Publications by authors named "Lucinda Rachel Grummitt"

Article Synopsis
  • The Positive Choices initiative aims to reduce adolescent substance use by providing resources for school staff, parents, and students, while addressing gaps in effective programs and guidelines.
  • An evaluation conducted over three years showed significant increases in awareness and consideration of evidence-based drug prevention among school staff and parents, aided by web-based resources.
  • The initiative successfully reached 1.7 million users, with awareness among school staff rising from 8% to 14% and among parents from 15% to 22% after a national campaign promoted the website.
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Importance: Childhood adversity (CA) is a powerful determinant of long-term physical and mental health that is associated with elevated risk for chronic disease and psychopathology. However, the degree to which CA contributes to mortality as a preventable driver of ill-health and death is unknown.

Objective: To estimate the contribution of CA to health behaviors, including smoking and sedentary behavior, as well as the annual mortality attributable to CA in the US through influences on leading causes of death (eg, cardiovascular disease).

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Background: Childhood neglect is a risk factor for subsequent mental health problems. However, research on the unique contribution of emotional and physical subtypes of neglect is lacking. Importantly, if emotional and physical neglect have different impacts on mental health, they must be examined separately to understand how to prevent and treat their effects.

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Mental disorders and problematic alcohol use are common, co-occurring and cause significant harm to individuals and society. It is critical to intervene early to prevent chronic and debilitating trajectories. Existing prevention programs among adolescents are limited in effectiveness and implementation.

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Background: Adverse childhood experiences are prevalent robust risk factors for the development of substance use problems. However, less is known about the causal mechanisms that explain these relationships. While directly preventing adverse childhood experiences is ideal, it is not always possible.

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