Injury Prevention for Children & Youth - Drowning Prevention, Traffic Safety, & Suicide Prevention Programs

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Esther Ball
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1 Injury Prevention for Children & Youth - Drowning Prevention, Traffic Safety, & Suicide Prevention Programs Child Death Review- Maternal Mortality Review Programs Summit June 15, 2016

2 Leading causes of fatal and serious injuries among children in Hawaii, by age group, Rank infants (123 total) 1-5 years (147) 6-15 years (202) 16-17years (122) total (594) 1 SUID 66 falls 31 suicide 41 suicide 31 falls 83 2 homicide/ assault 14 fires/ burns 22 falls 30 mvc*- occupant 28 suicide 72 3 falls 12 drowning 17 mvc*- occupant 22 falls 10 SUID 66 4 fires/ burns 6 mvc*- pedestrian 17 struck by/ against 16 mvc*- motorcyclist 10 mvc*- occupant 58 5 possible assaults 5 homicide/ assault 11 *mvc = motor vehicle crash mvc*- pedestrian 14 mvc*- pedestrian 8 fires/ burns 41 2

3 Factors for Determining Injury Focus Areas Burden of injury Cost to society Existence of evidence-based programs & policies Feasibility of action Potential for prevention demonstrable & measurable Stakeholder/partner support for prevention efforts Source: National Action Plan for Child Injury Prevention: f

4 Hawaii Injury Prevention Partners Children and Youth Drowning Prevention Drowning and Aquatic Injury Prevention Advisory Committee Junior Lifeguard Programs Strategic Highway Safety Planning Committees Keiki Injury Prevention Coalition (KIPC) Emergency Medical Services and Injury Prevention System Branch (EMSIPSB) Injury Prevention and Control Section Safe Kids HI Suicide Prevention Prevention Suicide Hawaii Taskforce HI Chapter, American Foundation for Suicide Prevention Department of Defense & Armed Forces in HI State Highway Traffic Safety Council Mothers Against Drunk Driving (MADD) Injury Prevention Advisory Committee EMS Advisory Committee Hawaii Trauma Advisory Council

5 Spectrum of Prevention Influencing Policy and Legislation Mobilizing Neighborhoods and Communities Changing Organizational Practices Fostering Coalitions and Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge and Skills New Level - Assuring Access to Quality Health Care - EMS services + proximity of quality trauma centers

6 Drowning Prevention

7 Strengthening Individual Knowledge and Skills Parks and Recreation learn to swim classes; Junior Lifeguard Programs Spectrum of Prevention- Drowning Influencing Policy and Legislation Senate Bill 103- Hawaii Tourism Authority Safety Video Act 170- Lifeguard Tort Liability Mobilizing Neighborhoods and Communities Parks & Recreation outreach to schools re. swim programs; Community supported extended lifeguard hours - Honolulu Changing Organizational Practices Hawaii Tourism Authority (HTA) organizational mission now supports ocean safety; County Ocean Safety agencies major role is injury prevention Fostering Coalitions and Networks Hawaii Drowning and Aquatic Injury Prevention Advisory and Task Force (all counties Ocean Safety & Parks and Recreation, DLNR, HTA, military, coast guard, non-profits) Educating Providers National Red Cross & Parks & Recreation building swim instructor capacity in all counties Promoting Community Education Collaboration with HTA and Advisory Group on drowning prevention campaign

8 Traffic Safety

9 Spectrum of Prevention- Traffic Influencing Policy and Legislation Graduated Driver s Licensing (GDL); State Safe Routes to School (SRTS); Complete Streets (CS) Mobilizing Neighborhoods and Communities Community driven environmental policies to limit access to alcohol; CS & SRTS projects Changing Organizational Practices SBI in Level III trauma centers provided for patients ages 10 & up; Honolulu county use of CS & SRTS Fostering Coalitions and Networks Strategic Highway Safety Plan Commitees; Hawaii Partnership to Prevent Underage Drinking (HPPUD) & MADD Educating Providers Impairment recognition training for police officers; Retail & Restaurant Establishment Server Trainings Promoting Community Education HPPUD and MADD public education on laws, penalties, and fatality statistics Strengthening Individual Knowledge and Skills Peer based education and training in schools and youth-based organizations

10 Suicide Prevention Hawaii Youth Leadership Council

11 Spectrum of Prevention- Suicide Influencing Policy and Legislation HCR0066 PSHTF Subcommittee to reduce suicides by 25% by 2025; annual State funding for SP since 2007 Mobilizing Neighborhoods and Communities American Foundation for Suicide Prevention, HI Chapter (AFSP-HI) organizes survivor outreach, support groups and training; Youth Leadership Council work with peers Changing Organizational Practices Cognito and mental health first aid training in public schools; HPD trains all recruits & policy for 24/7 crisis response includes suicide Fostering Coalitions and Networks Prevent Suicide HI Taskforce (statewide and county level), AFSP-HI, Youth Leadership Council, Military Educating Providers Train the trainer to build capacity and access to gatekeepers in all counties (Evidence-based: ASIST, safetalk, CONNECT) * Promoting Community Education Suicide prevention awareness activities and outreach all islands, Out of Darkness community walks all islands; youth suicide prevention messaging Strengthening Individual Knowledge & Skills Suicide prevention gatekeeper training for professionals, community members all counties

12 Suicide Prevention Gatekeeper Trainings Suicide Alertness for Everyone, Tell, Ask, Listen & KeepSafe A 3.5 hour training for everyone in the community and emphasizes the ability to recognize a person at risk for suicide and know how to connect them with a person trained in suicide first aid intervention. Applied Suicide Intervention Skills Training A 2 day training that assists community members and organizations to learn suicide first aid intervention. Outcome studies show participants are more willing, ready and able to help a person at risk of suicide. Training for professionals & communities in suicide prevention & response A comprehensive program for professionals and communities in emphasizing prevention and intervention strategies, promoting healing and reducing risk after a suicide. Persons who have survived their own suicide and/or who have family members who have attempted suicide, are trained how to safely share their story privately and publicly. For information on Gatekeeper trainings contact: Jeanelle Sugimoto-Matsuda, John Burns School of Medicine, Department of Psychiatry sugimotoj@hawaii.edu or, Visit the Department of Health website at

13 Youth Suicide Prevention Group Objectives Youth (14-18) voice to inform statewide suicide prevention work Leadership development, training, and civic engagement Train adults to support youth in their home & communities Activities Ongoing meetings via webinar and with island taskforces Participation in events (e.g., walks, sign-waving) Planning additional training for youth and adults Mental Health America of Hawai i - prevention@mentalhealth-hi.org)

14 Injury Prevention Resources Key Resources Traffic Hawaii Strategic Highway Safety Plan Drowning Hawaii Beach Safety Website Parks & Recreation swim instruction parks.honolulu.gov Suicide Hawai i Crisis Line O ahu: Neighbor Islands: National Crisis Text Line National Suicide Prevention Lifeline TALK (8255) Press: #1 for military Poisoning Prevention Hawaii Poison Center

15 Injury Prevention: A Safe Hawaii from the Mountains to the Sea Therese Argoud, DOH, Emergency Medical Services & Injury Prevention System Branch (808) Therese.argoud@doh.hawaii.gov Drowning Prevention Bridget Velasco Bridget.velasco@doh.hawaii.gov Traffic Safety Kari Benes kari.benes@doh.hawaii.gov Suicide Prevention Nancy Deeley Nancy.deeley@doh.hawaii.gov

Poisoning Prevention

Poisoning Prevention Hawai`i Injury Prevention Plan 2012-2017 Injury Prevention Advisory Committee Injury Prevention and Control Section Hawai`i State Department of Health Emergency Medical Services and