Appendix B
Workshop Agenda
Mental Health and Violence: Opportunities for Prevention and Early Intervention
A Workshop of the National Academies of Sciences, Engineering, and Medicine’s Forum on Global Violence Prevention
February 26–27, 2014
Keck Center of the National Academies of Sciences, Engineering, and Medicine
500 Fifth Street NW, Washington, DC 20001
Rooms 100 and 101 (Room 101 is the overflow room with webcasting)
Day 1: Wednesday, February 26, 2014
8:00 AM | Continental Breakfast |
8:10 AM | Welcome from the National Academies of Sciences, Engineering, and Medicine
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8:15 AM | Welcome and Workshop Goals
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8:45 AM | Opening Keynote The intersection of mental health and violence is a critical and complex public health problem. Considering the importance and complexity of the issue, this keynote address will focus on: What do we know? What do we need to know? And, what can we do now to improve outcomes in this area?
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9:15 AM |
Operational Definitions for the Workshop This presentation will provide operational definitions of key terms for the new model being explored during the workshop, including mental health, mental illness, violence, conduct disorder, alcohol and substance use disorders, perpetrators, and victims.
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9:45 AM |
Ecological Framework This session will present an overview and discussions of risk and protective factors and intervention points related to mental health and violence at the individual, relationship, community, and societal levels.
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10:30 AM | BREAK |
10:45 AM |
What Is the Relationship Between Various Mental Illnesses and Violence? This presentation will include what is known about the relationship between various mental illnesses and violence and why it is important for what is known to be represented accurately. The presentation will be followed by discussion with the workshop participants.
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11:30 AM |
Understanding the Neurocognitive Mechanisms of Violent Behavior This presentation will include a sketch of some of the neurocognitive mechanisms related to violence and how such mechanisms are affected by various factors, including stress and alcohol, and how they can be used for prediction. The presentation will be followed by discussion with the workshop participants.
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12:00 PM | LUNCH |
1:00 PM | Experiences and Perspectives Related to Mental Health and Violence This session includes experiences and perspectives of mental health and violence, including stigma, victimization, and vulnerability, as well as media depictions of the relationship between mental illness and violence. The presentations will be followed by discussion with the workshop participants. |
Moderator/Panelist: DANIEL FISHER, Riverside Community Mental Health Center
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2:00 PM | Detecting and Assessing Mental Health Dysfunction and Risk for Violence This panel will explore current capabilities to identify and assess mental health dysfunction and the risk for violence and how this affects treatment. Panelists will discuss both the |
values and limitations of the current state of risk assessment and how assessment can be improved. The presentations will be followed by discussion with the workshop participants. | |
Moderator: VICKIE MAYS
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3:30 PM | BREAK |
3:45 PM | Mental Health and Means of Violence The means of violence vary by nation, culture, and often by circumstances of convenience. This panel will explore issues of access to means that include the legal and constitutional rights of individuals and the public at large. Panelists will examine practices and tools that show promise in the prevention of violence while balancing the needs and rights for individual and information privacy. The panel will also discuss the need for improvements in early and correct identification of people who are at risk for committing violence that do not create or compound barriers to seek needed care. Lastly, the panel will discuss what is needed to improve research and intervention design to contribute to better outcomes in violence prevention and early intervention. Panelists will present on firearms, homicide, and nonfatal injuries and pesticides, other means, and suicide. The presentations will be followed by discussion with the workshop participants. |
Moderator: MARK ROSENBERG
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5:15 PM |
Summary of Day 1 and Wrap Up
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5:30 PM | Adjourn Day 1 |
Day 2: Thursday, February 27, 2014
8:00 AM | Continental Breakfast |
8:15 AM |
Opening and Summary of Day 1
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8:20 AM | Alcohol, Alcohol Use Disorders, and Violence Alcohol is one of the most significant risk factors for violence. At the same time, alcohol addiction and the harmful use of alcohol are among the identified alcohol use disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. This panel will focus on the unique role of alcohol consumption and alcohol use disorders in the occurrence of violence and current developments in interventions to address it. Presentations will cover a range of scientific and policy-focused activities ranging from basic research to human laboratory studies of behavior, and finally, evidence-based interventions and effective alcohol control policies. The presentations will be followed by discussion with the workshop participants. |
Moderator: PEGGY MURRAY
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9:45 AM | Violence Prevention and Mental Health Services This panel will describe how mental health services present the opportunity to prevent violence while providing care to those in need including victims and perpetrators of violence. Panelists will explore service and care access, current capabilities for risk identification and risk reduction, opportunities for early intervention and response, and strategies for improvement of mental health services for prevention and early intervention. The presentations will be followed by discussion with the workshop participants. |
Moderator: A.J. ALLEN, Eli Lilly and Company
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11:00 AM | BREAK |
11:15 AM | Interface with the Justice Community and Opportunities for Intervention In the United States in the 1960s, deinstitutionalization of persons with mental illness shifted psychiatric care from long-term inpatient hospitals to community mental health and other outpatient facilities. Unintended consequences, including lack of adequate funding to mental health centers, lack of employment opportunities, and a dearth of low-income housing resulted in many people not receiving either adequate treatment or housing. Many mentally ill people were on the streets and had significant interface with the criminal justice system. This panel will examine that interface across the three components of criminal justice: law enforcement, criminal courts, and incarcerations. With a focus on each of the components and with a global perspective, panelists will present the challenges to balancing civil rights and public interest, the opportunities for creative interventions, and the obstacles and risks that remain. The presentations will be followed by discussion with the workshop participants. |
Moderator: MADELON BARANOSKI, Yale University
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12:45 PM | LUNCH |
1:45 PM | How Are Interventions Being Evaluated? How Can Evaluation Be Improved? The principal goals of prevention science are to improve public health by identifying alterable risk and protective factors and to assess the effectiveness of prevention interventions including optimal modes for diffusion and dissemination. Theories |
of human development and social ecology are often used to design interventions that aim to elicit behavior change, especially those that examine violence or mental health from a life-course perspective. This session will examine the successful use and limitations of randomized controlled trials for determining efficacy of interventions for violence prevention; the alternative rigorous evaluation designs to evaluate their effectiveness and impact; and how well the programs are being implemented. Evaluation findings can lead to program or intervention adaptation, quality improvement for existing programs, improved design for future interventions, and sustainability for effective interventions. Partners to engage in evaluations and program impact improvement efforts will also be discussed.
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Moderator for question-and-answer session only:
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2:15 PM | Reflections from the Workshop and the Way Forward |
Moderator: MARK ROSENBERG
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3:30 PM | Open Discussion |
4:00 PM | Workshop Adjournment |