PEDIATRICS Vol. 94 No. 4 October 1994, pp. 638-651
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Reducing Violent Injuries: Priorities for Pediatrician Advocacy

Judith Cohen Dolins MPH1 and Katherine Kaufer Christoffel MD, MPH2

1 American Academy of Pediatrics, Elk Grove Village, Illinois
2 Children's Memorial Hospital, Chicago, Illinois

A basic framework for developing an advocacy plan must systematically break down the large task of policy development implementation into manageable components. The basic framework described in detail in this paper includes three steps:

• Setting policy objectives by narrowing the scope of policy, by reviewing policy options, and by examining options against selected criteria.

• Developing strategies for educating the public and for approaching legislative/regulatory bodies.

• Evaluating the effectiveness of the advocacy action plan as a process and as an agent for change.

To illustrate the variety of ways in which pediatricians can be involved in the policy process to reduce violent injuries among children and adolescents, we apply this systematic approach to three priority areas.

• Prohibiting the use of corporal punishment in schools is intended to curb the institutionalized legitimacy of violence that has been associated with future use of violence.

• Efforts to remove handguns from the environments of children and adolescents are aimed at reducing the numbers of firearm injuries inflicted upon and by minors.

• Comprehensive treatment of adolescent victims of assault is intended to decrease the reoccurrence of violent injuries.




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