2017 Annual Meeting

Join Dr. Beverly Kingston, Director of the Center for the Study and Prevention of Violence at the University of Colorado Boulder, for an engaging exploration into ways injury and violence prevention practitioners can take the leap into innovative and action-oriented initiatives. How do we move from "understanding" to "doing", while focusing on health equity?

Session Presentations: Strengthening Connections: Partnering with a Law School to amplify the voice of public health when educating decision-makers. Preserving North Carolina's Universal Motorcycle Helmet Law: Partners in Action 2011-2017 Highlighting results of ICRC Cross-Center Thematic Network efforts around opioid policy

Session presentations: Measuring Alcohol Outlet Density in Durham, North Carolina Preventing Deaths and Injuries from House Fires: a Cost–benefit Analysis of a Community-based Smoke Alarm Installation Program Introducing the Alaska Longitudinal Child Abuse and Neglect Linkage (ALCANLink) Project: Making Smarter Use of Available Data

Session Presentations: Sorting and Packaging the Evidence to Reduce Distracted Driving Exploring Innovations in suicide surveillance: Stories from the field Two Approaches to Public Health Communication: Reasoned Action and Cultural Frames

Session Presentations:

Measuring the Impact of a Gay Straight Alliance on Lesbian, Gay, and Bisexual High School Students’ Mental and Emotional Health

Learning to Fly: Piloting New Indicators for Substance Abuse and Mental Health

Youth Suicide Prevention in Pennsylvania Schools and Colleges

In this session, participants will: 

1. Objective 1:  Identify 1-2 challenges to creating and maintaining a quality suicide surveillance infrastructure.
2. Objective 2:  Using 1-2 resources or examples from the field, explain the role of innovation in overcoming challenges in suicide surveillance.
3. Objective 3:  Reflect on how lessons learned from other agencies might be applicable to identified surveillance challenges in their own work/agency.

Quality suicide surveillance data is vital for mobilizing stakeholders, engaging in data-informed planning, ensuring quality improvement, and determining impact.  The availability of suicide surveillance data varies between and within state systems, depending on a multitude factors. These factors include: 1) existing policies, legislation, and organizational structures that support or inhibit data collection and sharing, 2) system and staff capacity to collect, analyze and use data, and 3) consistency of data collection and availability of training to sustain quality data collection systems. Guidance is needed to support injury prevention professionals as they build and expand state suicide surveillance systems.

• Describe the methods utilized for developing the ALCANLink project.
• Understand the need for resource efficient methods for conducting longitudinal birth cohort linkage studies.
• Promote the utilization and adoption of these methods for other PRAMS states to allow for comprehensive analysis and systematic comparison.
• Understand the importance of measuring the incidence proportion for child maltreatment prevention efforts.

Health informatics projects integrating statewide birth populations with child protection records have emerged as a viable approach to conducting longitudinal research of child maltreatment. These large linkage projects however can be resource intensive, are limited to what is captured in administrative records, and rely on non-linkage assumptions for follow-up. We describe a resource efficient mixed-design data linkage project to calculate the incidence proportion to first maltreatment report, screen-in, and substantiation.

1. Understand the importance of the CSTE indicators for substance abuse and mental health.
2. Learn about the Minnesota Department of Health’s experience implementing the indicators, and the process for your own state or local health department to use the indicators.
3. Highlight the results and products that have been developed from the Minnesota Department of Health’s implementation of the CSTE indicators for substance abuse and mental health.

Nationally, suicide deaths were the tenth leading cause of death in 2015. Drug overdose deaths have also increased dramatically and now are the leading cause of injury death. Mortality attributable to drug abuse and mental illness is a small proportion of the societal impact of substance use and mental health; it also includes significant morbidity, disability, and economic costs. The sources of information for the epidemiology of substance abuse and mental health are national surveys and state hospital discharge databases. The goal of this project was to pilot the Council of State and Territorial Epidemiologists (CSTE) indicators for substance abuse and mental health to provide feedback to CSTE and promote adoption by other state and local health departments.

In this session, participants will: 

1. Demonstrate methods for measuring alcohol outlet density; discuss challenges faced and lessons learned in translating cluster definitions built for a large city to a small city
2. Discuss the local, historical and policy realities for interpreting clusters for policy makers
3. Describe the partnerships between the Injury and Violence Prevention Branch within the NC Division of Public Health, the NC Institute for Public Health, and community partners working in alcohol-related injury prevention

Excessive alcohol use is responsible for 88,000 deaths in the U.S. annually and can put individuals at risk for many harmful health outcomes including chronic conditions, motor vehicle crashes, injuries, and violence. Scientific evidence has shown that high alcohol outlet density is an environmental risk factor for excessive alcohol use. With hopes of helping to inform policy decisions, we measured alcohol outlet density in Durham, North Carolina, a city which has seen significant growth over the last decade.

In this session, participants will: 

1. Compare how five mental and emotional health outcomes differ by association to exposure to an intervention available nationally to youth in schools.
2. Discuss the potential value of access to a Gay Straight Alliance for youth in schools.
3. Identify future opportunities to reduce the prevalence of adverse mental health outcomes among lesbian, gay and bisexual youth.

The purpose of this study is to assess the association between the presence or absence of a Gay Straight Alliance (GSA) in Colorado high schools and certain mental, emotional health or violent outcomes among lesbian, gay, bisexual (LGB) or students unsure of their sexual identity. These outcomes are significantly higher for LGB high school students than for those who are heterosexual (GLSEN, 2015).

In this session, participants will: 

1. Learn how the motorcycle helmet issue was framed to counter the freedom argument for repeal.
2. Learn how a diverse partnership was formed and sustained to purserve the helmet law over the political advantage of pro-repeal advocates.
3. Learn of health studies that were instrumental and changing the conversation about the value of retaining the helme law.

The presentation provides a policy analysis and frame work to discuss injury prevention policy in a changing policy environment.

In this session, participants will:

1. Learn about the economic benefits of a strategic, community-based smoke alarm installation program from a payer perspective and a societal perspective.

Operation Installation (OI), a community-based smoke alarm installation program in Dallas, Texas, targets houses in high-risk urban census tracts. Residents of houses that received OI installation (or program houses) had 68% fewer medically treated house fire injuries (non-fatal and fatal) compared with residents of non-program houses over an average of 5.2 years of follow-up during an effectiveness evaluation conducted from 2001 to 2011. The purpose of this study was to estimate the cost-benefit of OI.

1. Understand the barriers for practitioners to implementing evidence-based interventions

2. Understand the process of conducting limited systematic reviews

3. Understand the process of packaging information about evidence-based interventions

 

Many injury prevention programs are designed without consideration of behavior change theories and implemented with no evidence of effectiveness. These often one-time awareness campaigns lack proper evaluation. The proliferation of ineffective programs continues despite attempts to educate the injury prevention workforce on identifying evidence-based strategies. The Injury Prevention Committee of the Texas Governor’s EMS & Trauma Advisory Council conducted an extensive literature review and ranked intervention strategies on their effectiveness to impact injury mortality/morbidity.

In this session, participants will: 

1. Assess the utility of a topic-based guide to educate decision-makers.
2. Learn about the value of a partnership with a Law School to strengthen the connection between practice and policy.
3. Identify unique ways to educate policymakers about important injury prevention topics. 

Through a partnership between the Maryland Violence and Injury Prevention Program (VIPP) and the University of Maryland School of Law (UMSL), in 2017, members of the Maryland Legislature were educated about public health priorities regarding injury and violence prevention through dissemination of the Maryland Violence and Injury Prevention Resource Guide (MD Guide). Attorneys from the Network for Public Health Law, the UMSL Legal Resource Center, and law students, used the MD Guide to initiate conversations at key committee meetings prior to the start of the 2017 Legislative session. This presentation will discuss anticipated results of an evaluation of this activity, and the importance of partnerships to amplify the voice of public health when educating legislators.

1) Understand the theoretical background of two approaches to health communication (reasoned action and cultural frames).

2) Learn how to use one or both of these communications approaches to meet communication goals.

3) Learn practical tools from each approach that can enhance communication practice even if resources do not permit a full study.

Health communication is something we all engage, whether through emails to our partners or program participants, or coordinated campaigns directed to the broader public. There are theoretical tools available to help us improve our practice, though we often do not have access to information about these tools. This session will outline two approaches to health communciation: reasoned action and cultural frames, comparing and contrasting them, providing guidelines on when to use which approach, and offering tools from each theory that can be used even when a full-scale communication campaign isn't possible. The discussion will center around communication directed at policy makers to encourage support for early childhood development legislation.

1. The participant will be able to describe how a statewide infrastructure has facilitated the implementation of suicide prevention activities across education and behavioral health systems.

2. The participant will be able to identify existing resources for youth suicide prevention in schools and youth-serving agencies.

3. The participant will be able to discuss how collaborative efforts between state, county, and local agencies and organizations can promote the sustainability of youth suicide prevention training and screening efforts.

The “Suicide Prevention in Pennsylvania Schools and Colleges Initiative” aims to implement suicide prevention and early intervention strategies for youth ages 10-24 across the Commonwealth. The project is funded by a SAMSHA Garrett Lee Smith grant and offers gatekeeper training, suicide risk management training, standardized screening, and training in empirically supported treatments with goals of raising awareness, increasing identification of at risk youth, facilitating referrals to treatment, and improving treatment outcomes.

                                                                 

1. Understand the key elements of a comprehensive, cross-sector initiative preventing suicide on bridges.

2. Understand architectural designs of bridges that provide the greatest deterrence to suicide.

3. Understand key learning’s of a cross-sector collaboration to address suicides on bridges.

 

Suicide is the 9th leading cause of death in Minnesota. Deaths by suicides have incrementally increased in Minnesota, with a high of 730 deaths in 2015. From 2010 to 2015, 145 suicides from high places were identified in Minnesota; 49 occurred from a bridge. There are risks to the general public when a death by suicide occurs from a bridge including psychological trauma, potential contagion and improper reporting by media. Minnesota has developed a cross-sector suicide prevention project to address suicides on bridges in Minnesota.

In this session, participants will: 

1. Objective 1: Distinguish alternative funding and unique partnerships utilized by Kansas Power of the Positive.
2. Objective 2: Describe key findings related to the burden and regional variations of adverse childhood experiences in Kansas from the Kansas Behavioral Risk Factor Surveillance System survey.
3. Objective 3: Describe the impact of collaborative partnerships and scientific findings on social norms and policy changes that support safe, stable, and nurturing relationship in childhood.

Adverse Childhood Experiences (ACEs) are a constellation of child abuse, neglect, and family challenges that have long-lasting consequences on the health of individuals and communities. Research supports establishing safe, stable, and nurturing relationships in childhood to effectively prevent and mitigate ACEs impact. In Kansas, partners leveraged private funding to implement CDC’s Essentials for Childhood framework. This presentation focuses on Kansas Department of Health and Environments (KDHE’s) collaborative role with state and local partners to implement CDC’s framework.

• Explain how the use of automation has improved surveillance communication and dissemination of injury and violence surveillance data in North Carolina

• Discuss how stakeholder access to resources produced by the North Carolina Injury Epidemiology and Surveillance Unit is being monitored.

The North Carolina Injury Epidemiology and Surveillance Unit produces over 100 injury and violence related factsheets and surveillance reports each year. Over one fifth depict information from the North Carolina Violent Death Reporting System (NC-VDRS). Generating these products can be a time-consuming process requiring data to be compiled, analyzed and then translated into meaningful information for stakeholders. Automation of this process using Excel formulas has drastically improved timely communication of surveillance efforts. Understanding when and where these products are accessed can identify the most successful communication channels for dissemination.

In this session, participants will: 

1. Objective 1: Understand alternative paradigms for examining hospital discharge data, with an increased focus on behaviors.
2. Objective 2: Articulate the benefit of examining non-injurious risk factors.
3. Objective 3: Know how some of the CSTE Surveillance Indicators for Substance Abuse and Mental Health are being incorporated into Minnesota's online query system.

The External Cause (E code) Matrix has been the standard paradigm for reporting on injury and violence using hospital discharge data. The Minnesota Department of Health (MDH) built an interactive query system for hospital discharge data known as MIDAS (Minnesota Injury Data Access System); this has been a very useful tool for providing injury/violence data and information to end users.

However, reporting on injury and violence has become more nuanced, including aspects such as suicidal ideation, sexual assault examinations without injury, opioid poisonings, etc. There is increased need for alternative and enhanced data queries.

Session Presentations: The Importance of Local Public Health Involvement in Reducing Traffic Related Deaths and Injuries- Lessons From 20 years in the Business Road to Zero & Chicago Vision Zero Collaboration to Prevent Roadway Fatalities in High Hardship Areas

Session Presentations: Addressing adverse childhood experiences in Kansas: How state and local partners collaboratively collected, disseminated, and utilized data Evaluating Coalitions for Sexual Violence Prevention A cross-sector approach to suicide prevention on bridges in Minnesota

Session Presentations:

Utilizing North Carolina Division of Public Health Injury Data to Support Community Prevention Efforts Around Fall Related Injuries among Older Adults

Automation and Dissemination of Surveillance Reporting from the North Carolina Violent Death Reporting System

Beyond the E Code Matrix: Choosing the Red Pill

Session Presentations: Stop the Opidemic Media Campaign Opioid Overdose Education/ Naloxone Distribution Program Opioid Overdose Prevention Policy Curriculum to Enhance Professional and System Response

In this session, participants will:

• Discuss how coalitions can be partners in sexual violence prevention
• Outline strategies for evaluating coalition work
• Apply lessons from the NYS team’s coalition assessment to their own organization’s evaluation efforts

Coalition building is one of the four approved community change strategies for Rape Prevention and Education (RPE) grantees, but evaluating the work of coalitions is challenging. This session will highlight one state’s efforts in evaluating coalitions and committees that include sexual violence prevention as part of their scope of work.

In this session, particpants will:

1. Learn about creating an opioid overdose education/ naloxone distribution program. 

2. Learn how to secure materials needed to reproduce this program int heir own programs. 

3. Learn how to better navigate obstabcles 

Last year over 33,000 people in U.S. died from an opioid related drug overdose. Less than 100 of those deaths occurred in Erie County, Pennsylvania. Unfortunately this is not a new topic of concern, and has been plaguing our country for last decade or so. And while states and counties all over the country are doing their best to combat the issue, there are still improvements to be made.

With drug and alcohol treatment professionals handling the treatment aspect and law enforcement along with emergency room department workers identifying clients for treatment, there continues to be a lack of prevention efforts. And with many drug and alcohol specialist and law enforcement tackling this issue, where do public health officials fit in? Where does injury prevention fit in?  In an effort to fill the prevention  gap the Injury Prevention Coordinator at the Erie County Department of Health created an Opioid Overdose Education/ Naloxone Distribution Program (OOEND) to educate community members, and drug and alcohol specialist on the dangers surrounding opioids, signs and symptoms of an overdose and how to administer naloxone properly.

In this session, participants will:

1. Identify the range of policy best practices to respond to systems of opioid overdose.
2. Identify curriculum components needed to enhance professional capacity to respond to opioid overdose.
3. Understand the utility of diagnosing policy gaps, weaknesses and implementation failures in an opioid overdose system

Public health practitioners need to effectively apply innovative strategies and incorporate research evidence into real-world practice.  To bridge the research-to-practice gap for opioid overdose prevention, we designed a 4-stage policy curriculum to address the multiple needs of adult learners, leverage their policy-based system awareness, provide tools and techniques to use in the workplace, and offer real-time feedback to shape their application of concepts and skills. 

To determine what equitable enforcement/traffic safety programming look like in areas of high economic hardship. Participants will discuss a three pronged approach to building partnership to complete/safe streets for everyone (pedestrians, transit users, bicyclists and motorists) to travel safely/comfortably on our roadways.  This program can be applied to all ages and abilities safer, cheaper, and healthier travel options supporting economic development to create sustainable infrastructure and communities.  
This session provides:
National Overview:  Review data about how traffic crashes affect people throughout the US
Equity Overview:  Learn how traffic crashes disproportionately affect low income/minority communities through the lens of public health
Community Overview:  Discuss what equitable enforcement/traffic safety programming look like in high economic hardship areas as tested through the multidisciplinary Vision Zero West Side (VZC) program in Chicago
This session will share how the Road to Zero (RTZ), which is a joint collaboration focused on ending traffic fatalities on our roadways within 30 years and how VZC fits into this solution. The National Safety Council (NSC) leads the RTZ initiative as a partnership with the U.S. Department of Transportation, including the National Highway Traffic Safety Administration (NHTSA), the Federal Highway Administration (FHWA) and the Federal Motor Carrier Safety Administration (FMCSA). There are three interconnected efforts are involved with RTZ:
1.    Grants. NSC, as the leader of the Coalition, administers a $1 million per year (for 3 years) for System Safety Innovation Grants going to organizations committed to roadway safety.
2.    Coalition. The Road to Zero coalition is made up of over 250 unique organizations wanting to be part of the solution. Members are from academia, trade associations, advocacy groups, law enforcement, emergency medical services (EMS), private industry, survivor advocates, governmental agencies and beyond working together to reach ZERO roadway fatalities.  RTZ Coalition holds quarterly meetings in the Washington, DC area open to everyone and webcast.
3.    Report. RTZ provides the data and information to develop a future planning document to reach zero roadway fatalities by 2050. This document will be used by policymakers to develop the programs and solutions necessary.

Vision Zero is Chicago’s initiative is to eliminate fatalities and serious injuries from traffic crashes by the year 2026. A multi-departmental Vision Zero Steering Committee led by the Mayor’s Office and four Working Groups have identified goals and strategies to increase traffic safety, with a three-year Vision Zero Chicago Action Plan. This data-driven process established City priorities and identified the resources – and gaps in resources – to meet benchmark reduction goals for fatalities and serious injuries by 2020.
Vision Zero West Side includes elected officials, community organizations, faith leaders, business owners, schools, parks, CDOT, CPD, and other City departments working with Chicago residents to reduce fatalities and serious injuries resulting from traffic crashes. This will ultimately be a community-directed process to identify community concerns for traffic safety and actions desired to remove barriers to safe mobility. It is of primary importance for residents and community leaders to have ultimate ownership of traffic safety in their neighborhood.
Unlike traditional traffic safety programs, the Vision Zero West pilot does not measure success by the number of citations written during enforcement events.  Regressive fines have not been shown to accomplish improve safe driving rather they alienate communities already experiencing high economic hardship.  A successful VZGP pilot will result in positive interactions, increased understanding, and altered behaviors

In this session, participants will:

1. Identify key opioid-related public awareness strategies.
2. Recognize public awareness messaging by the stages of prevention.  
3. Evaluate the effectiveness of campaign messaging.

 Although Utah has seen a slight decrease in prescription opioid deaths, heroin related deaths have increased.  In response, Utah launched a media campaign focusing on opioid risks, signs of an overdose, and naloxone called "Stop the Opidemic" (opidemic.org).

1. How and why local health departments can lead or support traffic safety efforts at the local, state and national level.

2. What are measures of progress, success and challenge in local and state traffic related efforts.

3. How did Public Health-Seattle & King County, Washington establish itself as the convener of the locally lead traffic safety coalition and what lessons were learned that will inform the attendee and future work.

This presentation describes the work of the Public-Health Seattle & King County led King County Target Zero Traffic Safety Task Force.  While it is unusual for a local health department to lead efforts this model is important for local, state and national efforts. This public health convener role is key to "Strengthening Connections for Injury and Violence Prevention". This presentation will include work such as results based patrols; policy work at all levels; study and reductions of bicycle and pedestrian related trauma; use of child death review to address traffic deaths and other work towards Target Zero.

• Demonstrate the usefulness of the CDC’s Injury Special Emphasis Report templates for disseminating Injury Data
• Describe the partnerships between the Injury and Violence Prevention Branch within the NC Division of Public Health and community partners working in falls prevention, and how these partnerships have facilitated the use of injury data

Unintentional falls are a leading cause of fatal and nonfatal injury in the US and in NC. Dissemination of data is needed to bring attention to the issue and drive decisions related to the prioritization of populations and prevention programs. The Injury and Violence Prevention Branch (IVPB) within the NC Division of Public Health has worked to make data accessible to community partners to support their work and help direct prevention efforts.

In this session, we will introduce participants to the concept of Systems Thinking, and how it can be applied to Intimate Partner Violence Prevention. This is an interactive session in which we will create, critique, and re-create mental models to describe how Intimate Partner Violence persists. Through facilitated discussion, we will explore the questions: What are the key components of our system that support IPV? Where can we put pressure on this system to reduce IPV?

During this session, participants will learn about potential unintended consequences from the introduction of new crash prevention technologies. Unintended consequences, such as moving away from current evidence based practices, behavior changes, and resistance to change will be explored through public health’s historic experience with air bags, car seats, and ignition interlocks. Finally, participants will learn about and provide feedback on the MV-NPLT’s plan of action to further explore this topic.

This session will introduce the National Peer Learning Team on child maltreatment and how attendees can get involved. Desmond Runyan, MD, DrPH, Executive Director of the Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, will present on the role of public health in preventing child maltreatment and how a public health approach can be successful. His remarks will be followed by a moderated discussion among representatives from state public health agencies to begin considering what work public health organizations are already doing and how additional elements might be incorporated to address the primary prevention of child maltreatment in communities.

A systems approach can help us solve some of our most difficult and complex injury issues. For this initiative, we define a systems approach as developing skills to better understand complexity, systems mapping, understanding feedback loops, identifying high leverage systems drivers, and developing inquiry skills to expose our hidden assumptions and biases. This approach demands crossing boundaries between departments and functions in an organization, between disciplines, and between researchers and practitioners. It calls for breaching barriers of culture and class, and listening with respect and empathy to others. As we develop and hone these skills, we will be better prepared to effectively address our greatest challenges. In this session participants will learn basic concepts involved in a systems approach to injury prevention and how the project will unfold as it seeks to build capacity for injury prevention professionals to use systems approaches in their work.

The TBI NPLT is bringing together public health professionals, researchers, and medical practitioners from across the nation to develop a plan to prevent TBIs across the lifespan through policy change and community knowledge and engagement. This session will provide an overview of the top areas of TBI prevention work and introduce participants to an online collaborative communications platform for engaging with peers and sharing research, best practices, and TBI prevention efforts. During this session, participants will have an opportunity to share their needs for engaging in TBI prevention efforts and reveal resources they may have available.

In this session, participants will:

1. Learn about Colorado’s approach to evaluate a shared risk and protective factor approach to impacting violence and injuries.
2. Come away with strategies and skills to use the Centers for Disease Control and Prevention’s Core State Violence and Injury Prevention Program Shared Risk and Protective Measurement Toolkit to select indicators and data sources to answer evaluation questions related to shared risk and protective factors.
3. Brainstorm ideas to leverage existing evaluations, data collection tools, and indicators that can be integrated in evaluation efforts for shared risk and protective factors.

The Colorado Violence and Injury Prevention-Mental Health Promotion (VIP-MHP) Branch uses a strategic framework that prioritizes shared protective factors that impact multiple forms of violence and injury. Within the framework, prevention strategies are mapped to five protective factors: connectedness, positive social norms, good behavioral health, economic stability, and resilience. To operationalize the framework, Colorado is leveraging both state and federal funding to implement and evaluate activities that impact the protective factors.

Session Presentations: Colorado’s Approach to Evaluating Shared Risk and Protective Factors: Scaffolding for Future Growth

Session Presentations: Unpacking the Prevention Toybox: Activities for Engaging Community Partners Enhancing Professionals' Use of Public Health Concepts for Childhood Injury and Violence Prevention: Results from the Skills and Knowledge for Injury Prevention Practitioners (SKIPP) Training Project Injury Free NC Academy: Increasing local capacity to prevent violence using a shared risk and protective factor approach

This workshop focuses on strategies to best harness the capacity of NVDRS data to inform prevention efforts. It gives examples in the arenas of firearm suicide, poisoning suicide, police homicide, unintentional gun injury, and intimate partner violence on ways that the data can guide prevention and identify novel prevention partners.

Session Presentations:

Evaluation of a Teen Driver Safety Program

Using PHOTOVOICE to Impact Environmental Changes to Improve Pedestrian Safety

Is Driving while High Safe? Perceptions and Behaviors of Driving under the Influence of Marijuana among Colorado Residents

Evaluating Pedestrian Safety Initiatives

1. Identify effective curriculum design techniques, pre-training activities, and application of case-examples, to ensure a positive learning experience.
2. Identify ways to leverage participants’ past experience, expertise, and shared commitments by engaging them in integrated learning activities.
3. Describe how the SKIPP CORE training increased practitioner capacity to identify and use tools to plan, implement, and/or evaluate evidence-based strategies for preventing child and youth injury and violence.

Public health and other human service professionals addressing injury and violence must increasingly implement evidence-based strategies. The Skills & Knowledge for Injury Prevention Partners (SKIPP) Project provides training to increase the capacity for childhood injury and violence prevention (CIVP). 

In this session, participants will:

1. Learn about the evidence-based program Teens in the Driver Seat.

2. Learn how the program is evaluated.

3. Learn about the trends/results of the program.

Teens in the Driver Seat is an evidence-based program that is being implemented in Nebraska high schools to reduce teen related motor vehicle related crashes, injuries and deaths. The program is implemented by a school sponsor and teens, with teens taking the lead. This peer-to-peer program is effective at changing knowledge, behavior and driving culture because teens are influencing teens. The program started in 2013 with 6 schools and has expanded to 28 in 2017.

1. Describe the Injury Free NC Academy approach to increasing local capacity to prevent multiple forms of violence, "connect the dots", and implement evidence-based/informed interventions

2. Name the six key strength areas that Injury Free NC Academy focuses on to prevent violence

3. Describe challenges Injury Free NC Academy planners have faced when encouraging local coalitions to shift their violence prevention approach upstream and focus primary prevention efforts on increasing protection against and decreasing risk of violence

The purpose of the Injury Free NC Academy is to prepare community-based coalitions engaged or interested in implementing evidence based strategies to address shared risk and protective factors to prevent violence in North Carolina.

1) Share survey methods and results on perceptions and behaviors of using marijuana while driving.

2) Describe the challenges to collecting data on the presence of marijuana in drivers in Colorado. 

3)Explain efforts underway to improve data collection to detect active marijuana levels in drivers when pulled over by law enforcement or involved in traffic crashes. 

Research has shown marijuana is the most commonly detected non-alcohol drug in drivers killed in motor vehicle crashes nationally. With the legalization of retail marijuana in the state of Colorado, there is concern that more people are driving while high. Safety and injury prevention professionals wanted to know more from Coloradans on their perceptions and behaviors and outcomes regarding marijuana use and driving.

1. Describe a coalition-based model to prevent injuries
2. Illustrate effective methods utilized by communities to address leading causes of injury

Injuries are the third leading cause of death in the United States. Since 2010, the Centers for Disease Control and Prevention’s (CDC) core budget has decreased by nearly $580 million and approximately 75% of CDC funding supports state and local programs. In order to reverse the upward trend in injury deaths and respond to declining availability of funding, communities must leverage local resources and implement effective measures. A national accreditation program, built from an international coalition-based model has been growing with the goal of developing a network of communities that engage with diverse partners, understand the scope of community injuries and implement evidence-based strategies to effectively address local issues.

• Learn lessons and successes revealed by an impact evaluation of the Pedestrian Injury Prevention Action Team Program (or “Action Team” program), a multidisciplinary pedestrian safety initiative created by the Safe States Alliance and funded by the National Highway Traffic Safety Administration (NHTSA).
• Explore the Safe States Alliance’s new Evaluation Guide for Pedestrian Safety website – inspired by participants in the Action Team program – that is designed to help users effectively evaluate their pedestrian safety interventions.

At the completion of this presentation, the participant will be able to:

1. Explain the shift in prevention practices meant to impact individual behaviors (1980s-2000s) to primary prevention strategies that address environmental conditions that allow for violence to occur in the first place (2005+);
2. Identify six interactive methods for communicating primary prevention theory and practices to organizational staff and community members; and
3. Experiment with primary prevention community engagement strategies that can be used to build networks to effectively collaborate to eliminate social problems like violence.

In this workshop we will “unpack” ICADV’s Prevention Toybox by describing the history, purpose and potential audiences for this violence prevention community engagement resource. Participants will be provided with information and resources to facilitate violence prevention project planning, community level violence prevention strategies, multi-sectoral partnerships and program evaluation.

1. Understand the process of implementing a pedestrian safety project using PHOTOVOICE methodology

2. Understand the process of using qualitative evaluation to determine effectiveness of the intervention

The annualized pedestrian death rate in Dallas County is 2.5 deaths per 100,000 population compared to the U.S. annualized rate of 1.9 deaths. Policies and environmental land use strategies that make it easy and safe for residents to walk to venues can be effective in improving health and safety.

1.  Understand the importance of partnership in addressing this emerging epidemic.
2.  Understand the methods Montgomery County utilized to create a strong taskforce including partnerships with schools, healthcare, non profits and the community.
3.  Understand the benefits of partnerships for expertise, resources and meaningful collaboration.

The purpose of this ongoing project is to address the opioid epidemic as it continues to rise in Montgomery County. Collaborative outreach and education have been targeted toward areas of the County that show the highest rates of "saves" using Narcan/Naloxone.  Through outreach, education and Narcan distribution, more lives can be saved from overdose.

• Explain how to train D/SV (Domestic/Sexual Violence) shelter staff to recognize and understand traumatic brain injury (TBI).
• Assess the incidence rate of TBI in sample urban and rural D/SV shelters.
• Discuss the intersection of D/SV and TBI.

TBI research in D/SV is limited. The targeting of head/face in assaults makes the likelihood of TBI greater in those exposed to D/SV. They may also have increased exposure to repeated TBI. 

• Understand the benefit of combining NEISS and NEISS-AIP data to more completely study the problem of unintentional injuries.

• Identify main causes of non-fatal unintentional falls among children ages 0-19.

• Identify priority areas for falls intervention and prevention.

Falls are the leading cause of hospitalizations in children ages 0-19. However, the term “falls” is ambiguous as many activities and consumer products can result in a fall. Notably, the ambiguity makes designing interventions to target the problem of falls difficult. This study combines two data sources to shed further light on the causes of non-fatal unintentional falls among children ages 0-19.

1. Evaluate how alcohol and illicit substances – within legal limits - affect the decision to use a helmet in motorcycle and scooter riders.
2. Evaluate reckless decisions among varying levels of intoxicated riders compared to sober riders.
3. Demonstrate methods of intervention programs to reduce substance use while riding while improving protective gear usage in motorcycle and scooter population.

The Survive the Ride program at the University of Miami is an intervention project that takes aim at trauma injury and fatality prevention. Here, we evaluate substance use and the effects they have on decision making among riders. We hypothesize alcohol and drug use negatively affects helmet use decision-making, and we address how legal limits affect this. Recent studies link alcohol consumption and drug use with decreased likelihood of helmet use, but fail to link quantifiable thresholds of intoxicants to multiple variables of the crash/fatality. We compare three categories of fatal motorcycle/scooter crash populations: sober, within limits, and intoxicated outside legal limits.

1. Explain the purpose of King County’s Child Death Review
2. Describe the review findings from deaths that occurred between July 2012 and December 2015
3. Provide examples of Child Death Review’s recommendations for prevention and outcomes

King County’s Child Death Review (CDR) examines child deaths (under 18 years of age) due to injury and violence for the purpose of identifying modifiable risk factors – risk factors that can be changed unlike genetic or fixed environmental conditions. Modifiable risk factors inform CDR’s recommendations to improve programs, systems, environments, and policies to prevent children’s deaths. This project compiled the findings, recommendations, and outcomes from 125 deaths reviewed into a report to inform partners and stakeholders.

In this session, participants will:

1. Understand the program components of Triple P.

2. Understand the implementation costs for starting Triple P at the local level.

 

Implementing evidence-based programs to prevent child abuse and neglect continues to be an important tool for communities. LHDs often serve as the coordinator for these programs. This session will describe in detail the cost considerations when planning and implementing a communitywide prevention program, Triple P – Positive Parenting Program.

• Decrease pedestrians crossing at undesirable locations.
• Integrate enforcement strategies into Pedestrian Enforcement Details.
• Decrease fatality and injury through behavior change.

According to the National Center for Statistics and Analysis (NCSA) Pedestrians are one of the most at-risk groups of roadway users. While they account for only three percent of all Americans involved in traffic crashes, they represent fourteen percent of all traffic fatalities.  Pedestrian fatalities occur more often in urban areas at non-intersections and at night. They also are more likely to occur when either the pedestrian or the driver has been drinking (NCSA).

In Chester County, Pennsylvania, there were two (2) pedestrian fatalities in 2012 and five (5) in 2013 (Pennsylvania Department of Transportation, PennDOT). The Chester County Highway Safety Project (CCHSP) recognized the need to enforce crosswalk laws in response to this increase.

In this session, participants will: 

1. Examine the qualitative and policy research that informed the development of the arts based programming

2. Identify two arts based programs developed to prevent bullying

3. Examine the program components of the Out of Bounds and HEAR Toolkit

Bullying is the most common form of school violence worldwide. School-based bullying prevention programs have shown varying success, and new, innovative programs with a stronger evidence base are needed. Arts-based programming, which appeals to the active emotional brains of adolescents, is a promising approach.

In this session, participants will learn:

1. what constitutes a school safety assessment
2. problems with school transportation safety
3. Recommended solutions to those problems

In 2012, the SC Department of Health and Environmental Control (SC DHEC) Division of Injury and Violence Prevention began a unique program which involves detailed school audits to assess the safety of all modes of transportation to and from, and surrounding schools.

In this session, participants will:

1. Understand the injury disparities that affect children and adolescents ages 0-24;
2. Identify the specific groups (gender, race/ethnicity, disability, geography, sexual orientation, health literacy, socioeconomic status) within the population of children and adolescents ages 0-24 that are at increased risk of experiencing particular kinds of injury disparities;
3. Learn about approaches for reducing injury disparities.

Disparities in child and adolescent injury are found across several distinct and socially disadvantaged populations.  For example, Black and Hispanic youth have an increased risk of homicide and assault; LGBT youth have elevated risks of suicidality, non-suicidal self-injury, bullying, and assault; and children with disabilities face a heightened risk of violence and unintentional injury.  Understanding injury disparities is an important and necessary step in reducing and eliminating disparities. The purpose of this presentation is to describe injury disparities that occur among children and adolescents ages 0-24, explain approaches for addressing disparities, and highlight areas for further research.

In this session, participants will: 

1. Be able to discuss promising practices to meaningfully use data from Poison Control Center calls to enhance prescription drug poisoning prevention efforts. 
   
   
2. Translate epidemiological methods from concept to practice by comparing trends in opioid-specific poisoning calls to prescription opioids filled.

The Kansas University Medical Center Poison Control Center (KUMC-PCC) participates in the National Poison Control Center system and receives calls from residents with a Kansas listed area code and other locations on a daily basis. These calls represent inquiries and poisonings. Since area codes are used to direct callers to a poison control center, this data is comparable to prescription drug monitoring program that also identifies patients using existing phone numbers. The purpose of this work was to enhance prescription opioid poisoning prevention efforts in the state of Kansas by identifying specific prescription opioid with the highest risk for potential misuse or poisoning.

1. Empower Local Health Departments to become Chief Health Strategists in their community through the usage of health indicator data in prevention and intervention programming
2. Provide Local Health Departments with the tools to effectively utilize publicly available health indicator data to inform or assess the by-proxy impact of their respective teen dating violence prevention efforts

To address emerging health demands, local health departments are taking on the role of “Chief Health Strategists” in their communities. Therefore, they must be skilled in acquiring, analyzing and translating data to inform practical intervention strategies. They have the potential to be leaders in teen dating violence (TDV) prevention utilizing data skills to understand the prevalence of TDV.  This project explored publicly-available data as potential indicators of TDV that will inform and assess the impact of TDV prevention efforts.

1. Participants will understand how the Communities That Care (CTC) process works to engage communities in prevention efforts targeting youth substance abuse, violence and mental health.
2. Participants will learn what shared risk and protective factors are present within a select sample of CTC communities using the Healthy Kids Colorado data from 2016.
3. Presenters will share lessons learned from Colorado’s communities implementing local level strategies driven by shared risk and protective factors related to substance abuse, violence and mental health.

Communities that Care (CTC) is an evidence-based approach and community driven model which helps prioritize effective strategies to address risk and protective factors related to substance abuse, violence and mental health at the local level. The implementation of CTC in Colorado is unique in its use of community level prevention strategies within a state where retail marijuana is legal. Exploring how communities choose to address the shared risk and protective factors which are most salient to the health of their youth may inform statewide planning, while lessons learned can guide other related efforts.

1. Understand the importance of accurate cause of death information as the fundamental health statistic and the importance of autopsies in assuring an accurate cause of death.
2. One year after implementation, identify the impact the religious objection to autopsy legislation has had on death certificates and cause of death reporting.
3. Recognize where religious objection to autopsies occur most frequently, and the importance of medical examiners and coroners in working with families to accommodate their requests while also fulfilling their responsibilities.

Cause of death is the most fundamental health statistic, and autopsies assure an accurate cause of death is determined. Many people have religious beliefs that prohibit autopsies. In February 2015, this tension was highlighted after the death of an individual with traditional American Indian beliefs. The family did not want an autopsy, but the medical examiner believed an autopsy was necessary. By July 2015, Minnesota enacted a statute that allowed for a decedent’s representative to object to an autopsy based on religious beliefs. In January 2016, a check box was added to the death certificate to indicate whether a religious objection to an autopsy had been requested. The check box was added to better monitor the impact of the statute.

Linking Systems of Care for Children and Youth Implications of brain and social development for child and youth injury prevention

Session Presentations: Strengthening Connections to Address the Escalating Public Health Issue of Older Adult Falls Engaging Youth and Strategic Partnerships to Prevent Commercial Sexual Exploitation in Youth Getting the (Prevention) Party Started: Leveraging Existing Partnerships to Address Excessive Alcohol Use as a Shared Injury and Violence Risk Factor in Colorado

Session Presentations: Surveillance and Epidemiology of Suicide Deaths in 18 States using the National Violent Death Reporting System (NVDRS) Expanding the Scope of the NVDRS – American Indian Unintentional Drug Overdose Deaths Understanding Adolescent Suicide in Utah

Session Presentations: Engaging Leadership: A Learning Community Approach to Sexual Violence Prevention

In this session, participants will: move 3 to 1

1. Discuss cross-cutting approaches to sexual violence prevention and ways to elevate sexual violence as a national public health issue
2. Learn about CDC and ASTHO's sexual violence prevention learning community
3. Hear from several learning community states around progress made to date, challenges, and lessons learned

For the past two years, CDC and ASTHO have been working with six states (AK, CO, IA, MN, NM, and VA) as part of a sexual violence prevention learning community. The goal of the project is to provide technical assistance and capacity-building to State Health Officials, state leadership, and agency staff, strengthen the role of state health leadership, and elevate sexual violence prevention as a public health issue. 

In this session, participants will: 

1. Learn about the Minnesota Dpartment of Health anti-trafficking Safe Harbor Program

2. Develop awareness of an trafficking prevention outreach strategy that uses partnerships and engages those most affected

3.  Apply ideas presented to their own efforts to combat human trafficking and sexual exploitation

To create effective outreach materials for sexually exploited and at-risk youth, Minnesota Department of Health anti-trafficking Safe Harbor Program tapped into existing grantee relationships and engaged youth to prevent sexual exploitation. In human trafficking and sexual violence, those who are most vulnerable are often the most difficult to reach. Youth are particularly vulnerable yet wary of authority-driven interventions. State agencies can be more effective in combating trafficking and sexual exploitation through strategic relationships with partners who have trusted access to vulnerable populations and by engaging youth when creating interventions directed towards youth.

 

1. Identify the significant racial disparities in the American Indian drug overdose mortality rate in Minnesota.
2. Learn about potential misclassification of suicides, especially with the continued increase in drug overdose deaths.
3. How to use the National Violent Death Reporting System to improve surveillance of suicide and drug overdose deaths.

In 2015, the drug overdose mortality rate in Minnesota was 10.6 per 100,000 population: the sixth lowest rate in the U.S. However, in Minnesota, there are significant disparities in drug overdose mortality rates, particularly among American Indians (AI). To provide more detailed information regarding the risk factors and circumstances of AI drug overdose deaths, the decision was made to include 2015 AI drug overdose deaths in the Minnesota Violent Death Reporting System (MNVDRS).

In this session, participants will: 

1. Describe the relationship between excessive alcohol use and injury and violence outcomes.
2. Identify key partners in their state who can collaborate to support excessive alcohol use prevention as part of comprehensive injury and violence prevention.
3. List population-level, evidence-based strategies to address excessive alcohol use as a risk factor for injury and violence. 

Excessive alcohol use is a cross-cutting risk factor for a number of outcomes related to injury and violence, including motor vehicle crashes, falls, drowning, homicide, suicide, intimate partner violence, and sexual assault.  In Colorado, one in seven deaths among working-age adults can be attributed to excessive alcohol use and, for each death due to excessive drinking, an individual’s life is cut short by an average of 29 years.  Colorado’s violence and injury prevention branch has prioritized increasing the state’s alcohol epidemiology capacity to address excessive alcohol use and related harms through the implementation of evidence-based strategies.

 In this session, participants will:

1. Explore the potential linkages between brain and social development in childhood and adolescence and patterns of unintentional and violent injury in age groups under 25.
2. Identify opportunities to tailor injury and violence prevention activities to the developmental needs of children and youth.

 

The purpose of this presentation is to show the relationship between child and adolescent brain development and injury, and to explore the implications for prevention.

 

1. Identify the ways systems interface with children and youth.
2. Learn strategies used by two states - Montana and Virginia - to bring these systems together to develop statewide plans.
3. Become familiar with innovative approaches to serving children and families.
4. Learn challenges and successes experienced with implementing the program.

In 2014, the Office for Victims of Crime (OVC) funded a new demonstration project, Vision 21 Linking Systems of Care for Children and Youth, to learn what it takes for states to bring together all of the relevant child and family serving organizations and determine ways to collectively identify and serve young victims and their families. Research tells us that children and youth are disproportionately affected by crime and abuse, yet many crimes go unreported and these victims unidentified. The effects of these experiences manifest in many ways – physical illness, educational struggles, substance abuse, delinquency, and many others. The systems that encounter these children and youth – health education, child welfare, juvenile justice – have the potential to identify these young victims and get them connected to timely assessment and intervention. 

1. Examine cross-sector strategies two State Health Departments (SHDs) are using to address older adult falls prevention.

2. Discover how the National Council on Aging’s National Falls Prevention Resource Center is strengthening national, state, and local connections to raise awareness and disseminate evidence-based falls prevention programs.

Falls are a growing public health issue and the leading cause of injuries, injury deaths, and traumatic brain injuries for people 65+. Every 11 seconds, an older adult is seen in an Emergency Department for a fall injury, and every 19 minutes, and older adult dies from a fall-related injury.

This session will demonstrate how SHDs are climbing to great heights to reduce older adult falls and falls risks through innovative strategies and cross-sector collaborations. It will also highlight national efforts to address falls prevention.

1. Become familiar with the NVDRS including types of violent deaths, data sources, and variables collected in the system.

2. Describe the overall picture of violent death and suicide among the 18 NVDRS states.

3. Explore and discuss relevant suicide prevention strategies based on the data.

To examine the magnitude and epidemiology of suicide deaths among 18 NVDRS states; describe suicide data overall; and identify differences and similarities between states. 

In this session, participants will:

1. Characterize the epidemiology of, and trends in, fatal and non-fatal suicidal behaviors among youth ages 10 to 17 years of age occurring from 2011 through 2015 in Utah,
2. Identify risk and protective factors for fatal and non-fatal suicidal behaviors among Utah youth ages 10-17 years.
3. Comare the components of selected statewide youth suicide prevention initiatives against key evidence-based suicide prevention components to identify strengths, weaknesses, and gaps in the existing prevention initiatives.

 

 

Over the last decade, Utah’s adolescent suicide death rate has consistently been higher than the United States. From 2011 to 2015, there was a 158.8% increase in the number of suicide deaths and a 138.1% increase in the rate of suicide deaths among Utah youth aged 10-17 years old. In addition, self-reported suicide ideation among youth in grades 8, 10 and 12 significantly increased from 14.1% in 2013 to 16.6% in 2015.  As a result of these alarming trends, Utah requested assistance from CDC to investigate Utah adolescent suicides. 

1. Understand systems thinking and the ways in which it can improve the efficiency and effectiveness of injury prevention

2. Understand how and why participants in the Child Safety CoIIN are applying systems thinking

3. Begin mapping their work, or a component of their work, as a system

Despite notable reductions in injury rates over the past three decades, gaps persist in the broad implementation of evidence-based injury prevention programs. Where these programs are being implemented, efforts are often small-scale and compete with one another for resources and audiences, leading to inefficiencies and limitations in reach and effectiveness. The application of systems thinking to injury prevention will enable the identification of gaps, redundancies, and opportunities that acted upon, can improve efficiency and effectiveness. Systems thinking can also lead to fewer silos, streamlined safety messages and activities, and increased adoption of proven interventions at state and local levels. For example, by mapping and analyzing systems for child passenger safety, states can ensure efficient use of available funds in purchasing and distributing as many car seats as possible.    

1. Understand and articulate the difference between incidence and prevalence.

2. Describe the different categories of information provided with the APCD.

3. Identify two uses of the APCD and two complexities associated with it's use.

The incidence of traumatic brain injury (TBI) is readily described using hospital discharge data. It has been difficult, however, to describe the prevalence of TBI. It has also been difficult to describe, within public health surveillance, the services utilized by TBI survivors, the different sub-populations involved, and any existing disparities. The All Payer Claims Database (APCD), which includes ambulatory care data, is now available in 14 states. It can be used to describe persons with TBIs who are treated in non-hospital settings, which will allow improved estimates of the incidence and prevalence of TBI as well as describe services received by TBI survivors. This will better illustrate the true burden of TBI in the state.

 

Session Presentations: A Systems Approach to Injury Prevention: Connecting Programs, Processes, and People

Session Presentations: Developing Guidance to Support Implementation of Division of Violence Prevention’s Technical Package Strategies

Session Presentations: Climbing the Data Steps: Death Certificates, Hospital Discharges, APCD Making the transition to ICD-10-CM for injury surveillance: Practice-based work building upon ISW9 TBD

In this session, participants will

Objective 1. Highlight potential solutions and ways to support states and local communities in implementing a comprehensive approach to prevent violence in its various forms

Objective 2. Define the aspects or elements of implementation that are important to consider

Objective 3. Discuss current challenges to implementation and potential solutions to those challenges  

The Centers for Disease Control and Prevention’s (CDC) Division of Violence Prevention (DVP) recently released several technical packages which present core sets of strategies with the greatest potential to prevent violence. The goal of the technical packages is to provide guidance to help communities implement comprehensive strategies across the social ecology and prioritize a system-wide approach to reducing multiple types of violence. To support state and local partners in strategically planning, implementing, adapting, and evaluating evidence-informed violence prevention approaches, DVP is developing comprehensive implementation guidance to use with its technical packages.

1. Describe the guidance and tools that have been developed to assist states in transitioning their injury surveillance methods to ICD-10-CM
2. See patterns in multi-state injury results based on the guidance/tools and understand cause of injury codes for ICD-9-CM and ICD-10-CM when applied to the same documentation in injury medical records
3. Identify opportunities to participate in continued collaborative work among local, state and federal partners to standardize injury case definitions, indicators, reporting frameworks and injury surveillance methods

In October 2015, ICD-10-CM replaced ICD-9-CM as the coding system for hospital discharge (HD) and emergency department (ED) records. This change directly impacts injury surveillance based on these sources. The Injury Surveillance Workgroup 9 (ISW9) identified critical differences in use of these two coding systems. Building on the ISW9, the Centers for Disease Control and Prevention, the Council of State and Territorial Epidemiologists (CSTE), and state injury epidemiologists have collaborated on standard analyses that jurisdictions can replicate to 1) assess the initial quality of ICD-10-CM injury coding and 2) understand changes in injury numbers that might result from use of ICD-10-CM.