Cross-Program Integration: Hawaii’s Focus on Injury & Violence Prevention

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Cross-Program IntegrationHawaiis Focus on
Injury Violence Prevention

• Eric Tash, MPH
• Injury Prevention and Control Program
• Deliana Fuddy, MS, MPH
• Family Health Services Division
• Hawaii State Department of Health
• November 17, 2009

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The Institute of Medicine Definition
Public health is organized community efforts
aimed at the prevention of disease and promotion
of health What we, as a society, do
collectively to assure the conditions in which
people can be healthy

• Institute of Medicine. (1988).The Future of
  Public Health.Washington, DC National Academy
  Press, p. 41.

From Carolyn Fowlers DOH Core Public Health
Skills Training Series Aug 8, 2008
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Cross Program Integration

• Child and Adolescent cross-program integration
  is a process that brings together the state IVP
  and MCH programs to identify common goals and to
  work jointly to achieve them.
• Facilitates the interweaving of injury strategies
  into programs and systems which service children
  and adolescents.
• Aligns and maximizes resources creating a
  coordinated and cohesive approach to increase the
  impact on injury and violence mortality and
  morbidity rates.
• Childrens Safety Network

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Injury Prevention and Control Program

• Taskforce in 1984
• How to achieve 1990 Health Objectives
• Key recommendation - state focal point for IP
• Program established in 1989
• 1984 Taskforce became Injury Prevention Advisory
  Committee (IPAC)

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Core Components

• Collecting and analyzing data
• Designing, implementing and
• evaluating interventions
• Providing technical support
• and training
• Affecting public policy
• Building a solid infrastructure
• for injury prevention

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Cross-Program Integration IVP Examples

• Keiki Injury Prevention Coalition (KIPC)
• Child Passenger Safety
• Unified Approach to Violence Prevention
• Child Death Review
• Fall Prevention - Maui
• Safe Sleep
• Suicide Prevention

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Suicide Prevention

• Major Public Health Problem
• Whos in charge?
• IPCP - MCH Integrating since 1999
• - Sharing the load
• - Working group and draft Strategic Plan
  (2001)
• Kick Starting the Movement (2005)
• - Pua Kaninau - Activist Survivor and
  Sparkplug
• - Region IX SPRC training formation of
  steering committee
• - HIPP and suicide prevention recommendations
• - Task Force established 2006
• - Injury Prevention Advisory Committee

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Suicide Prevention AdvocacyImpact

• Established an active statewide task force (45
  members)
• Established a permanent state civil service
  position
• Established a statewide system of gatekeeper
  training
• - 50 ASIST trainers
• - Over 1,000 gatekeepers trained statewide
• CAMHD funding (20,000 per year)
• Legislation passed 100,000 per year for 2008
  2009
• Awarded a SAMHSA grant for suicide prevention for
  1.5 million dollars (500,000 per year for three
  years)

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Successful PartnershipsLessons Learned

• Partnerships are critical invest resources in
  them to generate resources
• - They need to be approached with the same
  rigor we promote in best process
• intervention design
• - Connect and mobilize resources
• - Are powerful change agents (Carolyn
  Fowler)
• Successful partnerships are relationships built
  on trust
• Community as a core value not as an appendage
• Need to be flexible and open to opportunities
• Each according to their means
• Credit needs to be shared