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Integrating equifinality and multifinality into the of prevention programs in early childhood: The conceptual case for use of tiered models

Published online by Cambridge University Press:  28 February 2024

Daniel S. Shaw*
Affiliation:
Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA
Alan L. Mendelsohn
Affiliation:
Department of Pediatrics, New York University Grossman School of Medicine, New York, NY, USA
Pamela A. Morris-Perez
Affiliation:
New York University Steinhardt School of Culture, Education, and Human Development, New York, NY, USA
Chelsea Weaver Krug
Affiliation:
Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA
*
Corresponding author: D. S. Shaw, Email: danielshaw@pitt.edu

Abstract

Introduced in the context of developmental psychopathology by Cicchetti and Rogosh in the Journal, the current paper incorporates the principles of equifinality and multifinality to support the use of tiered models to prevent the development of emerging child psychopathology and promote school readiness in early childhood. We use the principles of equifinality and multifinality to describe the limitations of applying one intervention model to address all children presenting with different types of risk for early problem behavior. We then describe the potential benefits of applying a tiered model for having impacts at the population level and two initial applications of this approach during early childhood. The first of these tiered models, Smart Beginnings, integrates the use of two evidenced-based preventive interventions, Video Interaction Project, a universal parenting program, and Family Check-Up, a selective parenting program. Building on the strengths of Smart Beginnings, the second trial, The Pittsburgh Study includes Video Interaction Project and Family Check-Up, and other more and less-intensive programs to address the spectrum of challenges facing parents of young children. Findings from these two projects are discussed with their implications for developing tiered models to support children’s early development and mental health.

Type
Special Issue Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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