1. Maximize Resources: Delivering Injury and Violence Prevention through Integration City MatCH Conference September 23, 2008 Jennifer Allison, PhD, State Outreach Coordinator Ellen R. Schmidt, MS, National Outreach Coordinator Children’s Safety Network National Injury and Violence Prevention Resource Center 1

2. Children’s Safety Network National Resource Center for child and adolescent injury and violence prevention Capacity building for State MCH and IVP programs CSN Economics and Data Analysis Resource Center Funded by HRSA/MCHB 2

3. What Is Integration? Inclusion of IVP in MCH programs Enhancement of MCH programs to improve services Efficient approach to reducing injuries and violence Cost-effective alternative to stand-alone IVP programs 3

4. Why Is Integration Important? Focus on leading cause of death and disability for MCH populations Achieve better health outcomes for MCH populations Accomplish MCH program goals 4

5. Integration Examples California Idaho Maine Missouri Bike helmets are distributed at health clinics Teen parenting groups promote healthy relationships High schools do drunk driving prevention projects and events Child maltreatment screening is done at dental check-ups 5

6. Integration Fundamentals Complement an existing program, don’t compete with it Match IVP activities with available resources Provide staff training and support Be sustainable over the long term 6

7. 5 Steps to Successful Integration Planning Partnerships Program implementation Training and technical assistance Data collection and evaluation 7

8. Step 1: Planning Your Mission and Goals Mission – Select injury risks that staff and clients will see as directly related to a program’s primary mission Goals – Emphasize the direct connection between preventing injuries and achieving the health goals of the program 8

9. Step 1: Planning with Capacity Assessment CAST-5 MCH Strategic Capacity Planning Framework (http://www.amchp.org)http://www.amchp.org Mobilizing for Action through Planning and Partnerships (MAPP) (http://www.naccho.org)http://www.naccho.org STIPDA’s State Technical Assessment Team (STAT) process (http://www.stipda.org)http://www.stipda.org 9

10. Step I: Planning Your IVP Strategies IVP strategies include: Educational materials and safety messages Safety equipment Screenings Counseling Skill development 10

11. Making the Link with IVP MCH Programs School-based programs IVP Activities Bullying prevention Youth suicide prevention Healthy dating relationships Teen driving safety Prevention of sports injuries 11

12. Making the Link with IVP MCH Programs Family services IVP Activities Positive parenting Safe travel Home safety checks Drowning prevention Fire prevention 12

13. Step 2: Partnerships Example The Massachusetts Division of Violence and Injury Prevention (DVIP): Integrates 7 major injury and violence prevention topics into MCH Partners with 7 programs within MCH to do integration 13

14. Partnership Fundamentals Common goals that produce mutual benefits An understanding of each partner’s needs, capabilities, and constraints A reliable champion within each partnering organization Clarity and buy-in about roles and responsibilities 14

15. Finding Partners Walk down the hall! Serve on an advisory board or invite a prospective partner to serve Participate on cross-departmental committees or task forces Send informational e-mails on IVP topics Make presentations at conferences and meetings 15

16. Finding Partners Example The Massachusetts Bureau of Family and Community Health invited staff from MCH units to sit on program advisory boards to pave the way for integration. Staff from WIC sat on the advisory board of Fire Safe Massachusetts 16

17. Step 3: Program Implementation Example To implement domestic violence screening in WIC clinics, the Massachusetts DVIP did the following: Started with a small number of pilot sites Expanded to statewide effort after pilot phase Incorporated IVP into standard operating procedures 17

18. Program Implementation Fundamentals Start small with a pilot phase Create a referral network so staff can connect clients with additional services Increase your program’s visibility Make IVP a core element of program operations 18

19. Program Implementation Resources Children’s Safety Network at http://www.ChidrensSafetyNetwork.org http://www.ChidrensSafetyNetwork.org CDC’s The Community Guide at http://www.thecommunityguide.org http://www.thecommunityguide.org Harborview Injury Prevention and Research Center at http://depts.washington.edu/cdreview/main.php http://depts.washington.edu/cdreview/main.php Your State MCH program and City and State IVP programs 19

20. Step 4: Training and Technical Assistance Example Before implementing domestic violence screening in WIC clinics, the Massachusetts DVIP: Used staff surveys to find out what was needed Developed and delivered trainings for staff on how to identify and help clients who are victims of intimate partner violence 20

21. Why Is Training Important? Equips staff and management to be full participants Explains staff roles and expectations Builds necessary skills among frontline staff who will be implementing IVP activities 21

22. Why Is Technical Assistance Important? Continuous improvement of programs Peer network of in-house experts Customized problem-solving on specific issues Infrastructure for dissemination of new information 22

23. Step 5: Data Collection and Evaluation Example Kentucky studied 3,500 families, comparing families in its HANDS home visiting program with first-time families in the same counties that were not participating in the program. Among families in HANDS, the study found: 58 percent less physical abuse 62 percent less neglect 23

24. Why Should You Evaluate? Document progress and make your program more visible! Obtain information necessary to make program improvements Guarantee accountability Persuade funders to provide support Contribute to knowledge of effective IVP strategies 24

25. What Should You Evaluate? Client participation rates and satisfaction Number of safety devices distributed and used properly after instruction Changes in knowledge, attitudes, and behaviors Changes in injury rates and health status Quality and consistency of IVP services delivered 25

26. How Should You Collect Data? Questionnaires and surveys Needs assessments Interviews and focus groups Case studies Observation studies 26

27. How Can You Capitalize on Evaluation? Produce an evaluation report that contains: Description of integration goals and activities Evaluation plan, including the methods and data collection tools that were used Client testimonials or case studies 27

28. Evaluation Resources Demonstrating Your Program’s Worth: A Primer on Evaluation for Programs to Prevent Unintentional Injury http://www.cdc.gov/ncipc/pub-res/demonstr.htm http://www.cdc.gov/ncipc/pub-res/demonstr.htm CDC Evaluation Working Group http://www.cdc.gov/eval/http://www.cdc.gov/eval/ The Community Toolbox http://ctb.ku.edu/en/http://ctb.ku.edu/en/ W.K. Kellogg Foundation Evaluation Handbook http://www.ojp.usdoj.gov/BJA/evaluation/links/WK-Kellogg- Foundation.pdf http://www.ojp.usdoj.gov/BJA/evaluation/links/WK-Kellogg- Foundation.pdf 28

29. Contact Information Jennifer Allison State Outreach Coordinator Children’s Safety Network Education Development Center 55 Chapel Street Newton, MA 02458 (617) 618-2918 jallison@edc.org 29