Preventing Mental Health Problems in At-Risk Children

A study explores research on preventative mental health interventions for at-risk children and young people.

The Mindchart Team
Feb 2025

Preventing Mental Health Problems in At-Risk Children: What Works?

Childhood and adolescence are crucial times for mental health. For kids growing up in difficult circumstances—whether due to family struggles, trauma, or other challenges—the risk of developing mental health problems is much higher. But what if we could intervene early and prevent these issues before they take hold?

A new study by McGovern et al. (2024) explores exactly that. Their research reviews 49 previous studies to find out which preventative interventions work best for children and young people at risk of developing mental health conditions. The findings are both encouraging and eye-opening.

How Can We Prevent Mental Health Problems Before They Start?

Not all interventions work the same way, and this review breaks them down into two main categories:

Selective interventions – These are programs designed for children who face specific risks, like those with a family history of mental illness or those who have experienced trauma.

Indicated interventions – These are targeted at children who are already showing early signs of anxiety, depression, or other mental health struggles but haven’t yet developed a full disorder.

By looking at what has been most effective across different studies, the review found several key approaches that stand out.

What Are the Most Effective Approaches?

The review highlights three main strategies that have the strongest evidence for preventing mental health issues in at-risk kids:

1. Building Resilience

Programs that focus on boosting a child’s ability to cope with stress, uncertainty, and life challenges have shown real promise. Teaching children emotional regulation, problem-solving skills, and ways to manage their thoughts and emotions can help them navigate difficult situations more effectively.

2. Cognitive Behavioral Therapy (CBT)-Based Interventions

Therapy programs that adapt CBT techniques for children—helping them reframe negative thoughts, manage anxiety, and develop coping mechanisms—were particularly effective. These interventions were most beneficial when delivered in schools or community settings, making them more accessible.

3. Mental Health Education for Families and Schools

Sometimes, the best prevention doesn’t just focus on the child—it involves parents, caregivers, and teachers as well. Programs that teach families about mental health, how to recognize early warning signs, and how to create supportive home and school environments have shown great potential in reducing mental health issues before they escalate.

Interestingly, the review found that these interventions were particularly effective for children aged 6 to 13—suggesting that the earlier we intervene, the better.

Why This Matters

Mental health problems don’t just appear overnight—they often build over time. By addressing risk factors early and equipping children with the right tools, we can reduce the likelihood of severe mental health issues in adulthood. This research highlights that prevention isn’t just a possibility—it’s a powerful and necessary approach.

But there’s still work to be done. While many interventions show promise, more long-term studies are needed to refine them and ensure they work across different populations. Still, one thing is clear: when it comes to mental health, early action can make all the difference.

By investing in preventative strategies now, we can help at-risk children grow into resilient, mentally healthy adults—proving that the best time to support mental well-being is before problems even begin.

See full article here: McGovern, R., Balogun-Katung, A., Artis, B. et al. The Effectiveness of Preventative Interventions to Reduce Mental Health Problems in at-risk Children and Young People: A Systematic Review of Reviews. J of Prevention 45, 651–684 (2024).