Surgeon

General's

Leesburg, Virginia
October 27-29, .I985


Surgeon General's
Workshop on
Violence
and Public Health

Report

Sponsors

U.S. Department of Health and Human
Services: the Alcohol, Drug Abuse, and
Mental Health Administration, Centers for
Disease Control, Health Resources and Ser-
vices Administration, and National Institutes
of Health of the U.S. Public Health Service
and the Administration on Children, Youth,
and Families and the Administration on De-
velopmental Disabilities of the Office of Hu-
man Development Services

U.S. Department of Justice: the Office of
Juvenile Justice and Delinquency Prevention

Leesburg, Virginia
October 27-29, 1985


       U.S. Public Hwlth Service
U.S. Dqmrtmmt of Health nnd Human Swviccs (DHHS)

DHHS Publication No. HRS-D-MC  X6- I


Contents

Plenary Session I

C. Everett Koop, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  3
Surgeon General, USPHS

Plenary Sesssion II

Marvin E. Wolfgang, PhD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  9
Director, Sellin Center for Studies in Criminology and
Criminal Law, University of Pennsylvania

William H. Foege, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Assistant Surgeon General and Special Assistant for
Policy Development, Centers for Disease Control

Plenary Session III

Karil S. Klingbeil, MSW, ACSW . . . . . . . . . ._... . . . . . . . . . . . . . . . . . . . . . . 25
Assistant Administrator and Director of Social Work,
Harborview Medical Center, and Assistant Professor,
School of Social Work, University of Washington

Deborah Prothrow-Stith, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Assistant Professor of Medicine, Boston University
School of Medicine, and Attending Physician,
Boston Youth Program

Anthony V. Bouza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . _. . . . . . . . . _ . . . . _ 44
Chief of Police, Minneapolis, Minnesota

Plenary Session IV

Recommendations of the Work Groups:

Assault and Homicide: Evaluation and Treatment.. . . . . . . . . . . . _. . . . . .49
  Assault and Homicide: Prevention.. _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Child Abuse: Evaluation and Treatment.. . . . . . . . . . . . _. . . . . . . . . . . . . . . .54
  Child Abuse: Prevention _ __ _. . . . . . . . . . . . . . . . _ _. . _ _. . . _. . . . _. . . . . .56


Child Sexual Abuse: Evaluation and Treatment ...........
  Child Sexual Abuse: Prevention. ......................
Elder Abuse: Evaluation and Treatment of Victims
  and Prevention .........................................
Rape and Sexual Assault: Evaluation and Treatment ......
  Rape and Sexual Assault: Prevention .................
Spouse Abuse: Evaluation and Treatment ..................
  Spouse Abuse: Prevention .............................

......... .58

......... .61

......... .64

......... .66

......... .68

......... .71

......... .74

Plenary Session V

C. Everett Koop, MD _. . . . . . . . . . . . . . . . ._. _. . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Surgeon General, USPHS

The "Delphi" Survey ......................................... . . .._...... 84
List of Participants ............................................ _ . . . . _ . . . . .92