BEST PRACTICES GUIDE 2016

1 TRIBAL MOTOR VEHICLE INJURY prevention (TMVIP) best PRACTICES GUIDE2016 TRIBAL MOTOR VEHICLE INJURY prevention (TMVIPBEST PRACTICES GUIDE2016 This page left intentionally MOTOR VEHICLE INJURY prevention (TMVIP) best PRACTICES GUIDE2016 Developed for: Centers for disease control and PreventionDeveloped by: Robert J. Letourneau, MPHC arolyn E. Crump, PhD Department of Health Behavior Gillings School of Global Public Health The University of North Carolina at Chapel Hill4 Tribal Motor Vehicle Injury prevention (TMVIP) best PRACTICES GuideTable of ContentsThis GUIDE was developed to share lessons learned from several American Indian/Alaska Native (AI/AN) Tribes/Tribal Organizations that have tailored and carried out evidence-based strategies to reduce injury and death caused by motor vehicle crashes in AI/AN communities.)

2 It was designed to be an easy-to-use electronic document. Several hyperlinks words underlined so you can click them to go to another location in the document are provided to allow readers to move quickly to other sections within the GUIDE or to external resources outside the document (for example, such as websites and PDF documents). Starting on this page, readers can move to sections they find most interesting or to the glossary to see definitions of words, phrases, or acronyms. In the glossary, hyperlinks are provided to return to the text where the word or phrase was used for the first time in the main text.

3 In addition, a hyperlink to return to this Table of Contents page is provided in the footer at the bottom of each of AcronymsA. Executive Summary 7 Overview of the GuideB. Introduction 13 Why the GUIDE was developed, who developed it, and how to move through the GuideC. Background 18 Summary of the burden of Motor Vehicle Crash (MVC) Injury and Death for American Indians and Alaska Natives (AI/AN)D.

4 What Works to Prevent Motor Vehicle Crash Injury and Death 21 Definitions and listing of recommended evidence-based strategies to increase seat belt use, increase child safety seat use, and reduce alcohol-impaired drivingE. Federal, Tribal/Tribal Organization, State Response 32 Summary of the federal agency, state, and Tribal response to the burden of MVC injury and fatality in Tribal communitiesF. Components for Tribal Motor Vehicle Injury prevention (TMVIP) 41 Summary of the components needed for TMVIP: 1) Commitment; 2) Collaboration; 3) Data and Evaluation; 4) Tailored Evidence-Based Strategies; and 5) Technical SupportTable of Contents5G.

5 COMMITMENT: Component #1 for TMVIP 44 Commitments Needed, Lessons Learned, Case Examples, Resources, and Action CallsH. COLLABORATION: Component #2 for TMVIP 54 Collaborators Needed, Lessons Learned, Case Examples, Resources, and Action CallsI. DATA and EVALUATION: Component #3 for TMVIP 67 Data and Evaluation Needed, Lessons Learned, Case Examples, Resources, and Action CallsJ. TAILORED EVIDENCE-BASED STRATEGIES: Component #4 for TMVIP 84 Summary of how strategies have been tailored in Tribal communities, Lessons Learned, Case Examples, Resources, and Action CallsK.

6 TECHNICAL SUPPORT: Component #5 for TMVIP 107 Summary of technical support available for components 1-4, Resources, and Action CallsGlossary of Terms 122 References 127 Note: Names of Tribes were used in this document only if permission was provided or if there was a published article about the Tribe s Motor Vehicle Injury prevention (TMVIP) best PRACTICES GuideList of Acronyms BAC Blood Alcohol ConcentrationBIA Bureau of Indian AffairsCARS Children Always Ride SafeCDC Centers for disease control and PreventionCPS Child Passenger SafetyDOT Department of TransportationDUI Driving Under the InfluenceEMS Emergency Medical ServicesFARS Fatal Accident Reporting SystemFHWA Federal Highway AdministrationIHS Indian Health ServiceIHSP Indian Highway Safety ProgramMVC Motor Vehicle CrashMVIP Motor Vehicle Injury PreventionNHTSA

7 National Highway Traffic Safety AdministrationRSA Roadway Safety AuditSCR Safety Circuit RiderSHSO State Highway Safety OfficeSNAP Safe Native American PassengersTEC Tribal Epidemiology CenterTIPCAP Tribal Injury prevention Cooperative Agreements ProgramTMVIP Tribal Motor Vehicle Injury PreventionTMVIPP Tribal Motor Vehicle Injury prevention ProgramTTAP Tribal Technical Assistance ProgramTTP Tribal Transportation ProgramTTPSF Tribal Transportation Program Safety FundsExecutive Summary7A. Executive SummaryThis GUIDE was developed to share lessons learned from several American Indian/Alaska Native (AI/AN) Tribes/Tribal Organizations that have tailored and carried out evidence-based strategies to reduce injury and death caused by motor vehicle crashes in AI/AN communities.

8 Lessons learned and examples in this document include Tribes funded by the centers for disease control and prevention , Indian Health Service, and the Bureau of Indian GUIDE focuses on three evidence-based strategies to reduce motor vehicle injury and death: 1. Increase Child Safety Seat Use, 2. Increase Seat Belt Use, and3. Decrease Alcohol-Impaired Driving. The main target audience for this GUIDE is motor vehicle injury prevention (MVIP) practitioners at Tribes/Tribal Organizations. Other key audiences include: Tribal leadership (for example, executive and legislative members).

9 Tribal public health and traffic safety professionals (for example, health directors, law enforcement, court staff, injury prevention practitioners, community health workers, emergency medical service staff). Non-Tribal public health and traffic safety professionals working with Tribes/Tribal Organizations (for example, state departments of health, transportation, and/or public safety).Why is motor vehicle crash injury a critical health issue for American Indians & Alaska Natives? In the United States, adult motor vehicle-related death rates for AI/AN are times higher than those of whites and Among infants less than one year of age, AI/AN have 8 times the rate of motor-vehicle traffic deaths than that of non-Hispanic AI/AN have a high prevalence, or widespread occurrence, of alcohol-impaired driving and the highest alcohol-related motor vehicle death rate across racial/ethnic More than half (56%)

10 Of AI/AN passenger vehicle occupants who died in motor vehicle crashes were unrestrained, or not buckled, at the time of the fatal Motor Vehicle Injury prevention (TMVIP) best PRACTICES GuideWhat is included in this GUIDE ? This GUIDE includes the following sections: Background: A summary of the burden of MVC injury in Indian Country. What Works to Prevent MVC Injury or Death: A summary of the strategies known to increase seat belt use, increase child safety seat use, and decrease impaired driving. Federal, Tribe/Tribal Organization, and State Response: Descriptions of programs that are aimed at reducing MVC injury in Indian for Tribal Motor Vehicle Injury prevention : Descriptions of the five components needed for successful strategies in AI/AN communities, including lessons learned, case examples, calls to action, and resources for each component: 1.