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.

This article reports the results of a feasibility study of an intervention, Enhancing Family Connection (EFC), conducted in Northern Uganda in 2012. Enhancing Family Connection's sessions were an adaption of the Parent Management Training, Oregon model. Three interrelated areas of feasibility were assessed: (a) acceptability, (b) usability, and (c) limited efficacy. This study utilized questionnaires and semi-structured interviews completed by mothers and a focal child pre- and post-intervention. Results indicated that mothers found the intervention acceptable to their families and culture and showed promise for Enhancing Family Connection's efficacy in changing parenting behaviors. This study supports continued development of this intervention.

The primary aim of this study was to better understand levels of secondary traumatic stress, burnout, and compassion satisfaction within the spoken-language interpreter community. An online survey was conducted utilizing the Professional Quality of Life measure with scales for each of these constructs. Responses from the 119 respondents show high levels of secondary traumatic stress but also high levels of compassion satisfaction relative to population norms. A secondary aim was to determine the relationship between each of these scales and trauma history, gender, and refugee status. None of these relationships were significant at the preset alpha levels. In light of our primary results, clinical agencies should consider how interpreters are being supported in trauma-related work. Future focus groups and semistructured interviews will be conducted with survey participants to explore what form this support could take.