. Department of Health and Human Servces 

OFFICE OF 

INSPECTOR GENERAL 

INJURY CONTROL 

.. SERVfC't.. 

b'''d'3'a 

Richard P. Kusserow 

INSPECTOR GENERA 

NOVEMBER 1991 
OFFCE OF INSPECTOR GENERA 

The mission of the Offce of Inspector General (OIG), as mandated by Public Law 95-452, as 

amended, is to protect the integrty of the Department of Health and Human Servces' (HHS)

programs as well as the health and welfare of beneficiaries served by those programs. This 

statutory mission is carried out through a nationwide network of audits, investigations, and 

inspections conducted by three OIG operating components: the Offce of Audit Services, the 

Offce of Investigations, and the Offce of Evaluation and Inspections. The OIG also informs 

the Secretary of HHS of program, and management problems, and recommends courses to 

correct them. 

OFFCE OF AUDIT SERVICE 

. The DIG' s Office of Audit Servces (OAS) provides all auditing servces for HHS, either by 

conducting audits with its own audit resources or by overseeing audit work done by others. 

Audits examine the performance of HHS programs and/or its grantees and contractors in 

carryng out their respective responsibilities and are intended to provide independent 

assessments of HHS programs and operations in order to reduce waste, abuse, and 

mismanagement and to promote economy and effciency throughout the Department. 

OFFICE OF INTIGATIONS 

The OIG's Offce of Investigations (01) conducts crinal, civil, and administrative 

investigations of allegations of wrongdoing in HHS programs or to HHS beneficiaries and of 

unjust enrichment by providers. The investigative efforts of 01 lead to criminal convictions 

administrative sanctions, or civil money penalties. The 01 also oversees State Medicaid fraud 

control units which investigate and prosecute fraud and patient abuse in the Medicaid program. 

OFFICE OF EVALUATION AN INSPECTONS 

The OIG's Office of Evaluation and Inspections (OEI) conducts short-term management and 

program evaluations (called inspections) that focus on issues of concern to the Department 

the Congress, and the public. The findings and recmmendations contained in these inspection 

reports generate rapid, accurate, and up-to-date information on the effciency, vulnerability, 

and effectiveness'of departmental programs. This report was prepared in the New York 

Regional Offce under the direction of Regional Inspector General Thomas F. Tully. Project 

staff included: 

Joseph J. Corso Jr, Project Leader 

Joseph Benkoski 

Lucille M. Cop


Mary Beth Clarke, Headquarters

Department of Health and Human Servces 

OFFICE OF 

INSPECTOR GENERAL 

INJURY CONTROL 

.. SERVrCt.. 

;f1fd:m 

Richard P. Kusserow 

INSPECTOR GENERA 

OEI-02-92-00310 
EXECUTIVE SUMMAR Y


PURPOSE 

To determine the nature and extent of possible overlap between the injury control 

program administered by the Centers for Disease Control (CDC) and other such 

programs within or outside the Department of Health and Human Servces (DHHS). 

BACKGROUND 

This inspection was requested by the Secretary of DHHS. 

The CDC's injury control program is operated by its Division of Injury Control (DIC) 

within the Center for Environmental Health and Injury Control. The DIC works to 

prevent mortality, morbidity and disability due to injuries outside the workplace, with 

assistance from the Secretary s Advisory Committee for Injury Prevention and Control. 

The CDC also has primary Federal responsibility for dealing with injuries in the 

workplace through its National Institute of Occupational Safety and Health. 

The DIC's mission is accomplished through extramural and intramural research 

programs and coordination with other Federal, State and private-sector agencies. Its 

FY 1991 budget was just over $24 millon, about $16 million of which was used for 

funding and admistering extramural injury research and intervention in a wide 

variety of areas. Today, injury is the leading cause of death among persons 1-44 years 

old in the United States and the fourth leading cause in the total population 

according to the CDC. As a result, injury is seen by CDC as the principal public 

health problem in America today. 

METODOLOGY 

Following preliminary discussions with representatives of CDC and DIC, we conducted 

structured personal and telephone intervews with a total of 25 representatives of 

Federal and non-Federal agencies and organizations outside DIC and CDC. These 

respondents were chosen because most of them represent their agencies and 

organizations on the Secretary s Advisory Committee for Injury Prevention and 

Control or have close ties to the injury control community. We also collected 

documents on the statutory authority of DIC and other public agencies to perform or 

fund related research. We examined budget documents from those agencies for the 

last few years; reviewed mission statements, grants and annual reports; and identified 

and verified the use of procedures to prevent overlap. In addition, we obtained their 

perceptions as to whether DIC's injury prevention and control activity overlapped with 

their own agency s efforts or with that of organizations other than their own. We 

asked whether DIC was carrng out leadership and coordination roles in the injury 

control community and how well they were being carred out. Lastly, it should be 
noted that it was not our intent to assess the effectiveness of DIC's injury control 

program and such perceptions and documents were not gathered. 

FIINGS 

SOME OVE EXISTS IN TI LEGISLATI AUTORI OF DIC 

OTIR FEDERA AGENCI 

The legislative authority of DIC spans the general area of injury, while the 

legislative authorities of other agencies call for broad research or research related to 

specific subject areas or groups. 

TI DIC AN OTIR FEERA AGENCI AR BOTH WORKG IN 

SOME GENE 

The DIC promotes research and intervention in various areas, including suicide and 

homicide, family violence, vehicle crashes, alcohol-related injuries, farm-related 

injuries, falls among the elderly, head and spinal cord injuries, house fires and 

drownings. Other Federal agencies' research activity includes many of the same areas 

in which DIC is also working. 

HOWEVER, NO DUPLICATION OF EFFORT WAS FOUN WI REGAR 

TO SPECIC PROJECT 

Although there was not sufficient time to thorougWy review every injury-related 

project funded by DIC and the other Federal agencies, there was no duplication of 

effort found with regard to specific projects in the documents we received from them. 

The other Federal agencies also report that there has been no duplication of effort 

with regard to specific projects. 

TI DIC PLAYS A COORDINATION AN LEERSHI ROLE THT 

VALUED IN TI INJUY CONTOL COMM 

Documents reviewed, as well as information from respondents, indicate that within the 

injury control community, DIC is performing well-received roles in coordinating injury 

prevention and control research, and in providing leadership in that community. Most 

respondents believe the absence of DIC would have a major and negative impact on 

their agencies and on the injury control community in general. 
TABLE OF CONTENTS 

EXECUTE SUMMARY 

INODUCTON .......................................................................................... 

Purose ...................................................................................................... 

Background ........................................................................................... 

Methodology ....................................................................................... 

FIINGS ................................................................................................ 

APPENDIX A .............................................................................................A-
INTRODUCTION€

PUROSE 

To determne the nature and extent of possible overlap between the injury control 

program administered by the Centers for Disease Control (CDC) and other such 

programs within or outside the Department of Health and Human Servces (DHHS).€

BACKGROUN 

This inspection was requested by the Secretary of DHHS.€

The CDC's injury control program is operated by its Division of Injury Control (DIC) 

as part of the Center for Envionmental Health and Injury Control. The DIC works 

to prevent mortality, morbidity and disability due to injuries outside the workplace 

with assistance from the Secretary s Advisory Committee for Injury Prevention and 

Control. The Committee was established and chartered by the Secretary on October 

, 1988. The CDC also has priary Federal responsibilty for dealing with injuries in 

the workplace through its National Institute of Occupational Safety and Health. 

The DIC's mission is accomplished through extramural and intramural research 

programs and coordination with other Federal, State and private-sector agencies. Its 

FY 1991 budget was just over $24 millon, about $16 milion of which was used for 

funding and administerig extramural injury research and intervention in a wide 

variety of areas. Ths is achieved in part through 37 Injury Control Research Project 

Grants, 8 Injury Control Research Centers in universities and 2 research project 

program grants. In addition, DIC funds 15 State/local capacity-building grants, 7 injury 

surveilance grants and 6 intervention incentive grants. The intramural activities focus 

on injury surveilance, technical assistance for investigations of injury outbreaks or 

clusters and epidemiologic analysis of priority injury problems. 

The evolvif! verevtion of in;wv as a vu th vroTl 

Prior to the 1960s, there was a perception that injuries were caused by accidents 

which occurred suddenly and usually unexpectedly. They were seen as random events 

and even public health offcials felt that they were caused by carelessness or even 

questionable behavior. The evolution of thought since that time has demonstrated 

that health care practitioners can use the same epidemiological techniques for injury 

control as with infectious diseases. Today, injury is the leading cause of death among 

persons 1-44 years old in the United States and the fourth leading cause in the total 

population, according to the CDC. The total lifetime cost to the nation of injury is 

estimated by CDC to have been $180 bilion for 1988. Over half the cost comes from 

injuries related to motor vehicles and falls. 
The recent history of the iniurv control program 

In 1983, the Department of Transportation s (DOT) National Highway Traffic Safety 

Administration (NHSA) worked with Congress to obtain authorization for DOT to 

request a study of trauma by the National Academy of Sciences. The study sought to 

determine what was known about injury, what future research needs were and what 

the Federal government could do to increase and improve knowledge of injury. The 

Committee on Trauma Research of the National Research Council's Commission on 

Life Sciences was established in collaboration with the Institute of Medicine to conduct 

the study. Its 1985 report Iniury in America stated that injury was the leading public 

health problem in America. However, although injuries were responsible for the loss 

of more economically productive years of lie than cancer and heart disease combined 

the Federal expenditure for research in injury control, about $25 millon in Fiscal Year 

1983 , was about one-tenth that for cancer and less than one-fifth that for heart disease 

and stroke. 

The Commttee concluded that the mortality, morbidity and disabilty associated with 

injury could be reduced if adequate funding, direction and support were given to injury 

research and control. The lack of focus of existing research activity and resources was 

seen as a major impediment. The Committee said: 

Injury research is fragmented, diffse, and insufficiently 

organied and administered. Resources are not allocated 

on the basis of any overall assessment of need and 

feasibility of achievig new knowledge and technology. 

The potential is high for duplication of effort. There is no 

leadership or oversight to avoid inappropriate duplication. 

To remedy this problem, the Committee reco=ended the following: 

A new agency of the federal governent, the Center 

for Injury Control (CIC), should be established in 

the Centers for Disease Control (CDC) to administer 

the planng, solicitation, funding, and evaluation 

of coordinated research and development directed at 

control of injury. 

The develovment and fuinf! of in;ur control at CDC 

In 1986, Congress responded to the report by appropriating $10 milion for the DOT 

to initiate a three' year pilot project to develop injury control programs. Research and 

extramural grants were to be coordinated through the CDC. P.L. 99-649, the Injury 

Prevention Act of 1986, amended the Public Health Servce Act (PHSA), officially 

placing an injury control program in CDC. Up to $2 miIlon of the $10 milion from 

DOT was used to establish the program in CDC, with the remaining funds designated 
for grants on trauma research. Half of the research fuding was to be made avaiable 

only with the specifc concurrence of NHSA. 

The breakdown of actual funding for injury control from DHHS\CDC and DOT 

budgets coverig Fiscal Years 1986 through 1991, is as follows: 

FY 1986 

FY 1987 

FY 1988 

FY 1989 

FY 1990 

FY 1991 

TOTAL 

$ 1 000 000 

785 000 

$ 1 279 000 

065 000 

$ 2 936 000 

383 000 

$20 777 000 

946 000 

$22,660 000 

000 

$24 036 000 

$72 688 000 

194 000 

$100 882 000 

DHHS\CDC 

DOT 

DHHS\CDC 

DOT 

DHHS\CDC 

DOT 

DHHS\CDC 

DOT 

DHHS\CDC 

DOT 

DHHS\CDC 

DOT 

DHHS\CDC 

DOT 

The Injurv Control Act of 1990 (P.L. 101-558), was passed in November 1990 and reauthoried funding through FY 1993. Section 393 of the PHSA requires that the Secretary submit, no later than September 30, 1992, an injury research activities report to the Congressional Commttees on Energy and Commerce of the House of 

Representatives and Labor and Human Resources of the Senate. The report would€ include inormation regarding the practical applications of research conducted and 

funded by DIe. 

MEODOLOY 

Followig prelimary discussions with representatives of CDC and DIC, we conducted structured personal and telephone intervews with a total of 25 representatives of 

Federal and non-Federal agencies and organiations outside DIC and CDe. These respondents were chosen because most of them represent their agencies and 

organitions on the Secretary s Advisory Commttee for Inury Prevention and Control, or are members of, or have close ties to, the injury control community. From the non-Federal sector, the group included 11 respondents representing the General Motors Research Laboratory, George Washigton University, the University of Oklahoma, The Jewish HeaIthcare Foundation, Youth Development, Inc., ICF, Inc. 
the National Academy of Science, the Association of State and Territorial Health€

Officials and three Injury Control Research Centers. The 14 Federal respondents€

represent 11 agencies within three Federal departments and the Federal Consumer€

Product Safety Commission. The agencies and Commission are listed in Table 1€

below.€

We collected and reviewed documents on the statutory authority of DIC and other€

public agencies to perform or fund related research. We also examined budget€

documents from those agencies for the last few years; reviewed mission statements 

grants and annual reports; and identifed and verified the use of procedures to prevent 

overlap.€

In addition, we also obtained the perceptions of both Federal and non-Federal 

respondents as to whether DIC's injury prevention and control activity overlapped with 

their own agency s efforts or with that of organiations other than their own. We also 

control community and how well they carred them out. 

asked whether DIC was carg €out leadership and coordination roles in the injury 

While the individuals representing the non-Federal sector had experience with injury 

control activity, they did not always represent organizations directly involved with this 

activity. Consequently, the fidings below are sometimes based on fewer than 25 

respondents because they either lacked sufficient knowledge to offer an opinion or 

some questions did not apply. 

Lastly, it should be noted that it was not our intent to assess the effectiveness of DIe's€

injury control program and such perceptions and documents were not gathered.€
TABLE 1  FEDERA DEPARTMNTS, AGENCIES AN OPERATING 

DIVSIONS CONTACTED AND THEIR ACRONYS 

DEPARTMENT OF HEALTH AN HU SERVICES DHHS€

The Anmini.tration for Chdren and Fames: ACF\ 

The National Center on Child Abuse and Neglect NCCAN 

The Public Health Servce PHS€

The Health Resource and Servces Anmini.tration: HRSA\€

The Maternal and Chid Health Bureau MCHB€

The Health Resources Development Bureau HRDB€

The Alcohol, Drg Abuse, and Menta Health ADAMHA\ 

nmini.trtion: 

The National Institute on Alcohol Abuse and NIA 

Alcoholism€

The National Institute of Mental Health NIMH€

The National Intitutes of Health: NIH€

The National Institute on Agig, NIA€

The National Institute of Chid Health and Human NICHHD€

Development€

The National Institute of Arhrtis and NIASD€

Musculoskeletal and Ski Diseases€

The Indian Health Servce: IHS\€

The Injury Prevention Program IPP€

The Agency for Health Cae Policy and Research AHCPR 

DEPARTMNT OF EDUCATION€

The Ofce of Special Education and Rehabiltation Servces: OSERS\€

The National Institute on Disabilty and NIDRR€

Rehabiltation Research€

DEPARTMENT OF TRSPORTATION DOT€

The National Highway Trafc Safety Anmini.tration NHTSA 

CONSUMER PRODUCT SAFETY COMMISSION CPSC€
FINDINGS€

SOME OVERL EXISTS IN TI LEGISLATI AUTORI OF DIC

OTH FEDERA AGENCI 

authoriC wans the f!eneral area of iniwv 

Iniurv in America, referenced earlier in this report, states in a prefatory section that 

Injury is the principal public health problem in America today...." That realization 

resulted in the report s recommendation " 00. that a Center for Injury Control (CIC) 

should be established as part of CDC. Ths would take advantage of the existing 

mission-oriented epidemiologic interests and data-collecting abilities of CDC." The 

legislation which created the injury control program in CDC in 1986 was based largely 

upon IniUlY in America findings and reco=endations. 

The CDC\IC has legislative authority to conduct, fund and coordinate research 

related to the broad area of injury prevention and control. Part J, Title III of the 

PHSA, Sections 391 through 394, provides statutory language for "Injury ControL" 

Sections 391 and 392 require the Secretary, through the Director of the CDC, to: 

conduct, and give assistance to public and non-profit private entities, scientific 

institutions, and individuals engaged in the conduct of, research related to the 

causes, mechanisms, prevention, diagnosis, treatment of injuries, and 

rehabiltation from injuries; 

make grants to public and non-profit private entities (including academic 

institutions, hospitals, and laboratories) and individuals for the conduct of such 

research; 

coIIect and disseminate, through publications and other appropriate means 

information concerning the practical applications of research conducted or 

assisted; 

assist States and political subdivisions of States in activities for the prevention 

of injuries; and 

encourage regional activities between States designed to reduce injury rates. 
The  lemlatie authoriti of other af!enci call for broad research or research related to 

ifc sub;ect areas or f!OUTJ 

Other Federal agencies outside CDC\IC, which were included in this study, have 

legislative authority to conduct or fund research. However, it differs from that of 

CDC\IC in that it is either very broadly concerned with the health of the nation or 

concerned with particular areas, like highway safety, or to specific groups, such as 

children and Native Americans, which may be liked to injury-related research. The 

Appendix contains a su=ary of subject areas covered in the legislative authority of 

these agencies and lists Fiscal Year 1990 funding related to injury, where the 

information was available and where such distinctions could be made. It also 

describes each agency s purpose as it relates to specific areas of research activity. 

TI DIC AN OTIR FEDERA AGENCI AR BOTH WORKG IN 

SOME GENERA 

The DIC promotes research and intervention in various areas, including suicide and€

homicide, famiy violence, vehicle crashes, alcohol-related injuries, farm-related 

injuries, falls among the elderly, head and spinal cord injuries, house fires and 

drownngs. Table 2 below identifes the injury-related subject areas and foci of other 

Federal agencies' activity in areas in which DIC is also working. 

HOWEVER, NO DUPLICATION OF EFFORT WAS FOUN WI REGAR 

TO SPECIFC PROJECT 

Eight of 12 Federal agencies provided materials related to funded research activity, in 

response to requests for budget inormation, annual reports and mission statements 

covering the period 1985 to present. In most instances, the material concerned FY 

1990 activities, and described research projects and grant programs in various formats 

and detail, ranging from lists of titles only to comprehensive, multi-page accounts. 

Only several of the agencies identified projects specificaIly related to injury. All the 

documents were reviewed, but particular attention was given to the smaIl number of 

projects designated as injury-related. These were reviewed in detail, along with similar 

information provided by DIC. Although there was not sufficient time to thoroughly 

review all this material, there was no duplication of effort noted with regard to specific 

projects. 
TABLE 2 SUBJECT AREAS AN 

SUBJECT AREAS€

VIOLENCE:€

HOMICIDE, SUICIDE€

FAMILY AN CHILD€

ABUSE€

SUBSTANCE ABUSE€

TRAUM:€

FALLS, AUTO AND€

OTHER€

OTHER€

AGENCIES€

ACF\CCAN€

HRSA\MCHB€

NIHICHH€

ADAM\€

NIM€

ADAM\€ NIA€

HRSA\HDB€

IHS\IPP€

NIIA€

DOT\TSA€

NIHIASD€

ED\NIDRS€

AHCPR€

CPSC€

FOCI OF OTIR AGENCIES€

FOCI€

Prevent and treat family violence€

provide shelter and servces to victims.€

Combat child abuse and neglect.€

Prevent injury to children and€

adolescents.€

Prevent childhood injuries.€

Prevent youth suicide.€

Research traumatic victimization.€

Monitor drug abuse and recommend€

programs to decrease drug abuse.€

The same for alcohol abuse. Identify€

and treat mental disorders. Identify€

and treat antisocial behavior and€

violence.€

Fund trauma centers in States.€

Examie trends of€

intentional/unintentional injuries on€

reservations.€

Research injuries related to the aging€

process, specifically from falls and€

auto crashes. 

Maintain a crash database and motor€

vehicle safety records for regulatory€

development; fund contract research.€

Identify mechanisms of trauma leading€

to injury; study the healing process€

and the use of physical therapy and€

rehabilitation for those with spinal€

cord- related disabilities.€

Improve emergency medical servces.€

Test and regulate the safety of€

consumer products.€
Providing core funding for eight centers of excellence in injury control 

research at leading universities.€

Al 22 respondents offerig an opinon say DIC facilitates coordination in the injury 

control co=unity, and all feel DIC plays this role very well (45 percent) or fairly well 

(55 percent). 

All 24 respondents offering an opinion report that DIC plays a leadership role in the 

injury control community; virtually all believe that DIC plays this role very well (38 

percent) or fairly well (58 percent). 

Seventeen of 22 respondents (77 percent) who gave an opinion believe that the 

absence of DIC would have a signicant and negative impact on their own agency or 

organization. Included in this group are 10 Federal and 7 non-Federal respondents. 

The remaing five (including four Federal respondents) say there would be minimal 

or no impact. Of these four Federal respondents, two represent agencies with very 

specific statutory mandates concernng injury to chidren and child abuse. The former 

has lited funding to prepare a long range research program to develop interventions 

and preventions. The latter has greater funding to provide grants to States for 

prevention and treatment programs. The two others include an agency whose 

program has yet to be funded and one whose priary concern is in improvig clinical 

practice and the delivery of health care servces. 

Eleven of the 17 feel it would represent a signifcant setback to their injury control 

efforts. Among them are four Federal and seven non-Federal respondents, including 

those representing three injury control research centers. Among the concerns of the 

other six is that the central focus of injury control in the Federal government would be 

lost; they cannot do the work DIC was doing for them and would have to go outside 

government where the costs would be higher; and relationships in the injury control 

community would come apart. 

AU 25 respondents believe the absence of DIC would have a major and negative 

impact on the injury control community in general. 

Various respondents indicate that DIC is a crucial cog in the area of injury control€

and has brought a higher level of awareness concerning injury to the public. Several 

recommended that DIC needs to have time to mature and continue its important€

work. 
. .

INJURY€

FUNDING€

FY 1990€

$17.6 M 

$3.4 M 

$1.

Funded€

7 M 

Not Yet 

To conduct and support research€

and training; the dissemination of 

health information with respect to 

arthritis and musculoskeletal€diseasesTo fund maternal and child health 

, including sports-related€

disorders.€

improvements in clinical practice and in the organization, financing and delivery of health care services.€trauma care; grants, cooperative 

scientific research

services through block grants to€States; fund research related to 

To address the increasing death 

develop modern systems of agreements and contracts wil be€awarded.€

, promote 

To establish broad base of 

maternal and child health. rate due to trauma and to 

PURPOSE€

AGENCIES' STATUTORY AUTHORITY€

AND FY 1990 INJURY FUNDING€

APPENDIX A€

Public Health Service Act, Title 

Public Health Service Act, Title 

Public Health Service Act, Title Social Securit Act, Title V Sec. 502, Paragraph 2B 

A- 1€

STATUTE€

IV, Subpart 4 

OTHER FEDERA €

XII€

The National Institute of Arthritis and 

Musculoskeletal and Skin Diseases€

The Agency for Health Care Policy and€The Heaith Resources and Services€

AdministrationfThe Maternal and Child Health 

The Heaith Resources and Services€

AdministrationfThe Heaith Resources 

AGENCY€

Research€Bureau€

Development Bureau 
INJURY€

FUNDING€

FY 1990€

Unable to€

break out€

estimate€

$4.2 M€

$3.

$5.4 M€

Unable€

7 M€

$2 M€

To administer the programs and€

funding or administering research€

grants on victims of traumatic€

events

prevention of suicide and make€

this information available.€To improve technical capabilties€

biomedical, social and behavioral€research and training relating to€

the aging process.€To develop a contract program to€

interventions aimed at prevention€

, perpetrators of violent€

authorities relating to alcohol€

To provide a focal point for€

behavior and issues of law and€mental health.€

To develop and publish€

information about causes and€in epidemiological analysis€examine trends in injuries and€evaluate effectiveness of injury€

intervention projects.€

To conduct and support€

elucidate mechanisms of€childhood injury; to develop€

PURPOSE€

abuse and alcoholism.€

and to evaluate these€

interventions.€

Public Health Service Act, Title€Public Health Service Act, Title€

Public Health Service Act, Title€II, Sec. 502-

Improvement Act of 1976€

Public Health Service Act€

Requested by Senate Report€#99-408 to Develop 5 Year€

513; Title III€

A - 2€

STATUTE€

Subpart 5, Sec. 443€

XIX

Indian Health Care€

No Specific Statute;€

, Section 504€

V; Title III€

Research Plan€

The Alcohol, Drug Abuse

The National Institute of Mental Health/Suicide€

The National Institutes of HealthfThe National€

, and Mental Health€

AdministrationfThe National Institute on€The National Institute of Mental€

The National Institute on Aging€

Institute of Child Health and Human€

AGENCY€

Alcohol and Alcoholism€

HealthNiolence€

The Indian Health Service€

Development€
INJURY€

FUNDING€

Unable to€

Break Out 

Unable to 

Break Out 

Unable to€Break out 

FY 1990€

$16-17 M 

coordinated national program of 

task forceTo fund highway safety research;€

accident investigation procedures and research to develop appropriate regulations. 

, a national clearing 

support for a comprehensive an€

advisory board

house for information relating to 

child abuse and provides grants 

to states for prevention and treatment programs. 

, an inter-agency 

research regarding the rehabiltation of individuals with€disabilties.€

To create a national center on 

child abuse and neglect

consumer products (including data on injury control) and test consumer products to regulate€

their safety, efficacy and use.€

, an 

To provide leadership and 

development of improved 

To collect national data on 

PURPOSE€

Adoption, and Family Services 

Consumer Product Safety Act Chapter 2, CFR , Commercial 

Rehabiltation Act

Highway Safety Act of 1966€

16 CFR Part 1000; Title XVI 

, Title II 

Child Abuse Prevention€

A - 3€

STATUTE€

Act of 1988€

Revised April 1990 Practices€

Department of Educationrrhe National Institute on Disabilit and Rehabiltation€

The Administration for Children and 

Familiesrrhe National Center on Child Abuse Department of Transportationrrhe National Highway Traffic Safety Administration Consumer Product Safety Commission 

AGENCY€

, ,

Research€

and Neglect 
INJURY€

FY 1990€

FUNDING€

Unable to€

Break Out€

Not Broken€Not Broken€

$16.17 M€

Out€Out€

coordinated national program of€

task forceTo fund highway safety research;€

accident investigation procedures€and research to develop€appropriate regulations.€

, a national clearing€

support for a comprehensive an€advisory board

house for information relating to€

child abuse and provides grants€

to states for prevention and€treatment programs.€

, an inter-agency€

research regarding the€rehabiltation of individuals with€disabilties.€

To create a national center on€

child abuse and neglectconsumer products (including€data on injury control) and test€consumer products to regulate€

their safety, efficacy and use.€

, an€

To provide leadership and€

development of improved€

To collect national data on€

PURPOSE€

Adoption, and Family Services€

Consumer Product Safety Act€Chapter 2, CFR, Commercial€Rehabiltation ActHighway Safety Act of 1966€

16 CFR Part 1000; Title XVI,€

, Title II€

Child Abuse Prevention€

STATUTE€

A - 3€

Act of 1988€

Revised April 1990€Practices€

Department of EducationfThe National€Institute on Disabilit and Rehabiltation€

The Administration for Children and€

FamilesfThe National Center on Child Abuse€Department of TransportationfThe National€Highway Traffic Safety Administration€Consumer Product Safety Commission€

AGENCY€

Research€

and Neglect€

. c€