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 Accordion Name : Adverse Childhood Experiences (1)
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| Adverse Childhood Experiences | Adverse Childhood Experiences (ACEs) | Core SIPP contributed to the development of the Building Healing Systems Data-to-Action Toolkit, spearheaded by the MDH Behavioral Health Administration, Maryland Commission on Trauma-Informed Care, and the University of Maryland School of Medicine Division of Psychiatry. The toolkit aims to increase awareness and knowledge of ACEs and trauma-informed systems among behavioral health service providers, other healthcare professionals, and community stakeholders. It includes data, evidence-informed ACEs prevention and trauma-informed approaches, and best practices for meeting behavioral health needs. Core SIPP also developed a fact sheet on ACEs in Maryland using 2020 data collected in BRFSS. The report featured a comprehensive overview of ACEs and ACEs prevalence among Maryland adults looking back at their childhood years. Click here to view the Maryland Special Emphasis Report: Adverse Childhood Experiences. | |
| Accordion Name : Core SIPP (4)
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| Core SIPP | Adverse Childhood Experiences (ACEs) | Adverse Childhood Experiences (ACEs)
Core SIPP contributed to the development of the Building Healing Systems Data-to-Action Toolkit, spearheaded by the MDH Behavioral Health Administration, Maryland Commission on Trauma-Informed Care, and the University of Maryland School of Medicine Division of Psychiatry. The toolkit aims to increase awareness and knowledge of ACEs and trauma-informed systems among behavioral health service providers, other healthcare professionals, and community stakeholders. It includes data, evidence-informed ACEs prevention and trauma-informed approaches, and best practices for meeting behavioral health needs. Core SIPP also developed a fact sheet on ACEs in Maryland using 2020 data collected in BRFSS. The report featured a comprehensive overview of ACEs and ACEs prevalence among Maryland adults looking back at their childhood years. Click here to view the Maryland Special Emphasis Report: Adverse Childhood Experiences. | 1 |
| Core SIPP | Traumatic Brain Injuries (TBI) | Traumatic Brain Injuries (TBI)Core SIPP works in collaboration with organizations to reduce TBI in Maryland. Partners include the Brain Injury Association of Maryland, the MDH Behavioral Health Administration, the State Traumatic Brain Injury Advisory Board, and other related groups. With these partnerships, data is used and shared to help prevent TBI and TBI-related injuries, such as motor vehicle crashes, falls, and firearm misuse. The Maryland Environmental Public Health Tracking (EPHT) Portal* now includes TBI data related to falls, firearms, and motor vehicle crashes, including state and county trends, and disparities in emergency department (ED) visits, hospitalizations, and deaths. Visit the EPHT Portal to access the TBI module.*The EPHT Portal is an interactive tool that provides stakeholders with environmental and health data for planning, monitoring, and evaluating public health action to help drive data-informed decisions to improve community health. | 2 |
| Core SIPP | Transportation Safety | Transportation Safety
Core SIPP aims to reduce transportation-related injuries and improve built environments, social norms, and surveillance data. Prince George’s County Health Department is one of the program’s partners that works to eliminate all traffic fatalities and severe injuries by promoting safer environments for walkers, bikers, drivers, and public transit commuters. Core SIPP also supported adding a Distracted Driving Module on the 2023 Maryland Behavioral Risk Factor Surveillance System (BRFSS), with data to be released in Fall 2024. Aggregate data from the module will improve understanding of behavioral health and safety risks associated with distracted and impaired driving-related injuries.
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| Core SIPP | Partnership for a Safer Maryland (PSM) | Partnership for a Safer Maryland (PSM)Core SIPP supports the Partnership for a Safer Maryland (PSM) to promote injury prevention. PSM is a primary hub for injury and violence advocacy, connection, prevention education, initiatives, and resources for Maryland's general public and health professionals. The organization shares national and state-level resources from the CDC and MDH on its website and in its monthly newsletter. PSM also facilitates training and co-sponsors violence and injury forum events. The forum events engage local and state public health professionals in understanding and using injury prevention data, identifying opportunities for collaboration, and informing local public health action. To learn more about different injury and violence areas and membership opportunities, visit the PSM website. | 4 |
| Accordion Name : DV HIV (2)
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| DV HIV | Helpful Links: | | 1 |
| DV HIV | CDC Resources: | | 2 |
| Accordion Name : Falls Prevention (3)
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| Falls Prevention | National & State Data | Falls are the leading cause of serious injury and injury-related death among adults 65 years and older. Individuals are more at risk for falls as they age due to physical changes, health conditions, and even medications.
According to the CDC, national data shows that:
- over 34,000 deaths of adults 65 and older were due to falls in 2019.
- three million emergency department visits were due to falls of adults 65 years and older.
- around 28% of adults age 65 or older report falling each year in the United States.
 According to Maryland Health Services Cost Review Commission (HSCRC) data, falls are consistently the leading cause of non-fatal injury hospital admissions and emergency department visits in Maryland. These data show that: - 11,813 hospital admissions and 131,105 emergency room visits were due to falls in 2019.
- the rate of older adult deaths due to falls is 68 fall deaths per 100,000, which is slightly above the national rate of 64.
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| Falls Prevention | What is the Maryland Department of Health (MDH) doing to address falls? | Falls Prevention Awareness Week is a national and statewide health campaign aimed to increase awareness around falls and reducing falls risk. For one week each September, Mayrland’s Core State Injury Prevention Program (SIPP), the Maryland Department of Aging, the National Council on Aging, and other organizations promote falls prevention education and resources, host activities to raise awareness about the effects of falls among older adults, and highlight ways to prevent falls and related injuries. MDH’s Core State Injury Prevention Program (SIPP) partners with the Maryland Falls Free Coalition and the Department of Aging to obtain a Governor’s proclamation for the campaign and coordinates statewide promotional efforts on behalf of MDH. Local health departments distribute educational publications as well as conduct activities, presentations, gait and balance workshops, home risk assessments, demonstrations, and health screenings throughout Maryland communities.To learn more about Maryland’s Core SIPP program, go to the Core State Injury Prevention Program webpage. | 2 |
| Falls Prevention | Tips to Prevent Falls | These tips from the Mayo Clinic may help individuals prevent falls and fall-related injuries. - Talk to your healthcare provider about having a falls prevention plan, current medications, health conditions, and falls history.
- Do physical activity to improve your balance, flexibility, and strength.
- Wear shoes that fit well and are anti-slip and lightweight.
- Keep your home and floors clear of clutter, boxes, cords, and loose area rugs.
- Install and use assistive devices like handrails and grab bars.
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| Accordion Name : Injury and Violence - PCE (4)
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| Injury and Violence - PCE | Positive Childhood Experiences | Positive Childhood Experiences (PCEs) Although ACEs are common, they are preventable. While many Marylanders have experienced ACEs, many have also experienced Positive Childhood Experiences (PCEs). PCEs help children to form strong relationships, a positive self-image and self-worth, and a sense of belonging. PCEs develop from safe, stable, and nurturing relationships and environments throughout childhood. According to Paces Connection, the seven PCEs include the following: Enjoying participation in community traditions Have at least two non-parent adults who take a genuine interest in you Feeling support from friends Feeling safe and protected by an adult in your home Feeling a sense of belonging in high school Feeling able to talk to your family about feelings
To learn about Adverse Childhood Experiences (ACEs), go here [hyperlink to new ACEs page]. | 1 |
| Injury and Violence - PCE | National & State Data | According to Veto Violence, PCEs can stop ACEs before they start and help the economy. Investing in primary prevention would benefit the economy and relieve pressure on healthcare systems. ACE-related illness accounts for an estimated $748 billion in costs in the U.S. each year. A 10% reduction in ACEs could save about $56 billion each year.
In Maryland, the Maryland Youth Risk Behavior Survey (YRBS) is administered to students in public middle and high schools to measure and monitor youth risk behaviors. YRBS included questions to measure an important PCE, whether students could identify a supportive, trusted adult in their life. It found that: 80.4% of Maryland middle school students reported feeling comfortable seeking help from one or more adults outside of school if they had an important question affecting their life. 72.3% of Maryland high school students reported feeling comfortable seeking help from one or more adults besides their parents if they had an important question affecting their life. 81.8% of Maryland middle school students reported having an adult outside of school they can talk to about things that are important to them. 30.9% of Maryland middle school students reported talking to a teacher or other adult in their school about a personal problem they had. 36.8% of Maryland high school students reported that they are able to talk to an adult in their family or another caring adult about their feelings (during their life).
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| Injury and Violence - PCE | Tip for Promoting PCEs | Individuals, caregivers, and families can work to create PCEs at home and in caregiving settings. These tips from the Centers for Disease Control and Prevention (CDC) on creating PCEs promote healthy development and resilience and can help to reduce the negative effects linked to ACEs: Establishing a routine to make children feel secure and thrive. Praising your child when they do something right so they are more likely to do it the same way again. Giving your child your full attention when they are communicating with you to show that you care about what they are saying. Setting aside time each day to talk and play with your child to let them know they are important and strengthen the bond between you two.
The CDC’s Essential for Childhood Framework recommends the following four community and societal-level strategies to promote PCEs: Raise awareness and commitment to promote safe, stable, nurturing relationships and environments and prevent child maltreatment. Use data to inform actions. Create the context for healthy children and families through norms change and programs. Create the context for healthy children and families through policies.
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| Injury and Violence - PCE | What is the Maryland Department of Health Doing to Address PCEs? | Through the Core State Injury Prevention Program (Core SIPP), MDH promotes PCEs through its ACEs prevention activities. ACE and PCE-related partners and initiatives are described on the ACE webpage [insert hyperlink] and the Core SIPP webpage [insert hyperlink].
The Youth Risk Behavior Survey (YRBS) is a data source that includes PCEs questions in Maryland. The YRBS identifies behaviors and protective factors in the environment that impact outcomes associated with PCEs. Data from these surveys help MDH to make data-driven decisions to inform programs and resources related to PCEs.
To learn more about Maryland’s Core SIPP program, go to the Core State Injury Prevention Program webpage.
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| Accordion Name : Injury and Violence Prevention (3)
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| Injury and Violence Prevention | Childhood Programs and Services | | 1 |
| Injury and Violence Prevention | Adolescent Programs and Services |  | 2 |
| Injury and Violence Prevention | Adult Programs and Services | 
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| Accordion Name : Leader (6)
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| Leader | Regional Network Leader (RNL) | The Regional Network Leader (RNL) is a component under the Core Violence and Injury Prevention Program (VIPP) funded by the Centers for Disease control and Prevention (CDC), and is led by the Maryland Department of Health and Mental Hygiene. The purpose of the RNL is to provide structured assistance to all states within the Federal Health and Human Services regions III and V, build capacity, increase competency, increase regional sharing of data and best practices, and increase research-practice collaboration to support and enhance sustainability of injury prevention programs.
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| Leader | RNL includes the following 12 states: | Region 3: Delaware, Maryland, Pennsylvania, Virginia, Washington D.C., West Virginia.
Region 5: Illinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin.
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| Leader | Strategic Advisory Board | The Strategic Advisory Board (SAB) was created to facilitate regional cooperation within
the RNL. The SAB is currently comprised of state injury prevention directors, Injury Control Research Center directors (designees), chairs of established Injury Community Planning Groups (ICPG) in the region, and the president of the Midwest Injury Prevention Alliance.
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| Leader | The objectives of the SAB are as follows: | - To strengthen national and regional coordination of injury and violence prevention efforts through information exchange and multisectoral cooperation.
- To advocate for additional resources for injury and violence prevention.
- To support assessment of the magnitude of injury and violence within states and the region and the type and breath of injury prevention initiatives within states in the region.
- To facilitate and support dissemination of best practices in injury and violence prevention.
- To promote State and regional capacity development on injury and violence prevention
The SAB is governed by a Terms of Reference. | 4 |
| Leader | Meetings: | Meetings are held monthly via conference call. Calls are held on the last Thursday of every month. During calls, either a presentation is given by select members or a quest, and/or discussions are held on specific violence and injury prevention topics based on the interest of members. The SAB meets at least once per year in person. In-person meetings may be held in conjunction with other CDC meetings or regional meetings/trainings, or as separate events.
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| Leader | Injury Prevention Webinar Series | | 6 |
| Accordion Name : Motor Vehicle Facts (4)
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| Motor Vehicle Facts | Facts | - Motor vehicle accidents were the 3rd leading cause of injury related emergency department visits in 2010.1
- In 2011, there were 78,579emergency room visits, 5,106 hospitalizations, and 513 deaths as a result of motor vehicle accidents.1
- In 2011, motor vehicle accidents were the number one leading cause of death for the 5-14 year old age group, and the second leading cause of death for the 15-24 year old age group.1
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| Motor Vehicle Facts | Seatbelts | - Maryland adopted a primary seat belt law in 1997, since then seat belt use has risen from 80 percent in 1997 to 94.01 percent in 2009.2
- Every child under 8 years old must be secured in a U.S. DOT approved child safety seat unless the child is 4 feet, 9 inches or taller, or weighs more than 65 pounds.3
- Children and young people up to 16 years of age must be secured in seat belts or child safety seats, regardless of their seating positions.3
- It is strongly recommended that all children ride secured in the rear seat. Drivers and front seat passengers, regardless of their ages, are required to wear seat belts. It is strongly recommended that all occupants wear seat belts.3
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| Motor Vehicle Facts | Airbags | Frontal air bags have saved 25,782 lives between 1987 and 2008.4
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| Motor Vehicle Facts | Do Not Drive Under the Influence of Alcohol | - In 2010, 10,228 people were killed in alcohol-impaired driving crashes, accounting for nearly one-third (31%) of all traffic-related deaths in the United States. Source: Dept of Transportation (US), National Highway Traffic Safety Administration (NHTSA). Traffic Safety Facts 2010: Alcohol-Impaired Driving. Washington (DC): NHTSA; 2012 [cited 2012 Sep 28]. Available at URL: http://www-nrd.nhtsa.dot.gov/Pubs/811606.PDF
- Of the 1,210 traffic deaths among children ages 0 to 14 years in 2010, 211 (17%) involved an alcohol-impaired driver.5
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| Accordion Name : Playground Safety (4)
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| Playground Safety | What is the problem? | | 1 |
| Playground Safety | Playground Injuries | - About 45 percent of playground-related injuries are severe, which include fractures, internal injuries, concussions and dislocations.
- Among children ages 4 and under, most traumatic brain injuries occurred on the playground.
- It is estimated that more than one-third (36 percent) of playground-related injuries treated in emergency departments are fractures.
- It is estimated that one-third of playground deaths and 51 percent of playground injuries occur on public playgrounds.
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| Playground Safety | Safety | - Decreasing the height of playground equipment and using protective surfaces on the playground (energy absorbing materials such as shredded rubber, wood chips, wood fiber and sand) can reduce injuries related to falls. Both have shown to markedly reduce injury risk to children.
- Playground equipment guidelines and standards have been developed by the CPSC and the American Society for Testing and Materials (ASTM). Sixteen states have enacted all or parts of the CPSC or ASTM playground safety legislation.
- The CPSC has issued voluntary guidelines for the drawstrings of children's upper outerwear garments, such as jackets and sweatshirts. The guidelines help to prevent strangulation from the neck drawstrings and entanglement of the waist drawstrings. Children are at risk from strangulation when drawstrings on clothing become entangled in playground equipment.
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