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Youth Violence Prevention. Lloyd B. Potter, PhD, MPH. Children’s Safety Network: Three Resource Centers. National Injury and Violence Prevention Resource Center National Children’s Center for Rural and Agricultural Health and Safety Economics and Data Analysis Resource Center.
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Youth Violence Prevention Lloyd B. Potter, PhD, MPH
Children’s Safety Network: Three Resource Centers • National Injury and Violence Prevention Resource Center • National Children’s Center for Rural and Agricultural Health and Safety • Economics and Data Analysis Resource Center
"If a disease were killing our children inthe proportions that injuries are, peoplewould be outraged and demand thatthis killer be stopped." C. Everett Koop, M.D.Former Surgeon General
The Public Health Approach to Prevention Assess the Problem What’s the problem? Identify the Causes Why does it happen? Implementation & Dissemination How do you do it? Develop & Evaluate Programs & Policies What works?
Injury Prevention Elements • Surveillance • Regulation and legislation • Research • State and local programs • Public support Reducing the Burden of Injury, IOM, 1999
Ten leading causes of death for persons aged 10-14 years, United States, 2000
Ten leading causes of death for persons aged 15-19 years, United States, 2000
KEY PROGRAM COMPONENTS • INJURY PREVENTION COORDINATOR • FUNDING • ADVOCACY • NEEDS ASSESSMENT • DATA IMPROVEMENT • INTERVENTION PLAN • SUPPORT AND GUIDANCE FOR LOCAL PROGRAMS • EVALUATION • COLLABORATION
Spheres of Influence: Ecological perspective of development Society Community Family/Peers Individual
Level of Intervention • Indicated - Individual, very high risk groups • Selective - higher risk population • Universal - general population
Bullying Prevalence • Grades 6-10 • 30% were involved in bully/victim problems “several times or more” • 17% had been bullied • 19% had bullied others • 6% bullied and were bullied Source: Nansel et al. (2001)
Bullying: What Works? • A change in the school climate and in norms for accepted behavior. • A comprehensive, school-wide effort involving the entire school community • Prominent example: The Olweus Bullying Prevention Program.
Youth Violence: A Report of the Surgeon General www.surgeongeneral.gov/library/youthviolence
Best Practices: Interventions • Intervention types demonstrated to be effective in reducing violent behavior • Home visitation • Parent training • Mentoring • Social cognitive www.cdc.gov/ncipc/dvp/bestpractices.htm
Basic Program Steps • description of the community’s problem • set goals and objectives • select and appropriate intervention • identify participant groups • select a setting • locate resources
Problems identified that effective delivery of programs • partnerships - poorly established • organizational readiness - lack of institutional support • age-appropriateness of the intervention • staff selection and training • evaluation planning
Blueprints for Violence Prevention www.colorado.edu/cspv/blueprints Center for the Study and Prevention of Violence (CSPV), at the University of Colorado at Boulder
Challenges and Opportunities • Coordination and Collaboration • Strengthening Capacity for Research and Practice • Integrating the Field • Nurturing Public Support • Promoting Informed Policy Making Reducing the Burden of Injury, IOM, 1999