Connecting the dots_health_professional_ppp

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Service and healthcare providers are an integral part of educating each other about the prevalence of youth violence and their important role in recognizing the signs of risk and preventing the spread of violent behaviors.

Choose Peace/Stop Violence has developed a presentation for professionals to share with other interested service and healthcare providers.

Connecting the Dots is an AMA-approved PowerPoint presentation and guide designed to educate professionals who have contact with youth and their parents.

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Connecting the dots_health_professional_ppp

  1. 1. Connecting the Dots to Prevent Youth ViolenceA training and outreach guide for physicians and otherhealth professionals. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  2. 2. NameDateInstitutionHealth Professional Training Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  3. 3. The ProblemThe United States has thehighest youth homicide andsuicide rate among thewealthiest developednations (Task Force onViolence, 1999). Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  4. 4. Impact of violence on health Homicide is second leading cause of death for youth ages 15-19 ( Cohen And Potter, 1999). Medical costs just for firearm injuries are estimated to be $2.3 Billion a year (Cook et al, 1999). Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  5. 5. Impact on health The bright regions in these scans (at left, a top-down view of the brain; at right, a view of the brain from the back of the head) indicate greater hippocampus activity in healthy children during memory recall than in children with PTSD symptoms. (Credit: Copyright 2009: Journal of Pediatric Psychology)Recent research shows changes to the brainstructure and chemistry following exposure toextreme violence (Niehoff, 1999). Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  6. 6. The public health approach Like polio and other public health threats, violence can be prevented. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  7. 7. The causes of youth violence Risk Factors are personal characteristics or environmental conditions scientifically established to increase the likelihood of problem behavior. Protective Factors are characteristics or conditions that interact with risk factors to reduce their influence on violent behavior and may or may not have a direct effect on violence. Protective factors may exert positive effects in direct opposition to the negative effects of risk factors or by buffering individuals against the negative effects of risk factors. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  8. 8. Violence is learned by being victimizedApproximately 772,000 children were victims ofmaltreatment in 2008 (US DHHS).Experiencing child abuse and neglect increases thelikelihood of arrest as a juvenile by 53% and of committingviolent crimes by 38% (Widom, 1992). Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  9. 9. Violence is Learned The 3.3 million children who witness domestic abuse each year are 15 times more likely to become victims or perpetrators of violence (Carlson, 1994; Horn, 2000). They are also more likely to be victimized in intimate relationships as well as to become a perpetrator or victim of violence on the streets (Widom, 1992). Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  10. 10. Violence is learned by exposureto violent media By the age 18, a child has seen 200,000 acts of violence on TV and other media.Studies suggest that children confrontedincessantly by violent images may becomeimmune to the horror of violence and may cometo accept violence as a way to solve problems. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  11. 11. Alcohol and drugs are risk factors 50% of youth homicide victims have elevated blood alcohol levels. (Mann, et al, 1998; Adams et al, 1992; Prothrow-Stith, 1992). 50% of youth who commit homicide have elevated blood alcohol levels. (Mann, et al, 1998; Adams et al, 1992; Prothrow-Stith, 1992). Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  12. 12. FirearmsTeenage boys are more likely to die from gunshotwounds than from all natural causes combined.Family and friends are the primary source of guns foryoung people. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  13. 13. A combination of factors Violence is not the result of a single factor. Violence is the result of the interaction of multiple individual, situational, contextual and society influences (National Youth Violence Prevention Resource Center, 2001). Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  14. 14. What health care professionalscan do:• Educate youth about ways to reduce risk and increase protection.• Screen youth for risk and exposure.• Refer them to comprehensive support programs.• (Brandt, 1997; Sege et al, 2001; Cohn, 2001) Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  15. 15. Three Phases of the Haddon MatrixPre- Injury  Prenatal care  Routine preventive care  Acute care unrelated to injury from violence. InjuryPost-Injury  Acute  Urgent  Emergency care related to injury from violence.(National Committee for Injury Prevention and Control, 1989) Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  16. 16. Post-Injury: EducateEducate parents on methods to help child avoidre-injury, and to cope with emotional trauma.Educate young people on the same topics. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  17. 17. Post-Injury: Assess Document injuries and surrounding events. Seek further psychiatric evaluation. Risk factors for re-injury:  Is conflict settled?  Does person feel safe leaving health setting?  Is He/she thinking about revenge?  Is there a safe place to go while things cool off? Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  18. 18. Post-Injury: Refer•Refer young people and families to mental health andcrisis services.•Refer to long-term comprehensive services.•Notify authorities in case of abuse/ neglect or whenplans for revenge warrant. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  19. 19. “Invisible victims” of violence Child witnesses to domestic violence are victims - we often forget them. In a “cycle of violence,” many young perpetrators have also been witness to and victims of violence. (Widom, 1992). Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  20. 20. Post-Injury: “invisible injuries” Educate caregivers on emotional impact of witnessing violence and methods to help child cope. Screen young people for exposure. Refer to comprehensive programs with mental health services. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  21. 21. Three Phases of the Haddon MatrixPre- Injury  Prenatal care  Routine preventive care  Acute care unrelated to injury from violence. InjuryPost-Injury  Acute  Urgent  Emergency care related to injury from violence.(National Committee for Injury Prevention and Control, 1989) Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  22. 22. Pre-Injury: Educate Educate parents on strategies to build protective socio-emotional competencies. Educate on the effects of media violence and ways to reduce exposure. Educate on firearms and ways to reduce risk such as safe storage procedures. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  23. 23. Pre-Injury: Screen Age-appropriate screening for risk factors throughout child’s development. Examples of tools for use with adolescents - FISTS:  Fighting  Injuries  Sex  Threats  Self Defense Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  24. 24. Pre-Injury: Refer Connect young people who show risk and their families to comprehensive and effective prevention programs. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  25. 25. Effective Programs Early Start Long Term Intense Strong Connection with Supportive Adult Involves Many Sectors:  HEALTH CARE  SCHOOLS  POLICE  COMMUNITY  BUSINESS Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  26. 26. GALVESTON TEXAS-ISLAND YOUTH PROGRAMS Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  27. 27. Beyond the clinic Work with schools Work with the community coalitions. Advocate for effective policy. Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.
  28. 28. Discussion and ClosingSome years ago, a wise person wrote, “In violence we forgetwho we are.”The tragedy of youth violence is that so many youngpeople, who either caused violence or were themselves thevictims, lost the chance to find out who they really were. Thank you! Choose Peace/Stop Violence is a community movement of concerned Broward County residents and agencies dedicated to creating safe, healthy and thriving environments for our children and families.

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