Integrated models of school-based prevention: Logic and theory
Open accessAbstract
School‐based prevention programs can positively impact a range of social, emotional, and behavioral outcomes. Yet the current climate of accountability pressures schools to restrict activities that are not perceived as part of the core curriculum. Building on models from public health and prevention science, we describe an integrated approach to school‐based prevention. These models leverage the most effective structural and content components of social–emotional and behavioral health prevention interventions. Integrated interventions are expected to have additive and synergistic effects that result in greater impacts on multiple student outcomes. Integrated programs are also expected to be more efficient to deliver, easier to implement with high quality and integrity, and more sustainable. We provide a detailed example of the process through which the PAX‐Good Behavior Game and the Promoting Alternative Thinking Strategies (PATHS) curriculum were integrated into the PATHS to PAX model. Implications for future research are proposed. © 2009 Wiley Periodicals, Inc.
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Schools are an effective setting for interventions that prevent adolescent mental health problems and promote capacities for managing stress.
“Schools are an effective setting for interventions that prevent adolescent mental health problems and promote capacities for positively managing stress, including healthy emotion regulation and coping strategies (Atkins et al., 2010; Domitrovich et al., 2010; Masten, 2003).”
From Positive impacts of a universal trauma-informed intervention on student mental health: The Project POWER trial (2025) · cites this paper as Domitrovich et al., 2010
The Abstract reports effective school-based programs for preventing mental health problems, and the PATHS section describes teaching emotion regulation and problem-solving skills. But the program discussed in detail serves preK–5 students, and the paper does not establish that these interventions improve adolescents’ stress management specifically. (LLM, conf=0.83)
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- Authors
- Domitrovich, C. E., Bradshaw, C. P., Greenberg, M. T., Embry, D., Poduska, J. M., & Ialongo, N. S.
- Affiliations
- Pennsylvania State University (US)
- Johns Hopkins University (US)
- American Institutes for Research (US)
- Corresponding author
- Domitrovich, Celene E.
- ORCID
- Venue
- Psychology in the Schools
- Publisher
- Wiley
- Published
- 2009-11-19
- Volume
- 47
- Issue
- 1
- Pages
- 71-88
- ISSN
- 0033-3085 (ISSN-L)
- 1520-6807
- PMC
- PMC4865396
- OpenAlex
- W1992301054
- Cited by
- 352
- References
- 97
- Citations by year
- 2026: 15 · 2025: 17 · 2024: 15 · 2023: 13 · 2022: 21 · 2021: 27 · 2020: 62 · 2019: 16 · 2018: 17 · 2017: 21 · 2016: 26 · 2015: 35 · 2014: 16 · 2013: 25 · 2012: 10
- FWCI
- 23.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology in the Schools (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Funders
- Centers for Disease Control and Prevention (U49CE000728, K01CE001333)
- National Institute of Mental Health (P30MH066247)
- National Institute on Drug Abuse (R37DA011796, R01DA019984)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Social Sciences › Education › Early Childhood Education and Development
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- school-based prevention, integrated prevention programs, social-emotional learning, program integration, program sustainability, program implementation
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