Clinical Manual of Prevention in Mental Health Edited by Michael T. Compton, M.D., M.P.H. Clinical Manual of Prevention in Mental Health Digitized by the Internet Archive in 2018 with funding from Minnesota Department of Human Services, Behavioral Health Division https://archive.org/details/criticalmanualofOOunkn Clinical Manual of Prevention in Mental Health Edited by Michael T. Compton, M.D., M.P.H. Assistant Professor, Department of Psychiatry and Behavioral Sciences and Department of Family and Preventive Medicine, Emory University School of Medicine Assistant Professor, Department of Behavioral Sciences and Health Education Rollins School of Public Health of Emory University Atlanta, Georgia r American )sychiatric Publishing, Inc. Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. If you would like to buy between 25 and 99 copies of this or any other APPI title, you are eligible for a 20% discount; please contact APPI Customer Service at [email protected] or 800-368-5777. If you wish to buy 100 or more copies of the same title, please e-mail us at [email protected] for a price quote. Copyright © 2010 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 13 12 11 10 09 5 4 3 2 1 First Edition Typeset in Adobe’s Formata and AGaramond. American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data Clinical manual of prevention in mental health / edited by Michael T. Compton. — 1st ed. p. ; cm. Includes bibliographical references and index. ISBN 978-1-58562-347-1 (alk. paper) 1. Preventive mental health services—Handbooks, manuals, etc. I. Compton, Michael T. [DNLM: 1. Mental Disorders—prevention & control. WM 140 C64075 2010] RA790.5.C547 2010 362.2'0425—dc22 2009028299 British Library Cataloguing in Publication Data A CIP record is available from the British Library. In honor of our patients, whose struggles we strive to alleviate; through them, we gain the insights necessary to advance the prevention of mental illnesses and the promotion of mental health. Contents Contributors.xvii Foreword.xxiii David Satcher, M.D., Ph.D. Preface.xxv Michael T. Compton, M.D., M.P.H. Acknowledgments.xxxi Prevention in Mental Health: An Introduction From the Prevention Committee of the Group for the Advancement of Psychiatry.1 Michael T. Compton, M.D., M.P.H., Carol Koplan, M.D., Christopher Oleskey, M.D., M.P.H., Rebecca A. Powers, M.D., M.P.H., David Pruitt, M.D., and Larry Wissow, M.D., M.P.H. An Introduction to Prevention.1 Two Classifications of Prevention.2 Eight Principles in Considering Prevention in Mental Health.9 Prevention-Minded Clinical Practice.21 Key Points.22 References.23 Identifying and Understanding Risk Factors and Protective Factors in Clinical Practice.29 Anne Shaffer, Ph.D., and Tuppett M. Yates, Ph.D. Risk Factors: Predicting Maladjustment and Pathology.30 Protective Factors: Promoting Positive Development and Health..34 Empirical and Clinical Implications.37 Conclusion.41 Key Points.42 References.43 Prevention of Mood Disorders.49 Christina P. C. Borba, M.P.H., and Benjamin G. Druss, M.D., M.P.H. Overview of the Epidemiology of Mood Disorders.50 Risk Factors for Mood Disorders and Implications for Prevention.52 Protective Factors for Mood Disorders and Implications for Prevention.60 Primary Prevention of Mood Disorders.63 Secondary Prevention of Mood Disorders.65 Tertiary Prevention of Mood Disorders.67 What Practicing Psychiatrists Can Do in Routine Practice to Promote the Prevention of Mood Disorders.70 Conclusion.72 Key Points.72 References.73 Prevention of Anxiety Disorders.83 O. Joseph Bienvenu, M.D., Ph.D., DanielJ. Siegel, and Go Ida S. Gins burg, Ph.D. Epidemiology of Anxiety Disorders.84 Risk Factors for Anxiety Disorders.85 Studies of Anxiety Disorders Prevention.87 Public and Provider Education as a Prevention Tool.92