This continues the workshop where practical applications to Oklahoma were discussed

1. Raising Healthy Kids: Strategies for Whole Communities
Preventing Mental, Emotional &
Behavioral Disorders - Pt. 2
Oklahoma Mental Health Conference - December, 2010
See
www.paxis.org
www.youtube. by Dennis D. Embry, Ph.D.
com/
PAXIS Institute
drdennisembry
December, 2010
Copyright © 2010, PAXIS Institute, All rights reserved. May be shared in its entirety with
notice and attribution.

2. What is a behavioral
vaccine?
It is a simple procedure (a kernel or a
recipe of kernels) that, when used
repeatedly, reduce morbidity and mortality
and/or increase wellbeing or health.
Behavioral vaccines can be used by
individuals, families, schools, businesses,
organizations to produce rapid population
level change.
Embry, D. D. (2004). "Community-Based
Prevention Using Simple, Low-Cost, Evidence-
Based Kernels and Behavior Vaccines." Journal
of Community Psychology 32(5): 575.

3. If kernels are so good…

4. If kernels are so good…

5. www.GiveSimpleGifts.com
Login | Sitemap
The new idea You can better your world, and you can
better yourself with the evidence-based
kernels found in Simple Gifts.
Watch and learn how.
Dennis D. Embry, Ph.D.
News & Events Praise Back Stories
New York State Prevention conference to feature kernels to The Prize Bowl worked to help my
achieve widespread prevention on November 17... more ➝ son kick his drug addiction and
stay in recovery... more ➝
Baltimore School District teachers involved in large study on the
use of kernel to reduce problem behavior and increase academic We used the secret PAX-It notes
for very difficult kids in our school, What are evidence-based kernel?
achievement. The study is by Johns Hopkins and is funded by the
Insitute on Education... more ➝ and... more ➝
Florida Governor’s Office promotes evidence-based kernels to Brain on The Ball really helped
our twins do so much better in
prevent child abuse and related problems... more ➝
their classes, and it improved the
academics just like the research
Alaska State Government holds training on apply Simple Gifts /
indicated... more ➝ How are Simple Gifts Created?
kernels to reduce delinquency and mental illness... more ➝
After being on meds for so long, I
How to use this site?
decided to use Happy Brain kernel
with omega-3... more ➝ Who can use this site?
Help picking Simple Gifts?
Partners in Simple Gifts?
Site Map | Values Commitment | Kernel Submissions / Opportunities
Terms of Use | Privacy Policy | Contact Us
Copyright © 2008 PAXIS Institute XHTML 1.0 Valid | CSS Valid

6. Behavior influence as consumer products…

8. “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,
The story of the delivered in their own
Broad Street water
pump during the
communities…in a respectful
cholera epidemic in non-stigmatizing way”—(IOM,
London. page 387).

9. What is a public-
health approach?
Potential harm is universal,
Personal or Group Risk is Common,
Stigmatizing Persons or Groups At Risk
Reduces Prevention Results, and/or
More Cost Efficient to Reach All Above
“Case Finding.”

10. A environmental
policy case study in
reducing early
rebelliousness, risk
taking and
sensation seeking
This risk factor can be easily measured in
early-childhood, and it predicts lifetime
injuries, delinquency, alcohol/drug abuse
abuse, and school difficulties.

11. Contextual example of such risk

12. So, what would be your prevention
approach to prevent young children
dashing into the street or parking lots?
PS.
This was one
the top 3-5
causes of
death in OECD
countries from
1960s-1980s.

13. Oh,prior prevention efforts in Sweden
had resulted in more fatalities…

14. A book about “me” being a Safe
Player

17. Adults defining boundaries of safe
play

18. Adults setting timer to watch safe
play in child

19. Parent praising safe play with
stickers

20. Child removed from play if unsafe
then given quick chance to be safe
2-minute Sit and
Watch, if unsafe

27. Study 1 showed preschool
intervention alone had short-term
benefits

28. Study 1 showed preschool
intervention alone had short-term
benefits
Study 2 showed preschool plus
parenting intervention had long-term
benefits

29. Study 1 showed preschool
intervention alone had short-term
benefits
Study 2 showed preschool plus
parenting intervention had long-term
benefits
Study 3 showed strategy could be
implemented in 35 Head Starts
nationally

30. Study 1 showed preschool
intervention alone had short-term
benefits
Study 2 showed preschool plus
parenting intervention had long-term
benefits
Study 3 showed strategy could be
implemented in 35 Head Starts
nationally
Study 4 showed parents could
change child’s behavior from special
story workbook

31. Study 1 showed preschool
intervention alone had short-term
benefits
Study 2 showed preschool plus
parenting intervention had long-term
benefits
Study 3 showed strategy could be
implemented in 35 Head Starts
nationally
Study 4 showed parents could
change child’s behavior from special
story workbook
Study 5 showed behavior change for
over 100 preschoolers, with no
adverse effect.

32. Study 1 showed preschool
intervention alone had short-term
benefits
Study 2 showed preschool plus
parenting intervention had long-term
benefits
Study 3 showed strategy could be
implemented in 35 Head Starts
nationally
Study 4 showed parents could
change child’s behavior from special
story workbook
Study 5 showed behavior change for
over 100 preschoolers, with no
adverse effect.
Study 6 showed effort could be
successful in a 3-city multiple baseline
in New Zealand

33. Study 1 showed preschool
intervention alone had short-term
benefits
Study 2 showed preschool plus
parenting intervention had long-term
benefits
Study 3 showed strategy could be
implemented in 35 Head Starts
nationally
Study 4 showed parents could
change child’s behavior from special
story workbook
Study 5 showed behavior change for
over 100 preschoolers, with no
adverse effect.
Study 6 showed effort could be
successful in a 3-city multiple baseline
in New Zealand
Study 7 is national campaign,
adopted by 50% of New Zealand
families

34. Study 1 showed preschool
intervention alone had short-term
benefits
Study 2 showed preschool plus
parenting intervention had long-term
benefits
Study 3 showed strategy could be
implemented in 35 Head Starts
nationally
Study 4 showed parents could
change child’s behavior from special
story workbook
Study 5 showed behavior change for
over 100 preschoolers, with no
adverse effect.
Study 6 showed effort could be
successful in a 3-city multiple baseline
in New Zealand
Study 7 is national campaign,
adopted by 50% of New Zealand
families
Study 8 replicates city results in US

35. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign

36. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally

37. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses

38. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses
Media models of adoption by high-status people

39. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses
Media models of adoption by high-status people
Media models showing rapid results/benefits

40. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses
Media models of adoption by high-status people
Media models showing rapid results/benefits
Public posting of rates of adoption/use

41. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses
Media models of adoption by high-status people
Media models showing rapid results/benefits
Public posting of rates of adoption/use
Competitions between cities on adoptions

42. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses
Media models of adoption by high-status people
Media models showing rapid results/benefits
Public posting of rates of adoption/use
Competitions between cities on adoptions
Placement in supermarket or other easy venues

43. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses
Media models of adoption by high-status people
Media models showing rapid results/benefits
Public posting of rates of adoption/use
Competitions between cities on adoptions
Placement in supermarket or other easy venues
Price free after filling out Safe Playing Promise (with address, etc.)

44. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses
Media models of adoption by high-status people
Media models showing rapid results/benefits
Public posting of rates of adoption/use
Competitions between cities on adoptions
Placement in supermarket or other easy venues
Price free after filling out Safe Playing Promise (with address, etc.)
Promotion for every family who wants their child to be safe

45. Kernels and 4-P’s used in multi-city/
national Safe Playing campaign
Proclamations in cities and nationally
Endorsements/Sponsorships by prestige organizations AND businesses
Media models of adoption by high-status people
Media models showing rapid results/benefits
Public posting of rates of adoption/use
Competitions between cities on adoptions
Placement in supermarket or other easy venues
Price free after filling out Safe Playing Promise (with address, etc.)
Promotion for every family who wants their child to be safe
Product promises child will be safer in two weeks when steps followed

46. 5.0% 2.0%
0.0%
18.0%
Wisconsin Wisconsin
40.0% 16.0%
35.0% 14.0%
30.0% 12.0%
25.0% 10.0%
20.0% 8.0%
15.0% Youth Who Smoked During the Last 30 Days
6.0% Youth Who Smoked Every Day the Last 30 Days
Baseline Reward and Reminder Baseline Reward and Reminder
45.0% 18.0%
10.0% Wyoming 4.0% Wyoming
40.0% 16.0%
5.0%
35.0% 2.0%
14.0%
30.0% 12.0%
0.0%
25.0% 10.0%
18.0%
20.0% 8.0%
United States United States
40.0%
15.0% 16.0%
6.0%
10.0% 4.0%
35.0%
5.0% 14.0%
2.0%
0.0%
30.0% 12.0%
18.0%
Wisconsin Wisconsin
40.0% 16.0%
25.0% 10.0%
35.0% 14.0%
20.0%
30.0% 8.0%
12.0%
25.0% 10.0%
15.0%
20.0%
6.0%
8.0%
10.0%
15.0%
4.0%
6.0%
10.0% 4.0%
5.0%
5.0% 2.0%
2.0%
Source: YRBS, US Centers for Disease Control Source: YRBS, US Centers for Disease Control
0.0%
0.0% 0.0%
1995 1997 1999 2001 2003 2005 2007 1995 1997 1999 2001 2003 2005 2007
= Trend = Wyoming = Wisconsin =United States
Why not publicize and reward clerks and
stores for not selling tobacco or alcohol to
minors if…
Embry, D. D. and A. Biglan (2009). Reward and Reminder: An Environmental Strategy for Population-
Level Prevention. National Registry of Effective Programs and Practices, Substance Abuse and
Mental Health Administration.

47. Families United case study
A plan to address statewide risk and protective factors trends among youth

48. Calculating RE-AIM for population-
level change (PC)
REACH = Total population being IMPLEMENTATION = The percent
RE-AIM MATH targeted (see census data) of persons/entities who actually
Reach, Efficacy, adopted kernel who actually use
Adoption, EFFICACY = The effect size it (needs to be at least 40% to
Implementation, & difference produced by the kernel
Maintenance 60%).
or collection of kernels.
MAINTENANCE = This is the
ADOPTION = The percent of percent of people or settings who
reach actually choose to use the keep doing the kernel over time.
kernel or collection of kernels
(must be above 20%-25% to
achieve population-level change. Change = R * E * A * I * M
for more info, visit www.re-aim.org

49. Reach
Reach is the absolute number, Representativeness refers to
proportion (percent), and whether participants have
representativeness of individuals characteristics that reflect the target
population's characteristics.
who participate in a given strategy.
If the intent is to increase physical activity in
sedentary people between the ages of 35 and 70,
you wouldn't test your program on triathletes or
toddlers.

50. Reach
Reach is the absolute number, Representativeness refers to
proportion (percent), and whether participants have
representativeness of individuals characteristics that reflect the target
population's characteristics.
who participate in a given strategy.
0% to 100%—higher number, leverages more result
If the intent is to increase physical activity in
sedentary people between the ages of 35 and 70,
you wouldn't test your program on triathletes or
toddlers.

51. Efficacy
Efficacy/Effectiveness is the impact of this of this measured ability to pr
a strategy on important outcomes. the change if used—from none t
This includes potential negative highly potent.
effects, quality of life, and costs or
increase in positive outcomes. Think of
Be mindful that all strategies have negative
effects that subtract from the good effects.

52. Efficacy
Efficacy/Effectiveness is the impact of this of this measured ability to pr
a strategy on important outcomes. the change if used—from none t
This includes potential negative highly potent.
effects, quality of life, and costs or
increase in positive outcomes. Think of
Higher efficacy X more reach = more leverage
Be mindful that all strategies have negative
effects that subtract from the good effects.

53. Adoption
Adoption is the absolute number, Notice there can be multiple leve
proportion, and representativeness of people or settings who must ado
people, settings and/or staff who are the strategy to achieve results.
willing to offer a strategy.

54. Adoption
Adoption is the absolute number, Notice there can be multiple leve
proportion, and representativeness of people or settings who must ado
people, settings and/or staff who are the strategy to achieve results.
willing to offer a strategy.
Hi efficacy X large reach X many adoptions = more leverage

55. Implementation
Implementation, at a setting level the strategy that is recommended o
(home, clinic, office, business, etc), proven. This includes consistency o
refers to how closely the user or delivery as intended and the time
agents (e.g., staff members) follow and cost of the program.

56. Implementation
Implementation, at a setting level the strategy that is recommended o
(home, clinic, office, business, etc), proven. This includes consistency o
refers to how closely the user or delivery as intended and the time
agents (e.g., staff members) follow and cost of the program.
(efficacy X reach X adoptions) X robust implementation = Hi leverag

57. Maintenance
Maintenance is the extent to which At the individual level, maintenance
a strategy, program or policy is the long-term effects on
becomes routine or stable outcomes after 6 or more months
organizationally. after adoption and implementation.

61. “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,
The story of the delivered in their own
water pump during
the cholera
communities…in a respectful
epidemic in non-stigmatizing way”—(IOM,
London.
page 387).

62. What is a public health approach?

63. 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

64. 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.

65. Kernel #1 for United Families
Relational Increase Family Positive
Frame Monitoring. Parental & family
Kernel clarity and commitment to
their child about risky or
disturbing behaviors such as
Creates verbal not using alcohol, tobacco
relations for the and drugs (ATOD) and about
behavior that child’s friends’ not using
of alcohol, tobacco and drugs.
The type of monitoring
changes by age of child.

66. Kernel # 2 for United Families
Reward Not Using or Breaking
Reinforcement
Kernel 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.
Happens
AFTER the The rewards and recognition increase
behavior 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.

67. Kernel # 3 for United Families.
Reduce Sleep Deprivation.
Antecedent
Kernel
Ensuring a child has good
sleep patterns, by reducing
access to electronic media
before bedtime.
Happens
BEFORE the Sleep deprivation is the silent
behavior but deadly cause of many
behavioral, school and health
problems—including
addictions.

68. Kernel #4 for United Families.
Physiological
Change Brain Food or Fatty Acid
Kernel 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
Changes
ATOD as well as other problematic
biochemistry of behaviors including depression and
behavior 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.

69. Kernel # 5 of Families United.
Relational Increase Parent Networking
Frame to Child’s Friends Families.
Kernel Sharing and communicating the
above with five of the parents of
one’s child’s friends.
Creates verbal
relations for the
behavior

70. Families United get
Families United
for all our children, for all our youth, for all our futures…
!"#$%&'())*+,-%&,+&.)#$,'/&0/,+12&34#+&/55&(*$&'4,56$#+&/+6&
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A Families United Promise %(*-4&/$#7&
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ity /County/S
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from all walks of life in the United is nited. Fam
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and other u, your fam s
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your gift, s.
A Families United Gift card (-4#$12&",(5#+'#&($&,+A*$,#1:&&
=/),5,#1&>+,-#6&4#591&#"#$%&'4,56&($&%(*-4&6(&8#--#$&,+&1'4((5&/+6&
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The above can have local
sponsors on the materials
for sustainability.

71. 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.

72. New sustainability
mechanisms
Other
Individual Buyers
United Way 9%
28%
6%
Child Services
8%
Blue Cross
9%
Private Sector
17%
Board of Supervisors
23%

73. Binghamton New York

74. Binghamton New York

75. Explore the Vision
Plant Seeds for Change
Prepare to Move
Change
Act for Behavior
Change
Maintain and Grow
Change

76. Explore the Vision of Families
United

77. Exploring the Vision of Families United
Download or watch videos and other materials
Explore the Vision Share info with others who can speak persuasively to
• Get or download information
• Share information with others diverse groups and leader by using your broad social
• Find some early allies (6 to 12)
network. Send hyperlink, call them, make
Get
info Share info presentations to them. Choose broad stakeholder
& Find allies groups in the future of your community.
Find some early, strong allies (at least 6 to 12) who can
now go out and repeat the vision and possibilities and
who can commit to help launch Families United in less
than 12 months.
NOTE: We will send you the hyperlink for downloads

78. 1+2343-9$$
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Supportive materials provided to you
*,-;-.?=.$Q=9/$D+;3.P9$W9?2+/=,$T=,$/8-$A.3/->$D/+/-9$
Estimates Possible Benefits of Population-Wide Prevention for Children and Youth by State
Select State: Alabama
1 4661900
Total <18 Age >65 Age
Population Estimate Estimate Percent of US Popultion
2008 Census Estimate 4,661,900 1,142,166 652,666 1.53%
'(#3.5#6&7-8592$*2"&(#5#2(:;&$+<&5;+<5&.9&.5&4+55.8"#&9+&(#%-:#&32$=&4(#)#$928"#&4(+8"#35&23+$/&:;."%(#$&2$%&=+-9;&-5.$/&"+<>:+59&
59(29#/.#5?&.@&9;+5#&59(29#/.#5&2(#&32%#&-$.)#(52""=&2::#55.8"#&9+&@23.".#5?&9#2:;#(5?&2$%&+9;#(5A&B;.5&#5*329+(&5;+<5&:+59>#C:.#$9&(#5-"95A&
Prevalence
After
Population- Adjusted
Wide Adjuster for Average
Current Prevention Average Cost Annual Cost
Population Families of Problem of Problem Average Annual Estimated Annual
Prevalence United Per Child Per Child Total Costs Costs Averted
Child and Adolescent Problem
Learning Disabilities 9.70% 9.22% $1,422 $157,543,456 $7,877,173
ADHD 7.00% 5.95% $1,200 $95,941,902 $14,391,285
Conduct Disorders 3.00% 2.82% $2,300 $78,809,420 $4,728,565
9.00% 8.55% $900 $92,515,406 $4,625,770
Policy brief
Depression
Bipolar Disorder 2.00% 1.88% $3,300 $75,382,923 $4,522,975
Child Psychotropic Use 7.00% 6.65% $2,200 $175,893,487 $8,794,674
Substantiated Child Maltreatment 0.15% 0.15% $9,184 $15,906,688 $318,134
Drunkeness, Drugs and Delinquency 7% 6.16% $991 $31,692,808 $3,803,137
Total Annual Estimated Child and Adolescent Morbibity Costs $723,686,089
Total Gross Estimated Annual Averted Costs Via
Families United Population Wide Prevention: $49,061,714
Materials to explore the
Estimated Prevention Expenditures per Child per Year for Families United: $9.27
Total Prevention Costs Per Year: $6,050,214
Net Annual Prevention Savings: $43,011,500
Percentage Amount
vision
Example Prevention Funding Mix: 100.0% $6,050,214 K;#&D,23.".#5&E$.9#%D&255-3#5&$#2(&-$.)#(52"&2::#55&9+&
"+<>:+59?&#F#:*)#&4(#)#$*+$&59(29#/.#5G(29;#(&9;2$&
Parent & Family Purchases: 20.0% $1,210,043 4(#)#$.+$&(2*+$.$/&@+(&9;#&@#<A&&
Private Insurance: 10.0% $605,021
Foundations, United Ways, etc. 5.0% $302,511 B;.5&3+%#"&.5&&3+(#&".H#&9;#&:;."%&52@#9=&4(#)#$*+$&
Private Sector Sponsorships: 2.0% $121,004 3+)#3#$9&825#%&+$&)#(=&/++%&(#5#2(:;A&B+%2=?&
Public Insurance (i.e., Medicaid): 12.0% $726,026 .$%.).%-2"5&+(&@23.".#5&:2$&8-=&8.H#&;#"3#95?&:2(&52@#9=&
Substance Abuse Prev. & Treat. Block Grant 8.0% $484,017 5#295?&2$%&2$=&$-38#(&+@&(#92."&825#%&4(+%-:95&9;29&
Section 96.124c Pregn. Women & Children: 1.0% $60,502 .34(+)#3&4#(5+$2"?&;+3#&2$%&:+33-$.9=&52@#9=A&&B;#&
Public Heath: 5.0% $302,511 :;."%&52@#9=&3+)#3#$9&2"5+&.$)+")#5&32$=&%.F#($9&
Protective Services: 6.0% $363,013 +(/2$.I2*+$5&<;+&32=&4(+3+9#&9;+5#&52@#9=&3#25-(#5&
Several videos
Juvenile Justice: 6.0% $363,013 25&<#""&25&5-85.I#&9;#&52@#9=&4(+%-:95&@+(&@23."".#5&+(&
Safe & Drug Free Schools (Gov.'s Portion): 0.9% $54,452 5.9-2*+$5A&&B;-5?&2&5929#&2/#$:=&3./;9&4(+3+9#&2$%&
Safe & Drug Free Schools (School's Portion): 2.0% $121,004 /.)#&2<2=&.$@2$9&52@#9=&5#295A&&J&4(.)29#&;#2"9;&
State Children's Health Program (SCHIP): 2.0% $121,004 .$5-(2$:#&:+342$=&3./;9&%+&5+A&&J&;+54.92"&3./;9&
Child Abuse Prev. & Treat. Act: 0.1% $6,050 4(+).%#&#)#(=&$#<&3+9;#(&<.9;&2$&.$@2$9&:2(&52@#9=&
Comm. Mental Health Serv. Block Grant: 1.0% $60,502 %#).:#A&&&K(&/(2$%42(#$95&+(&42(#$95&3./;9&;2)#&
Social Services Block Grant: 1.0% $60,502 4-(:;25#%&+$#A&
Mobilizing tools
Maternal & Child Health Block Grant: 2.0% $121,004
Child Care & Dev. Block Grant: 1.5% $90,753 '(#)#$*+$&@+(&3#$92"?&#3+*+$2"&2$%&8#;2).+(2"&
Special Education: 2.0% $121,004 4(+8"#35&:2$&8#&4(+3+9#%&.$&9;.5&523#&<2=&825#%&+$&
Local United Ways/Community Foundations: 4.0% $242,009 4+4-"2*+$&"#)#"&4(#:#%#$9&59-%.#5A&
Municipalities & Counties: 4.0% $242,009
Other: 4.5% $272,260
!"#$%#%&'(#)#$*+$&,-$%.$/&01234"#& *+,-./$0$1+2345$*6,78+9-9:$
Early planning tools,
*,3;+/-$<.96,+.7-:$
1=6.>+?=.9@$A.3/->$B+59@$-/7C$
*,3;+/-$D-7/=,$DE=.9=,983E9:$
&#$
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)#$ !"#$
D6F9/+.7-$JF69-$$*,-;C$0$K,-+/C$L4=7M$N,+./$
including community
!#$ D-7?=.$O(C%!)7$*,-P.C$B=2-.$0$Q834>,-.:$
!#$
!#$ *6F437$R-+/8:$
%#$ *,=/-7?;-$D-,;37-9:$
%#$
"#$
!#$ S6;-.34-$S69?7-:$
!#$ D+T-$0$U,6P$1,--$D78==49$GN=;CV9$*=,?=.I:$
benefit estimator
%#$ %"#$ D+T-$0$U,6P$1,--$D78==49$GD78==4V9$*=,?=.I:$
D/+/-$Q834>,-.V9$R-+4/8$*,=P,+2$GDQR<*I:$
(#$
Q834>$JF69-$*,-;C$0$K,-+/C$J7/:$
Q=22C$H-./+4$R-+4/8$D-,;C$L4=7M$N,+./:$
&#$
(#$ D=73+4$D-,;37-9$L4=7M$N,+./:$
!#$
H+/-,.+4$0$Q834>$R-+4/8$L4=7M$N,+./:$
&#$ Q834>$Q+,-$0$U-;C$L4=7M$N,+./:$
%#$ %!#$ DE-73+4$W>67+?=.:$
How the effort can be
'#$
X=7+4$A.3/->$B+59YQ=226.3/5$1=6.>+?=.9:$
H6.373E+43?-9$0$Q=6.?-9:$
Z/8-,:$
evaluated using existing Preapared by PAXIS Institute, Tucson, AZ Copyright© 2009. For educational and policy use only
data

79. Plant Seeds for Change

80. Planting Seeds of Change for
Families United
Find and share simple local data to estimate costs,
provide baseline to measure “early wins” and bigger
Plant Seeds changes
• Find and share some local data
• Sign up partners for change
• Share benefits & science of change
Share benefits and the science of Families United via
Get local data Sign up partners the brief videos, printed synopses and publications (as
needed).
Sign up partners for change who can lend a hand
from from every walk of life, occupation, neighborhood
Share
benefits & Science or organization who shares the vision of improving the
futures of all our children.
for change

81. Prepare to Advance Change

82. Preparing to Advance Change for
Families United
Open doors for collaboration. The planning
Prepare to Advance Change documents online contains sample MOUs,
• Open doors for collaboration
• Put behavior change pieces together sponsorship or braided funding agreements,
• Mobilize captains for action
formula for distribution and presentations.
Mobilize
captains for Put all the Open doors for Put behavior change pieces together. Families
collaboration
action pieces
together for
United is like a product launch or big community
behavior event—reaching many people as possible in
change
30-60 days.
Mobilize captains for action. Captains have the
role of mobilizing the “troops” in their respective
fields to hold or have Family United events in
diverse settings.

83. Act for Behavior Change

84. Acting for Behavior Change for
Families United
Act school, neighborhood or other teams
for Behavior Organize school, neighborhood or other teams for
• Organize behavior change. Team members need web tools
• Deliver behavior change tools and events for the team members to reach families in their
• Measure changes and shout out successes
areas.
Shout out
successes Deliver behavior change tools and events. There
are materials, supplies and equipment that may
Deliver
change
need to be delivered, depending on the size of
Organize
teams for events.
behavior
change
Measure changes and shout out successes.
Every day during the campaign window there will
be many opportunities measure changes and
Measure
Changes
celebrate successes.

85. Maintain and Grow the Change

86. Maintaining and Growing Families
United
Improve
continuously
Improve continuously. This includes reviews of the
Keep moving campaign to determine what produced the most
forward
Celebrate
successes
participation and engagement in actual Families United
strategies.
Celebrate successes. Immediate successes of
participation rates, involvement, sponsorships, support of
logistics need to be celebrated. Testimonials from families
Maintain and Grow and others must be collected and publicized.
• Improve continuously
• Celebrate successes Keep moving forward. Families United is a behavioral
• Keep moving forward
vaccine like hand-washing. People have to keep doing it;
next year needs to be initiated at least 6 months
beforehand.

87. Dennis D. Embry, Ph.D.
President/CEO
PAXIS Institute
PO 31205, Tucson, AZ 85751
Ph: 520-299-6770
dde@paxis.org
Bea Ramirez, Executive
Assistant
presentation available at:www.paxtalk.com bea@paxis.org.