Cross –Program Integration Child and adolescent cross-program integration is a process that brings together the state IVP and MCH programs to identify common goals and to work jointly to achieve them. Cross-program integration facilitates the interweaving of injury strategies into programs and systems which service children and adolescents. It aligns and maximizes resources creating a coordinated and cohesive approach to increase the impact on injury and violence mortality and morbidity rates. It promotes the “spread” of effective interventions. Integration efforts should encourage cooperation, coordination, and collaboration between the two programs and not compromise the goals of the program into which injury is being integrated. It is about doing work differently not adding more work. (Can we really say this in that some of the MCH programs may never have done any work in injury prevention? I can understand how the chronic disease programs could say it) The guiding principles for integration are: Respect program identity Recognize program priorities Preserve successful interventions Responsibilities to funding sources are acknowledged Do no harm to program integrity No one “glove” fits – each effort may be unique Key points MCH program has access to multiple systems/programs which serve children and adolescents IVP has knowledge and access to best-practices/effective interventions Spread of information needs to be in both directions Collaboration should include education, training, resources from injury into MCH programs Injury interventions should be interwoven into MCH programs Working together towards common goals – both committed to achieving. Making a careful choice of which IVP activity should be incorporated into which Title V program Integration of IVP activity should not fundamentally alter or change MCH program; integrity of MCH program remains and is enhanced Every MCH program “thinks” about how the population – purpose can be enhanced by the inclusion of IVP. IVP “looks at” every MCH program to see if the inclusion of IVP is possible and what inclusion might do to reduce the burden both mortality and morbidity. Basic steps Department can take to establishing a systematic approach to expanding the possibilities and facilitating actions to reduce the burden of injury and violence: Establish integration team Assess the injury issues to be addressed, populations served, current partnerships and existing service delivery systems of each MCH program Identify common elements and opportunities for integration Use data to create, implement and evaluate an integrated plan or project Setting the stage Clearly articulate and describe the benefits of a cross-program integration initiative at the Administrative Management Program levels Program staff needs to understand how integration will enhance their program work plans and assist with their jobs without threatening program autonomy Resources will need to be dedicated to the effort – managers need to be committed Agreements need to be developed that establish clear roles and responsibilities for implementing and evaluating joint activities Infrastructure will need to be in place and maintained to support regular information sharing with all staff Administration/mangers need to communicate their support of program integration and help create and support a culture that makes integration the norm.