How Does the Fast Track Intervention Prevent Adverse Outcomes in Young Adulthood?

Child Dev. 2016 Mar-Apr;87(2):429-45. doi: 10.1111/cdev.12467. Epub 2015 Dec 16.

Abstract

Numerous studies have shown that childhood interventions can foster improved outcomes in adulthood. Less well understood is precisely how-that is, through which developmental pathways-these interventions work. This study assesses mechanisms by which the Fast Track project (n = 891), a randomized intervention in the early 1990s for high-risk children in four communities (Durham, NC; Nashville, TN; rural PA; and Seattle, WA), reduced delinquency, arrests, and general and mental health service utilization in adolescence through young adulthood (ages 12-20). A decomposition of treatment effects indicates that about a third of Fast Track's impact on later crime outcomes can be accounted for by improvements in social and self-regulation skills during childhood (ages 6-11), such as prosocial behavior, emotion regulation, and problem solving. These skills proved less valuable for the prevention of general and mental health problems.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Child
  • Child Behavior / psychology*
  • Cognition*
  • Early Intervention, Educational / methods*
  • Female
  • Humans
  • Juvenile Delinquency / prevention & control*
  • Juvenile Delinquency / psychology
  • Longitudinal Studies
  • Male
  • Outcome Assessment, Health Care*
  • Problem Behavior / psychology*
  • Self-Control / psychology*
  • Social Skills*
  • United States
  • Young Adult