Kenneth A. Dodge
Publications [#346821] of Kenneth A. Dodge
- Dodge, KA, Annual Research Review: Universal and targeted strategies for assigning interventions to achieve population impact.,
Journal of Child Psychology and Psychiatry, and Allied Disciplines
(October, 2019) [doi]
(last updated on 2019/12/08)
This article proposes that universal and targeted preventive interventions should be compared and evaluated in terms of their benefit-cost ratio in achieving population-wide impact on mental disorders and related outcomes. Universal approaches attempt to affect every individual in a population, whereas targeted approaches select candidates for intervention based on screening of demographic or behavioral characteristics. Unique assets and challenges of each approach in achieving population impact in a cost-efficient way are discussed, along with spillover effects, sensitivity and specificity, developmental processes, timing of intervention, and the relation between severity of risk and plasticity. A general targeted-efficiency framework is proposed as a heuristic to evaluate the collective merits of universal and targeted approaches in specific cases. A tiered approach that combines universal and targeted identification strategies is proposed, and examples are described. Issues for high-priority research are identified.