Complementary development of prevention and mental health promotion programs for Canadian children based on contemporary scientific paradigms.
Confusion regarding definitions and standards of prevention and promotion programs is pervasive, as revealed by a review of such programs in Canada. This paper examines how a discussion of scientific paradigms can help clarify models of prevention and mental health promotion and proposes the complementary development of prevention and promotion programs. A paradigm shift in science contributed to the emergence of the transactional model, advocating multiple causes and dynamic transactions between the individual and the environment. Consequently, the view of prevention applying over a linear continuum and of single stressful events causing mental disorders may no longer be appropriate. It is the author's belief that the new science of chaos theory, which addresses processes involved in the development of systems, can be applied to child development and thus to the heart of prevention and promotion programs. Critical moments followed by transitions or near-chaotic behaviours lead to stable states better adapted to the environment. Prevention programs would focus on the critical moments and target groups at risk to reduce risk factors. Promotion programs would focus on stable states and target the general population to develop age-appropriate life skills. The concept of sensitive dependence on initial conditions and certain empirical studies suggest that the programs would have the greatest impact at the beginning of life. It is hoped that this effort to organize knowledge about conceptual models of prevention and mental health promotion programs will foster the development of these programs to meet the urgent needs of Canadian children.
Breton
J J
JJ
Research Department, Rivière-des-Prairies Hospital, Montreal, QC. jean-jacques_breton@hrdp.qc.ca
D000293:Adolescent; D016497:Adolescent Health Services; D000296:Adolescent Psychiatry / Q000639:trends; D002170:Canada; D015984:Causality; D002648:Child; D002657:Child Development; D002662:Child Health Services; D002665:Child Psychiatry / Q000639:trends; D003423:Critical Period, Psychological; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D008603:Mental Health; D017711:Nonlinear Dynamics; D011315:Preventive Medicine / Q000379:methods; D016730:Program Development / Q000379:methods*; D012586:Science / Q000639:trends