tricians on how to counsel about firearms issues.3 Similar protocols are needed for other types of injuries, settings, ages, and providers.
Training must be accompanied by technical assistance to support states and communities in developing and implementing practical injury prevention plans, building and sustaining an injury prevention infrastructure, evaluating prevention programs, and making the transition from research to practice. Technical assistance must be conducted by experienced professionals who know how to overcome state and local barriers to program implementation and are knowledgeable about conducting evaluation studies. For example, the CSN's National Injury and Violence Prevention Resource Center provides technical assistance by developing publications and resources that synthesize best practice from different disciplines; conduct needs assessments and site visits; assisting states in overcoming institutional barriers in implementing prevention programs; developing or facilitating the development of continuing education programs for state and local practitioners; operating a national resource library and website; and representing the interests of practitioners in national forums and committees. Additional examples include the National Children's Center for Rural and Agricultural Health and Safety recently funded by NIOSH and the National Program for Playground Safety funded by the Centers for Disease Control and Prevention.
Many of the federal agencies discussed in Chapter 8 are involved in technical assistance to states and communities, and the committee supports continuation of these efforts. Further, the committee supports an increased technical assistance role for NCIPC, particularly in providing assistance (including the site-visit teams discussed earlier in this chapter) to state health departments.
In addition to implementing technical assistance mechanisms, there should be a periodic assessment to determine the status of injury prevention programming and capacity, the specific barriers that must be overcome to enhance implementation, and the needs for technical assistance and training. A survey, such as the 1988 survey of state health departments (Harrington et al., 1988), should be updated and the results used to develop a technical assistance plan for states.
As described in Chapter 4, emphasis is needed on evaluating prevention interventions in real-world settings so that effective interventions can move from research and demonstration projects to wide-scale dissemination. A recent NCIPC