Service Area Strategic Plan
11/23/2009   5:37 am
Department of Health (601)
Biennium: 2008-10
Service Area 1 of 1
Injury and Violence Prevention (601 430 16)
Description

This service area implements strategies to prevent the public health toll of injury and violence across the lifespan. Products and services address childhood and elderly unintentional injury (transportation, home and recreation), suicide and self-inflicted injury, and violence (sexual assault, domestic, youth) and include:
• research and assessment,
• policy and program development,
• training of providers,
• school and community projects,
• promotion and dissemination of safety devices, and
• information dissemination.
Background Information
Mission Alignment and Authority
  • Describe how this service supports the agency mission
    This service area directly aligns with VDH’s mission of promoting and protecting the health of Virginians by addressing injury which is the leading cause of death for Virginians ages 1-34.
  • Describe the Statutory Authority of this Service
    Code of Virginia § 32.1-2 requires VDH to assist in providing a comprehensive program of preventive, curative, restorative and environmental health services, health education, and emergency and other health hazard abatement.

    Code of Virginia § 32.1-73.7 assigns the lead responsibility for youth suicide prevention to the health department.

    Code of Virginia § 32.1-77 authorizes the Commissioner of Health to administer state plans for maternal and child health services and children’s specialty services pursuant to Title V of the United States Social Security Act and to receive and expend federal funds for the administration thereof in accordance with applicable federal and state laws and regulations (note: this section is relevant to public health initiatives to address injury and violence which are included as Title V performance measures).

    Code of Virginia § 46.2-1097 requires VDH to operate a child restraint promotion and distribution program for low income families.

    42 USC Sec. 602 [Temporary Assistance to Needy Families (TANF)} requires states to conduct an education and training program for law enforcement officials, the education system, and relevant counseling services on the problem of statutory rape so that teenage pregnancy prevention programs may be expanded in scope to include men
Customers
Agency Customer Group Customer Customers served annually Potential annual customers
Households equipped with smoke detectors (FY2006) 3,000 9,000
Individuals receiving sexual violence prevention education sessions (Federal FY2005) 57,904 63,694
Individuals trained on suicide prevention (FY2002-2007) 70,000 85,000
Licensed and Religious Exempt Day Centers and Day Homes (FY2005) (received resource mailings) 6,568 6,568
Local Departments of Social Services (FY2006) (received resource mailings) 122 122
Local Health Departments (FY2006) (received resource mailings) 119 119
Males ages 19-29 receiving sexual violence prevention print materials (FY2005) 21,000 633,599
Medicaid Eligible Children Under Age 4 that received child restraint devices and education (FY2006) 10,000 121,217
Men 18-29 exposed to sexual violence prevention billboard campaign (customers served is based on gross impressions; potential customers is statewide listener gross impressions estimate for 18+, FY2006) 19,500,000 64,400,000
NHTSA child safety seat technicians trained (FY2006) 56 56
Pediatricians, Family Practitioners (FY2005 mailing list) (received resource mailings) 3,404 3,500
Professionals trained on sexual violence prevention (Federal FY2006) 6,796 10,000
Public and Private Elementary, Middle, High Schools (students and staff receiving educational resources, training) (FY2006) 2,336 2,336
Public receiving general educational materials ( e.g. brochures, posters ) from Injury prevention resource center (FY2006) 1,000,000 5,381,877
Public receiving sexual violence prevention radio PSAs (customers served is based on gross impressions (average number of listeners for the schedule multiplied by the number of spots); potential customers is total listener population, FY2006) 247,000 453,036
Public receiving youth suicide prevention radio PSAs (customers served: is based on gross impressions 18-24; potential customers is statewide listener gross impressions estimate for 18+, FY2006) 25,482,000 75,800,000
Recipients of bicycle helmets (FY2006) 4,500 4,500
State and Local Domestic and Sexual Violence Agencies (FY2005) (received training, grant funds, resource mailings) 61 61
State and Local Police, Sheriffs’ Offices and Training Academies (FY2006) (received resource mailings) 417 417

Anticipated Changes To Agency Customer Base
As there is greater recognition of mental health needs across the lifespan by school, medical and community service providers, it is anticipated that there will be greater demand for suicide and violence prevention services among these customers. As Virginia’s population ages, it is also anticipated that the demand for injury and violence prevention services targeted towards elderly populations will increase.
Partners
Partner Description
[None entered]
Products and Services
  • Factors Impacting the Products and/or Services:
    The products and services offered by this service area expand with additional state or federal funding and are reduced when grant funding ends or is decreased. Because this service area is predominantly federally funded, emerging national injury and violence priorities generally drive categorical federal funding opportunities and, therefore, determine the services that are funded and able to be provided. The lack of available manpower expertise at the state and local level also limits the technical services that can be provided. As new strategies and resources for injury and violence prevention become available at the national level, this service area shifts focus to adopt the strategies deemed to have the widest impact or application in Virginia.
  • Anticipated Changes to the Products and/or Services
    This service area’s products and services fluctuate based on available state or federal funding and shifts in the public health priorities that drive funding. With greater awareness of population based mental health needs, it is anticipated that violence and suicide prevention will continue to receive increasing attention, and funding opportunities and services offered in this area may increase. Local project funding, and therefore the scope of school and community projects , may decrease in areas funded by federal block grants if those federal funds decrease; however, this service area anticipates being able to continue to provide training and technical assistance to local providers.
  • Listing of Products and/or Services
    • Research and assessment: Analyzes death and hospital discharge data to provide an accurate picture of the scope, demographic distribution and cost of injuries in Virginia. It also coordinates surveys on risk and protective behaviors and evaluates the programmatic impact of prevention efforts.
    • Policy and program development: Provides data, information, consultation and training to support injury, suicide and violence prevention policy and program development at the state and local level.
    • Training of providers: Provides training on injury prevention, youth violence, suicide, sexual violence and domestic violence to the diverse groups of health, education, law enforcement and social service providers that reach children, adolescents, women, men and the elderly.
    • School and community projects: Collaborates with the Department of Education and other organizations to provide educators with information, training, project ideas, curricula and other resources to provide safe school environments, develop safety skills among Virginia’s youth and to get youth involved in community injury prevention. This service area offers grant funding and technical assistance to support numerous community-based unintentional, suicide and violence prevention projects.
    • Promotion and dissemination of safety devices: Provides a wide variety of safety devices (e.g. child safety seats, bicycle helmets, smoke and carbon monoxide detectors, gun safety locks, non-slip bath mats, nightlights) to high risk groups through a diverse group of school and community providers.
    • Information dissemination: Operates a statewide resource center and toll free line that provides a wide range of injury and violence prevention educational materials for the public and providers; a website (www.vahealth.org/civp) that highlights information about national, state and local injury prevention programs, funding opportunities, available trainings, data, injury prevention news, and resources to the variety of public and private providers involved in injury, suicide and violence prevention in Virginia; electronic list servers to professional groups; public and provider awareness campaigns; and statewide information resource dissemination to and through medical, school and community provider groups .
Finance
  • Financial Overview
    The majority of funding for this service area comes from federal grants, including those from:
    • Substance Abuse and Mental Health Services Administration (categorical funding)
    • Centers for Disease Control (categorical funding)
    • Federal Highway Safety (categorical funding)
    • Preventive Health and Human Services block grant
    • Maternal and Child Health block grant
  • Financial Breakdown
    FY 2009    FY 2010
      General Fund     Nongeneral Fund        General Fund     Nongeneral Fund  
    Base Budget $29,241 $4,689,962    $29,241 $4,689,962
    Change To Base $0 $0    $0 $0
               
    Service Area Total   $29,241  $4,689,962     $29,241  $4,689,962 
Human Resources
  • Human Resources Overview
    [Nothing entered]
  • Human Resource Levels
    Effective Date      
    Total Authorized Position level Ø    
    Vacant Positions Ø    
    Current Employment Level 0.0    
    Non-Classified (Filled)    
    Full-Time Classified (Filled)    breakout of Current Employment Level
    Part-Time Classified (Filled)    
    Faculty (Filled)    
    Wage    
    Contract Employees    
    Total Human Resource Level 0.0   = Current Employment Level + Wage and Contract Employees
  • Factors Impacting HR
    [Nothing entered]
  • Anticipated HR Changes
    [Nothing entered]
Service Area Objectives
 
  • Prevent injuries and injury deaths in Virginia
    Objective Description
    Injury is the leading cause of death of Virginians 1-34. Injuries include physical and psychological trauma that results from unintentional, self-inflicted and violent acts. Programs and policies that increase safe behaviors, eliminate unsafe products, enhance social and physical environments, and assure adoption of protective devices or technology can reduce or eliminate injury risk and severity. To reduce the impact of injury and violence, the VDH Division of Injury and Violence Prevention analyzes Virginia’s injury data, develops and promotes prevention programs and policies, and provides training and community education. This service area also promotes and disseminates safety devices to at-risk populations, conducts public information campaigns and funds local prevention projects. To achieve this objective, this service area works collaboratively with schools and daycares, health, social service and mental health providers, law enforcement, fire and EMS providers, and a variety of other community groups across the Commonwealth.
    Objective Strategies
    • Injury Data Analysis and Reporting Injury death, hospital discharge, and behavioral data will continue to be analyzed, reported and made available for program planning and evaluation.
    • Injury Prevention Resource Center and Website Injury and violence prevention fact and tip cards, and other education and training materials will continue to be provided. The website ( www.vahealth.org/civp ) will continue to provide information about injury and violence prevention programs, funding opportunities, trainings, data and research, injury prevention news, and resources to injury and violence prevention practitioners in VA.
    • Child Passenger Safety The Buckle Up Virginia! program will continue to coordinate a statewide low income child safety seat distribution and education program; regional training of nationally certified child passenger safety technician; specialized trainings on the safe transportation of children with special needs, children on school buses and those transported by daycare provider; public information campaigns, including Child Passenger Safety Week, to reach various target audiences throughout the year. This program is a partnership between the Virginia Departments of Health and Motor Vehicles funded through federal grants and state traffic fines revenue.
    • Bike Safety and Bicycle Helmet Promotion The Bike Smart Virginia! will continue: to educate communities about bicycle safety and the protection afforded by bicycle helmets; to make safety devices, such as bicycle helmets, readily available to those most at-risk; to provide technical assistance and resources to schools interested in bike safety.
    • Smoke Detector and Fire Safety Promotion The Get Alarmed, Virginia! Program will continue to partner with local groups to identify at-risk homes with children younger than five or elderly (65 years and older) to install smoke detectors, and deliver public fire and life safety education. The program is a federally funded partnership between the Virginia Departments of Health and Fire Programs.
    • Community Injury Prevention Technical assistance, training, information and resources will continue to be provided to community based injury prevention providers to the extent that funding is available.
    • School Based Injury Prevention Collaboration will continue with the Department of Education to provide information, training, project ideas, curricula and other resources to Virginia’s elementary and secondary schools to promote their efforts to provide safe school environments, develop safety skills among Virginia’s youth, get youth involved in community prevention activities and meet national injury and violence prevention guidelines (i.e. the Centers for Disease Control School Health Guidelines for Unintentional Injury and Violence Prevention and School Health Index and the American Academy of Pediatrics’ School Health, Mental Health and Safety Guidelines).
    • Medical Outreach for Domestic Violence and Other Injury Prevention Training and resources will continue to be provided to Virginia health providers
    • Sexual Violence Prevention Funding and technical assistance is provided to local sexual assault centers for prevention education in local communities. Data on the prevalence of sexual violence is analyzed and reported. Statewide training, resources and public awareness campaigns are provided on statutory rape, child sexual abuse and sexual violence prevention. Specific outreach is provided to males to encourage involvement in preveniton.
    • Suicide Prevention The VDH Youth Suicide Prevention Program will continue to provide public awareness activities, educational materials, training to school personnel, human service providers, faith communities and others about suicide as a public health issue, identification of youth at-risk of suicide, counseling and referral. This is a state and federally funded partnership between the Virginia Departments of Health, Education, Mental Health, Mental Retardation and Substance Abuse Services and numerous other state agencies.
    • Youth Violence Prevention A federally funded planning initiative around violence perpetrated by and toward children and adolescents will produce a state report card, strategic plan and recommendations for child and adolescent violence prevention in Virginia and move forward with implementation activities if funded.
    Objective Measures
    • Childhood (0-19 years) unintentional injury death rate.
      Measure Class:
      Other
      Measure Type:
      Outcome
      Measure Frequency:
      Annual
      Preferred Trend:
      Down
      Measure Baseline Value:
      11.82
      Date:
      12/31/2003

      Measure Baseline Description: Number of injury deaths per 100,000 population

      Measure Target Value:
      5
      Date:
      6/30/2010

      Measure Target Description: Number of injury deaths per 100,000 population

      Data Source and Calculation: This measure is calculated using death data from the Virginia Center for Health Statistics and population data from the latest Virginia Census.

    • Availability of low income child restraint distribution and education program
      Measure Class:
      Other
      Measure Type:
      Output
      Measure Frequency:
      Annual
      Preferred Trend:
      Up
      Measure Baseline Value:
      130
      Date:
      6/30/2005

      Measure Baseline Description: Number of distribution sites

      Measure Target Value:
      136
      Date:
      6/30/2010

      Measure Target Description: Number of distribution sites

      Data Source and Calculation: This measure is calculated using information on existing health districts and tracking the number and location of child restraint distribution sites.

    • Low income homes receiving smoke detector installation and education services
      Measure Class:
      Other
      Measure Type:
      Output
      Measure Frequency:
      Annual
      Preferred Trend:
      Maintain
      Measure Baseline Value:
      6825
      Date:
      9/30/2005

      Measure Baseline Description: Number of CDC grant funded smoke alarms installed and education provided in low income homes

      Measure Target Value:
      6000
      Date:
      6/30/2010

      Measure Target Description: Number of CDC grant funded smoke alarms installed and education provided in low income homes

      Data Source and Calculation: This measure is calculated by tracking the number and location of each installed smoke alarm and home-based education provided through the Get Alarmed! Virginia Program

    • Youth Suicide Rate
      Measure Class:
      Other
      Measure Type:
      Outcome
      Measure Frequency:
      Annual
      Preferred Trend:
      Down
      Measure Baseline Value:
      6.86
      Date:
      12/31/2003

      Measure Baseline Description: Number of suicides per 100,000 youth ages 10-24

      Measure Target Value:
      6.08
      Date:
      6/30/2010

      Measure Target Description: Number of suicides per 100,000 youth ages 10-24

      Data Source and Calculation: This measure is calculated using death data from the Virginia Center for Health Statistics and population data from the latest Virginia Census.


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