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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Exploring Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Prepublication Copy, Uncorrected Proofs  Exploring Multigenerational Approaches to Fostering Children’s Health and Well-Being: The Opioid Crisis as a Case Study Proceedings of a Workshop Megan Snair, Rapporteur Forum for Children’s Well-Being: Promoting Cognitive, Affective, and Behavioral Health for Children and Youth Board on Children, Youth, and Families Division of Behavioral and Social Sciences and Education

Prepublication Copy, Uncorrected Proofs  THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001 This activity was supported by contracts between the National Academy of Sciences and the American Board of Pediatrics (Unnumbered Award); Centers for Disease Control and Prevention (200-2011-38807, TO #69); Conrad N. Hilton Foundation (17605); Doris Duke Charitable Foundation (2018120); and Robert Wood Johnson Foundation (74234). Additional support came from the American Academy of Child and Adolescent Psychiatry, the American Academy of Pediatrics, the American Psychological Association, Autism Speaks, Children’s Hospital Association, the Global Alliance for Behavioral Health and Social Justice, the National Federation of Families for Children's Mental Health, the Nemours Children’s Health System, the Society for Child and Family Policy and Practice, the Society of Pediatric Psychology, Well Being Trust, and ZERO TO THREE. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project. International Standard Book Number-13: 978-0-309-XXXXX-X International Standard Book Number-10: 0-309-XXXXX-X Digital Object Identifier: https://doi.org/10.17226/25574 Additional copies of this publication are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu. Copyright 2019 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Suggested citation: National Academies of Sciences, Engineering, and Medicine. (2019). Exploring Multigenerational Approaches to Fostering Children’s Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25574.

Prepublication Copy, Uncorrected Proofs  The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president. The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president. The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president. The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine. Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Prepublication Copy, Uncorrected Proofs  Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task. Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies. For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Prepublication Copy, Uncorrected Proofs  PLANNING COMMITTEE ON EXPLORING MULTIGENERATIONAL APPROACHES TO PREVENTION: A WORKSHOP WILLIAM R. BEARDSLEE, Baer Prevention Initiatives and Department of Psychiatry, Boston Children’s Hospital, and Department of Child Psychiatry, Harvard Medical School C. HENDRICKS BROWN, Departments of Psychiatry, Behavioral Sciences, and Preventive Medicine, Feinberg School of Medicine, Northwestern University DEBORAH KLEIN WALKER, Boston University School of Public Health and Tufts School of Medicine DAVID WILLIS, Center for the Study of Social Policy, Washington, DC v 

Prepublication Copy, Uncorrected Proofs  FORUM FOR CHILDREN’S WELL-BEING: PROMOTING COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH OF CHILDREN AND YOUTH CHERYL POLK (Cochair), HighScope Educational Research Foundation DAVID W. WILLIS (Cochair), Center for the Study of Social Policy RUMELI BANIK, Child Well-Being Program, Doris Duke Charitable Foundation SANDRA BARRUECO, Catholic University of America WILLIAM R. BEARDSLEE, Baer Prevention Initiatives and Department of Psychiatry, Boston Children’s Hospital, and Department of Child Psychiatry, Harvard Medical School HAROLYN M.E. BELCHER, Johns Hopkins University School of Medicine and Center for Diversity in Public Health Leadership Training, Kennedy Krieger Institute RAHIL D. BRIGGS, ZERO TO THREE, Washington, DC, and Department of Pediatrics, Montefiore Medical Group C. HENDRICKS BROWN, Departments of Psychiatry, Behavioral Sciences, and Preventive Medicine, Feinberg School of Medicine, Northwestern University DEBBIE I. CHANG, Policy and Prevention, Nemours Children’s Health System TINA CHENG, Department of Pediatrics, Johns Hopkins School of Medicine NATHANIEL Z. COUNTS, Montefiore Medical Group MARTHA B. DAVIS, Robert Wood Johnson Foundation ROBBERT H. DUGGER, Hanover Provident Capital LLC and ReadyNation ALEXA EGGLESTON, Domestic Programs, Conrad N. Hilton Foundation LYNDA GARGAN, National Federation of Families for Children’s Mental Health CARMEN J. HEAD, American Academy of Child and Adolescent Psychiatry KIMBERLY EATON HOAGWOOD, Department of Child and Adolescent Psychiatry, School of Medicine, New York University STEPHANIE M. JONES, Harvard Graduate School of Education JENNIFER W. KAMINSKI, Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention KELLY J. KELLEHER, Center for Innovation in Pediatric Practice, Health Services Research, Community Health and Services Research, and the Research Institute, Nationwide Children’s Hospital AMY WIMPEY KNIGHT, Children’s Hospital Association, Washington, DC LAUREL K. LESLIE, American Board of Pediatrics and Department of Medicine and Pediatrics, Tufts University School of Medicine MARY ANN MCCABE, Society for Child and Family Policy and Practice; Society of Pediatric Psychology; Department of Pediatrics, George Washington University School of Medicine; Department of Applied Developmental Psychology, George Mason University TYLER NORRIS, Well Being Trust, Oakland, CA CARLOS E. SANTOS, Luskin School of Public Affairs, University of California, Los Angeles ANDY SHIH, Autism Speaks, New York, NY VERA FRANCES “FAN” TAIT, American Academy of Pediatrics DEBORAH KLEIN WALKER, Global Alliance for Behavioral Health and Social Justice and Boston University School of Public Health LESLIE R. WALKER-HARDING, Department of Pediatrics, Seattle Children’s Hospital vi 

Prepublication Copy, Uncorrected Proofs  Forum Staff SUZANNE LE MENESTREL, Director ERIN KELLOGG, Research Associate MARGARET KELLY, Senior Program Assistant vii 

Prepublication Copy, Uncorrected Proofs   

Prepublication Copy, Uncorrected Proofs  Acknowledgments This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We thank the following individuals for their review of this proceedings: James M. Perrin, Harvard Medical School and MassGeneral Hospital for Children and David W. Willis, Senior Fellow, Center for the Study of Social Policy. We also thanks staff member Karen Anderson for reading and providing helpful comments on this manuscript.  Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by Patrick H. Deleon, F. Edward Hebert School of Medicine and the Graduate School of Nursing, Uniformed Services University Sciences. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.  ix 

Prepublication Copy, Uncorrected Proofs 

Prepublication Copy, Uncorrected Proofs  Contents 1 Introduction 2 Practice and Policy Examples to Promote Family Well-Being: Successes and Challenges 3 Drivers for Improvement and System Change 4 Future Directions for Supporting Families References Appendix A Workshop Statement of Task Appendix B Workshop Agenda Appendix C Biographical Sketches of Workshop Presenters and Planning Committee Members xi 

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