Audience
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Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Creating a culture of prevention and recovery
1. Developing a Culture of
Prevention, Recovery &
Wellness for Our Futures NOW!
Dennis D. Embry, Ph.D., President/Senior
Scientist,PAXIS Institute
Keynote Presentation:
Texas Behavioral Health Institute, Austin, TX, July 17, 2012
1Wednesday, July 18, 12
2. What good things do the people of
Texas want to pack in the suitcase
for life of their children?
What heavy things do the people of
Texas NOT want to pack in the
suitcase for life of their children?
2Wednesday, July 18, 12
3. How many of you know…
2x
3Wednesday, July 18, 12
4. 35%
30%
25%
20%
15%
10%
5%
0%
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Age in Years
Merikangas et al., 2010
Lifetime Prevalence of Disorders in US Adolescents (N=10,123)
4Wednesday, July 18, 12
5. 35%
30%
25%
20%
15%
10%
5%
0%
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Age in Years
Anxiety
Merikangas et al., 2010
Lifetime Prevalence of Disorders in US Adolescents (N=10,123)
4Wednesday, July 18, 12
6. 35%
30%
25%
20%
15%
10%
5%
0%
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Age in Years
Anxiety
Behavior
Merikangas et al., 2010
Lifetime Prevalence of Disorders in US Adolescents (N=10,123)
4Wednesday, July 18, 12
7. 35%
30%
25%
20%
15%
10%
5%
0%
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Age in Years
Anxiety
Behavior
Mood
Merikangas et al., 2010
Lifetime Prevalence of Disorders in US Adolescents (N=10,123)
4Wednesday, July 18, 12
8. 35%
30%
25%
20%
15%
10%
5%
0%
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Age in Years
Anxiety
Substance
Behavior
Mood
Merikangas et al., 2010
Lifetime Prevalence of Disorders in US Adolescents (N=10,123)
4Wednesday, July 18, 12
9. Nearly 3 out of 4 of United States 17- to 24-year-olds are
ineligible for military service for based on national
epidemiological data (not service entrance exams)
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
5Wednesday, July 18, 12
10. 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 cumulative
prevalence for any
disorder to 82.5%.
Cumulative prevalence of psychiatric disorders by young adulthood
a prospective cohort analysis from the Great Smoky Mountains Study.
6Wednesday, July 18, 12
11. The US has
75 million
children and
teens.
40.4 million
are on
psychotropic
medications
Wall Street Journal, 12-28-2010
7Wednesday, July 18, 12
14. Depression Onset By Birth Cohort
Born 1986-1995?
Born 1996-2005?
8Wednesday, July 18, 12
15. Evolutionary bottleneck
1491 AD
OriginalHuman
Migrations to
North America
30,000,000
Souls in
North America
300,000
Souls≈ ≈
Disease & War26,000 to 12,000 B.E. Extermination,
Marginalization,
& Suppression
The America’s First Peoples…
Residential
Schools;
Western Diet
9Wednesday, July 18, 12
16. Evolutionary bottleneck
1491 AD
OriginalHuman
Migrations to
North America
30,000,000
Souls in
North America
300,000
Souls≈ ≈
Today,
Historic
Disparities
Disease & War26,000 to 12,000 B.E. Extermination,
Marginalization,
& Suppression
The America’s First Peoples…
Residential
Schools;
Western Diet
9Wednesday, July 18, 12
17. Evolutionary bottleneck
Slavery
1500’s to
1863
Original Human
Populations in Africa
Capture
30% to
50% +
mortality
≈
Middle
Passage
Continuing
Trauma
Institution
of Slavery
Separation,
violence,
malnutrition
Jim
CrowAfrican Americans…
Exposure
to Toxins
&
Racism
The Great
Migration
North
10Wednesday, July 18, 12
18. Evolutionary bottleneck
Slavery
1500’s to
1863
Original Human
Populations in Africa
Capture
30% to
50% +
mortality
≈
Today,
historic
disparities
Middle
Passage
Continuing
Trauma
Institution
of Slavery
Separation,
violence,
malnutrition
Jim
CrowAfrican Americans…
Exposure
to Toxins
&
Racism
The Great
Migration
North
10Wednesday, July 18, 12
19. Epigenesis
Epigenetics are
heritable
changes in
gene expression
caused by
mechanisms
other than
changes in the
underlying DNA
sequence.
These changes
can pass
through multiple
generations.
Genesis
Social Biological
Environmental Inputs
Nurturing or Toxic
Environments,
Disease, or
Threats
Signaling
M
orphogensis
Phosphorlyation
Acetylation
Methylation
Histone Remodeling
Chromatin Stucture Changes
Development Immunity Stem Cell Changes Imprinting
Three
Generation
Effects
Parent,
1st Generation
Baby,
2nd Generation
Reproductive Cells,
3rd Generation
These
polygenes
can be
“added”,
“subtracted”,
“divided”, or
“multiplied.”
11Wednesday, July 18, 12
21. Humans are the only species with bi-directional
wealth and wellbeing transfer across generations
Our
Children
Our
Adults &
Elders
13Wednesday, July 18, 12
22. Humans are the only species with bi-directional
wealth and wellbeing transfer across generations
Our
Children
Our
Adults &
Elders
adults and elders invest in children
13Wednesday, July 18, 12
23. Humans are the only species with bi-directional
wealth and wellbeing transfer across generations
Our
Children
Our
Adults &
Elders
Youth return the favor as adults
adults and elders invest in children
13Wednesday, July 18, 12
24. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
5-Year
Olds
65-Year
Olds
14Wednesday, July 18, 12
25. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
5-Year
Olds
65-Year
Olds
Who are living
longer though get
progressively sicker…
14Wednesday, July 18, 12
26. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
5-Year
Olds
65-Year
Olds
Who are living
longer though get
progressively sicker…
Requiring more wealth transfer
14Wednesday, July 18, 12
27. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
5-Year
Olds
65-Year
Olds
Who are less
and less able…
Who are living
longer though get
progressively sicker…
Requiring more wealth transfer
14Wednesday, July 18, 12
28. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
5-Year
Olds
65-Year
Olds
Who are less
and less able…
Who are living
longer though get
progressively sicker…
Requiring more wealth transfer
But elders voting to stop funds to kids
14Wednesday, July 18, 12
29. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
15Wednesday, July 18, 12
30. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
5-Year
Olds
65-Year
Olds
15Wednesday, July 18, 12
31. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
65-Year
Olds
15Wednesday, July 18, 12
32. We are the first civilization to abandon what
Mother Nature, Evolution & God gifted us…
15Wednesday, July 18, 12
34. Our Own Future and Our Own Children’s Future
17Wednesday, July 18, 12
35. Our Own & Our Children’s Future Rests On Other’s Futures
18Wednesday, July 18, 12
36. Our Own & Our Children’s Future Rests On Other’s Futures
depression
bipolar
drugs
tobacco
alcohol
ADHD
aggression
learning disabilities
stealing
suicide
depression
crime
violence
dangerous acts
asthma
obesity cancer
heart-disease
diabetes
hi-blood pressure
18Wednesday, July 18, 12
37. Key facts that predict our futures in America…
and, by the way, Texas…
19Wednesday, July 18, 12
38. Key facts that predict our futures in America…
and, by the way, Texas…
Our children
have the highest
rates of mental,
emotional,
behavioral, and
related physical
disorders
among the rich
democracies.
Our children
predicted to
have a shorter
lifespan and
worse morbidity
than their
parents or
grandparents.
19Wednesday, July 18, 12
39. Key facts that predict our futures in America…
and, by the way, Texas…
Our children
have the highest
rates of mental,
emotional,
behavioral, and
related physical
disorders
among the rich
democracies.
Our children
predicted to
have a shorter
lifespan and
worse morbidity
than their
parents or
grandparents.
Our current adults
have the highest
rates of mental,
emotional,
behavioral, and
related physical
disorders among
the rich
democracies.
19Wednesday, July 18, 12
40. Key facts that predict our futures in America…
and, by the way, Texas…
Our children
have the highest
rates of mental,
emotional,
behavioral, and
related physical
disorders
among the rich
democracies.
Our children
predicted to
have a shorter
lifespan and
worse morbidity
than their
parents or
grandparents.
Our bulge of
retiring
boomers have
high rates of
these same
problems plus
medical
problems of
aging.
Our current adults
have the highest
rates of mental,
emotional,
behavioral, and
related physical
disorders among
the rich
democracies.
19Wednesday, July 18, 12
42. What these trends this predict for small
businesses in America & Texas?
20Wednesday, July 18, 12
43. What these trends this predict for small
businesses in America & Texas?
What do these trends predict for US
global economic competitiveness?
20Wednesday, July 18, 12
44. What these trends this predict for small
businesses in America & Texas?
What do these trends predict for US
global economic competitiveness?
What do these trends predict for US
safety and security?
20Wednesday, July 18, 12
45. Who in Texas can act to protect our futures?
And how much could we reduce these problems?
21Wednesday, July 18, 12
49. Available at:
www.slideshare.net/drdennisembry
The Critical Role of Nurturing Environments for
Promoting Human Well-Being
Anthony Biglan Oregon Research Institute
Brian R. Flay Oregon State University
Dennis D. Embry PAXIS Institute
Irwin N. Sandler Arizona State University
The recent Institute of Medicine report on prevention (Na-
tional Research Council & Institute of Medicine, 2009)
noted the substantial interrelationship among mental, emo-
tional, and behavioral disorders and pointed out that, to a
great extent, these problems stem from a set of common
conditions. However, despite the evidence, current re-
search and practice continue to deal with the prevention of
mental, emotional, and behavioral disorders as if they are
unrelated and each stems from different conditions. This
article proposes a framework that could accelerate prog-
ress in preventing these problems. Environments that foster
successful development and prevent the development of
psychological and behavioral problems are usefully char-
acterized as nurturing environments. First, these environ-
ments minimize biologically and psychologically toxic
events. Second, they teach, promote, and richly reinforce
prosocial behavior, including self-regulatory behaviors
and all of the skills needed to become productive adult
members of society. Third, they monitor and limit oppor-
tunities for problem behavior. Fourth, they foster psycho-
logical flexibility—the ability to be mindful of one’s
thoughts and feelings and to act in the service of one’s
values even when one’s thoughts and feelings discourage
taking valued action. We review evidence to support this
synthesis and describe the kind of public health movement
that could increase the prevalence of nurturing environ-
ments and thereby contribute to the prevention of most
mental, emotional, and behavioral disorders. This article is
one of three in a special section (see also Mun˜oz Beardslee,
& Leykin, 2012; Yoshikawa, Aber, & Beardslee, 2012)
representing an elaboration on a theme for prevention
science developed by the 2009 report of the National Re-
The next big challenge is to translate this knowledge into
significant reductions in the incidence and prevalence of
multiple disorders.
Doing so requires us to accept two other conclusions
of the report: Psychological and behavioral disorders and
related problems co-occur (e.g., Biglan, Brennan, Foster, &
Holder, 2004; Donovan, Jessor, & Costa, 1993; Flay,
2002), and these problems stem largely from the same
conditions (Biglan et al., 2004; Flay, Snyder, & Petraitis,
Editor’s note. This article is one of three in a special section presented
in this issue of the American Psychologist (May–June 2012) representing
an elaboration on an important theme for prevention science developed by
the landmark report of the National Research Council and Institute of
Medicine (NRC & IOM, 2009). That report summarized the impressive
progress in prevention research that has occurred over the past two
decades with children and youth. The report also presented recommenda-
tions for the next generation of research and policy initiatives to translate
this progress into true improvements in the mental health of America’s
children and youth. One theme in the report concerns the power of
positive aspects of the social environment to promote positive develop-
ment and to prevent the development of disorder. The current article
develops a coherent, empirically based, theoretical framework for con-
ceptualizing the positive aspects of the social environment, which the
authors have labeled “nurturing environments.” The other articles in this
special section elaborate on two other themes in the NRC & IOM report,
one of which concerns the salient role of poverty as a pervasive risk factor
(Yoshikawa, Aber, & Beardslee, 2012) and the other of which concerns
the potential for preventing the incidence of depression, a major mental
disorder (Mun˜oz, Beardslee, & Leykin, 2012).
Authors’ note. Anthony Biglan, Promise Neighborhoods Research
Consortium, Oregon Research Institute, Eugene, Oregon; Brian R. Flay,
College of Public Health and Human Sciences, Oregon State University;
Dennis D. Embry, PAXIS Institute, Tucson, Arizona; Irwin N. Sandler,
25Wednesday, July 18, 12
50. Behavioral Vaccines and
Evidence-Based Kernels:
Nonpharmaceutical
Approaches for the
Prevention of Mental,
Emotional, and
Behavioral Disorders
Dennis D. Embry, PhD
KEYWORDS
Evidence-based kernels Behavioral vaccines Prevention
Public health
Available at:
www.slideshare.net/drdennisembry
26Wednesday, July 18, 12
51. Available at:
www.slideshare.net/drdennisembry
Evidence-based Kernels: Fundamental Units of Behavioral
Influence
Dennis D. Embry Æ Anthony Biglan
Ó The Author(s) 2008. This article is published with open access at Springerlink.com
Abstract This paper describes evidence-based kernels,
fundamental units of behavioral influence that appear to
underlie effective prevention and treatment for children,
adults, and families. A kernel is a behavior–influence
procedure shown through experimental analysis to affect a
specific behavior and that is indivisible in the sense that
removing any of its components would render it inert.
Existing evidence shows that a variety of kernels can
influence behavior in context, and some evidence suggests
that frequent use or sufficient use of some kernels may
produce longer lasting behavioral shifts. The analysis of
kernels could contribute to an empirically based theory of
behavioral influence, augment existing prevention or
treatment efforts, facilitate the dissemination of effective
prevention and treatment practices, clarify the active
ingredients in existing interventions, and contribute to
efficiently developing interventions that are more effective.
Kernels involve one or more of the following mechanisms
of behavior influence: reinforcement, altering antecedents,
changing verbal relational responding, or changing physi-
ological states directly. The paper describes 52 of these
kernels, and details practical, theoretical, and research
implications, including calling for a national database of
kernels that influence human behavior.
This paper presents an analysis of fundamental units of
behavioral influence that underlie effective prevention and
treatment. We call these units kernels. They have two
defining features. First, in experimental analysis,
researchers have found them to have a reliable effect on
one or more specific behaviors. Second, they are funda-
mental units of behavior influence in the sense that deleting
any component of a kernel would render it inert. Under-
standing kernels could contribute to an empirically based
theory of behavioral influence, facilitate dissemination of
effective prevention and treatment practices, clarify the
active ingredients in existing interventions, and contribute
to developing interventions that are more efficient and
effective. Subsequent sections of this paper expand on the
two essential features of evidence-based kernels, as well as
the origins of the idea and terminology.
The ultimate goals of treatment and prevention research
are a reduction of the prevalence of the most common and
costly problems of behavior and an increase in the preva-
lence of wellbeing. Current thinking about how to
accomplish this assumes that we will identify empirically
supported programs and, to a lesser extent, policies, and
will disseminate them widely and effectively. Although
substantial progress is occurring through this strategy, there
Clin Child Fam Psychol Rev
DOI 10.1007/s10567-008-0036-x
27Wednesday, July 18, 12
52. Physiological
influences trigger
adverse biological
mechanisms
Reinforcement
more for anti-social
than prosocial
behaviors
Antecedents
cue anti-social
acts and threats
Verbal Relations
occasion perceived
threats and related
reactions
Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs Related Illnesses
Multi-Inflammatory Brain Body Response
28Wednesday, July 18, 12
53. Mood
Instability
Inattention
Lo Reward
Delay
Lo Executive
Function
Lo Behavioral
Competencies
Poor
Motor
Skills
Immune-
Healing
Dysfunction
Physiological
influences trigger
adverse biological
mechanisms
Reinforcement
more for anti-social
than prosocial
behaviors
Antecedents
cue anti-social
acts and threats
Verbal Relations
occasion perceived
threats and related
reactions
Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs Related Illnesses
Multi-Inflammatory Brain Body Response
28Wednesday, July 18, 12
54. Mood
Instability
Inattention
Lo Reward
Delay
Lo Executive
Function
Lo Behavioral
Competencies
Poor
Motor
Skills
Immune-
Healing
Dysfunction
Physiological
influences trigger
adverse biological
mechanisms
Reinforcement
more for anti-social
than prosocial
behaviors
Antecedents
cue anti-social
acts and threats
Verbal Relations
occasion perceived
threats and related
reactions
Major Connected Ecologic Causes of the Adverse Trends Predicting MEBs Related Illnesses
Mental Illness
Substance
Abuse
Violence
Work
Problems
Obesity,
etc
CancerEarly
Sex
School
Failure
STD’s Special
EdMulti-Inflammatory Brain Body Response
28Wednesday, July 18, 12
55. Rise in
Depression
Rates
Rise in
Aggression
Rates
Rise in
Obesity
Rates
Change in
Genes
Increased
Cancer
Increased
Autism
Increased
Schizo.
ATOD
Addictions
New cultural trends predict new challenges and risks
29Wednesday, July 18, 12
56. Rise in
Depression
Rates
Rise in
Aggression
Rates
Rise in
Obesity
Rates
Change in
Genes
Increased
Cancer
Increased
Autism
Increased
Schizo.
ATOD
AddictionsOmega 3
Fatty Acid
Deficiency
Vitamin D
Deficiency
Reduced
Outdoor
Activities
Fear of
Violence
Crime
Increased
Electronic
Media Use
New cultural trends predict new challenges and risks
29Wednesday, July 18, 12
57. Rise in
Depression
Rates
Rise in
Aggression
Rates
Rise in
Obesity
Rates
Change in
Genes
Increased
Cancer
Increased
Autism
Increased
Schizo.
ATOD
AddictionsOmega 3
Fatty Acid
Deficiency
Vitamin D
Deficiency
Reduced
Outdoor
Activities
Fear of
Violence
Crime
Increased
Electronic
Media Use
Lower Rates
of Positive
Reinforcement
New cultural trends predict new challenges and risks
29Wednesday, July 18, 12
58. Four Types of Kernels
Antecedent
Kernel
Reinforcement
Kernel
Relational
Frame
Kernel
Physiological
Kernel
Happens BEFORE
the behavior
Happens AFTER the
behavior
Creates verbal
relations for the
behavior
Changes
biochemistry of
behavior
Embry, D. D., Biglan, A.
(2008). Evidence-Based
Kernels: Fundamental Units of
Behavioral Influence. Clinical
Child Family Psychology
Review, 39.
30Wednesday, July 18, 12
59. Physiological
influences trigger
protective biological
mechanisms
Reinforcement
more for prosocial
behaviors
Antecedents
cue prosocial
behaviors
Verbal Relations
occasion perceived
safety and
affiliation
Major Connected Ecologic Causes of the Positive Trends to Children, Youth and Adults
Multi Anti-Inflammatory Brain Body Response
31Wednesday, July 18, 12
60. Mood
Stability
Attention
Hi Reward
Delay
Hi Executive
Function
Hi Behavioral
Competencies
Good
Motor
Skills
Immune-
Healing
Efficiency
Physiological
influences trigger
protective biological
mechanisms
Reinforcement
more for prosocial
behaviors
Antecedents
cue prosocial
behaviors
Verbal Relations
occasion perceived
safety and
affiliation
Major Connected Ecologic Causes of the Positive Trends to Children, Youth and Adults
Multi Anti-Inflammatory Brain Body Response
31Wednesday, July 18, 12
61. Mood
Stability
Attention
Hi Reward
Delay
Hi Executive
Function
Hi Behavioral
Competencies
Good
Motor
Skills
Immune-
Healing
Efficiency
Physiological
influences trigger
protective biological
mechanisms
Reinforcement
more for prosocial
behaviors
Antecedents
cue prosocial
behaviors
Verbal Relations
occasion perceived
safety and
affiliation
Major Connected Ecologic Causes of the Positive Trends to Children, Youth and Adults
Mental health
Low
Addictions
Prosociality
Work
Success
Heart
Health
etc
Low
Cancer
Delayed
Sex
Hi Sch.
Grad
Low
Injuries
Higher
Ed
Multi Anti-Inflammatory Brain Body Response
31Wednesday, July 18, 12
62. Kernels are building
blocks of behavior change
Humans survive individually and collectively by
influencing the behavior or other humans
The 2008 paper by Embry and Biglan identifies
52 evidence based kernels that can be used to
design or or improve programs.
32Wednesday, July 18, 12
65. Muriel Saunders
PAX GBG: An Example Behavioral Vaccine
Read about multiple scientific studies on the “Good Behavior Game” at www.pubmed.gov
35Wednesday, July 18, 12
72. Timeline of Life Time Benefits…
More time for
teaching and learning
First Month
Less stress for
Staff Students
Better
Attendance
Better
Academics
Less
Illness
Fewer Service
Needs
Fewer
Referrals
First Year
Happier
Families
Less
Vandalism
2nd 3rd Years
ADHD
Averted
Oppositional
Defiance Averted
Special Education
Averted
5-15 Years
No
Tobacco
Less
Alcohol
Less Conduct
Disorders
Delayed
vaginal sex
Less Crime,
Violence, Suicide
High School
Grad University
37Wednesday, July 18, 12
73. How much might PAX GBG
save for Texans?
To do PAX GBG will cost about $150 to protect our children for
life from mental illnesses, behavioral problems, drug addictions,
becoming a criminal, trying suicide, dying from tobacco or
alcohol related illnesses. And, it increases their academic
success—including university entry.
PAX GBG pays back $4,636 to individuals, taxpayers, and
others per student exposed in First Grade over 15 years.
Assuming 40,000 First Graders each year, that saves
$186 million every First Grade cohort.
Cost
Savings
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
38Wednesday, July 18, 12
74. First graders
exposed to GBG
for one year had
these benefits at
age 21.
SOURCE: Kellam, S. G., Mackenzie, A. C., Brown, C. H., Poduska, J. M., Wang, W., Petras, H., Wilcox, H. C. (2011). The good behavior game and the future of prevention and treatment. Addict Sci Clin Pract, 6(1), 73-84.
Read this and other studies about the Good Behavior Game at www.pubmed.gov
OUTCOMES STUDENT GROUPS GBG CLASSROOM STANDARD CLASSROOM
Drug abuse and All males 19 percent 38 percent
dependence disorders
Highly aggressive males 29 percent 83 percent
Regular smoking All males 6 percent 19 percent
Highly aggressive males 0 percent 40 percent
Alcohol abuse and All males and females 13 percent 20 percent
dependence disorders
Antisocial personality Highly aggressive males 40 percent 100 percent
disorder (ASPD)
Violent and criminal Highly agressive males 34 percent 50 percent
behavior (and ASPD)
Service use for All males 25 percent 42 percent
problems with behavior,
emotions, drugs, or
alcohol
Suicidal thoughts All females 9 percent 19 percent
All males 11 percent 24 percent
39Wednesday, July 18, 12
75. Lifespan example of one kernel
for prevention, intervention and
treatment
Reinforcement
Kernel
Happens AFTER
the behavior
Available from Amazon.com for $45
40Wednesday, July 18, 12
76. Giggle Fest Giving Cuts in
Line
Mumble, Grumble
Gowl
Play Hangman
Jokester Making Faces
Nerf Toss or
Nerf Basket
Paper Airplane
Toss
Pencil Tapping Penny or Poker
Chip Flipping
possible in the time set. You can’t help but giggle.
Suggested Time: 10 to 20 seconds
Winning teams can give cuts to a friend for one set
time as determined by the teacher
Suggested Time: One lunch, or day only.
Suggested Time: 10 to 20 seconds
Winning teams get to mumble, grumble and growl as
much as possible during the set time.
Winning teams are allowed to play a game of hang-
man for a time set by the teacher.
Suggested Time: 1-2 minutes; more at day’s end
Suggested Time: 1-3 minutes, depending on joke book
A joke is read for each winning team. Teacher may
read them or team captains can read the jokes. (Teach-
er needs to have several joke books ready.)
Winning teams may make faces at each other or the
teacher.
Suggested Time: 10-30 seconds.
Suggested Time: About 1-2 mins, based on nerf balls
Winning teams get to line up and toss a nerf ball into a
box, bin or mini basketball hoop.
-
ing them. (Nice at the end of the day prize)
Suggested Time: A few minutes to make, then toss
Suggested Time: 10 seconds or so.
cups or jars. You can make some containers smalller
for more “points”.
Suggested Time: A minute or so
PAX TIP: Please cut out and select prizes appropriate for you. Start and stop the prizes with PAX Quiet.
Using prize bowl or mystery
motivator in prevention
41Wednesday, July 18, 12
77. Seine River Pilot Demonstration
April, 2011 – Principals and key
staff trained for two days for all
12 schools.
April, 2011 – First grade
classrooms then trained that
week
April through May – Each
successive month other grades
trained, including 8th grade
0
2
4
6
8
10
12
Before
(Baseline)
After
PAX GBG
Disruptions by All Seine River First Graders
RatePerHourPerChild
40.8%
Reduction
45%
42Wednesday, July 18, 12
78. An ancient inukshuk points the
way
0%
6%
12%
18%
24%
30%
Psychosis
Omega-3 Placeo
27.5%
4.9%
PercentagewithPsychosisat12months
Physiological
Kernel
Changes
biochemistry of
behavior
Brief Report
Omega-3 Fatty Acid Treatment of Women
With Borderline Personality Disorder:
A Double-Blind, Placebo-Controlled Pilot Study
Mary C. Zanarini, Ed.D.
Frances R. Frankenburg, M.D.
Objective: The purpose of this study was to compare the effi-
cacy of ethyl-eicosapentaenoic acid (E-EPA) and placebo in the
treatment of female subjects with borderline personality disorder.
Method: The authors conducted an 8-week, placebo-con-
trolled, double-blind study of E-EPA in 30 female subjects meet-
ing Revised Diagnostic Interview for Borderlines and DSM-IV cri-
teria for borderline personality disorder.
Results: Twenty subjects were randomly assigned to 1 g of E-
EPA; 10 subjects were given placebo. Ninety percent of those in
both groups completed all 8 weeks of the trial. Analyses that
used random-effects regression modeling and controlled for
baseline severity showed E-EPA to be superior to placebo in
diminishing aggression as well as the severity of depressive
symptoms.
Conclusions: The results of this study suggest that E-EPA may
be a safe and effective form of monotherapy for women with
moderately severe borderline personality disorder.
(Am J Psychiatry 2003; 160:167–169)
Borderline personality disorder is marked by notable
reactivity of mood and impulsive aggression. Because re-
sponse to antidepressants and mood stabilizers has typi-
cally been clinically modest in this patient group (1), the
identification of novel treatments is needed. Candidates
include omega-3 fatty acids, such as eicosapentaenoic
acid and docosahexaenoic acid, which are commonly
found in seafood and have beneficial effects and none of
the adverse side effects commonly associated with phar-
macotherapy. In cross-national studies, greater seafood
consumption was associated with lower rates of bipolar
disorder (30-fold range) and major depression (50-fold
range) (2). In placebo-controlled trials, a mixture of these
fatty acids was found to be an effective adjunctive agent
for patients suffering from bipolar disorder (3), and ethyl-
eicosapentaenoic acid (E-EPA) was found to have a bene-
ficial adjunctive effect for patients suffering from recur-
rent depression (4). Because of the shared symptoms of
borderline personality disorder and these mood disorders,
a double-blind, placebo-controlled trial of E-EPA seemed
warranted.
Method
Recruitment of women between the ages of 18 and 40 was ac-
complished through advertisements in Boston newspapers.
week, were actively abusing alcohol or drugs, or were acutely sui-
cidal.
Subjects were next invited to participate in face-to-face inter-
views. At that time, the study procedures were fully explained,
and written informed consent was obtained. Two semistructured
diagnostic interviews were then administered to each subject: the
Structured Clinical Interview for DSM-IV Axis I Disorders (6) and
the Revised Diagnostic Interview for Borderlines (DIB-R) (7). Two
observer-rated scales were also administered: the Modified Overt
Aggression Scale (8) and the Montgomery-Åsberg Depression
Rating Scale (9).
Subjects were included if they met both DIB-R and DSM-IV cri-
teria for borderline personality disorder. They were excluded if
they met current or lifetime criteria for schizophrenia, schizoaf-
fective disorder, or bipolar I or bipolar II disorder or were cur-
rently in the midst of a major depressive episode.
Study duration was 8 weeks. Subjects were seen every week for
the first month and then biweekly for the next month. Both psy-
chiatric rating scales were readministered at each subsequent
visit. Side effects were also assessed at these visits with a struc-
tured questionnaire.
Subjects received two capsules per day (beginning the day after
their baseline assessment); each capsule contained either 500 mg
of 97% E-EPA or a placebo (mineral oil). One gram was chosen as
the dose most likely to be effective on the basis of unpublished
studies in depression (David Horrobin, personal communication,
Feb. 1, 2001). Capsules were supplied by Laxdale Pharmaceuticals
(Stirling, U.K.).
Between-group baseline demographic variables and clinical
history variables were analyzed by using chi-square analyses for
categorical variables and Student’s t test for continuous variables.
Source: Archives of General PsychiatrySource: Am. Journal of Psychiatry
43Wednesday, July 18, 12
79. 0
0.25
0.50
0.75
1.00
Before supplementation During supplementation
RatioofDisciplinaryIncidentsSupplementation/Baseline
Active
Placebo
Reduced
Felony
Violent
Offenses
Among
Prisoners
with
recommended
daily
amounts
of
vitamins,
minerals
and
essen=al
fay
acids
UK
maximum
security
prison
-‐
338
offences
among
172
prisoners
over
9
months
treatment
in
a
compared
to
9
months
baseline.
Gesch
et
al.
Br
J
Psychiatry
2002,
181:22-‐28
Ac=ve
-‐37.0%
p
‹
0.005
Placebo
-‐10.1%
p
=
ns
Physiological
Kernel
44Wednesday, July 18, 12
80. Why not reproduce the rapid
results in the US to get a 37%
reduction in jail violence?
It cost the Brits 19¢ per day or $69.35 per year.
45Wednesday, July 18, 12
81. Omega-3 Status and US Military Suicide Deaths
Suicide Deaths of Active-Duty US Military and
Omega-3 Fatty-Acid Status: A Case-Control Comparison
Michael D. Lewis, MD; Joseph R. Hibbeln, MD; Jeremiah E. Johnson, RD;
Yu Hong Lin, PhD; Duk Y. Hyun, BS; and James D. Loewke, BS
ABSTRACT
Background: The recent escalation of US military
suicide deaths to record numbers has been
a sentinel for impaired force efficacy and has
accelerated the search for reversible risk factors.
Objective: To determine whether deficiencies
of neuroactive, highly unsaturated omega-3
essential fatty acids (n-3 HUFAs), in particular
docosahexaenoic acid (DHA), are associated with
increased risk of suicide death among a large
random sample of active-duty US military.
Method: In this retrospective case-control
study, serum fatty acids were quantified as
a percentage of total fatty acids among US
military suicide deaths (n=800) and controls
(n=800) matched for age, date of collection of
sera, sex, rank, and year of incident. Participants
were active-duty US military personnel
(2002–2008). For cases, age at death ranged
from 17–59 years (mean=27.3 years, SD=7.3
years). Outcome measures included death by
suicide, postdeployment health assessment
questionnaire (Department of Defense Form
2796), and ICD-9 mental health diagnosis data.
Results: Risk of suicide death was 14% higher per
SD of lower DHA percentage (OR=1.14; 95% CI,
1.02–1.27; P.03) in adjusted logistic regressions.
Among men, risk of suicide death was 62%
greater with low serum DHA status (adjusted
OR=1.62; 95% CI, 1.12–2.34; P.01, comparing
DHA below 1.75% [n=1,389] to DHA of 1.75%
and above [n=141]). Risk of suicide death was
52% greater in those who reported having seen
wounded, dead, or killed coalition personnel
(OR=1.52; 95% CI, 1.11–2.09; P.01).
Suicide rates among active-duty US military have increased to re-
cord numbers, doubling since the inception of Operation Enduring
Freedom (Afghanistan) and Operation Iraqi Freedom and rivaling the
battlefield in toll on the US military.1 Army Vice–Chief of Staff General
Peter W. Chiarelli described the record suicide rate as “horrible” and
voiced frustration that “the Army has not yet been able to identify any
causal links among the suicide cases.”2(pA2)
Deficiencies of nutrients critical for brain function may be a signifi-
cant contributing risk factor for psychiatric pathology, especially suicide
and stress-related psychiatric symptoms.3 Highly unsaturated omega-3
essential fatty acids (n-3 HUFAs), in particular docosahexaenoic acid
(DHA), are selectively concentrated in neural tissues and are required
for optimal neural function.4
These fatty acids cannot be made de novo
but are available only from dietary sources, with seafood being the richest
source. Nutritional deficiencies in n-3 HUFAs may increase vulnerabil-
ity to combat deployment stress, manifesting as psychiatric symptoms
including adjustment disorders, major depression, impulsive violence,
and suicide.5 In civilian populations, observational studies indicate that
low fish consumption is associated with increased risk of completed sui-
cides6,7
and greater suicidal ideation.8
Low DHA status was associated
with increased risk of past suicide attempts9
and future suicide attempts.10
In comparison to placebo, 2 grams per day of n-3 HUFA reduced suicidal
thinking and depressive symptoms and reduced the perception of stress
among subjects (n=49) with deliberate self-harm.11
These findings suggest that low DHA levels may be a contributing
factor for adverse psychiatric symptoms. In this study, we posited that
low DHA status would be associated with increased risk of suicide death
among military personnel. Prospectively collected serum and supporting
data were available from the Armed Forces Health Surveillance Center
(AFHSC) for a large number of active-duty suicide deaths (n=800) and
matched controls (n=800). To our knowledge, this is the largest study of
46Wednesday, July 18, 12
82. REVIEW Open Access
Clearance of fear memory from the hippocampus
through neurogenesis by omega-3 fatty acids:
a novel preventive strategy for posttraumatic
stress disorder?
Yutaka Matsuoka1,2
Abstract
Not only has accidental injury been shown to account for a significant health burden on all populations, regardless
of age, sex and geographic region, but patients with accidental injury frequently present with the psychiatric
condition of posttraumatic stress disorder (PTSD). Prevention of accident-related PTSD thus represents a potentially
important goal. Physicians in the field of psychosomatic medicine and critical care medicine have the opportunity
to see injured patients in the immediate aftermath of an accident. This article first briefly reviews the prevalence
and associated factors of accident-related PTSD, then focuses on a conceptual model of fear memory and
proposes a new, rationally hypothesized translational preventive intervention for PTSD through promoting
hippocampal neurogenesis by omega-3 fatty acid supplementation. The results of an open-label pilot trial of
injured patients admitted to the intensive care unit suggest that omega-3 fatty acid supplementation immediately
after accidental injury can reduce subsequent PTSD symptoms.
Matsuoka BioPsychoSocial Medicine 2011, 5:3
http://www.bpsmedicine.com/content/5/1/3
Clearance of fear memory from the hippocampus
through neurogenesis by omega-3 fatty acids: a novel
preventive strategy for posttraumatic stress disorder?
Matsuoka
Matsuoka BioPsychoSocial Medicine 2011, 5:3
http://www.bpsmedicine.com/content/5/1/3 (8 February 2011)
Omega-3 for PTSD symptoms could be used
routinely for the patients exposed to trauma
REVIEW Open Access
Clearance of fear memory from the hippocampus
through neurogenesis by omega-3 fatty acids:
a novel preventive strategy for posttraumatic
stress disorder?
Yutaka Matsuoka1,2
Abstract
Not only has accidental injury been shown to account for a significant health burden on all populations, regardless
of age, sex and geographic region, but patients with accidental injury frequently present with the psychiatric
condition of posttraumatic stress disorder (PTSD). Prevention of accident-related PTSD thus represents a potentially
important goal. Physicians in the field of psychosomatic medicine and critical care medicine have the opportunity
to see injured patients in the immediate aftermath of an accident. This article first briefly reviews the prevalence
and associated factors of accident-related PTSD, then focuses on a conceptual model of fear memory and
proposes a new, rationally hypothesized translational preventive intervention for PTSD through promoting
hippocampal neurogenesis by omega-3 fatty acid supplementation. The results of an open-label pilot trial of
injured patients admitted to the intensive care unit suggest that omega-3 fatty acid supplementation immediately
after accidental injury can reduce subsequent PTSD symptoms.
Matsuoka BioPsychoSocial Medicine 2011, 5:3
http://www.bpsmedicine.com/content/5/1/3
Clearance of fear memory from the hippocampus
through neurogenesis by omega-3 fatty acids: a novel
preventive strategy for posttraumatic stress disorder?
Matsuoka
Matsuoka BioPsychoSocial Medicine 2011, 5:3
http://www.bpsmedicine.com/content/5/1/3 (8 February 2011)
47Wednesday, July 18, 12
83. Omega-3 can improve school
grades and success
-2
-1
0
1
2
3
4
5
6
7
Reading Spelling
Omega 3 Placebo
These were gains in
academics after 3
months of exposure
to fish oil.
Before Omega 3
After Omega 3
See www.durhamtrial.org/
48Wednesday, July 18, 12
87. Wait for the Timer for tobacco
addictions with SMI/CMI
Antecedent
Kernel
Happens
BEFORE the
behavior
52Wednesday, July 18, 12
88. Beat the timer in school to
improve engagement
Antecedent
Kernel
Happens
BEFORE the
behavior
53Wednesday, July 18, 12
89. Trend-line for humorous warnings on binge drinking
by women of child-rearing age
No Warnings Humorous Warnings
Antecedent
Kernel
54Wednesday, July 18, 12
90. Trend-line for humorous warnings on binge drinking
by women of child-rearing age
1995 1997 1999 2001 2002 2003 2004 2005 2006 2007
0
4
8
12
16
20
Percentage
No Warnings Humorous Warnings
Antecedent
Kernel
54Wednesday, July 18, 12
91. Trend-line for humorous warnings on binge drinking
by women of child-rearing age
1995 1997 1999 2001 2002 2003 2004 2005 2006 2007
0
4
8
12
16
20
Percentage
No Warnings Humorous Warnings
Antecedent
Kernel
54Wednesday, July 18, 12
92. Trend-line for humorous warnings on binge drinking
by women of child-rearing age
1995 1997 1999 2001 2002 2003 2004 2005 2006 2007
0
4
8
12
16
20
Percentage
No Warnings Humorous Warnings
Antecedent
Kernel
54Wednesday, July 18, 12
99. Thinking about and measuring recovery, relapse
and recidivism
0
50
100
0 10 20 30 40 50
Time in Months
0
50
100
0 10 20 30 40 50
Time in Months
Treatment Strategy #1 Treatment Strategy #2
Only 17% of the
discharged clients
of program #1 have
not relapsed,been
re-arrested,or
re-hospitalized by
48 months.
About 80% of the
discharged clients
of program #2
“survived”with
no relapse,
re-arrested,or
re-hospitalization by
48 months.
Do these two
evidence- based
strategies look
significantly
different at 20
days?
60Wednesday, July 18, 12
100. Thinking about and measuring recovery, relapse
and recidivism
0
50
100
0 10 20 30 40 50
Time in Months
0
50
100
0 10 20 30 40 50
Time in Months
Treatment Strategy #1 Treatment Strategy #2
Only 17% of the
discharged clients
of program #1 have
not relapsed,been
re-arrested,or
re-hospitalized by
48 months.
About 80% of the
discharged clients
of program #2
“survived”with
no relapse,
re-arrested,or
re-hospitalization by
48 months.
60Wednesday, July 18, 12
101. Percentage of patients in recovery during followup year.
Harrow M et al. Schizophr Bull 2005;31:723-734
Percentage of
patients in recovery
during followup year.
Note: SZ =
schizophrenia,
SZNIF =
schizophreniform,
OP = other
psychotic, NP =
nonpsychotic.
Non-psychotic
Other psychotic
Schizophreniform
Schizophrenia
61Wednesday, July 18, 12
102. Percent of Patients Ever in Recovery (5 Follow-ups Over 15 Years).
Harrow M et al. Schizophr Bull 2005;31:723-734
62Wednesday, July 18, 12
103. Percent of Nonmedicated Schizophrenia and Schizophreniform Patients in Recovery at 15-Year Follow-ups.
Harrow M et al. Schizophr Bull 2005;31:723-734
63Wednesday, July 18, 12
104. Recognition/Rewards
for Successs
Vaccine
Recipe Identify
Behaviors
Reduced
Identify
Behaviors
Increased
List local,
state and
national
policies
positively
impacted or
lled by
recipe
Psychinfo
www.pubmed.gov
ERIC
NTIS
User T
Local
State
National
Cite relevant
studies
Cite relevant
endorsements
or standards
Create policy
funding supports
(organizational,
local and/or state
Cultivate some
current or
prospective early
adopters for
testimonials Lo Hi
- A
catchy positive
name (meme)
-
What the
ts are
- Where/
how to get
recipe
- Relational framing
Support
Training
Daily, Weekly
or Monthly
Feedback
res
TH
cacy,
Adoption,
Implementation,
Maintenance
- What
the costs of use
are
Developmental stages
Multiple
Settings
Fam
ilies
Schools
Communities
Organiations
Birth Childhood Adolescence Adulthood
Intensity/reachlevels
High Intensity
Low reach
Low
Intensity
A
B
C
Hi
reach
Impacting Values
Evaluation
Outcome
Monitoring
Population Targeting
The path
from
research
findings
to public
health
policy
and
impact
64Wednesday, July 18, 12
106. Dennis D. Embry, Ph.D.
dde@paxis.org
520-299-6770
Business cards available
for follow up and copies
of papers presentations
66Wednesday, July 18, 12