PABI Plan - The Sarah Jane Brain Project

implications of shaking a baby; and the impact any PA/TBI has, not only on the child/young
adult, but on the family and community long-term. Continued reflection and consideration is
needed based upon all families’ experiences for the development of the types of prevention and
communication strategies effective in preventing PA/TBI. Furthermore, there are many
successful prevention advocacy organizations needing additional funding and support to expand
upon their successes.
Solutions:
1. Application of WHO methods for primary and secondary prevention and employing
educational initiatives for injury prevention.
2. Collection of targeted injury data for identifying priority issues and high risk parameters,
using a standardized dictionary of terms for uniformity across all stakeholders in A/TBI.
3. Refinement, development and testing of evidence-based prevention programs which are
sustainable and able to be generalized for any given community.
4. Increased availability of prevention education/re-education programs with active
research.
5. Utilization of a “train the trainer” model of education and support.
Secondary/ tertiary prevention:
1. Advocacy training of families.
2. Training of medical personnel, community, school, sports/recreational agencies regarding
risks of re-injury and/or current injury exacerbation.
3. Risk reduction for homelessness, addictions, abuse and psychiatric sequelae.
4. Target education and screening within the correctional/prison system and special
programs within schools, as well as direct education of pediatric and adolescent
psychiatrists and psychologists to better identify children with a history of trauma.
Research Priorities (not in particular order):
1. Identification of risk factors for various types of injuries (e.g. MVA/falls/sports/child
abuse/military).
2. Investigation of the effective prevention strategies for each main mechanism, type and
severity of injury.
3. Improved identification of secondary injuries by means of biomarkers.
4. Establishment of effective measures for the prevention of repeated injuries.
5. Recognition of risk factors for psychiatric co-morbidities.
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