Department of Health and Human Services
	Research, Demonstration, and Evaluation Activities FY 2003 Plan and Budget February 2002

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RESEARCH AND DEMONSTRATIONS

(by HHS Strategic Plan Objective)

REDUCE THE INCIDENCE AND IMPACT OF INJURIES AND VIOLENCE IN AMERICAN SOCIETY (OBJECTIVE 1.2)

FY 2003 Priorities

INJURY PREVENTION AND CONTROL (CDC)

Research:

In FY2003, CDC research on injury and violence priorities will include:

• Injury Outcomes Research - CDC will continue to support research which investigates outcomes of mild to moderate traumatic brain injury (TBI) and the effectiveness of the trauma system. The studies will examine:
  • Community-based Case Management of Mild to Moderate TBI.
  • measuring the quality of care delivered in a trauma system.
  • injury surveillance using linked population-based data.
  • measuring children’s health post traumatic brain injury.
• Unintentional Injury Prevention Research - CDC will continue to conduct research which builds the scientific base for the prevention of injuries due to falls, sports and recreation, motor vehicle crashes, pedestrian injuries, and other injuries among children. Projects will include:
  • biomechanics of diffuse brain injuries.
  • knee joint injury: prevention and intervention.
  • human head-neck biomechanics in low speed rear crashes.
  • neurophysiology of whiplash pain.
  • biomechanical properties of human cerebral vessels.
  • alcohol and traffic crash fatalities.
  • socialization strategy, temperament, and childhood injuries.
  • motor vehicle crashes among the elderly: short/long term.
  • injury risk management for young children.
• Violence Prevention Research - CDC will conduct research which will develop a better understanding of the etiology of violence and its consequences, to determine how best to prevent violence related injuries among different segments of the population and in different settings, and how best to reduce the severity of emotional and physical consequence of violence. Projects will include:
  • justice system response and recurrence of partner violence.
  • longitudinal study of battered women in the health care system.
  • readiness to change and desist from partner violence.
  • domestic violence and child maltreatment in black families.
  • intimate partner violence: outcomes in context.
  • child violence, adult victimization, injury, and health.
  • development pathways of rural African American youth.
  • suicide risk during transition to early adulthood.
  • adult violence linkages in youth with disabilities.
  • National Academic Centers of Excellence on Youth Violence.
  • Suicide Prevention Research Center.
  • Violence Against Women Research Center.
• Injury Control Research Centers - CDC plans to fund research on youth-related injury and violence prevention at 11 academic centers across the U.S.

Demonstrations:

• Injury Outcomes - The Injury Control Training and Demonstration Center will demonstrate effectiveness of trauma-related interventions, such as the effectiveness of statewide coordination of emergency medical services and trauma-related training and research designed to improve the health of people in rural West Virginia.
• Violence Prevention - Demonstration projects will determine which interventions are effective in preventing and reducing aggressive and violent behavior; for example, a demonstration of early intervention and prevention of sexual violence and intimate partner violence among racial and ethnic minority populations.

Evaluations: CDC will support evaluation to assess the effectiveness of injury interventions. Priorities include:

• evaluation of the rape prevention and education block grant program.
• evaluation of culturally competent demonstration projects for early intervention and prevention of intimate partner violence and sexual violence among racial and ethnic minorities.
• evaluation of the effectiveness of Community Based Organizations’ coordinated community responses to preventing violence among youth.

EMERGENCY MEDICAL SERVICES FOR CHILDREN (HRSA)

Demonstration: The Emergency Medical Services for Children (EMSC) demonstration program is designed to ensure state-of-the-art emergency medical care for the ill or injured child or adolescent. The program covers the entire spectrum of emergency medical care, including primary prevention, acute care, and rehabilitation. In FY 2003, the requested funds will support implementation and assessment of approaches for improvements in areas such as training of pre- hospital providers in pediatrics, coordination of emergency care with primary care, and coordination of ongoing management of pediatric trauma and serious illness.

HEALTH SERVICES RESEARCH (NIH)

Research: In FY 2003, NIH funds will be used to support research on unintentional injuries.

The National Institute of Child Health and Human Development (NICHD) will support research to reduce unintentional injuries through effective education of parents and other caregivers. Researchers will examine the extent, content, and dynamic of injury prevention communications between pediatricians and care givers during routine child health visits. The researchers will then develop and test clinically-based interventions to enhance the delivery of injury prevention guidance.

FAMILY AND COMMUNITY VIOLENCE PREVENTION PROGRAMS (OPHS)

Demonstration: The purpose of Family and Community Violence Prevention programs is to reduce the incidence of violence and abusive behavior in low income, at-risk communities through the mobilization of community partners. Minority institutions partner with community organizations to directly impact the academic and career development of those who are at risk, improve the quality of life, and reduce the potential of violent behavior activity of those residents who live in impoverished communities which surround many college campuses. In FY 2003, OPHS will continue this demonstration and:

• assess and encourage the design of models that work in varied settings (e.g., racial/ethnic groups, geographic location).
• encourage more community involvement with educational institutions in addressing prevalence of violent and abusive behavior.