HRSA’s CAIVP Cooperative Agreement for Child and Adolescent Injury and Violence Prevention

Applicants must have significant experience with infant, child and adolescent health and safety at the national level. Applications that fail to show such experience will not receive further consideration.

This cooperative agreement program has the following four aims:

1) Elevate national, state and community focus on, and commitment to, the protection of infants, children and adolescents from injuries and violence, the leading public health threat facing people ages 1-44 years in the country. More children and adolescents die from injuries and violence than all diseases combined. Injuries are also the leading cause of disability among this population, diminishing health trajectories across the lifespan and constituting a leading cause of medical spending. In addition, researchers have made significant progress over the past three decades in developing effective strategies to prevent them. Therefore, this public health problem is ripe for achieving measurable reductions in incidence.
2) Improve the capacity of HRSA-funded health and safety services and systems, and their partners to prevent injuries and violence among infants, children and adolescents, through outreach, technical assistance and training. Systems include: state health departments, child death review programs, community health centers, Emergency Medical Services for Children programs, among others.
3) Catalyze the translation of evidence-based strategies in injury and violence prevention from research to the practice community. The program improves cost-effectiveness of injury and violence prevention investments at the national, state and community levels by increasing the adaptation of methods demonstrated as effective in reducing the incidence of injuries and violence;
4) Improve the health and safety status of infants, children and adolescents. Every year one in four children and adolescents is injured seriously enough to require medical attention, leading to more than 430,000 hospitalizations for these injuries.

The CAIVP Program, which has a national scope, responds to three complementary frameworks:

1) Healthy People 2020
IVP HP2020-4: Increase the number of states and the District of Columbia where 100 percent of deaths to children aged 17 years and under that are due to external causes are reviewed by a child fatality review team.
IVP HP2020-5: Increase the number of states and the District of Columbia where 90 percent of sudden and unexpected deaths to infants are reviewed by a child fatality review team

2) CDC National Action Plan for Childhood Injury Prevention

3) MCHB Performance Measures-
State Title V Programs have identified injury and violence prevention as priority needs. Forty-eight states and the District of Columbia include intentional and/or unintentional injury as a priority need for the years 2010-2015, and 46 have included intentional and/or unintentional injuries in their state performance measures. In addition, all states are required to report on two injury- and violence-related national performance measures (NPM):
NPM #10: The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children.
NPM #16: The rate (per 100,000) of suicide deaths among youths aged 15 through 19.

The CAIVP Program contains two categories of effort, described below, that together address the needs of a broad array of practitioners, professionals, administrators and other leaders and decision-makers at national, state and community levels. Awardee organizations are expected to work collaboratively with each other as well as other relevant stakeholder organizations.

Category 1 The Children’s Safety Network National Resource Center (CSNNRC) develops core injury and violence prevention capacity within health and safety services and systems which serve infants, children and adolescents including those with special health needs. Targeted systems include: state health departments, child death review programs, community health centers, Emergency Medical Services for Children programs, among others. Program activities enhance these systems’ abilities in such domains as: advancing commitment to injury and violence prevention; needs assessment, planning and evaluation; surveillance and data systems; development of partnerships; program and system development; formulation of policy; and technical assistance to states, communities and families.

Category 2 The National Center for the Review and Prevention of Child Deaths improves and strengthens state and local capacity to perform Child Death Reviews (CDR), develop prevention-oriented recommendations and translate those recommendations to local policies and programs. Using death as a sentinel event, CDR is the systematic examination of factors that play a role in death which integrates information about the health, safety and personal characteristics of individuals, families, the community environment, death investigation, and information descriptive of medical care and community health and social/welfare systems. Information from these reviews is then used to focus planning and policy development, to direct health systems development, and to enhance efforts to develop and maintain risk reduction and prevention programs for children and adolescents. Program activities enhance state and local CDR program abilities in such domains as: establishment and stabilization of a CDR system; continuous quality improvement of those systems; collection and analysis of meaningful CDR data; application of CDR data in developing recommendations for infant, child and adolescent health and safety services and systems; and the incorporation of evidence-based strategies into CDR recommendations.