title: Primary Health Care: Potential Home for Family-Focused Preventive Interventions.
abstract: Family-focused prevention programs have been shown to effectively reduce a range of negative behavioral health outcomes but have had limited reach. Three key barriers must be overcome to expand the reach of family-focused prevention programs and thereby achieve a significant public health impact. These barriers are (1) current social norms and perceptions of parenting programs; (2) concerns about the expertise and legitimacy of sponsoring organizations to offer parenting advice; and (3) a paucity of stable, sustainable funding mechanisms. Primary healthcare settings are well positioned to overcome these barriers. Recent changes within health care make primary care settings an increasingly favorable home for family-focused prevention and suggest possibilities for sustainable funding of family-focused prevention programs. This paper discusses the existing advantages of primary care settings and lays out a plan to move toward realizing the potential public health impact of family-focused prevention through widespread implementation in primary healthcare settings.
authors: American Board of Pediatrics, Tufts University School of Medicine, Boston, Massachusetts.
authors: Laurel K
authors: LK
authors: Leslie
authors: Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
authors: Christopher J
authors: CJ
authors: Mehus
authors: Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington. Electronic address: jdh@uw.edu.
authors: J David
authors: JD
authors: Hawkins
authors: Cincinnati Children's Hospital Medical Center, Dean Emeritus, University of Cincinnati College of Medicine, Cincinnati, Ohio.
authors: Thomas
authors: T
authors: Boat
authors: George Washington University School of Medicine, George Mason University, Washington, District of Columbia.
authors: Mary Ann
authors: MA
authors: McCabe
authors: Department of Pediatrics, Monroe Carell Jr. Children's Hospital, Vanderbilt University, Nashville, Tennessee.
authors: Shari
authors: S
authors: Barkin
authors: Division of Developmental-Behavioral Pediatrics, Floating Hospital for Children, Tufts Medical Center, Boston, Massachusetts.
authors: Ellen C
authors: EC
authors: Perrin
authors: Oregon Research Institute, Eugene, Oregon.
authors: Carol W
authors: CW
authors: Metzler
authors: Miller School of Medicine, University of Miami, Miami, Florida.
authors: Guillermo
authors: G
authors: Prado
authors: Department of Child Health and Wellness, American Academy of Pediatrics, Elk Grove Village, Illinois.
authors: V Fan
authors: VF
authors: Tait
authors: Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
authors: Randall
authors: R
authors: Brown
authors: Department of Psychiatry, Harvard Medical School and Children's Hospital-Boston, Boston, Massachusetts.
authors: William
authors: W
authors: Beardslee
mesh_terms: D005196:Family Therapy / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016487:Parenting; D058991:Patient Protection and Affordable Care Act; D011314:Preventive Health Services / Q000191:economics*; D011320:Primary Health Care / Q000639:trends*; D066262:Social Norms; D014481:United States