Preventing Violence and Related Health-Risking Social Behaviors in Adolescents: An NIH State-of-the-Science Conference October 13-15, 2004 Natcher Conference Center National Institutes of Health Bethesda, Maryland

Overview General Information Sponsors Preliminary Agenda Registration Travel & Lodging Program and Abstract book Conference Webcast Visitor Security CME

Violence exacts enormous financial, health, and social costs on individuals, families, and communities. In 2000, homicide was the second leading cause of death for persons 15 to 24 years of age and the fourth leading cause of death for persons 1 to 14 years of age. Most violence is non-fatal but results in injuries, mental health problems, sexually transmitted diseases, and other health problems. From a variety of studies, researchers know that approximately one in five children and adolescents display signs and symptoms of a defined emotional or psychiatric disorder during the course of a year. These signs and symptoms often signal increased risk of problems such as aggression, delinquency, drug abuse, violence and other health-risking social behaviors which cause substantial difficulties with family and peers, at school and at work. Many prevention and intervention programs to address violence and related youth behavior problems have developed out of need and have not been rigorously evaluated for their safety and effectivenes. Moreover, interventions with demonstrated effectiveness appear to be underutilized. Research has progressed at a rapid pace; it is now appropriate to assess the state of science with regard to interventions to reduce the risk for youth violence and related behavior problems, as well as to reduce problem behavior once it has been initiated. While research focused on what works is critical, it is equally important to assess what has been learned about interventions that do not work. This 2 ½-day conference at the National Institutes of Health will examine and assess the current state of knowledge regarding youth violence and related health-risking social behavior and identify directions for future research. Experts will present the latest research findings on risk and protective factors involved in the development of youth violence and related behaviors, and on interventions to reduce those behaviors. After a day and a half of presentations and public discussion, an independent panel will weigh the available evidence and draft a statement addressing the following key questions: What are the factors that contribute to violence and associated adverse health outcomes in childhood and adolescence? What are the patterns of co-occurrence of these factors? What evidence exists on the safety and effectiveness of interventions for violence? Where evidence of safety and effectiveness exists, are there other outcomes beyond reducing violence? If so, what is known about effectiveness by age, sex, and race/ethnicity? What are the commonalities among interventions that are effective, and those that are ineffective? What are the priorities for future research? General Information NIH Consensus Development Conferences bring together biomedical investigators, practicing physicians, consumers, and representatives of public interest groups to evaluate state-of-the-art scientific information and resolve controversial issues in clinical practice. If you have any questions or if you have any disabilities that may require specific aids or services during the conference, e-mail preventingviolence@air.org. Conference sessions will be held in the Natcher Conference Center, National Institutes of Health, Bethesda, Maryland. The cafeteria in the Natcher Conference Center is located one floor above the auditorium on the main floor of the building. It is open from 7 a.m. to 2 p.m., serving breakfast and lunch. Sponsors The primary sponsors of this meeting are: National Institute of Mental Health , NIH, and the  Office of Medical Applications of Research, NIH The co-sponsors of this meeting are: Agency for Healthcare Research and Quality Centers for Disease Control and Prevention National Institute on Alcohol Abuse and Alcoholism, NIH National Institute on Child Health and Human Development, NIH National Institute on Drug Abuse, NIH National Institute of Nursing Research, NIH National Library of Medicine Office of Behavioral and Social Sciences Research, NIIH Substance Abuse and Mental Health Services Administration U.S. Department of Education U.S. Department of Justice Preliminary Agenda Wednesday, October 13, 2004 Introduction and Overview 8:30 a.m.  Opening Remarks Thomas R. Insel, M.D. Director National Institute of Mental Health National Institutes of Health 8:40 a.m.          Charge to the Panel and Participants Barnett S. Kramer, M.D., M.P.H. Director Office of Medical Applications of Research Office of the Director National Institutes of Health 8:50 a.m.          Conference Overview and Panel Activities Robert L. Johnson, M.D. Panel and Conference Chairperson Professor and Chair Department of Pediatrics Professor of Psychiatry Director of Adolescent and Young Adult Medicine University of Medicine and Dentistry of New Jersey New Jersey Medical School I. Development of Youth Violence: Risk and Protective Factors in Context 9:00 a.m.          Prevalence and Significance of Problem Behaviors Felton Earls, M.D. Professor Department of Social Medicine Harvard Medical College 9:20 a.m.          Developmental Course of Health-Risking Behaviors Terrie E. Moffitt, Ph.D. Professor Department of Psychology University of Wisconsin 9:40 a.m.          Child Factors Benjamin B. Lahey, Ph.D. Professor of Psychiatry Chief of Psychology Department of Psychiatry University of Chicago 10:00 a.m.        Family and Peer Factors Rand D. Conger, Ph.D. Professor Human and Community Development University of California, Davis 10:20 a.m.        Community Factors Robert J. Sampson, Ph.D. Henry Ford II Professor of the Social Sciences Department of Sociology Harvard University 10:40 a.m.        Preventing Violence and Related Health-Risking Social Behaviors in   Adolescents–An Evidence Assessment Report Michele D. Kipke, Ph.D. Professor Department of Pediatrics University of Southern California Keck School of Medicine Director Division of Research on Children, Youth, and Families Childrens Hospital Los Angeles 11:10 a.m.        Discussion Participants with questions or comments for the speakers should proceed to the microphones and wait to be recognized by the panel chair. Please state your name and affiliation. Questions and comments not heard before the close of the discussion period may be submitted at the registration desk. Please be aware that all statements made at the microphone or submitted later are in the public domain. II. Patterns of Co-occurrence and Development 11:40 a.m.        Evidence for Cumulative Developmental Models Rolf Loeber, Ph.D. Professor of Psychiatry, Psychology, and Epidemiology University of Pittsburgh 12:00 p.m.        Multiple Behavior Problems and Shared Risk Deborah M. Capaldi, Ph.D. Senior Scientist Oregon Social Learning Center 12:20 p.m.        Implications for Intervention Richard F. Catalano, Ph.D. Director Social Development Research Group University of Washington, Seattle 12:40 p.m.        Discussion 1:10 p.m.          Lunch III.  Safety, Effectiveness, and Generalizability of Interventions for Preventing Violence and Other Outcomes 2:10 p.m.          Prenatal and Infancy Home Visiting by Nurses David Olds, Ph.D. Director Prevention Research Center for Family and Child Health Professor of Pediatrics University of Colorado Health Sciences Center University of Colorado 2:30 p.m.          FAST Track Kenneth A. Dodge, Ph.D. William McDougall Professor of Public Policy Professor of Psychology Duke University Director Center for Child and Family Policy 2:50 p.m.          Good Behavior Game (GBG) Sheppard G. Kellam, M.D. Director Center for Integrating Education and Prevention Research in Schools American Institutes for Research 3:10 p.m.          Linking the Interests of Families and Teachers (LIFT) John B. Reid, Ph.D. Executive Director Oregon Social Learning Center 3:30 p.m.          Discussion 4:00 p.m.          The Incredible Years: Parent, Teacher, and Child Training Series (IYS) Carolyn Webster-Stratton, Ph.D. Professor Family and Child Nursing University of Washington, Seattle 4:20 p.m.          Multidimensional Treatment Foster Care (MTFC) Patricia Chamberlain, Ph.D. Senior Research Scientist Oregon Social Learning Center 4:40 p.m.          Multisystemic Therapy (MST) Scott Walter Henggeler, Ph.D. Director Family Services Research Center Professor Department of Psychiatry and Behavioral Sciences Medical University of South Carolina 5:00 p.m.          Preventing Violence and Related Health-Risking Social Behaviors in   Adolescents–An Evidence Assessment Report Linda S. Chan, Ph.D. Professor Department of Pediatrics Director Biostatistics and Outcomes Assessment Los Angeles County and University of Southern California Medical Center 5:20 p.m.          Discussion 5:50 p.m.          Adjournment Thursday, October 14, 2004 IV.  Interventions to Reduce Violence and Related Behaviors: Commonalities, Costs, and Practice 8:30 a.m.          Commonalities Among Safe and Effective Interventions Delbert S. Elliott, Ph.D. Director Center for the Study and Prevention of Violence Institute of Behavioral Science University of Colorado 8:50 a.m.          Features of Ineffective and/or Unsafe Interventions Thomas J. Dishion, Ph.D. Professor of Psychology Child and Family Center University of Oregon 9:10 a.m.          Costs and Benefits of Different Prevention and Intervention Strategies Steve Aos, M.S. Associate Director Washington State Institute for Public Policy 9:30 a.m.          Services and Systems of Care John A. Landsverk, Ph.D. Director Child and Adolescent Services Research Center Children’s Hospital Health Center, San Diego 9:50 a.m.          Discussion 10:20 a.m.        Adjournment Friday, October 15, 2004 9:00 a.m.          Presentation of the State-of-the-Science Statement 9:30 a.m.          Public Discussion The panel chair will call for questions and comments from the audience on the draft state-of-the-science statement, beginning with the introduction and continuing through each subsequent section in turn. Please confine your comments to the section under discussion. The chair will use discretion in proceeding to subsequent sessions so that comments on the entire statement may be heard during the time allotted. Comments cannot be accepted after 11:30 a.m. 11:00 a.m.        Panel Meets in Executive Session Panel meets in executive session to review public comment. Conference participants are welcome to return to the main auditorium to attend the press conference at 2 p.m.; however, only members of the media are permitted to ask questions during the press conference. 2:00 p.m.          Press Conference 3:00 p.m.          Adjournment Registration ONLINE REGISTRATION Conference Webcast Visit the NIH Videocast website for a live webcast of the conference. Viewing the webcast requires RealPlayer software which can be downladed free of charge from the NIH Videocast website. Visitor Security The NIH has recently instituted new security measures to ensure the safety of NIH employees and property. All visitors should be prepared to show a photo ID upon request. Visitors may be required to pass through a metal detector and have bags, backpacks or purses inspected or x-rayed as they enter NIH buildings. Conference attendees may want to leave extra bags or personal materials at their hotel to minimize the time needed for inspection. For more information about the new security measures, please visit this website: http://www.nih.gov/about/visitorsecurity.htm Continuing Medical Education (CME) Units The National Institutes of Health/Foundation for the Advancement of Education in the Sciences (NIH/FAES) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

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