This report was compiled by members of the Injury Prevention Advisory Council Subcommittee on Violence. Its purpose is to present an overview of youth violence in Arizona, using data from the health care and criminal justice systems. Presenting both the health care and criminal justice perspectives presents a more comprehensive picture of youth violence and provides greater opportunities for developing solutions.

Since the release of the CDC’s recommendations to improve preconception health in 2006, the Arizona Department of Health Services and its partners across the state have made steady progress in improving awareness about preconception health and increasing access to preconception health services. The Bureau of Women’s and Children’s Health assessed internal programs serving women and children to identify opportunities for integrating preconception health education and services into program policies and procedures.

The Arizona Injury Surveillance and Prevention Plan establishes objectives and proposes strategic actions to avoid injury. The actions proposed are based on the knowledge that many seemingly accidental injuries could have been prevented by taking precautions, avoiding unnecessary risks, and/or enacting and enforcing laws such as drunk driving laws or seat belt laws.

The Arizona Department of Health Services offers a vast array of programs that benefit every state resident and visitor. I like to remind people that we are with you from birth to death. In fact, we provide certificates for both events through our Office of Vital Records. If you drink the water, eat the food, require hospital or nursing home care or use a child care facility, the Arizona Department of Health Services has touched your life in some important way. Assuring the quality of our food and water, setting standards for hospitals and nursing home and child care, maintaining the State’s vital records, screening newborns for genetic diseases, protecting the public from disease and overseeing the state’s mental health system and Arizona State Hospital are just some of the duties of the Arizona Department of Health Services.

The Arizona Head Start--Public School Transition Project is 1 of 31 demonstration projects designed to test whether advances by Head Start children could be maintained by continuing Head Start-type services into kindergarten through the third grade, and to identify, develop, and implement transition practices to bridge the gap between Head Start and public schools. This study evaluated the Arizona project in its fourth year of implementation. Participating were two cohorts of students at three transition and three comparison schools in Phoenix. The program components evaluated were: (1) developmentally appropriate practices, curriculum, and materials; (2) physical health, mental health, and dental services; (3) family services; and (4) parent involvement. Findings indicated that all components had been implemented by the time of the 1995-96 evaluation. Both cohorts had similar public assistance participation, and all groups showed dramatic decreases in public assistance since program entry. The vast majority of parents from all groups reported positive interactions with schools; qualitative data confirmed continuing positive impact on teachers, schools, and the Head Start agency. Transition services, especially those of family advocates, were seen as crucial to smooth transitions. There were observable differences between transition and comparison classrooms; however, quantitative data showed few significant differences in gains made by children between transition and comparison classrooms. Confounding variables of high attrition, variations in student English proficiency, and the existence in comparison schools of transition-like services may have influenced the results. Promising practices and further challenges were identified and recommendations were made for improving the collaboration between the Head Start program and the public schools, and improving the evaluation process. (Three appendices include a summary of data collection instruments. Contains 20 references.)

The Phoenix Early Head Start (EHS) program is a family-centered program intended to provide early, continuous, intensive, and comprehensive child development and family support services for first-time teen parents and their very young children. This report presents case studies of 12 families, all EHS participants, who agreed to be followed throughout their participation in the program so that their stories could be updated as they unfolded from one year to the next. The case study families were interviewed in August of 1997, 1998, and 1999. Four of the families had participated in the first two interviews but had withdrawn prior to the third interview. Additional information was obtained through conversations with family support specialists in May 2000. Common themes in the families' stories regarding EHS's role include: (1) assistance from caring staff; (2) reassurance from home visits and child development; (3) help in becoming good parents; (4) help with personal goals; (5) help with daily life; and (6) socialization opportunities for children and parents. During the study, most families made progress to widely differing degrees. Although somewhat apprehensive about life without the safety net of EHS, all eight families seemed much more confident than earlier, had some knowledge and understanding of their children and themselves, and had articulated and taken some steps toward achieving personal and family goals.

Amidst the numbers and statistics that comprise a program evaluation, it is easy to lose sight of the program participants themselves. That is one rationale for a case study--to tap into some of the rich background information that only participants can provide. To develop some of this background information for the five-year program evaluation of Phoenix Early Head Start(EHS), a case study was undertaken of 12 families who were representative of all EHS program participants. Each of the 12 families agreed to be followed throughout their participation in the program so that their "stories" can be updated as they unfold from one year to the next.

Phoenix Early Head Start (EHS) is a program for first-time teen parents and their families. It is a family-centered program intended to provide early, continuous, intensive, and comprehensive child development and family support services for vulnerable families and their very young children. This report presents case studies of 12 families, all EHS participants, who agreed to be followed throughout their participation in the program so that their stories could be updated as they unfolded from one year to the next. The case study families were interviewed for the first time in August 1997 and again in August 1998. Common themes in the family's stories regarding EHS's role include: (1) assistance from caring staff; (2) reassurance from home visits and child development; (3) help in becoming good parents; (4) help with personal goals; (5) help with daily life; and (6) socialization opportunities for children and parents.

To lessen the impact of an influenza pandemic, the State of Arizona has created this Influenza Pandemic Response Plan to promote an effective response throughout the pandemic. The plan was originally crafted in 2000, through a coordinated effort of the Arizona Department of Health Services, Arizona Division of Emergency Management, local health departments and other partners and stakeholders. It is also an annex to the Arizona State Emergency Response and Recovery Plan.