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  • Home
  • About
  • Research
    • Research Publication Portfolio >
      • Peer Reviewed
      • Health Education Publications
      • Conference Presentations
      • Training & Curricula
  • CBI Programs
  • Projects and Programs
  • Horses
    • Urban Horse Communities
    • Research and Planning Horses
    • Dogs and Horses
    • Horse Manure to Energy
    • LAEC
  • International
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Projects and Programs
Community Health and Safety Division

The Community Health and Safety Division of Public Health Behavior Solutions (PHBS) offers evidence-based research, programs, training, and policy development to promote injury and disease prevention. Serving communities, organizations, academic institutions, and government agencies both locally and globally, we are dedicated to advancing public health and safety through a multidisciplinary approach grounded in scientific evidence.

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Select above to read full article

Peer Review Publication

The result of a longitudinal quasi-experimental within-subjects group design study of 2,448 expected to assess the efficacy of behavioral skills training compared to traditional methods of car seat education in reducing car seat misuse. DeCarli, J. M., Aclan, M. D., Lindgren, N. A., & Diaz, C. (2024). In-Person and Telehealth behavioral skills Training to reduce child restraint system misuse. Journal of Organizational Behavior Management, 1–32. https://doi.org/10.1080/01608061.2024.230193

This study is currently in its implementation stage for policy development and applies to training Certified Child Passenger Safety Technicians (CPSTs).

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Cognitive-based Integrative Programs

Cognitive-based Integrative (CBI) programs are cognitive-based models to reduce risk-taking behaviors among children, adolescents, and adults. The CBI programs incorporate cognitive neuroscience, occupational therapy, and public health approaches to provide skills that empower individuals and families to reduce exposure to injury risk and promote healthy lifestyles. CBI programs are classes that can be individual/group, hospital-based, judicial, school/community, college, and faith-based youth diversion programs. CBI programs contribute to the meeting Healthy People 20230 Objectives, and Substance Abuse and Mental Health Services Administration (SAMHSA), Strategic Prevention Framework (SPF).  The following are the neuroscience-based models are the basis on the validity of the CBI programs:
  • Neurodevelopmental Protective Pathway Model (NPPM): The NPPM describes the developmental factors that predispose teens to risky behavior and identifies the most critical time to implement behavioral interventions to reduce risky behavior (DeCarli, J, 2009).
  • Self-Motivated Transformational Choice Model (SM-TCM): The SM-TCM includes a combination of the NPPM, Emotional Re-activity Change Model (ERCM) described below, Health Belief Model and the Transtheoretical Model to help provide the necessary skills to move an individual through each stage of behavior change so one can more effectively achieve their personal goals. The SM-TCM helps individuals to understand how their choices in life can be influenced and provides the necessary skills to help modify these behaviors (DeCarli, J, 2009)
  • Emotional Re-activity Change Model (ERCM): The ERCM is a self-administered tool to help modify how the brain responds in situations, to help the individual maintain control and learn how to respond rather than to react. The ERCM is applied after the participant has obtained the skills from the Self-Motivated Transformational Choice Model (SM-TCM). The ERCM promotes sustainable behavior changes through neuroplasticity (DeCarli, J, 2008).

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Smart Choices Parenting

Smart Choices Parenting is a Cognitive-based Integrative (CBI) affiliated class, designed for parents. Children learn from our actions as parents, behaviors, and the environments we create for them. As parents, we also want the best for our children, their choices, and their future. This program provides parents with the knowledge of how the adult and teen brains develop and provides practical behavioral tools, that can significantly enhance parenting practices. By understanding brain development, parents can model positive behaviors and create a nurturing environment, ultimately reducing adolescent risk behaviors and supporting their children's growth. 

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Parenting Class Series

Parenting Class Series is a set of classes designed for parents and caregivers to foster empowerment, nurturing, effective communication, and essential parenting skills. These programs aim to promote the health, safety, and well-being of children. While primarily used for parent education, they are also often court-referred or court-mandated.

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Child Safety on the Homefront

​Child Safety on the Homefront is a childhood injury prevention program for military families who are expecting a baby, and for other military parents and caregivers.
  • Car Seat Safety
  • Home Safety
  • Child Engagement
  • Spica Cast Car Seat Loaner Program

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Prevention and Vaccine Promotion

​Prevention and Vaccine Promotion is a "Cognitive-Based Integrative Model for Enhancing Vaccine Uptake" to improve vaccination rates and promote healthy communities during and post COVID-19.
  • Psychological Reactance During COVID-19 Pandemic & Vaccine Mandates (DeCarli, J., 2022)
  • Cognitive distortions fueled by fear, resulting in decisions based on false assumptions (DeCarli, J., 2022) ​

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Spica Cast Car Seat Loaner Program and Services

Spica Cast Car Seat Loaner Program and Services for Children in Spica Casts (CSLP): A Nationwide and Global Hospital-based Program. The CSLP is a resource for the International Hip Dysplasia Institute (IHDI) to help address a service gap. With 1 in 100 infants requiring treatment for DDH, and between 16.5 and 28 fractures per 100,000, according to the Pediatric Orthopedic Society of North America - POSNA, children are often discharged from hospitals that do not have special needs car seat loaner programs which can put this vulnerable child passenger at injury or fatality risk. The CLSP fills the gap between medium and large hospitals reducing hospital liability while providing a community benefit service by keeping children safe.

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Community Benefit Programs

Community Benefit Programs for Hospitals and Providers. Community Benefit programs are evidenced-based services and programs developed for hospitals and healthcare providers to promote the physical and emotional health, safety, and wellness of patients in under served communities. 

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Pro Car Seat Safety

Pro Car Seat Safety (PCSS), established in 2015, is a National Highway Traffic Safety Administration (NHTSA) certified mobile child passenger safety and care seat installation/education service. We provide in-home services and telehealth consultations across the United States, including Alaska, Hawaii, Guam, and U.S. Territories such as American Samoa, the Northern Mariana Islands, and Puerto Rico.

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PCSS specializes in a peer-reviewed, evidence-based Behavioral Skills Training educational approach to ensure expecting parents and parents with newborns receive comprehensive education—whether at hospitals or in-home settings. Our program has been scientifically validated to help parents and caregivers acquire and retain critical, complex skills needed to properly install, test, and use car seats—reducing the prevalence of misuse, a significant public health issue.
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In addition, PCSS offers train-the-trainer programs for hospitals, law enforcement, and judicial professionals, as well as continuing education credits for over 35,000 certified Child Passenger Safety Technicians nationwide.
Additional Support and Resources
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Beyond our core car seat safety services, the PCSS program provides extensive professional support and health education resources aimed at promoting child safety and health literacy nationwide. We enable community outreach through train-the-trainer initiatives, empowering hospitals, law enforcement, and judicial staff to expand safe practices locally.

Our telehealth services and 24/7 call center provide families and caregivers with immediate, expert assistance—helping to reduce misuse and improve safety outcomes across the country and U.S. Territories. We also collaborate with national safety agencies and community organizations to strengthen injury prevention efforts.
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Beyond car seat safety, our Professional Support Services encompass injury and disease prevention, mental health, and wellness programs. We develop evidence-based resources and services designed to support community resilience and positive behavioral change, aligning with our mission to promote safety and well-being at every level.

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National Telehealth Car Seat Call Center

National Telehealth Car Seat Call Center and Service (Providing service 24/7, throughout the United States, including Alaska and Hawaii, and Northern Mariana Islands, Guam, and American Samoa). This includes applied Behavioral Skills Training and a cognitive-based educational approach to reduce misuse to contribute Toward Zero Deaths as part of the USDOT National Roadway Safety Strategy (NRSS). We collaborate with NHTSA, National Safety Council and other local partners to provide occupant protection services and strategic planning with strategic highway safety plans. ​

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Recreational Vehicle and Child Passenger Safety Working Group

The Recreational Vehicle and Child Passenger Safety (RV-CPS) Working Group was established to study the safety of transporting children in recreational vehicles (RVs).  The purpose is to collaborate with traffic safety regulatory and enforcement agencies, and child passenger safety educators, to provide evidence-based recommendations to parents, and caregivers, on the safety of transporting children in RVs, and to inform policymakers. 

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Professional Support Services

Professional Support Services - Injury and Disease Prevention, Mental Health, and Wellness. In part of applying cognitive-based and behavior-change strategies, Public Health Behavior Solutions has developed a variety of evidence-based professional support services through Pro Consumer Safety that are dedicated to enhancing injury prevention, health promotion, disease prevention, and mental health and wellness. 

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Horses: Equine Assisted Therapy, Activity, Safety and Research

Horses: Equine Assisted Therapy, Equine Assisted Activity, Safety and Research
  • Animal-assisted therapy, interactions, and resources
  • Equestrian Riding Camps: Guidelines for Parents and Caregivers
  • Urban Horse Communities: Safety, Laws, and Planning​

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Global Rescue Services - Partnership

For those experienced travelers, planning a backpacking, overland road trip, or by sea or other water body,  having proper gear and knowing how to use if is essential for not only enjoying your trip but for safety as well. Our research organization, Public Health Behavior Solutions, has partnered with Global Rescue, a Global Rescue Company. They are a leader in travel services since 2004. They offer comprehensive medical, security, travel risk, and crisis management services, both domestically and internationally, through teams of critical care paramedics, physicians, nurses, and military special operations veterans. Their mission is straightforward: to be there when it matters most, a helpful resource.


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Locations We Serve
  • Australia
  • Canada
  • ​European Union
  • United Kingdom
  • United States ​​​​
Contact
  • 323-491-6197 (United States - Pacific Time Zone)
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