• Preventive medicine · Mar 2019

    Evidence-based prevention programs targeting youth mental and behavioral health in primary care: A systematic review.

    • Lourdes M Rojas, Mónica Bahamón, Rachel Wagstaff, Isabella Ferre, Tatiana Perrino, Yannine Estrada, Sara M St George, Hilda Pantin, and Guillermo Prado.
    • Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 1007a, Miami, FL 33136, USA. Electronic address: L.Molleda@med.miami.edu.
    • Prev Med. 2019 Mar 1; 120: 85-99.

    AbstractThe objectives of this systematic review were to: 1) identify evidence-based youth (i.e., infancy, pre-school age, school age, and adolescence) mental and behavioral health disorder preventive interventions conducted in or offered by primary care settings, and 2) describe these interventions' characteristics, efficacy, and clinical involvement. Randomized controlled trials that targeted the prevention of mental or behavioral health outcomes for youth and had a connection to primary care were included. The PRISMA guidelines were utilized for two phases: 1) searching PubMed, EMBASE, PsycInfo, CINAHL, and Cochrane databases in January 2017; and 2) searching United States Preventive Services Task Force (USPSTF) Systematic Reviews in November 2017. The two phases revealed 504 and 58 potential articles, respectively. After removal of duplicates, screening of abstracts, and full-text reviews, 19 interventions (infancy: n = 2, pre-school age: n = 3, school age: n = 6, adolescence: n = 8) were included: 1) 10 interventions described in 17 articles from the databases, and 2) 9 interventions described in 11 articles from the USPSTF reviews. The included interventions capitalized on primary care settings as a natural entry point to engage youth and families into interventions without requiring a large amount of clinic involvement. Commonalities of efficacious interventions and recommendations for future research are discussed. The authors encourage primary care providers, mental and behavioral health providers, and/or public health researchers to continue developing and testing preventive interventions, or adapting existing interventions, to be implemented in primary care.Copyright © 2019 Elsevier Inc. All rights reserved.

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