The high prevalence of drug abuse, delinquency, youth violence, and other youth problems creates a need to identify and disseminate effective prevention strategies. General principles gleaned from effective interventions may help prevention practitioners select, modify, or create more effective programs. Using a review-of-reviews approach across 4 areas (substance abuse, risky sexual behavior, school failure, and juvenile delinquency and violence), the authors identified 9 characteristics that were consistently associated with effective prevention programs: Programs were comprehensive, included varied teaching methods, provided sufficient dosage, were theory driven, provided opportunities for positive relationships, were appropriately timed, were socioculturally relevant, included outcome evaluation, and involved well-trained staff. This synthesis can inform the planning and implementation of problem-specific prevention interventions, provide a rationale for multi-problem prevention programs, and serve as a basis for further research.

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The purpose of this study was to determine whether individuals with serious mental illness could consistently report their use of medical services. Twenty-nine individuals with schizophrenia completed a test-retest protocol using a modified version of the Medical Expenditure Panel Survey; there was a one-week interval between the two administrations of the instrument. Consistency of reporting was generally strong and was strongest for items indicating whether a service had been used in the past six months, which suggests that people with schizophrenia can provide reliable information about their use of health services. Continued research in this area will increase understanding of the types and quality of medical care received by persons with schizophrenia.

The needs and preferences of family members of adults with mental illness are diverse and varied. Consequently, these families may benefit from ongoing provision of information and support tailored to meet the families' individual needs. Continued efforts should be made to understand and address consumer and family needs, potential barriers to participation in family services, and the relationship between stigma and family need.

The needs and preferences of family members of adults with mental illness are diverse and varied. Consequently, these families may benefit from ongoing provision of information and support tailored to meet the families' individual needs. Continued efforts should be made to understand and address consumer and family needs, potential barriers to participation in family services, and the relationship between stigma and family need.

This column describes a partnership between the Maryland Mental Hygiene Administration (MHA) and the Division of Psychiatric Services Research, Department of Psychiatry, University of Maryland School of Medicine, that has implemented several evidence-based and emerging practices, such as supported employment, family psychoeducation, assertive community treatment, treatment for co-occurring mental and substance use disorders, and services for transition-age youths. The public-academic partnership has also created a separate center that employs a variety of approaches and tools to evaluate implementation fidelity and the quality and outcomes of services. These data are used by the legislature and by the governor and his executive staff to develop new policies and improvement strategies and monitor priority initiatives.

Routine outcomes measurement is important for clinical care, quality improvement, and performance management. The nine papers in this special volume describe national and regional efforts at implementation of outcomes measures in nine different countries. They describe successes and challenges. This special collection of papers makes an important contribution towards improving the implementation of routine outcomes measurement globally.

There have been conflicting results regarding sex differences and gender role in predicting life satisfaction and no research assessing the relationship between life satisfaction and self-reinforcement. These relationships were evaluated by administering to 182 undergraduates the Bem Sex Role Inventory, the Satisfaction with Life Scale, and the Frequency of Self-reinforcement Questionnaire. A regression analysis showed significant effects for self-reinforcement and gender role in the prediction of life satisfaction. No main effect was found for sex of participant and there were no significant interactions. Scores on measures of self-reinforcement and life satisfaction were moderately correlated.