ABSTRACT
The Institute of Medicine (IOM) is the branch of the National Academy of Sciences that is responsible for health-related information and policy advice to governmental agencies and the public. In 2009, the IOM introduced a continuum of mental health that outlines services from health promotion to management of chronic illness. This chapter discusses each of those components with examples of school-based applications. Early definitions of primary prevention focused on two elements: preventing the occurrence of psychological problems, and building psychological wellness. The latter component is often referred to as mental health promotion and focuses exclusively on positive outcomes. The Fast Track project represents a comprehensive prevention program that was designed to reduce disruptive behaviors in children who are at the highest risk of developing conduct disorders. Chronic mental health problems may require an intensive, ongoing level of service. The original IOM model described three components that address the needs of individuals: stabilizing functioning, rehabilitation, and aftercare.
