Skip to main content

Community-Based Intervention and Prevention

Conceptual Underpinnings and Progress toward a Science of Community Intervention and Evaluation

  • Chapter
Clinical Psychology

Part of the book series: Applied Clinical Psychology ((NSSB))

Abstract

It is less than 30 years since individual psychotherapy provided in a psychiatrist’s office or inpatient hospitalization were the dominant means of addressing mental health problems. Since that time the landscape of mental health has changed dramatically. Some of these changes, as noted in previous chapters, have been in our understanding of the causes and treatment of disorders. A parallel set of changes, that built on these developments and others, took place under the rubric of the community mental health movement. As this label implies, a core characteristic of community mental health approaches is their emphasis on the role of external, environmental factors in the development and treatment of mental disorders. These approaches differ from their predecessors in what they see as the appropriate timing, locations, resources and goals of mental health services. Mental health services that are provided in such nontraditional sites for treatment as the school, workplace, or home, that focus on early intervention or prevention, that use nonprofessionals to deliver the intervention, and that focus on the building of strengths as well as alleviation of disorder are now all established parts of the mental health care system. All of these have their origins in the community mental health movement. Before we turn to a discussion of specific strategies and programs that are representative of these changes, let us briefly consider some of the factors that led to the emergence of these shifts in the mental health landscape.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Albee, G. W. (1959). Mental health manpower trends. New York: Basic Books.

    Google Scholar 

  • Bloom, B. L. (1984). Community mental health: A general introduction. Belmont, CA: Brooks/Cole.

    Google Scholar 

  • Bloom, B. L., & Hodges, W. F. (1988). The Colorado separation and divorce program: A preventive intervention program for newly separated persons. In R. H. Price, E. L. Cowen, R. P. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 153–164). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Botvin, G. J., & Tortu, S. (1988). Preventing adolescent substance abuse through life skills training. In R. H. Price, E. L. Cowen, R. P. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 98–110). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Chandler, C. L., Weissberg, R. P., Cowen, E. L., & Guare, J. (1984). Long-term effects of a school-based secondary prevention program for young maladapting children. Journal of Consulting and Clinical Psychology, 52, 165–190.

    Article  PubMed  Google Scholar 

  • Condry, S. (1983). History and background of preschool intervention programs and the consortium for longitudinal studies. In Consortium for Longitudinal Studies (Ed.), As the twig is bent: Lasting effects of preschool programs (pp. 1–31). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Connell, D. B., Turner, R. R., & Mason, E. F. (1985). Summary of the findings of the school health education evaluation: Health from effectiveness, implementation, and costs. Journal of School Health, 55, 316–323.

    Article  PubMed  Google Scholar 

  • Cowen, E. L. (1985). Person-centered approaches to primary prevention in mental health: Situation-focused and competence-enhancement. American Journal of Community Psychology, 13, 31–48.

    Article  PubMed  Google Scholar 

  • Cowen, E. L., Gesten, E. L., & Wilson, A. B. (1979). The primary mental health project (PMHP): Evaluation of current program effectiveness. American Journal of Community Psychology, 7, 293–303.

    Article  PubMed  Google Scholar 

  • Cowen, E. L., Pederson, A., Babigian, H., Izzo, L. D., & Trost, M. A. (1973). Long-term follow-up of early detected vulnerable children. Journal of Consulting and Clinical Psychology, 41, 438–446.

    Article  PubMed  Google Scholar 

  • Cowen, E. L., Trost, M. H., Lorion, R. D., Dorr, D., Izzo, L. D., & Isaacson, R. V. (1975). New ways in school mental health: Early detection and prevention of school maladjustment. New York: Early Sciences Press.

    Google Scholar 

  • Dellario, D. J., & Anthony, W A. (1981). On the relative effectiveness of institutional and alternative placement for the psychiatrically disabled. Journal of Social Issues, 37, 21–33.

    Article  Google Scholar 

  • Elias, M. J., Gara, M., Ubriaco, M., Rothbaum, P. A., Clabby, J. F., & Schuyler, T. (1986). Impact of a preventive social problem-solving intervention on children’s coping with middle-school stressors. American Journal of Community Psychology, 14, 259–275.

    Article  PubMed  Google Scholar 

  • Fairweather, G. W., & Davidson, W. S. (1986). An introduction to community experimentation: Theory, methods, & practice. New York: McGraw-Hill.

    Google Scholar 

  • Feiner, R. D., & Adan, A. M. (1988). The school transitional environment project: An ecological intervention and evaluation. In R. H. Price, E. L. Cowen, R. E. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 111–122) Washington, DC: American Psychological Association.

    Google Scholar 

  • Feiner, R. D., Farber, S. S., & Primavera, J. (1983). Transitions and stressful life events: A model for primary prevention. In R. D. Feiner, L. A. Jason, J. N. Moritsugu, & S. S. Farber (Eds.), Preventive psychology: Theory, research, and prevention (pp. 191–215). New York: Pergamon Press.

    Google Scholar 

  • Felner, R. D., & Felner, T. Y. (1988). Prevention programs in the educational context: A transactional-ecological framework for program models. In L. Bond & B. Compas (Eds.), Primary prevention in the schools (pp. 13–49). Beverly Hills, CA: Sage Publications.

    Google Scholar 

  • Feiner, R. D., Ginter, M. A., & Primavera, J. (1982). Primary prevention during school transitions: Social support and environmental structure. American Journal of Community Psychology, 10, 277–290.

    Article  Google Scholar 

  • Felner, R. D., Jason, L. A., Moritsugu, J. N., & Farber, S. S. (1983). Preventive psychology: Evaluation and current status. In R. D. Feiner, L. A. Jason, J. N. Moritsugu, & S. S. Farber (Eds.), Preventive psychology: Theory, research, and practice (pp. 3–10). New York: Pergamon Press.

    Google Scholar 

  • Gesten, E. L., Rains, M., Rapkin, B., Weissberg, R. P., Flores de Apodaca, R., Cowen, E. L., & Bowen, R. (1983). Training children in social problem-solving competencies: A first and second look. American Journal of Community Psychology, 10, 95–115.

    Article  Google Scholar 

  • Gesten, E. L., Weissberg, R. P., Amisoy, P. L., & Smith, J. K. (1987). Social problem-solving training: A skills based approach to prevention and treatment. In C. A. Maher & J. E. Zins (Eds.), Psychoeducational interventions in the schools (pp. 26–45). New York: Pergamon Press.

    Google Scholar 

  • Glasscote, R. M., Kraft, A. M., Glassman, S. M., & Jepson, WW (1969). Partial hospitalization for the mentally ill. Washington, DC: Joint Information Service of the American Psychiatric Association and National Association for Mental Health.

    Google Scholar 

  • Glenwick, D. S., & Jason, L. A. (1980). Behavioral community psychology: Progress and prospects. New York: Praeger.

    Google Scholar 

  • Goldston, S. W. (1977). Defining primary prevention. In G. W. Albee & J. M. Joffe (Eds.), Primary prevention of psychopathology (vol. 1, pp. 18–23). Hanover, NJ: University Press of New England.

    Google Scholar 

  • Goodstadt, M. S. (1978). Alcohol and drug education. Health Education Monographs, 6, 263–279.

    Article  PubMed  Google Scholar 

  • Grotberg, E. (1969). Review of Head Start research, 1965–1969 (OEO Pamphlet 1608:13, [ED0028308]). Washington, DC.

    Google Scholar 

  • Gurin, G., Veroff, J., & Field, S. (1960). Americans view their mental health. New York: Basic Books.

    Google Scholar 

  • Hertz, M. I., Endicott, J., Spitzer, R. L., & Mesnikoff, A. (1971). Day versus inpatient hospitalization—a controlled study. American Journal of Psychiatry, 134, 502–507.

    Google Scholar 

  • Jensen, A. R. (1969). How much an we boost IQ and scholastic achievement? Harvard Educational Review, reprint series no. 2, 1-23.

    Google Scholar 

  • Johnson, D. L. (1988). Houston parent-child development project. In R. H. Price, E. L. Cowen, R. P. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 44–52). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Joint Commission on Mental Illness and Health. (1961). Action for mental health. New York: Basic Books.

    Google Scholar 

  • Kanfer, F. H., & Stevenson, M. K. (1985). The effects of self-regulation on concurrent cognitive processing. Cognitive Therapy and Research, 9, 667–684.

    Article  Google Scholar 

  • Kiesler, C. A. (1982). Mental hospitals as alternative care: Noninstitutionalization as a potential public policy for mental patients. American Psychologist, 37, 349–360.

    Article  PubMed  Google Scholar 

  • Lamb, H. R., & Zusman, J. (1979). Primary prevention in perspective. American Journal of Psychiatry, 136, 12–17.

    PubMed  Google Scholar 

  • Lazar, I. (1983). Discussion and implications of the findings. In The consoritium for longitudinal studies, As the twig is bent: Lasting effects of preschool programs (pp. 461–466). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Lorion, R. P. (1983). Evaluating preventive interventions: Guidelines for the serious social change agent. In R. D. Feiner, L. A. Jason, J. N. Moritsugu, & S. S. Farber (Eds.), Preventive psychology: Theory, research, and practice (pp. 199–220). New York: Pergamon Press.

    Google Scholar 

  • Mednick, S. A., Griffith, J. J., & Mednick, B. R. (1981). Problems with traditional strategies in mental health research. In F. Schulsinger, S. A. Mednick, & J. Knop (Eds.), Longitudinal research: Methods and uses in behavioral science (pp. 3–15). Boston: Martinus Nijhoff Publications.

    Chapter  Google Scholar 

  • Meichenbaum, D. (1985). Stress inoculation training. New York: Pergamon Press.

    Google Scholar 

  • Miller, J. A., & Peterson, D. W. (1987). Peer-influenced academic interventions. In C. A. Maher & S. E. Zins (Eds.), Psychoeducational interventions in the schools (pp. 81–100). New York: Pergamon Press.

    Google Scholar 

  • Olds, D. (1988). Prenatal/early infancy project. In R. H. Price, E. L. Cowen, R. P. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 9–23). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Pedro-Carroll, J. L., & Cowen, E. L. (1985). The children of divorce intervention project: An investigation of the efficacy of a school-based prevention program. Journal of Consulting and Clinical Psychology, 53, 603–611.

    Article  PubMed  Google Scholar 

  • Pedro-Carroll, J. L., Cowen, E. L., Hightower, A. D., & Guare, J. C. (1986). Preventive intervention with latency-age children of divorce: A replication study. American Journal of Community Psychology, 14, 277–290.

    Article  PubMed  Google Scholar 

  • Pentz, M. A., & Pentz, C. A. (1986). A social competence approach to stress prevention in early adolescents. Annals of Behavioral Medicine.

    Google Scholar 

  • President’s Commission on Mental Health. (1978). Report to the President (Vol. 1. Stock No. 040-000-0390-8). Washington, DC: Government Printing Office.

    Google Scholar 

  • Price, R. H., Cowen, E. L., Lorion, R. P., & Ramos-McKay, J. (1988). Model prevention programs: Epilogue and future prospects. In R. H. Price, E. L. Cowen, R. P. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 187–191). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Price, R. H., & Smith, S. (1985). A guide to evaluating prevention programs in mental health (DHHS Pub. No. ADM 85-1365). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Rappaport, J. (1987). Terms of empowerment-exemplars of prevention. Toward a theory for community psychology. 15(2), 121–148.

    Article  Google Scholar 

  • Rappaport, J., Seidman, E., Toro, P. A., McFadden, L. S., Reischl, T. M., Roberts, L. J., Salem, D. A., Stein, C. H., & Zimmerman, M. A. (1985). Collaborative research with a mutual help organization. Social Policy, 15, 12–24.

    PubMed  Google Scholar 

  • Robinson, R., DeMarche, D. F., & Wagle, M. K. (1960). Community resources in mental health. New York: Basic Books.

    Google Scholar 

  • Rotherman, M. J. (1988). The children’s assertiveness training program. In R. H. Price, E. L. Cowen, R. P. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 83–97). Washington, DC: American Psychological Association.

    Google Scholar 

  • Rotherman, M. J., Armstrong, M., & Boorsem, C. (1982). Assertiveness training in fourth and fifth grade children. American Journal of Psychology, 10, 567–582.

    Google Scholar 

  • Royce, J. M., Darlington, R. B., & Murray, H. W. (1983). Pooled analyses: Findings across studies. In The Consortium for Longitudinal Studies (Ed.), As the twig is bent: Lasting effects of preschool programs (pp. 411–460). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Salem, D. A., Seidman, E., & Rappaport, J. (in press). Community treatment of the mentally ill: The promise of mutual help organizations. Social Work.

    Google Scholar 

  • Sameroff, A. J., & Chandler, M. J. (1975). Reproductive risk and the continuum of caretaking casualty. In E D. Horowitz, M. Hetherington, S. Scarr-Salapatek, & G. Siegal (Eds.), Review of Child Development Research (vol. 4). Chicago: University of Chicago Press.

    Google Scholar 

  • Sarason, I. G., & Sarason, B. R. (1981). Teaching cognitive and social skills to high school students. Journal of Consulting and Clinical Psychology, 49, 908–919.

    Article  PubMed  Google Scholar 

  • Schaps, E., Bartold, R. D., Moskowitz, J., Palley, C. S., & Churgin, S. (1981, Winter). A review of 127 drug abuse prevention program evaluations. Journal of Drug Issues, pp. 17-43.

    Google Scholar 

  • Schinke, S. P., Blythe, B. J., & Gilchrist, L. D. (1981). Cognitive-behavioral prevention of adolescent pregnancy. Social Work with Groups, 4, 121–135.

    Article  PubMed  Google Scholar 

  • Schinke, S. P., & Gilchrist, L. D. (1985). Preventive cigarette smoking with youth. Journal of Primary Prevention, 5, 48–56.

    Article  Google Scholar 

  • Schweinhart, L. J., & Weikart, D. P. (1988). The High/Scope Perry Preschool Program. In R. H. Price, E. L. Cowen, R. P. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 53–66). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Scull, A. T. (1977). Decarceration: Community treatment and the deviant—A radical view. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Shure, M. B. (1986). Problem-solving and mental health of ten-to twelve-year-olds (Final Summary Report No. MH35989). Washington, DC: National Institute of Mental Health.

    Google Scholar 

  • Shure, M. B., & Spivack, G. (1982). Interpersonal problem-solving in young children: A cognitive approach to prevention. American Journal of Community, 10, 341–356.

    Google Scholar 

  • Shure, M. B., & Spivack, G. (1988). Interpersonal cognitive problem-solving. In R. H. Price, E. L. Conen, R. P. Lorion, & J. Ramos-McKay (eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 68–82). Washington, D.C.: American Psychological Association.

    Google Scholar 

  • Silverman, P. R. (1988). Widow-to-widow: A mutual help program for the widowed. In R. H. Price, E. L. Cowen, R. P. Lorion, & J. Ramos-McKay (Eds.), Fourteen ounces of prevention: A casebook for practitioners (pp. 175–186). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Test, M. A., & Stein, L. I. (1978). The clinical rationale for community treatment: A review of the literature. In L. I. Stein & M. A. Test (Eds.), Alternatives to mental hospital treatment. New York: Plenum.

    Google Scholar 

  • U.S. Congress. (1963). P.L. 88-164—Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • U.S. Congress. (1955). P.L. 84-182—the Mental Health Study Act of 1955. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • U.S. Congress. (1978). P.L. 95-622—Community Mental Health Centers Act. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Watt, N. F., Anthony, E. J., Wynne, L. C., & Rolf, J. E. (1984). Children at risk for schizophrenia: A longitudinal perspective. New York: Cambridge University Press.

    Google Scholar 

  • Weissberg, R. P., Cowen, E. L., Lotyczewski, B. S., & Gesten, E. L. (1983). The primary mental health project: Seven consecutive years of program outcome research. Journal of Consulting and Clinical Psychology, 51, 100–107.

    Article  PubMed  Google Scholar 

  • Weissberg, R. P., Gesten, E. L., Rapkin, B. D., Cowen, E. L., Davidson, E., Flores de Apooaca, R., & McKim, B. J. (1981). The evaluation of a social problem-solving training program for suburban and inner-city third grade children. Journal of Consulting and Clinical Psychology, 49, 251–261.

    Article  Google Scholar 

  • Westinghouse Learning Corporation. (1969). The impact of Head Start: An evaluation of the effects of Head Start on children’s cognitive and affective development (Executive Summary, Ohio University Scientific and Technical Information [EDO36321]).

    Google Scholar 

  • Zax, M., & Spector, G. A. (1974). An introduction to community psychology. New York: Wiley.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Felner, R.D., DuBois, D., Adan, A. (1991). Community-Based Intervention and Prevention. In: Walker, C.E. (eds) Clinical Psychology. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9715-2_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9715-2_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9717-6

  • Online ISBN: 978-1-4757-9715-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics