Poison Prevention: A Prescription for a Safer and Healthier Georgia

1. Poison Prevention: A Prescription for a Safer and Healthier Georgia Megan Popielarczyk, MPH, BSN, RN Public Health Fellow, Safe Kids Georgia

2. Objectives • Examine the use of existing resources to build statewide capacity • Promoting partnership through programs • Feasibility of statewide initiatives • Challenges and successes • Evaluation • Challenges, successes and lessons learned

3. The Problem • Poisonings on the rise • Drug overdoses and medication poisonings • Non-medical poisonings • Detergent Pods • 3,468 children 14 years of age and younger treated in Georgia ERs for poisonings in 2010.

4. Finding a Solution • Coordinator Needs Assessment • 1:1 Interviews • Literature Review

5. Safe Kids in Georgia • 32 Coalitions • 56 counties

6. Needs Assessment • CNA Results (26 coalitions) • Newer coordinators • Priorities for TA/program development • Training for coalitions members was requested as in-depth topic specific • Developed presentation and training on how to provide education • 84% of coalitions willing to pilot if incentive offered • Most requested incentives $1000, Car Seats (14) or Program curriculum

7. What is Out There And What Works? • Coordinator interviews • Interviewed 13 coordinators (about half) • What they were already doing • Education materials • Partners and forms of support • Programs/events • Other resources • Evaluations • Lit review • What programs had been evaluated • What prevention strategies were effective

8. Now What, Putting It All Together • Selected Poison Prevention • Rising concern over medication poisonings • Existing evidence based program • Evidence based strategies • Partnership with Georgia Poison Center • Grant opportunity • Ability to measure impact

9. Program Development • Develop Capacity of Coalitions • Georgia Poison Center Instructor Training Program • Provide Resources • Program To Go Kits • Create Sustainability • Partnership with the Georgia Poison Center • Identify Promising Practices • Adolescent Poison Prevention

10. Inputs Activities Outputs Early Outcomes Intermediate Outcomes Late Outcomes Increased knowledge of trainers about poisonings in Georgia Provide Poison Prevention Instructor Training Program Increased number of trained Coordinators and coalition members Partnership with Georgia Poison Control Center Increased calls to GPC Increased delivery of poison prevention education Increased use of standard messaging Stated behavior change leading to decreased access to poisons Decreased hospital admissions and ED visits related to poisoning Grant funding from the American Medical Association Foundation Develop and Disseminate Program To Go Kits Increase number of coalitions with resources to provide standard poison prevention education Increased knowledge of participants Technical assistance with program development (research ) Increased number of trained Coordinators and coalition members Stated behavior change leading to decreased access to poisons Increased delivery of poison prevention education Increased use of standard messaging Develop Adolescent Poison Prevention Program Increase number of coalitions with resources to provide standard adolescent poison prevention education Stated behavior change leading to decreased risk taking with Poisons

11. Program Development • Develop Capacity of Coalitions • Georgia Poison Center Instructor Training Program • Provide Resources • Program To Go Kits • Create Sustainability • Partnership with the Georgia Poison Center • Identify Promising Practices • Adolescent Poison Prevention

12. Develop Coalition Capacity • Georgia Poison Center Instructor Training Program • 3 Training sessions • 43 New Instructors • 14 coordinators • 26 members • 3 state office staff

13. Provide Resources • Program To Go Kits • Facilitators Guide • Poison information • Lesson plans • Evaluation • Activities • Resource list • Look A Like Kit • Posters • Brochures • GPC Number • Spike DVD • Spike Puppet

14. Create Sustainability • Partnerships • Georgia Poison Center • Georgia Department of Public Health Injury Prevention Program • Leveraging Resources • Safe Kids Worldwide Medication Safety Grant

15. Evaluation • Early Successes • Instructor training one of the most helpful • 10 educational events (additional 40 expected) • 4 coalitions provided education, only one repeat • Majority of attendees had never been educated about poisonings in the past • Participants are more likely to contact the Poison Center after attending session than before if there is an incident or question about poisons. • Over 530 parents, children and professionals reached.

16. Challenges • Partner interests • Additional evaluation tools • Getting coalitions to use evaluation • No Spanish translation

17. Tools for Replication • SKW Medication Safety Tools • Poison Center • Be Poison Smart • American Association of Poison Control Centers • Borrow someone else’s evaluation tool

18. Lessons Learned • Know if you need IRB • Think about contingency plans • Know what is needed to keep partners happy • Know when to hold‘em, know when to fold’em