Social and Economic
Costs of Violence
WORKSHOP SUMMARY
Deepali M. Patel and Rachel M. Taylor, Rapporteurs
Forum on Global Violence Prevention
Board on Global Health
INSTITUTE OF MEDICINE AND
NATIONAL RESEARCH COUNCIL
OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This study was supported by contracts between the National Academy of Sciences and the Department of Health and Human Services: Administration on Aging, Administration on Children, Youth, and Families, Office on Women’s Health; Anheuser-Busch InBev; Avon Foundation for Women; BD (Becton, Dickinson and Company); Catholic Health Initiatives; Centers for Disease Control and Prevention; Eli Lilly and Company; Department of Education: Office of Safe and Drug-Free Schools; Department of Justice: National Institute of Justice; Fetzer Institute; F. Felix Foundation; Foundation to Promote Open Society; The Joyce Foundation; Kaiser Permanente; National Institutes of Health: National Institute on Alcoholism and Alcohol Abuse, National Institute on Drug Abuse, Office of Research on Women’s Health, John E. Fogarty International Center; Robert Wood Johnson Foundation; and the Substance Abuse and Mental Health Services Administration. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.
International Standard Book Number-13: 978-0-309-22024-8
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ISBN 0-309-22024-6
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Suggested citation: IOM (Institute of Medicine) and NRC (National Research Council). 2012. Social and economic costs of violence: Workshop summary. Washington, DC: The National Academies Press.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.
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PLANNING COMMITTEE FOR WORKSHOP ON SOCIAL AND ECONOMIC COSTS OF VIOLENCE: THE VALUE OF PREVENTION1
MARK L. ROSENBERG (Chair), President and CEO, The Task Force for Global Health
MINDY THOMPSON FULLILOVE, Research Psychiatrist and Professor of Clinical Psychiatry and Public Health, New York State Psychiatric Institute at Columbia University
PEGGY MURRAY, Senior Advisor for International Research, Office of the Director, National Institute for Alcohol Abuse and Alcoholism
PAMELA B. TEASTER, Director of the Graduate Center for Gerontology, Chairperson of the Department of Gerontology, and Associate Dean for Research, College of Public Health, University of Kentucky
ELIZABETH WARD, Chairman, Violence Prevention Alliance, University of the West Indies, Mona Campus
___________________
1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
FORUM ON GLOBAL VIOLENCE PREVENTION
JACQUELYN C. CAMPBELL (Co-chair), Anna D. Wolf Chair and Professor, Johns Hopkins University School of Nursing
MARK L. ROSENBERG (Co-chair), President and CEO, The Task Force for Global Health
CLARE ANDERSON, Deputy Commissioner, Administration on Children, Youth, and Families, Department of Health and Human Services
FRANCES E. ASHE-GOINS, Deputy Director, Office on Women’s Health, Department of Health and Human Services
KATRINA BAUM, Senior Research Officer, Office of Research Partnerships, National Institute of Justice, Department of Justice
SUSAN BISSELL, Associate Director, Child Protection Section, United Nations Children’s Fund (UNICEF)
ARTURO CERVANTES TREJO, Director General, National Center for Injury Prevention, Ministry of Health, Mexico
XINQI DONG, Associate Director, Rush Institute for Health Aging; Associate Professor of Medicine, Behavioral Sciences, and Gerontological Nursing, Rush University Medical Center
AMIE GIANINO, Senior Global Director, Beer & Better World, Anheuser-Busch InBev
KATHY GREENLEE, Assistant Secretary for Aging, Administration on Aging, Department of Health and Human Services
RODRIGO V. GUERRERO, City Counselor, Cali, Colombia
JOHN R. HAYES, Global Strategy Leader for Neuroscience, Medical Affairs, Eli Lilly and Company
DAVID HEMENWAY, Director, Injury Control Research Center and the Youth Violence Prevention Center, Harvard School of Public Health
FRANCES HENRY, Advisor, F. Felix Foundation
MERCEDES S. HINTON, Program Officer, Initiative on Confronting Violent Crime, Open Society Institute
LARKE NAHME HUANG, Senior Advisor, Office of the Administrator, Substance Abuse and Mental Health Services Administration, Department of Health and Human Services
L. ROWELL HUESMANN, Amos N. Tversky Collegiate Professor of Psychology and Communication Studies Director, Research Center for Group Dynamics, Institute for Social Research, University of Michigan
KEVIN JENNINGS, Assistant Deputy Secretary of Education, Office of Safe and Drug Free Schools, Department of Education
CAROL M. KURZIG, President, Avon Foundation for Women
JOANNE LACROIX, Manager, Family Violence Prevention Unit, Public Health Agency of Canada
JACQUELINE LLOYD, Health Scientist Administrator, Prevention Research Branch, Division of Epidemiology, Services and Prevention Research, National Institute on Drug Abuse
BRIGID MCCAW, Medical Director, NCal Family Violence Prevention Program, Kaiser Permanente
JAMES A. MERCY, Special Advisor for Strategic Directions, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention
PEGGY MURRAY, Senior Advisor for International Research, Office of the Director, National Institute for Alcohol Abuse and Alcoholism
MICHAEL PHILLIPS, Director, Suicide Research and Prevention Center, Shanghai Jiao Tong University School of Medicine
COLLEEN SCANLON, Senior Vice President, Advocacy, Catholic Health Initiatives
KRISTIN SCHUBERT, Interim Team Director, Public Health and Program Officer, Vulnerable Populations, Robert Wood Johnson Foundation
EVELYN TOMASZEWSKI, Senior Policy Advisor, Human Rights and International Affairs, National Association of Social Workers
ELIZABETH WARD, Chairman, Violence Prevention Alliance, University of the West Indies, Mona Campus
Staff
DEEPALI M. PATEL, Program Officer
RACHEL M. TAYLOR, Research Associate
RACHEL E. PITTLUCK, Senior Program Assistant (until May 2011)
MEGAN M. PEREZ, Senior Program Assistant (from June 2011)
ELENA NIGHTINGALE, Scholar-in-Residence
KATE BURNS, Intern
JULIE WILTSHIRE, Financial Officer
PATRICK KELLEY, Board Director
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Reviewers
This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this report:
THERESA BETANCOURT, Assistant Professor of Child Health and Human Rights, Department of Global Health and Population, Harvard School of Public Health; Director, Research Program on Children and Global Adversity, Francois-Xavier Bagnoud Center for Health and Human Rights
JÜRGEN REHM, Director, Social and Epidemiological Research Department, Centre for Addiction and Mental Health
GARY SLUTKIN, Executive Director, CeaseFire; Professor, Epidemiology and International Health, University of Illinois at Chicago School of Public Health
ELIZABETH WARD, Chairman, Violence Prevention Alliance, University of the West Indies, Mona Campus
Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the final draft of the report before its release. The review of this report was overseen by ANNE C. PETERSEN, Research Professor at the Center for Human Growth and Development at the University of Michigan. Appointed by the Institute of Medicine she was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the author and the institution.
Contents
2 Approaches to Measurement and Costing Methodology
3 Challenges in Calculating Costs
4 Toward a Bigger Picture of the Costs of Violence
5 The Promise of Investing in Violence Prevention
PART II: Papers and Commentary from Workshop Speakers
6 Papers on Direct and Indirect Costs of Violence
Consequences of Elder Abuse: The Needs for Social Justice and Policy Implications
XinQi Dong
Costs of Firearm Violence: How You Measure Things Matters
David Hemenway
The Contagion of Violence: The Extent, the Processes, and the Outcomes
L. Rowell Huesmann
Social Contexts and Violence
Mindy Thompson Fullilove and Rodrick Wallace
Youth Violence in Kingston, Jamaica
Elizabeth Ward, Damian Hutchinson, Horace Levy, and Deanna Ashley
8 Papers on Investing in Prevention