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Injury and Violence Prevention

According to the CDC’s National Center for Injury Prevention and Control, nearly 30 million emergency room visits and more than 180,000 deaths are attributable to injury and violence each year. In fact, injury is the leading cause of death for people ages 1 to 44 in the United States.  Millions more Americans are injured and survive, only to cope with lifelong disabilities. In a single year, injury and violence ultimately cost the United States $406 billion, including over $80 billion in medical costs and $326 billion in lost productivity. Preventing injuries is extremely cost effective, and it is imperative that innovative and effective injury and violence prevention programs work to prevent premature deaths, particularly among vulnerable populations of children, young families, and older adults.

Local health departments (LHDs) play an important role in coordinating the broader public health system’s efforts to address the causes of injury and violence. LHDs are well suited to unite community partners to address the causes of injury- and violence-related inequities through policy, environment, and system change.

NACCHO’s Injury and Violence Prevention (IVP) Program strengthens the capacity of LHDs to effectively address the causes of injury and violence in their communities by creating learning opportunities, developing tools and resources, providing technical support, and facilitating peer exchange.

In the Spotlight

Child maltreatment places a significant burden on children, families, and communities. According to the U.S. Department of Health and Human Services, an estimated 679,000 children are found to be victims of abuse or neglect each year. Local Health Departments (LHDs) provide essential programs and services that improve the health and safety of communities. LHDs recognize that maltreatment does not happen in a vacuum and are able to coordinate resources and services to help ensure every child grows up safe and healthy. This webinar provides an overview of the impact of child maltreatment in the United States and a local effort to reduce child maltreatment through implementing Triple P –Positive Parenting Program. More »

Triple P - Positive Parenting Program Resources

Local Health Department Implementation of Triple P: Experiences of Berrien County, Michigan, and Pitt County, North Carolina Promotion of safe, stable, nurturing relationships and environments can reduce the occurrence of adverse childhood experiences;reduce the negative effects of child maltreatment;influence physical, cognitive, and emotional outcomes throughout a child's life;reduce health disparities;and have a cumulative impact on health. Parenting programs, such as Triple P—Positive Parenting Program (Triple P), can teach caregivers new parenting behaviors and skills. Such programs can reduce the incidence of child maltreatment and improve parenting response to child behavior problems. NACCHO has produced this report to describe Triple P implementation through public health and healthcare partnerships in two United States communities.


EPSDT Guide for Practitioners and Triple P/EPSDT Billing Crosswalk The EPSDT Guide for Triple P Practitioners was developed to help practitioners understand the basic elements of EPSDT service provision and claiming for Triple P services. The Triple P/EPSDT Billing Crosswalk assists practitioners in claiming Triple P services under the Early Periodic Screening, Diagnosis, and Testing (EPSDT) benefit program.These two resources are intended to answer common questions that Triple P practitioners have about EPSDT and assist them in appropriately documenting provided services using the EPSDT mechanism.

Stories from the Field: Naloxone Saves Lives in Cuyahoga County (OH)

This story from the field explains how Project DAWN (Deaths Avoided with Naloxone), a community-based overdose education and naloxone distribution program, helped save lives and combat Ohio's opioid overdose epidemic.   More »