Lowering the burden of suffering from child psychiatric disorder: Trade- offs among clinical, targeted, and universal interventions

David R. Offord, Helena Chmura Kraemer, Alan E. Kazdin, Peter S. Jensen, Richard Harrington

Research output: Contribution to journalArticle

177 Scopus citations

Abstract

Objective: To examine the trade-offs among clinical, targeted, and universal interventions aimed at lowering the burden of suffering from child psychiatric disorders. Method: Data from clinical and research studies were organized to show the advantages and disadvantages of the three strategies. Results: Important trade-offs exist among these three approaches. The strategy to reduce the burden of suffering from child psychiatric disorder should consist of a number of concurrent steps. First, effective universal programs should be in place. Targeted programs should follow for those not helped sufficiently by the universal programs. Finally, for those unaffected by the targeted programs, clinical services should be available. Conclusion: An optimal mix of universal, targeted, and clinical programs is needed. The nature of the combination will change as knowledge accumulates, and there will always be trade-offs among these three.

Original languageEnglish (US)
Pages (from-to)686-694
Number of pages9
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume37
Issue number7
DOIs
StatePublished - Jul 1998

Keywords

  • Childhood psychiatric disorder
  • Epidemiology
  • Intervention

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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