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Mental Illness Prevention and Promotion

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The Challenges of Mental Health Caregiving

Abstract

There has been a remarkable growth of high quality empirical studies in the prevention of mental illness and the promotion of mental health over the past three decades. A series of reports (Institute of Medicine (IOM), Reducing risks for mental disorders: Frontiers for preventive intervention research, 1994; National Advisory Mental Health Council Workgroup, Blueprint for change: Research on child and adolescent psychiatry, 2001; Beardslee and Gladstone, Facilitating pathways: Care, treatment and prevention in child and adolescent mental health, 2004) has documented progress in the prevention of mental illness. More recently, the Institute of Medicine issued two new reports, one focused entirely on the prevention of emotional and behavioral disorders in youth (National Research Council and Institute of Medicine, Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities, 2009) and another with a specific focus on parental depression (National Research Council and Institute of Medicine, Depression in parents, parenting, and children, 2009). This progress has occurred through the definition of a set of rigorous standards for the conduct of research in prevention (e.g., testing of theoretically driven hypotheses, use of valid assessment instruments, blind assessment of subjects separate from intervention delivery, evaluation of outcomes over the long term, etc.), primarily using randomized trial designs. Yet, against the backdrop of successfully conducted prevention trials and efforts to promote mental health, virtually nothing has been written about the needs of caregivers who engage in prevention and health promotion and, in particular, what kinds of special supports they need. Caring for caregivers in prevention settings is absolutely essential to the success of preventive intervention efforts to date and will be even more important if such efforts are to be widely implemented in large-scale programs.

The research discussed in this paper is based on the Preventive Intervention Project at the Judge Baker Children’s Center, Boston. This research has been conducted with the support of NIMH Grant RO1MH48696, The William T. Grant Foundation, and a Faculty Scholar Award of the William T. Grant Foundation to Dr. Beardslee.

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Notes

  1. 1.

    The National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment. Blueprint for change: Research on child and adolescent mental health. Washington, D.C.: 2001.

  2. 2.

    Day Dell Publishing Group, Inc., 1997.

References

  • Beardslee, W. R. (2000). Prevention of mental disorders and the study of developmental psychopathology: A natural alliance. In J. Rapoport (Ed.), Childhood onset of “adult” disorder: What can it tell us? (pp. 233–354). Washington: American Psychiatric Press.

    Google Scholar 

  • Beardslee, W. R. (2002). Out of the darkened room: Protecting the children and strengthening the family when a parent is depressed. New York: Little, Brown and Company.

    Google Scholar 

  • Beardslee, W. R., Brent, D. A., Weersing, V. R., Clarke, G. N., Porta, G., Hollon, S. D., … Garber, J. (in press). Prevention of depression in at-risk adolescents: Longer-term effects. Journal of the American Medical Association Psychiatry.

    Google Scholar 

  • Beardslee, W. R., & DeMaso, D. R. (1982). Staff groups in a pediatric hospital: Content and coping. American Journal of Orthopsychiatry, 52, 712–718.

    Article  PubMed  Google Scholar 

  • Beardslee, W. R., & Gladstone, T. R. G. (2001). Prevention of childhood depression: Recent findings and future prospects. Biological Psychiatry, 49, 1101–1110.

    Article  PubMed  Google Scholar 

  • Beardslee, W. R., & Gladstone, T. R. G. (2004). Prevention of risks for mental health problems: Lessons learned in examining the prevention of depression in families. In H. Remschmidt, M. Belfer, & I. Goodyer (Eds.), Facilitating pathways: Care, treatment and prevention in child and adolescent mental health, (245–254). New York: Springer Medizin Verlag Berlin Heidelberg.

    Google Scholar 

  • Beardslee, W. R., & Podorefsky, D. (1988). Resilient adolescents whose parents have serious affective and other psychiatric disorders: The importance of self- understanding and relationships. American Journal of Psychiatry, 145, 63–69.

    PubMed  Google Scholar 

  • Beardslee, W. R., Salt, P., Versage, E. M., Gladstone, T. R. G., Wright, E. J., & Rothberg, P. C. (1997a). Sustained change in parents receiving preventive interventions for families with depression. The American Journal of Psychiatry, 154, 510–515.

    Google Scholar 

  • Beardslee, W. R., Wright, E., Salt, P., Drezner, K., Gladstone, T. R. G., Versage, E. M., et al. (1997b). Examination of children’s responses to two preventive intervention strategies over time. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 196–204.

    Article  Google Scholar 

  • Beardslee, W. R., Gladstone, T. R. G., Wright, E. & Cooper, A. B. (2003). A family-based approach to the prevention of depressive symptoms in children at risk: Evidence of parental and child change. Pediatrics, 112, e119–131.

    Article  PubMed  Google Scholar 

  • Beardslee, W. R., Wright, E., Gladstone, T. R. G. & Forbes, P. (2007). Long-term effects from a randomized trial of two public health preventive interventions for parental depression. Journal of Family Psychology, 21, 703–713.

    Article  Google Scholar 

  • Beardslee, W. R., Chien, P. L. & Bell, C. C. (2011). Prevention of mental disorders, substance abuse, and problem behaviors: A developmental perspective. Psychiatric Services, 62, 247–254.

    Article  PubMed  Google Scholar 

  • Berrueta-Clement, J. R., Schwienhart, L. J., Barnett, W. S., Epstein, A. S., & Weikart, D. P. (1984). Changed lives: The effects of the perry preschool program on youths through age 19. Ypsilanti: High/Scope Press.

    Google Scholar 

  • Brunwasser, S. M., Gillham, J. E. & Kim, E. S. (2009). A meta-analytic review of the penn resiliency program’s effect on depressive symptoms. Journal of Consulting and Clinical Psychology, 77, 1042–1054.

    Article  PubMed  Google Scholar 

  • Clarke, G. N., Hornbrook, M., Lynch, F., Polen, M., Gale, J., Beardslee, W., O’Connor, E. & Seeley, J. (2001). A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Archives of General Psychiatry, 58, 1127–1134.

    Article  PubMed  Google Scholar 

  • D’Angelo, E., Llerena-Quinn, R., Shapiro, R., Colon, F., Rodriguez, P., Gallagher, K. & Beardslee, W. R. (2009). Adaptation of the preventive intervention program for depression for use with predominantly low-income Latino families. Family Process, 48, 269–291.

    Article  PubMed  Google Scholar 

  • Garber, J., Clarke, G. N., Weersing, V. R., Beardslee, W. R., Brent, D. A., Gladstone, T. R. G., DeBar, L. L., Lynch, F. L., D’Angelo, E., Hollon, S. D., Shamseddeen, W., & Iyengar, S. (2009). Prevention of depression in at-risk adolescents: A randomized controlled trial. Journal of the American Medical Association, 301, 2215–2224.

    Article  PubMed  Google Scholar 

  • Gladstone, T. R. G. & Beardslee, W. R. (2009). The prevention of depression in children and adolescents: A review. The Canadian Journal of Psychiatry, 54, 212–221.

    Google Scholar 

  • Gladstone, T. R. G., Beardslee, W. R. & O’Connor, E. E. (2011). The prevention of adolescent depression. Psychiatric Clinics of North America, 34, 35–52.

    Article  PubMed  Google Scholar 

  • Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64–105.

    Article  PubMed  Google Scholar 

  • Hawkins, J. D., Brown, E. C., Oesterle, S., Arthur, M. W., Abbott, R. D. & Catalano, R. F. (2008). Early effects of communities that care on targeted risks and initiation of delinquent behavior and substance use. Journal of Adolescent Health, 43, 15–22.

    Article  PubMed  Google Scholar 

  • Institute of Medicine. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington: National Academy Press.

    Google Scholar 

  • Kellam, S. G., Werthamer-Larson, L., Dolan, L. J., Brown, C. H., Mayer, L. S., Rebok, G. W., et al. (1991). Developmental epidemiologically based preventive trials: Baseline modeling of early target behaviors and depressive symptoms. American Journal of Community Psychology, 19, 563–584.

    Article  PubMed  Google Scholar 

  • Leiter, M. P., & Harvie, P. L. (1996). Burnout among mental health workers: A review and a research agenda. International Journal of Social Psychiatry, 42, 90–101.

    Article  PubMed  Google Scholar 

  • Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422.

    Article  PubMed  Google Scholar 

  • Maton, K., Schellenbach, C., Leadbeater, B., & Solarz, A. (2002). Investing in children, youth, families, and communities: Strengths-based research and policy. Washington: American Psychological Association.

    Google Scholar 

  • Munoz, R. F., Ying, Y., Bernal, G., Perez-Stable, E. J., Sorensen, J. L., Hargreaves, W. A., et al. (1995). Prevention of depression with primary care patients: A randomized controlled trial. American Journal of Community Psychology, 23, 199–222.

    Article  PubMed  Google Scholar 

  • Munoz, R. F., Beardslee, W. R. & Leykin, Y. (2012). Major depression can be prevented. American Psychologist, 67, 285–295.

    Article  PubMed  Google Scholar 

  • National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment. (2001). Blueprint for change: Research on child and adolescent psychiatry. Washington: Author.

    Google Scholar 

  • National Research Council and Institute of Medicine. (2009a) Prevention committee. Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington: National Academies Press.

    Google Scholar 

  • National Research Council and Institute of Medicine. (2009b) Depression in parents, parenting, and children. Washington: National Academies Press.

    Google Scholar 

  • Olds, D. L., Eckenrode, J., Henderson, C. R., Kitzman, J., Powers, J., Cole, R., Sidora, K., Morris, P., Pettitt, L. M. & Luckey, D. (1997). Long-term effects of home visitation on maternal life course and child abuse and neglect. Journal of the American Medical Association, 278, 637–643.

    Article  PubMed  Google Scholar 

  • Olds, D. L., Sadler, L. & Kitzman, H. (2007). Programs for parents of infants and toddlers: Recent evidence from randomized trials. Journal of Child Psychology and Psychiatry, 48, 355–391.

    Article  PubMed  Google Scholar 

  • Price, R. H., van Ryn, M., & Vinokur, A. D. (1992). Impact of a preventive job search intervention on the likelihood of depression among the unemployed. Journal of Health and Social Behavior, 33, 158–167.

    Article  PubMed  Google Scholar 

  • Price, R. H., Choi, J. N., & Vinokur, A. D. (2002). Links in the chain of adversity following job loss: How financial strain and loss of personal control lead to depression, impaired functioning, and poor health. Journal of Occupational Health Psychology, 7, 302–312.

    Article  PubMed  Google Scholar 

  • Podorefsky, D. L., McDonald-Dowdell, M., & Beardslee, W. R. (2001). Adaptation of preventive interventions for a low-income, culturally diverse community. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 879–886.

    Article  PubMed  Google Scholar 

  • Reid, Y., Johnson, S., Morant, N., Kuipers, E., Szmukler, G., Bebbington, P., et al. (1999). Improving support for mental health staff: A qualitative study. Social Psychiatry and Psychiatric Epidemiology, 34, 309–315.

    Article  PubMed  Google Scholar 

  • Schorr, L. B. (1997). Common purpose: Strengthening families and neighborhoods to rebuild America. New York: Doubleday Dell Publishing Group, Inc.

    Google Scholar 

  • Seligman, M. E. P., Reivich, K., Jaycox, L., & Gillham, J. (1995). The optimistic child: A proven program to safeguard children against depression and build lifelong resilience. New York: HarperPerrenial.

    Google Scholar 

  • United States Department of Health and Human Services. (2001). Mental health: Culture, race and ethnicity—a supplement to mental health: A report of the Surgeon General. Rockville: Author.

    Google Scholar 

  • World Health Organization. (2004). Prevention of mental disorders: Effective interventions and policy options: Summary report. Geneva: Author.

    Google Scholar 

  • Yoshikawa, H., Aber, J. L & Beardslee, W. R. (2012). The effects of poverty on the mental, emotional, and behavioral health of children and youth. American Psychologist, 67, 272–284.

    Article  PubMed  Google Scholar 

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Correspondence to William R. Beardslee M.D. .

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Beardslee, W., Gladstone, T. (2014). Mental Illness Prevention and Promotion. In: Talley, R., Fricchione, G., Druss, B. (eds) The Challenges of Mental Health Caregiving. Caregiving: Research • Practice • Policy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8791-3_5

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