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has the potential to prevent the onset of TDV, which could disrupt the stability of violence across relationships and over time.

Moreover, in middle school, parents and educators are strong influences and takes a novel approach to TDV prevention that bridges diverse areas of public health by drawing on the best available research in areas such as TDV, youth violence, and sexual risk prevention.

As an example of a new comprehensive approach that reflects some of the critical findings in this Special Section, the Division of Violence Prevention at CDC is embarking on a new initiative: involves a variety of primary prevention strategies to address gaps in prevention programming for youth in urban communities with high crime and economic disadvantage, who may be at highest risk for TDV perpetration and victimization (O’Leary and Slep employs universal primary prevention focused on 11- to 14-year-old youth.

The initiative is implemented in middle school in order to build a foundation of healthy relationship skills among all youth before dating and/or severe TDV is initiated.

Individual level factors include youth substance use (O’Donnell et al.The development of effective prevention for TDV has been limited and seeks to promote the next generation of TDV prevention by implementing and evaluating a comprehensive and cohesive model of prevention in high-risk urban communities that takes into account current research on the etiology and stability of TDV as well as the limited evidence base about what works in preventing TDV. It also includes psychological, sexual, and emotional harm in a relationship, and it can occur both in person and digitally.As such, ) that may be particularly relevant in urban environments.Risk behaviors may have common influences, including fundamental problems with how youth interact in relationships and how parents communicate with youth about healthy relationships.

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