The NSSF is a public health model for evidence-based intervention, it strives to “create environments that support optimal mental health and skill development that improve resilience” (Anthony, Wessler, & Sebian, 2010). The evidence-based approach has its origins in evidence-based medicine, a movement in which a clinician is encouraged to adopt rational skepticism toward the evidence used in the diagnosis and treatment of patients. Compared to medicine, a public health model focuses primarily on the community rather than the individual, emphasizing prevention and promotion of the health of the entire community, as opposed to diagnosis and to the treatment of an individual patient (Masiello and Schroeder). , 2014, p6). Furthermore, where evidence-based medicine operates within the paradigm of medical care, evidence-based public health operates within other paradigms related to the environment and human behavior. Evidence-based approaches within the public health model require "an understanding of the complexities of organizational structures, interactions, and myriad other dynamics that shape and influence decision-making at local, state, regional levels and national framework within which public health operates and within which policies and programs are established” (Gebbie,