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Creating Nurturing Environments: A Science-Based Framework for Promoting Child Health and Development Within High-Poverty Neighborhoods

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Abstract

Living in poverty and living in areas of concentrated poverty pose multiple risks for child development and for overall health and wellbeing. Poverty is a major risk factor for several mental, emotional, and behavioral disorders, as well as for other developmental challenges and physical health problems. In this paper, the Promise Neighborhoods Research Consortium describes a science-based framework for the promotion of child health and development within distressed high-poverty neighborhoods. We lay out a model of child and adolescent developmental outcomes and integrate knowledge of potent and malleable influences to define a comprehensive intervention framework to bring about a significant increase in the proportion of young people in high-poverty neighborhoods who will develop successfully. Based on a synthesis of research from diverse fields, we designed the Creating Nurturing Environments framework to guide community-wide efforts to improve child outcomes and reduce health and educational inequalities.

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A grant from the National Institute of Drug Abuse (DA028946) supported the authors during their work on this manuscript.

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Correspondence to Kelli A. Komro.

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Promise Neighborhoods Research Consortium includes the scientists and other researchers listed in “Appendix A.”

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Appendix

The Promise Neighborhoods Research Consortium (PNRC) includes scientists from a range of disciplines, research assistants, other professionals, and neighborhood-based representatives. The PNRC Steering Committee consists of Co-Directors Anthony Biglan and Brian R. Flay, Michael Biglan, Dennis D. Embry, Diana H. Fishbein, Jean M. Kjellstrand, Kelli A. Komro, Scott McConnell, and Ronald J. Prinz. Additional members of the PNRC include William A. Aldridge II, Scott Baker, Niloofar Bavarian, Brenda Causey-Mitchell, Christine Cody, LaDonna Coy, Alexis Dabroski, Dana Eldreth, Hank Fien, Vincent T. Francisco, Diane Galloway, Stephanie Gantt, Sylvia Gillings, Jessica Guyton, Melanie Hinojosa, Alisha Wackerle-Hollman, Robert Jagers, Anne Mauricio, Daniel O’Brien, Andre Ourso, Keryn Pasch, Robin Payes, Mark Schure, Cheri Shapiro, Chaundrissa Smith, Kristina Socarras, Amy Tobler, Mark White, and Miriam Willman. The PNRC Advisory Committee includes Patrick Aaby, Carl C. Bell, Laurie Miller Brotman, J. Mark Eddy, Mark Greenberg, Steven C. Hayes, Paul Jargowsky, Richard Spoth, Alexander C. Wagenaar, David Sloan Wilson, and Hiro Yoshikawa.

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Komro, K.A., Flay, B.R., Biglan, A. et al. Creating Nurturing Environments: A Science-Based Framework for Promoting Child Health and Development Within High-Poverty Neighborhoods. Clin Child Fam Psychol Rev 14, 111–134 (2011). https://doi.org/10.1007/s10567-011-0095-2

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