Transcript Injury and Violence Prevention

Injury and Violence Prevention
Branch
Applications and Programs
Unit
Stephania Sidberry, MPH
Applications and Programs Unit
Healthy Carolinians Conference
October 8th, 2009
Applications and Programs Unit
Applications and programs unit has four programs:

Rape Prevention and Education Program (RPE)

Enhancing and Making Programs and Outcomes
Work to End Rape (EMPOWER)

Garrett Lee Smith Youth Suicide Prevention Program

Get Alarmed, North Carolina!
Rape Prevention and
Education Program
(RPE)
RPE Program
National data indicate that as many as 1 in
6 women and 1 in 33 men experience rape
or attempted rape at least once in their
lifetimes, while many more experience
some other form of sexual violence such as
harassment, peeping, threats, and other
behaviors.
RPE Program

According to an analysis of the 2000-02 NC
Behavioral Risk Factor Survey data, about 10
percent of North Carolina women report
experiencing sexual violence after the age of 18.
About 38% were assaulted by partners or
spouses, 15% by acquaintances, and 16% by
strangers.

The number experiencing sexual violence is
likely much higher, since the stigma associated
with sexual violence continues and leads to
significant under-reporting.
RPE Program
According to the NC Council for Women and
Domestic Violence Commission, the 75 rape
crisis centers across North Carolina served
6,527 victims of sexual assault, and received
22,671 crisis calls between April 2007 and
March 2008.
RPE Program
Joint effort of:

Department of Health and Human Services

Centers for Disease Control and Prevention
RPE Program
Program Goals

To reduce the incidence of rape and sexual assault in the
state.

Done by providing a broad array of primary prevention
focused educational services that reach specific
professional groups and the public including children,
adolescents, and adults.
RPE Program

Funding since the mid 90’s.

Have funded 68 local rape crisis centers through 2006 –
some stand-alone, some combined domestic
violence/rape crisis centers.

Also funded the North Carolina Coalition Against Sexual
Assault (NC CASA).

Since 2006, funding is competitive with 12-17 programs
annually.
RPE Program
Program Design

Majority of RPE funds contracted out to local
agencies through a competitive RFA process.

RFA released every two years, next date will be April
2011.

Eligible agencies include private, non-profit
organizations, public or local governmental agencies,
and local health departments, whose mission and
history clearly demonstrate a commitment to prevent
sexual violence.
RPE Program
Program Design

This fiscal year funding 14 Agencies and the NC
Coalition Against Sexual Assault (NC CASA).

Funding 13 Agencies and NC CASA for the FY 2010
contract year beginning November 1st.
RPE Program Counties 09-10
LEGEND:
FY 09 Agency
FY 10 Agency
FY 09/10 Agency
2 Agencies in FY 09
1 Agency in FY 10
1Agency in FY 09
2 Agencies in FY 10
RPE Program

Agencies receive grant funds to promote the use of
a public health approach in the efforts of eliminating
sexual violence.

Focuses on the primary prevention of sexual
assault.

This approach is population-based (rather than
focusing on an individual), uses evidence-based
practices to the greatest extent possible, and
conducts evaluation to ensure effective
programming.
Enhancing and Making
Programs and Outcomes
Work to End Rape
(EMPOWER)
Enhancing and Making Programs and
Outcomes Work to End Rape (EMPOWER)
Joint effort of many partners including:

Department of Health and Human Services

Centers for Disease Control and Prevention

North Carolina Coalition Against Sexual
Assault

North Carolina Coalition Against Domestic
Violence (DELTA)
Enhancing and Making Programs and
Outcomes Work to End Rape (EMPOWER)

North Carolina was one of six states selected by the
Centers for Disease Control and Prevention (CDC)
in 2005 to implement the first stage of EMPOWER.

To date the NC team has made significant progress
towards developing a state plan to prevent sexual
violence by working through the Getting to
Outcomes for Intimate Partner Violence and Sexual
Violence (GTO) process.
Enhancing and Making Programs and
Outcomes Work to End Rape (EMPOWER)
Program Goals

EMPOWER uses a process call Getting to Outcomes, or
GTO to prevent intimate partner and sexual violence.

GTO is a 10-step public health approach to plan,
implement, evaluate and disseminate strategies to
prevent IPV and SV.

The state plan includes objectives for the RPE program
and broader state prevention system capacity (data,
policy, leadership, sustainability, etc.)
Enhancing and Making Programs and
Outcomes Work to End Rape (EMPOWER)
EMPOWER next steps:
 Working through the GTO process with a team of 20-25
state and local partners.

Phase II of EMPOWER: May 2009 – April 2012.

Team currently being reconfigured for Phase II, which
focuses on implementation and evaluation of the state
plan.
Enhancing and Making Programs and
Outcomes Work to End Rape (EMPOWER)
#1
Needs/
Resources
#2
Goals
#3
Best
Practices
#4
Fit
#5
Capacities
#10
Sustain
#6
Plan
#9
Improve
#7
#8
Outcome Implementation
Evaluation
Contact Information
Ingrid Bou-Saada, RPE and
EMPOWER Program Manager
Division of Public Health
Injury and Violence Prevention Branch
1915 Mail Service Center
Raleigh, NC 27699-1915
919.707.5426
[email protected]
Garrett Lee Smith
Suicide Prevention
Grant
Garrett Lee Smith Youth Suicide Grant

Suicide is the third leading cause of death among those
aged 15-24
 Motor vehicle accidents (31%)
 Homicides (15%)
 Suicides (11%)

More than 4,000 adolescents and young adults die by
suicide each year.

From 1999-2006, North Carolina lost almost 1,100 young
people, 10-24 years old to suicide.
Garrett Lee Smith Youth Suicide Grant
Suicides and Suicidal Behavior in NC 2006
Age Group
Suicides
Hospitalizations
ED Visits
10-14 year olds
15-19 year olds
20-24 year olds
*
28
81
66
487
509
131
1104
828
2007 High School YRBS
12.5% considered suicide in the past 12 months
9.5% planned suicide in the past 12 months
13.3% attempted suicide in the past 12 months
Garrett Lee Smith Youth Suicide Grant
Joint effort of:
Department of Health and Human Services
 Centers for Disease Control and Prevention
 UNC Injury Prevention Research Center
 Appalachian State University School Health
Training Center

Garrett Lee Smith Youth Suicide Grant
Program Goals
Promote awareness of suicide as a public health
problem;
 Implement evidence-based programs focused on
early identification and referral;
 Improve access to appropriate mental health or
support services for at-risk youth; and
 Improve the collection and reporting of data to
support program efforts.

Garrett Lee Smith Youth Suicide Grant
Program Design

Trainings in ASIST and SafeTalk offered to 100 SchoolBased Child and Family Support Teams, 23 SchoolBased/School Linked Health Centers and school xx and
support staff.

Comprehensive Media Campaign

Community College initiative
Garrett Lee Smith Youth Suicide Grant
Program Design

ASIST prepares caregivers to provide suicide first aid
interventions (ex: administrative and teaching staff).

SafeTalk identifies persons with thoughts of suicide
and connects them to suicide first aid resources. It is
designed to be used in organizations and communities
where there are already ASIST-trained caregivers. (ex:
school support staff).
Garrett Lee Smith Youth Suicide Grant
Program Design

Child and Support Family Teams (CFSTs) work in local
schools to help students succeed in the classroom and
have stable lives with permanent families.

A full time school nurse and social worker team are
based in selected schools.

They get the parents’ consent to serve the student, work
with families to figure out what the real needs are, and
partner with them and others to get services.
Garrett Lee Smith Youth Suicide Grant
Counties
CFST Teams
School based/linked Health Centers
CFST Teams and School based/linked
health Center
Garrett Lee Smith Youth Suicide Grant
Program Design

Communications Campaign
– Will involve a website, other promotional materials
and marketing campaign
– Conducted 9 focus groups to get youth perspective
on campaign
– Website live by January 2010
Garrett Lee Smith Youth Suicide Grant
How you can get involved?

Trainings not just for CFSTs and health center
staff.

Anyone who works with youth ages 14-24 can
be trained.

Training requirement: complete referral/tracking
form.
Contact Information
Jane Ann Miller, Youth Suicide
Prevention Program Manager
Division of Public Health
Injury and Violence Prevention Branch
1915 Mail Service Center
Raleigh, NC 27699-1915
919.707.5430
[email protected]
Get Alarmed, North
Carolina!
Get Alarmed, North Carolina!

Deaths from fires and burns are the fifth most common
cause of unintentional injury deaths in the United States
(CDC 2005) and the third leading cause of fatal home
injury (Runyan 2004).

The United State’s mortality rate from fires ranks sixth
among the 25 developed countries for which statistics
are available (International Association for the Study of
Insurance Economics 2003).
Get Alarmed, North Carolina!
Joint effort of:
 Department of Health and Human Services
 UNC Injury Prevention Research Center
 North Carolina Jaycee Burn Center
 Office of State Fire Marshal
 Centers for Disease Control and
Prevention
Get Alarmed, North Carolina!
Program Goals:

Increase the number of homes with
functional smoke alarms.

Increase the number of homes with adequate
smoke alarm coverage.
Get Alarmed, North Carolina!
Program Goals

Increase residents’ knowledge about general
fire safety:
-Smoke Alarm maintenance
-Keeping an eye on smokers
-Safe cooking practices
-Safe use of space heaters
Get Alarmed, North Carolina!
Get Alarmed, North Carolina! funded since 2001.
 Program in second of five-year funding cycle.
 Second five-year cycle ends September 2011.
 Total smoke alarms installed in North Carolina
through September 2009 – 14,719.

Get Alarmed, North Carolina!
Counties
Graham
Henderson
Cherokee
Clay
Previous Get Alarmed Grantees
FY 2010 Get Alarmed Grantees
•Cedar Mountain Volunteer Fire Dept. – Transylvania County
•Town of Tryon DBA Tryon Fire Department – Polk County
•Lovelady Volunteer Fire Department – Burke County
•Davidson County Fire Marshal's Office
•Burlington Fire Department - Alamance County
•Williamston Fire / Rescue Department – Martin County
•Camden Fire Marshal's Office, Elizabeth City - Pasquotank County
•Perquimans County Fire Marshal's Office
Get Alarmed, North Carolina!

Program targets high risk residents and structures
including:
– Low-income families
– Families with young children
– Older Adults
– Persons with disabilities
– Old Structures
– Mobile Homes
– Rental Homes
– Persons with cultural and/or ethnic differences
Get Alarmed, North Carolina!
Fire agency protocol:

Inspect existing smoke alarms (About 40% of homes
enrolled in the project already had a smoke alarm in the
home, but it was not working).

Replace all old smoke alarms that are not lithium powered
with new alarms that are lithium powered outside the
bedrooms in the approximate center of every sleeping
area.

Install new alarms with long life lithium batteries.
Get Alarmed, North Carolina!
Fire agency protocol:

Alarms on all levels of home - EACH level must have
at least 1 alarm powered by lithium batteries (MOST
homes will not need more than 3 smoke alarms).

National Fire Protection Association (NFPA) requires
an alarm in each bedroom in NEW Construction.

NFPA also recommends to have another alarm
somewhere else in the home.
Get Alarmed, North Carolina!

Installation Do’s and Don’ts:
– Do not install in areas where temperature or humidity
are outside manufacturer’s limits (not below 40ºF or
above 100ºF).
– Do not install where mounting surface could become
too cold or too hot.
– Do not install within 3 feet of a bathroom or kitchen
door.
– Do not install within 3 feet of a supply air register and
not in direct flow path.
Get Alarmed, North Carolina!

Installation Do’s and Don’ts
– Do not install within 3 feet of the tips of ceiling fan
blades.
– Do not install where the smoke would be blocked
from reaching the smoke alarm for stairways leading
to other occupied levels,
– Do locate the smoke alarm on the basement ceiling at
the top of the stairs.
Get Alarmed, North Carolina!

Installation Do’s and Don’ts:
– Do test your smoke alarm at least monthly –
more often if recommended by the
manufacturer.
– Do save the smoke alarm instructions and
follow the testing and maintenance
recommendations.
Get Alarmed, North Carolina!
Request for Applications
(RFAs)
Get Alarmed, North Carolina!




A RFA is released annually to 3,000 Fire Agencies.
Encourage your local fire agency to apply.
Agencies need assistance with spreading the word,
identifying and referring residents in high risk
homes/areas.
Released in January and available on our website:
–

http://www.injuryfreenc.ncdhhs.gov/
If you wish notified when the RFA is released, leave
me your contact information.
Get Alarmed, North Carolina!
Eligible recipients of awards are:
1.
2.
Fire Departments or official representatives of Fire
Agencies such as Fire Marshal’s Offices or Fire
Fighter’s Associations who serve counties with a
population of 50,000 or fewer persons;
OR,
Fire districts with a district population of 50,000 or
fewer persons, regardless of county population;
OR,
Get Alarmed, North Carolina!
3.
High-risk neighborhoods with a population of
50,000 or fewer persons, regardless of
county population. This includes Fire
Agencies in larger cities.
Contact Information
Sherri Troop, Get Alarmed North Carolina!
Program Manager
Division of Public Health
Injury and Violence Prevention Branch
1915 Mail Service Center
Raleigh, NC 27699-1915
919.707.5435
[email protected]
Contact Information
Stephania Sidberry, MPH
Division of Public Health
Injury and Violence Prevention Branch
1915 Mail Service Center
Raleigh, NC 27699-1915
919.707.5429
[email protected]