. "13 Conclusions and Recommendations: An Agenda for the Next Decade." Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research. Washington, DC: The National Academies Press, 1994.
As previously stated, the committee's recommendations for funding of rigorous preventive intervention research are based on its best estimates of current efforts and its judgment of needed resources to create a robust federal research agenda.
The committee finds the need for prevention of mental disorders sogreat and the current opportunities for success so abundant thatit recommends an increased investment across all federal agenciesover the next five years (1995 through 1999) to facilitate the developmentof these three major areas of the research agenda. It recommendsincreased support of $50.5 million per year for the next two years,$53 million in year three, and $61 million per year in years fourand five. These are modest increases considering the magnitude ofthe problem of mental illness in this country, and Congress may decidethat an even greater investment is warranted.
Funding for the second five years should be recommended by a newcoordinating body, such as a national scientific council on the preventionof mental disorders. The amount appropriated in year six should beno less than the amount of support in FY 1999. On the basis of positiveresults in the first five years, a considerably larger investmentcould be warranted during the second five years.
The three major areas to be developed are recommended in conjunctionwith use of the definitions of interventions for mental disordersand of prevention research developed in this report. The term prevention is reserved for only those interventions that occur before the initialonset of a disorder. These preventive interventions can be furtherclassified into universal, selective, and indicated types. The term prevention research refers only to preventive intervention research and is distinct fromresearch that builds a broad scientific base for preventive interventions.
BUILDING AN ENHANCED INFRASTRUCTURE FOR PREVENTIVE INTERVENTION RESEARCH
Preventive intervention research for mental disorders cannot thrive without providing for its infrastructure. Two areas are particularly important for moving ahead—coordination and research training.