Surgeon General’s Wopesn0P on sad’ Bublic Health Report Leesburg, Virginia October 27-29, 1985 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 he Health Resources Published May 1986 by and Servicés\Admiefiseration (HRSA) U.S. Public Health Service U.S. Departement of Health and Human Services (DHHS) DHHS Publication No. HRS-D-MC_ 86-1 Contents Plenary Session I C. Everett Koop, MD .............. Pee tees beste bee evasesesuceeussse ss, 3 Surgeon General, USPHS Plenary Sesssion II Marvin E. Wolfgang, PhD ............00. 000. cc cecccccecceccucceeceee 9 Director, Sellin Center for Studies in Criminology and Criminal Law, University of Pennsylvania William H. Foege, MD ..........0 000.0 coe cece ecco ccc cceccccceee. 19 Assistant Surgeon General and Special Assistant for Policy Development, Centers for Disease Control Plenary Session III Karil S. Klingbeil, MSW, ACSW ......00....0. 000000000200 eee. 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 ....0.. 000.0 cc cece cecccccccccccecccee ee 35 Assistant Professor of Medicine, Boston University School of Medicine, and Attending Physician, Boston Youth Program Anthony V. Bouza ......... 0.2... cc cece ccccec ccc eeeeueveseceseceeeces 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................0..0000000555.. 52 Child Abuse: Evaluation and Treatment .......................-...... 54 Child Abuse: Prevention ........0.0 000.0. cccccecc ccc ccccccccccceee 56 Child Sexual Abuse: Evaluation and Treatment ........-..+:ee sees ees 58 Child Sexual Abuse: Prevention.......---.-++ss-seeererectcnen 61 Elder Abuse: Evaluation and Treatment of Victims and Prevention........2-c2ceeee eee ee tees 64 Rape and Sexual Assault: Evaluation and Treatment ........-.--+-+-- 66 Rape and Sexual Assault: Prevention ........20e0eeeeeeene renee 68 Spouse Abuse: Evaluation and Treatment ..........-.s0ee eee eer ene 71 Spouse Abuse: Prevention .......--+1e-ssseeereetrersseeesr ens 74 Plenary Session V C. Everett Koop, MD .........:0::ceeeeerrerer er er eer n reese 79 Surgeon General, USPHS