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

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 2

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

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

Safe Kids in Georgia 32 Coalitions 56 counties

Needs Assessment 6 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

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 7

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 8

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 9

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

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 11

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

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 13

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

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. 15

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

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

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 18

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