Though the U.S. health care system is among the best in the developed world, access to chronic care remains a problem for many, in part, because the system is not ideally suited to treat long-term conditions. Consequently, economic and societal costs associated with chronic disease are rising rapidly. To complement traditional pathogenic chronic…

The theme of this commentary is to discuss the need for, and challenges of, conceptualizing, implementing, and evaluating multilevel health behavior change interventions. Ecological models, recommendations from national and international authoritative groups, and growing evidence all support the need for interventions designed to change multiple…

The articles in this Special Topic issue present a range of assessment models and challenges for improving the identification and early intervention of students in need of additional supports. Although each article targets a unique aspect of student learning (learning behaviors, math skills, reading comprehension, behavioral functioning, and…

The recent Amethyst Initiative argues that a minimum legal drinking age (MLDA) of 21 has created a culture of heavy alcohol use on college campuses by making drinking clandestine and extreme. This group and others argue that lowering the MLDA will reduce the problem of "binge drinking" on college campuses. However, such a policy change would…

The authors present a case study examining the potential for policies to be "evidence-based." To what extent is it possible to say that a decision to implement a complex social intervention is warranted on the basis of available empirical data? The case chosen is whether there is sufficient evidence to justify banning smoking in cars carrying…

Much of the work in youth violence prevention has been based in a public health model and guided by a developmental-ecological perspective on risk and prevention (Bronfenbrenner, 1979, 1988). A central tenet of developmental-ecological theory is that individual development is influenced by the ongoing qualities of the social settings in which the…

The authors respond to comments made by David G. Altman in his article, ""Challenges in Sustaining Public Health Interventions," Health Education & Behavior, v36 n1 p24-28 Feb 2009[see EJ826344]. They state that Altman provides a cogent and thoughtful perspective on the many challenges inherent to sustaining public health interventions. His…

A public health crisis is looming in US schools. Millions of children do not receive mental health services, are poorly bonded to supportive educational communities, and fail to develop important social and emotional competencies. Considering these problems, many of which relate to students' school functioning, efforts are needed to support…

Sustainability remains a key challenge in public health. The perspective article by Fagen and Flay adds to our understanding of technical factors associated with sustaining health interventions in schools. In this commentary, the Fagen and Flay article (2009) is considered within the broader literature on sustainability. By taking a broad view,…

The article by Lahey (May-June 2009) provided a timely and important review of a growing body of evidence linking the personality trait of neuroticism to a host of health and psychosocial outcomes with public health significance. Lahey (2009) highlighted the links between high neuroticism and mental health, physical health, and quality of life and…

This commentary highlights indigenous public health research from a special issue of the International Journal of Mental Health and Addiction dealing with child maltreatment, mental health, substance abuse and gambling. We focus on the emerging and growing research movement in Indigenous research through three important themes: 1) worldview and…

Taxation of tobacco is a widely used strategy that promotes smoking cessation among adults and reduces cigarette consumption among continuing smokers. First Nations (FN) populations' tobacco use is estimated to be 2-3 times that of other Canadians and, in part, a reflection that tobacco products purchased on reserve by FN people are tax exempt.…

School adjustment and achievement are at the heart of a child's development. Both are influenced by a myriad of factors that are complex and interconnected. For children with difficulties, school psychologists are integral to the assessment of those diverse factors and to the implementation of intervention strategies that help those children…

Recent changes in federal policy and the proliferation of empirically based interventions (EBIs) designed to prevent problems and promote student academic and behavioral success have created an unprecedented opportunity for schools to expand their use of comprehensive strategies to meet the academic and behavioral health needs of all students. The…

Social scientists who begin a public health education intervention by surveying the literature would be hard-pressed to find guidance about what to do and what to avoid when planning the media strategy of their campaign. What is needed is a media strategy to develop the greatest control possible over community exposure to the messages of the…