If prevention initiatives are to get beyond their current marginalized and
fragmented status, they must be framed in a comprehensive context. This art
icle places primary prevention at one end of a comprehensive continuum of i
nterventions and explores the continuum in terms of a component for address
ing barriers to development and learning. Such a component is conceptualize
d as primary and essential to successful school reform. Current concerns an
d emerging trends related to policy, research, practice, and training are h
ighlighted, and general implications for systemic changes are suggested.