Universal Prevention for Every Child and Youth: To Save Our Country

Dennis D. Embry, Ph.D.

President/CEO, PAXIS Institute

[email protected] • SimpleGifts.com

Tweet and use #FamUnited #SimpleGifts

Universal Prevention for Every Child and Youth: To Save Our Country

Friday, November 5, 2010

mailto:[email protected]

mailto:[email protected]

Goals today…

Learn how multiple causes of morbidity and mortality (e.g., obesity, diabetes, substance abuse, mental illness, poor cognitive processes) are linked to four basic evolutionary mechanisms triggered by current society.

Learn how low-cost, evidence-based kernels—the fundamental units of behavioral influence—can be used to address the common, linked causes of morbidity and mortality affecting America’s future.

Learn how a communities can organize to impact common causes of morbidity and mortality using low-cost evidence based kernels.


Objectives

Develop a personal plan to apply evidence-based kernels on one’s immediate family.

Develop a plan to apply evidence-based kernels in one’s workplace to affect morbidity, mortality, productivity and wellbeing.

Develop steps for community mobilization for applying the scientific and practical knowledge gained to improve community indicators of health, safety and wellbeing





Disturbing, disruptive and aggressive behaviors have been increasing in the United States for more than 20 years.

The United States has more of these problems than many other rich countries.

2009:Institute of Medicine Report


Nearly 75 percent of the nation's 17- to 24-year-olds are ineligible for service

• Medical/physical problems, 35 percent.

• Illegal drug use, 18 percent.

• Mental Category V (the lowest 10 percent of the population), 9 percent.

• Too many dependents under age 18, 6 percent.

• Criminal record, 5 percent.

Army Times, Nov 5, 2009 • www.missionreadiness.org/PAEE0609.pd


http://www.missionreadiness.org/PAEE0609.pd


Nearly 75 percent of the nation's 17- to 24-year-olds are ineligible for service

• Medical/physical problems, 35 percent.

• Illegal drug use, 18 percent.

• Mental Category V (the lowest 10 percent of the population), 9 percent.

• Too many dependents under age 18, 6 percent.

• Criminal record, 5 percent.

Army Times, Nov 5, 2009 • www.missionreadiness.org/PAEE0609.pd




Oppositional defiance, conduct disorders, and personality disorders are increasing & worse here.


Rates of obesity in youth have increased epidemically.

http://www.cdc.gov/obesity/data/trends.html




Serious addictions are happening younger ages.


FIGURE 1Trends in Annual Prevalence of an Illicit Drug Use Index

Grades 8, 10,** and 12

Source. The Monitoring the Future study, the University of Michigan.0%

20%

40%

60%

80%

YEAR

'75 '77 '79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07 '09

8th Grade10th Grade12th Grade Youth Marijuana Trends


FIGURE 1Trends in Annual Prevalence of an Illicit Drug Use Index

Grades 8, 10,** and 12

Source. The Monitoring the Future study, the University of Michigan.0%

20%

40%

60%

80%

YEAR

'75 '77 '79 '81 '83 '85 '87 '89 '91 '93 '95 '97 '99 '01 '03 '05 '07 '09

8th Grade10th Grade12th Grade Youth Marijuana Trends

What caused this decline?


Prescription drug abuse has largely replaced illegal drug use in America’s young people


Two to three times as many American children are being prescribed psychiatric drugs…


Emotional problems and suicides have increased among America’s youth.


Tribal youth behavior is happening across all

communities and social classes


And, an generation is being raised with parents on war deployment in the middle of these trends


Old American holocausts still affect descendants.




All these trends harm all our futures


These adverse trends among children and youth…

(A) Are NOT an issue among in your community.

(B) MIGHT be an issue in your community.

(C) ARE is an issue in your community.



2009:Institute of Medicine Report provides a concise review of some of the trends harming the success and wellbeing of all our children.


Cultural Trend:Sleep Deprivation

IOM Report (IOM, page 212)


Data on Sleep Deprivation

On the average, school-age children have a sleep deficit of .5 - 1.5 hours per night.

This multiplies out to a deficit of 2.5 - 7.5 hours per five day school week.


TV’s in children’s bedrooms

Computers in bedrooms

Gameboys in bedrooms

Cellphones in bedrooms

Sleep Deprivation caused by…


TV’s in children’s bedrooms

Computers in bedrooms

Gameboys in bedrooms

Cellphones in bedrooms

…Rapidly since 1990

Sleep Deprivation caused by…

0%

15%

30%

45%

60%

Preschoolers (2-5) Elementary (6-11) Secondary (12-17)

Televisions in Children’s Bedrooms in 1997

25.6% 37.%% 55.8%


Significant risk of alcohol, tobacco and other drug use

Increased risk of early sexual behavior and violence

School problems

Family/home problems

Sleep Deprivation causes…

25.6% 37.%% 55.8%


Curfew one-hour before bedtime for:

Televisions

Computers

Gameboys

Cellphones

General reduction of passive media25.6% 37.%% 55.8%

Sleep Improvement evidence-based kernels


Sleep Deprivation…(A) Is NOT an issue among children and

youth in your community

(B) MIGHT be an issue among children and youth in your community.

(C) IS an issue among children and youth in your community.


Parental Monitoring and Parental Networking

(IOM, page 168, 171, 189)


Data on Parental Monitoring

Warm and firm statement of rules by parents have a large impact on deviant behavior of teens.

Lower delinquency rates

Lower rates of drunken behavior

Less general ATOD and other problems

Harshness about rules invites teen rebellion

Lax rules invite deviant behavior.


Data on parental networking

Reduces alcohol, tobacco and other drug use

Reduces delinquency

Reduces teen pregnancy

Increases school success“Who are the adults

there?” What’s their phone number.”

“Hi, just checking to

see if my son is

there?.”

“She needs to be home and in

bed by midnight.”


Clear rules kernel

For older youth (7th to 12th graders), parents or families might use a “Blunt Statement.”

“I/we don’t want you to be drunk, stoned or high from any type of alcohol or drug. I/we don’t want you to be with any other youth including your friends ________, _________, or _________, if they are drunk, stoned or high from any kind of alcohol or drugs period. If this happens at any time or at any place, we want you to call us ASAP so that we can pick you up and take you home. Is that understood?

I/we are going to talk to all your friends’ parents about our family’s wish to protect you, and our desire that we don’t want you or your friends to be involved with alcohol or drug use at all. What questions do you have?”


Parental Monitoring…(A) Is NOT an issue among children and

youth in our community

(B) MIGHT be an issue among children and youth in our community.

(C) IS an issue among children and youth in our community.




The lack Parental Networking to protect their children…(A) Is NOT an issue among children and





Peer, Family, & Cultural Rewards for NOT breaking rules

IOM Report (page 165, 170,171, 181)


Data on social reinforcements for breaking rules

Being Good Acting Bad

High levels of reinforcement and attention happen for deviant behavior:

Increases delinquency

Increases alcohol, tobacco and other drug use

Decreases school success


Social reinforcement for rule breaking and deviance…(A) Is NOT an issue among children and





Diet change in essential “brain food” IOM Report (page 211-2)


Omega 3 fatty acid largely found in fish like salmon, walnuts, and flax. Also what grandmothers made children take, “cod liver oil”.

Good Brain Oils

Omega 6 found largely in vegetable oils in processed food such as soybean, cottonseed, and similar oils. HIgh grain fed meats and eggs. Always in deep fried foods. NOT olive oil.

Bad Brain Oils


Data on “Brain Food”: Omega-3 deficiency


Omega-3 sufficiency0%6%

12%18%24%30%

Omega-3 Placebo

27.5%

4.9%

Prevention Impact of Psychosis


Brain food deficiency…(A) Is NOT an issue among children and





Our lives, communities, businesses and futures will be just fine if we ignore all this.



Is the untimely deviance, disability, disease, disorder and

even death of our children’s futures by unconscious and conscious cultural practices.

outhanasia


Take 2-minute to summarize this and be prepared to share your summary for 60 seconds or less…


Let’s hypothesize: What’s obviously and not so obviously different today from 20-30 years ago?


Obvious Not Obvious


Non-obvious: Evolutionary Mis-match


Hypothesis: Evolutionary “inflammatory” processes


Hypothesis: Evolutionary “inflammatory” processes

Redness, rubor, a response of body tissues to injury or irritation; characterized by pain and swelling and redness and heat.

Excitation, excitement, fervor, fervour the state of being emotionally aroused and worked up

Inflaming arousal to violent emotion

Firing, ignition, kindling, lighting

the act of setting on fire or catching fire


Human Infectious/Biological Threats

Evolutionary Adaptive Responses(Simplified)

GeneralizedInflammatoryResponse

LocalizedInflammatory

Response

Human Predatory Threats

Evolutionary Adaptive Responses(Simplified)

Anti-Inflammatory Regulators

Mood Modulators

Reward Delay Modulators

Intra-GroupAffiliation (Anti-Inflammatory)

Out-GroupAggress. (Inflammatory)

Threat Attributional Bias (Inflammatory)

Tit-for-Tat Beh. Bias (Inflammatory)

Stress Modulators

Puberty/Sex Modulators

Intra-GroupCooperation (Anti-Inflammatory)

Neuro-Hormones


Evolutionary Pathof a Child’s Life


Evolutionary Pathof a Child’s Life

KPath

RPath

Probability of long-life and reproductive success

Probability of short-life and doubtful reproductive success


R PATH = Risky Adolescence

Conduct Disorders

EarlyPregnancy

Homicide & Suicide

Addictions

Aggression

Obesity

Asthma

Early Sex

Disabilities


Physiological ReinforcementAntecedents Verbal Relations

Major Ecologic Causes of the Dual Inflammatory Threats to Children & Youth


Multi-Inflammatory Threat Reaction




MoodStability

AttentionRewardDelay

ExecutiveFunction

BehavioralCompetencies

MotorSkills

Immune-Healing

FunctionsMulti-Inflammatory Threat Reaction




MoodStability

AttentionRewardDelay

ExecutiveFunction

BehavioralCompetencies

MotorSkills

Immune-Healing

FunctionsMulti-Inflammatory Threat Reaction



Mental IllnessSubstance

AbuseViolence

WorkProblems

Obesity, etc

CancerEarlySex

SchoolFailure

STD’s SpecialEd


Successful human neonates born with 60-day supply of

omega-3 in subcutaneous fat from

mother’s diet

NeonatesIn the Rife Valley, the

human brain evolution the result of eating fish high in omega-3 not savannah animals

EvolutionAmerican infants have

been getting steadily less omega-3 (n3) and more

pro-inflammatory omega-6 (n6) in breast

milk

Breast MilkAlmost all adolescent

risky behaviors have now been documented to be

related to low n3 and high n6 in US diet

change in last 50 years

“Risky” Beh.

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Apparent consumption o! inoleic acid (% of dietary energy) amongAustralia, Canada, UK and USA for the years 1961–2000

Physiological Adaptation

See Broadhurst, Cunnane, & Crawford (1998). Rift Valley lake fish and shellfish provided brain-specific

nutrition forearly Homo

See HIbbeln et al. (2007).Maternal seafood consumption in pregnancy and

neurodevelopmental outcomes in childhood (ALSPAC study): an observational cohort

study

Hibbeln et al. (2006). Healthy intakes of n-3 and n-6 fatty acids: estimations considering

worldwide diversity.

See Ailhaud et al. (2006).Temporal changes in dietary fats: Role of n6

polyunsaturated fatty acids in excessive adipose tissue

development and relationship to obesity


1 pound = 453.59237 grams

25 pounds =11,339.8 grams

11,339.8 x 9 calories p/gram =

102,058 calories p/y =

75 Big Mac Meals (Mac + Fries + Large Coke)


1 pound = 453.59237 grams

25 pounds =11,339.8 grams

11,339.8 x 9 calories p/gram =

102,058 calories p/y =

75 Big Mac Meals (Mac + Fries + Large Coke)


What you can do to have an “anti-inflammatory” diet

Eliminate or reduce all products that contain soybean, cottonseed, corn, safflower, sunflower and canola oil (most fast food)

Use omega-3 enriched eggs

Use virgin olive oil for salads and regular olive oil for cooking

Eat two servings per wk of oily fish (salmon, trout, tuna, black cod, sardines, mackerel)

Use range/grass fed chicken, pork or beef (not grain fed)

Follow Grandmothers’ Wisdom on fish oil

Total oil in each

capsule (Includes non- essential oils)

CostEPA

(Eicosapentanoic acid in each

capsule)

DHA (Docosaphexanonic

acid in each capsule)

EPA +

DHA

# of capsules needed

1,000 mg(Unconcentrated

cod liver oil)

1,000 mg (molecularly

distilled

1,100 mg(highly purified)

$ 180 mg 120 mg 300 mg 2,100 mg7 caps per day

$$ 300 mg 200 mg 500 mg 2,000 mg4 caps per day

$$$ 600 mg 400 mg 1,000 mg 2,000 mg2 caps per day


Mixed environments versus “residential” settings increase

grades and reduce conduct problems.

BuiltEnvironment

Running and walking 5-10 miles per day in

the pursuit of reinforcers has long history in humans. Such movement increases BDNF.

EvolutionAmerican children have dramatically changed their play from outdoor play, imaginative play,

free-play, multi-age play, and rough and tumble

play to solo screen time

Play DietThe change in play is associated with an

increase in most DSM-IV plus many behavior and academic problems plus health issues in youth.

“Risky” Beh.

Antecedent Movement Inflammatory/Anti-inflammatory

See Bramble & Lieberman (2004). Endurance running and the evolution

of Homo

See Szapocznik et al. (2006). The impact of the built environment on children's school

conduct grades: The role of diversity of use in a Hispanic neighborhood

See Kuo & Taylor (2004). A potential natural treatment for attention-deficit/hyperactivity disorder: evidence from a national study.

See Clements (2004). An Investigation of the Status of Outdoor Play. Contemporary

Issues in Early Childhood.


Cooperative games and structured games during recess have more impact on physical activity and Body Mass Index (BMI) for children than PE in school. Cooperative games also increase academic achievement and reduced ADHD plus reduce aggression or bullying.

Organized recess

Children and youth sit for approximately five hours in school plus whatever time they spend in a vehicle to and from school. Using physical responding during instruction increases academic achievement, reduces disruptions, ADHD, and decreases BMI.

Active physical responding


Place cellphones on curfew 1 hour before bedtime. The phones go into the possession of parents and returned to child in am. This has multiple benefits.

Cellphones

All hand-held games into control of parents 1 hour before bedtime. Console games and computers with Internet have software that shuts off access to those programs or Internet 1 hour before bed.

Computer games & Internet

Do not place TV in child’s bedroom (or adult’s). Not one study shows benefit of TV in bedroom, and almost all show harm.

Television


Reinforcement Adaptation

A simple 3-term algebra formula predicts either

risky or non-risky behavior in human in real-world settings

related to differential verbal/social

reinforcement.

Matching LawHumans are

apparently unique in the ability to use

arbitrary sounds and symbols to reinforce behavior in others.

EvolutionMultiple data sets and

controlled studies show that children and youth in general receive low levels

of reinforcement for prosociality, with adverse

effects on behavior

Reinforcer DietWhen children or youth receive differential rates

of peer and adult reinforcement for

prosociality virtually all risk behaviors decline.

“Risky” Beh.

See Hayes, Barnes-Holmes & Roche. (2001). Relational frame theory: A post-Skinnerian account of human

language and cognition

See Plaud, (1992). The prediction and control of behavior revisited: A review of the

matching law.of intergroup conflict

See Biglan & Hinds, E. (2009). Evolving prosocial and sustainable neighborhoods and

communities.See Biglan et al. (2004). Helping

Adolescents at Risk.


Simplified Matching Law

Halvor Teigen, K. (2002). One hundred years of laws in psychology. American Journal of Psychology, 115(1), 103-118.

Pierce, W. D., & Epling, W. F. (1995). The applied importance of research on the matching law. Journal of Applied Behavior Analysis, 28(2), 237-241.

Correia, C. J., Simons, J., Carey, K. B., & Borsari, B. E. (1998). Predicting drug use: Application of behavioral theories of choice. Addictive Behaviors, 23(5), 705-710.

B = predicted behavior ratek = A “rubber-band” like asymptotic

constantrp =rate of reinforcement for target

behaviorrv =rate of reinforcement for all other

behaviors


Language, physiological, medication or substance abuse effect on behavior

Rate influenced by:• Reinforcements• Antecedents• Relational-frames

Rate influenced by:• Reinforcement• Antecedents• Relational-frames


What is the matching law (immediate rewards) for?

{Flannery, 2003 #4}


Peer-to-Peer Notes

Positive Home Notes

Social Competence Violence

Embry et al. (1996) School-Community Reinforcement Study


Reward & Reminder:

Impact on prevalence

Youth Who Smoked Every Day the Last 30 Days

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

1995 1997 1999 2001 2003 2005 2007

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

Baseline Reward and Reminder

Source: YRBS, US Centers for Disease Control

Wyoming

Wisconsin

United States

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

1995 1997 1999 2001 2003 2005 2007

Wyoming

Wisconsin

United States

Youth Who Smoked During the Last 30 DaysBaseline Reward and Reminder


= Trend = Wyoming = Wisconsin =United States


2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

1995 1997 1999 2001 2003 2005 2007

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%



Wyoming

Wisconsin

United States

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

1995 1997 1999 2001 2003 2005 2007

Wyoming

Wisconsin

United States




Source: Youth Risk Behavior Survey (YRBS), Centers for Disease Control


Reward & Reminder:

Impact on prevalence


2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

1995 1997 1999 2001 2003 2005 2007

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%



Wyoming

Wisconsin

United States

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

1995 1997 1999 2001 2003 2005 2007

Wyoming

Wisconsin

United States





2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

1995 1997 1999 2001 2003 2005 2007

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%



Wyoming

Wisconsin

United States

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

1995 1997 1999 2001 2003 2005 2007

Wyoming

Wisconsin

United States




Source: Youth Risk Behavior Survey (YRBS), Centers for Disease Control


Verbal relations adaptation

Simply giving people different group names

and colors of clothing will increase verbal and physical aggression

among children. Similar effects found in stress

chemistry.

Friend & FoeThe evolution of

speech and written language enables control of others’

behavior by arbitrary symbols and their

relationships

EvolutionAs daily verbal diet of threats, enemies and

danger increase in neighborhoods,

communities and nations, DSM-IV

symptoms increase and economies worsen.

Daily Verbal DietWhen language of

connection, civility and belonging are introduced

in children and youth, risky behaviors decline in controlled experiments.

“Risky” Beh.

See Hayes, Barnes-Holmes & Roche. (2001). Relational frame theory: A post-Skinnerian account of human

language and cognitionSee Sherif, M. (1958). Superordinate goals

in the reduction of intergroup conflict

See Embry, Flannery, Vazsonyi, Powell, & Atha/ (1996). PeaceBuilders: A theoretically

driven, school-based model for early violence prevention.

See Zullow (1991). Pessimistic rumination in popular songs and newsmagazines predict

economic recession via decreased consumer optimism and spending


1.1

1.15

1.2

1.25

1.3

1.35

grade 7 grade 8 grade 9

Mea

n de

linqu

ency

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

grade 7 grade 8 grade 9

Mea

n d

run

ken

nes

s

Figure 2 Repeated-measures analysis of variance displaying self-reported drunkenness (a) and delinquency (b) separately for youths in theintervention and control conditions

Relational-Frame Example:

“Families United Promise”


The Gift of Clarity and Commitment


A teacher invents a way to save the classroom from Hell

28


A Baltimore City K-8



31

• 70 plus studies

–Many interrupted time-series

–Show less disruption

–More engagement

– Three long-term gold standard studies

– Four more in progress

• Follow up now from 1st grade to 29th year of life.- Reduced

- Special ed, ADHD, Bullying, Conduct disorders, violent crime, suicide

- Tobacco, illegal drug use, alcohol addictions

- Increased high-school graduation, college entry

- Obesity, teen pregnancy, & STD’s in process

Summary of results…


The study focused on child maltreatment prevention among the large percentage of parents and families in a community.

Universal Triple PLevel One

Primary Care Triple PLevel three

Selected Triple PLevel Two

Standard Triple PLevel four

Enhanced Triple PLevel five

Focus of parenting support in population level Triple P study



Nurturing Policies and Practices for “Anti-Inflammatory” Responses

Policies for universal access to parenting supports

Policies universal access to supports for teachers

Changing institutional food policies

Community reinforcement policies

Other Community policies (TV, greeting, play)

Community child and youth play and opportunities policies

A consumer model for prevention science


Big changes requires leverage


Big change = RE-AIM

Reach X Efficacy X Adoption X Implementation X Maintenance = Population level impact


Peer-to-Peer Learning Game


Some truths…

Culture determines biology; and biology determines culture.Culture is made up antecedents practices, physiological practices, relational frame (language) practices, and reinforcement practicesCulture determines nurture; and nurture determines culture.Behavior can be predicted by contextual biology and social reinforcementBig change is possible using small units of proven change called evidence-based kernels


That’s happening, too…


A poll…


Our economy will be hurt by these trends in America’s youth.

YES

NO


Our national security will be hurt by these trends among America’s youth.

YES

NO


Our health-care costs will go up because of these trends in our youth.

YES

NO


These trends will worsen our local, state and national debt crisis.

YES

NO


The Time is up for thinking

about the problem of

our children’s futures and

our country’s future…


How much will it cost to change these trends in your community?

Between $1 and $2 per child in your area…

Many times less than an annual flu shot for children or teens


See and map a new future…



“Behavioral health could learn from public health in endorsing a population health perspective”—(IOM, page 19).

“Families and children have ready access to the best available evidence-based prevention interventions, delivered in their own communities…in a respectful non-stigmatizing way”—(IOM, page 387).

The story of the Broad Street water pump during the cholera

epidemic in London.


What if prevention science (evidence-based kernels) met…

Amazon.com

Itunes

youtube

FaceBook

With community mobilization.


SImpleGifts.Com


Go to: www.paxis.org/kernelspaper


http://www.paxis.org/kernelspaper

http://www.paxis.org/kernelspaper

Is the smallest unit of scientifically proven behavioral influence.

• Are the active ingredients of evidence-based programs.

• Is indivisible; that is, removing any part makes it inactive.

Produces quick easily measured change that can grow much bigger change over time.

Can be be used alone OR combined with other kernels to create new programs, strategies or policies.

What is a kernel?




Please remember Beat The Timer and Simple Gifts are trademarks and copyrighted materials. This document is licensed for your family use only. Copyright © Simple Gifts, Inc and PAXIS Institute, 2009. All rights reserved.

1

Home !QuickStart !for !Beat !The !Timer !

Welcome to this Simple Gift. Reading and watching the QuickStart will…

• Show you 7-basic steps for Beat the Timer. • Demo the 7-basic steps with a family. • Help you select and create recipes for change using Beat the Timer.

If you have not already done so, please watch the QuickStart video.

7-Steps !for !Beat !The !Timer !

If you bake a cake, there are always some key main ingredients. If you miss one of those key ingredients, you don’t have a cake. Beat The Timer has seven key ingredients or steps to make it work.

After learning 7-Steps for Beat The Timer, you can easily move on to making plan for any one of the Beat the Timer recipes. Briefly, here are the 7-steps. Details follow on the next pages, with some pictures and examples.

Step 1 - Announce Beat the Timer

Step 2 - Say how long Timer will be set for

Step 3 - Say what behaviors are to beat the timer

Step 4 - Announce timer is about to begin.

Step 5 - Praise positive behavior while timer is ticking

Step 6 - Celebrate success and reward from the prize bowl

Step 7 - Mark changes on success scoreboard

So, lets learn more about each of these steps with some examples and helpful hints. Please watch the videos of Beat the Timer the timer being used by a real family in a real home.

Includes instructionsCustomized for you

With Email prompts

Social Network

Moderated Q&A about how to apply


If kernels are so good…


If kernels are so good…


Are you an everyday scientist?Human beings are the only organism on this planet that can consciously create a future environment for themselves.

Other animals accidentally affect their environment.

What makes an everyday scientist?

What is it that you want to increase AND decrease in the future?


Are you an everyday scientist?Human beings are the only organism on this planet that can consciously create a future environment for themselves.

Other animals accidentally affect their environment.

What makes an everyday scientist?

What is it that you want to increase AND decrease in the future?


Reversal Design Example


Another reversal design example


The vision of change in all our children, youth and families…

Increase Decrease


The first breakthrough will be Families United…

Launching this year

Using all modern Internet tools to create a national mobilization

Using powerful public health/social marketing tools

Applying IOM findings

Creating universal consumer access to proven behavioral prevention

Combining common sense, good science, low cost with sustainability


What is Families United?

A set of simple, proven, and powerful tools to protect all our children from the leading causes of lifetime suffering, illness, disability and death—securing all our futures.


What do United Families do?

Increase Family Positive Monitoring. Parental & family clarity and commitment to their child about risky or disturbing behaviors such as not using alcohol, tobacco and drugs (ATOD) and about that child’s friends’ not using of alcohol, tobacco and drugs.

The type of monitoring changes by age of child.



Reward Not Using or Breaking Rules. Family recognition and reinforcement of children and teens doing the right thing (e.g., not using ATOD or not engaging in deviant or risky behaviors.

The rewards and recognition increase intrinsic motivation to do the right thing, and cost little or no money

The rewards and recognition create perceived warmth by children from parents and family.



Reduce Sleep Deprivation. Ensuring a child has good sleep patterns, by reducing access to electronic media before bedtime.

Sleep deprivation is the silent but deadly cause of many behavioral, school and health problems—including addictions.



Change Brain Food or Fatty Acid Ratios in Child’s Diet. Increasing children’s “brain food” (omega-3 found in fish oil) protects a child’s basic brain function, brain receptors and brain chemistry from the risk of ATOD as well as other problematic behaviors including depression and aggression.

The main biological factor that has radically changed in the last 20 years, dramatically affecting behavior, mental health and physical health of our children.


What do Families United do?

Increase Parent Networking to Child’s Friends Families. Sharing and communicating the above with five of the parents of one’s child’s friends.


Families United getA Families United Promise Card, as do many people from all walks of life in the community.

A Families United Gift card to access a website, gives them the tools to act—videos, downloads and more.

An explanatory flyer.

The above can have local sponsors on the materials for sustainability.

Families United for all our children, for all our youth, for all our futures…

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Families United

Families UnitedFor Your City/County/Statelease join Families United. Families United is a gift to you, your family, and other families in this community.Together, we can use the Simple Gifts in

Families United to make sure all our children and teens have a better, healthier, safer and more productive lives.To redeem your gift, please…Go to www.SimpleGifts.comClick on the Families United boxScratch off the PIN number on the Simple Gifts card, and enter it with the card number.Make your commitment to support Families United in your community.Browse and use the Simple Gifts for

you and your children or teens.

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Families United Communities

Use the website to create a community network, nested inside a national movement. (Website being created by leading Web company in the US).

Families learn and share how to use the evidence-based kernels to help their own children and their children’s friends.

Become a force for change to protect all our children’s futures.


Teachers and other caregivers united

Increase positive monitoring

Reward not breaking the rules and nurture doing the right thing

Increase positive arousal/attention/engagement

Reduce toxic influences

Share success and invite others to share their successes


Communities and Neighborhoods UnitedIncrease positive monitoring

Reward not breaking the rules and nurture doing the right thing

Increase positive arousal/attention/engagement

Reduce toxic influences

Share success and invite others to share their successes


Explore the VisionPlant Seeds for Change

Prepare to Move Change

Act for Behavior Change

Maintain and Grow Change


(And you think we are the ONLY people who care about our kids?)

More than 100+ people here

Ok, that’s a dinner for two with wine.

Each recruits 100+ to give $100

And, we start changing the Future of America.

We have more than $1 million to protect all our children with Families United



Documents

Universal Prevention for Every Child and Youth: To Save Our Country