Abstract
Native American individuals experience injury mortality at rates that far exceed the rates of injury mortality of other Americans. High rates of injury mortality among Native American populations pose not only a large social burden but also a large financial burden due to treatment expenses. The Indian Health Service Injury Prevention Program seeks to reduce the number and severity of injuries in all Native Americans. To fulfill this mandate, the Indian Health Service Injury Prevention Program provides preservice and in-service training to students, community workers, and professionals in the field of injury prevention. It emphasizes creation of innovative training opportunities for federal and tribal employees as part of a system of injury control in American Indian communities throughout the United States. Several Indian Health Service Injury Prevention Program initiatives have yielded improvement in injury and fatality rates for their targeted populations.
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Acknowledgments
The authors would like to express sincere appreciation to the key informants Alan Dellapenna of the Division of Environmental Health Services in Rockville, MD, USA—whose consultation made this project possible.
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Appendices
BRIO Model: Indian Health Service IPP
Group Served: AI and AN.
Goal: Raise the health status of AI and AN to the highest possible level by decreasing the incidence of severe injuries and death to the lowest possible level and increasing the ability of tribes to address their injury problems.
Background | Resources | Implementation | Outcome |
|---|---|---|---|
AI/AN die due to accidental injury at a rate of two times that of other Americans Program emphasizes creation of innovative training opportunities for federal and tribal employees as part of a system of injury control in American Indian communities throughout the United States | Funding for the IHSIPP is channeled from the Federal Department of Health and Human Services through the Indian Health Service’s annually allotted appropriation and is meted out through national, regional, and local offices | Courses and other training forums offered under the auspices of the program circulate throughout the United States The 151 Service Units of the IHS are divided into 12 geographical service areas Area offices employ IPP manager and other injury prevention staff A monthly conference call is made between leading representatives of the 12 areas. | Numerous individual fellowship programs launched as result of IHS IPP training A total of 88% satisfaction with program, 52% report positive action as result of training projects, 37% program participants report having written further articles on injury prevention Replication of efforts and models |
Life Space Model: Indian Health Service IPP
Sociocultural: civilization/community | Interpersonal: primary and secondary relationships | Physical environments: where we live | Internal states: biochemical/genetic and means of coping |
|---|---|---|---|
Directed toward unique AI/AN community’s advocacy for prevention programs at regional and federal levels broad interaction with existing health, emergency, and prevention services development of curriculum and training to foster growth of prevention professionals in AI/AN communities, involvement of AI/AN communities through recruitment, and tribal steering committees | Program projects target parenting | Funded projects include safety device initiatives such as “floatcoats,” child vehicle restraint use, and bike helmet use evaluation of highway access changes to safety | Empowerment of AI/AN natives to manage and ownership of own health and safety issues/initiatives |
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Paul, N. (2020). Indian Health Service Injury Prevention Program/US Department of Health and Human Services. In: Volpe, R. (eds) Casebook of Traumatic Injury Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-27419-1_30
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