ventive intervention program in the community.” It is now clear, however, that achieving community ownership and implementation of science-based preventive interventions is not only an issue of dissemination of information about effective interventions, but also a matter of empirically evaluating strategies achieving effective adoption, implementation, and maintenance of evidence-based preventive interventions. The next major milestone will be the translation of existing knowledge into population-wide reductions in the incidence and prevalence of emotional and behavioral problems. One of the areas of greatest need is to develop strategies and outcome measures to ensure that high-quality evidence-based approaches are successfully adapted for use in a broad array of different cultural, ethnic, and linguistic settings. As research on development and implementation of specific interventions continues, states and communities need to also continuously refine effective interventions and implementation approaches.

Similarly, while there has been sustained research over the past 15 years, we recommend attention to areas that have heretofore been neglected, such as effectiveness in real-world situations, cost-effectiveness, integration of genetics and neuroscience with intervention research, and the careful monitoring of rates of disorder and present risk factors to assess whether population-based improvements can be achieved. Without adequate surveillance, what the burden of disorder is for the society or where best to direct national resources will not be fully known.

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