nds to support on going education, Professional development/training, long term medical studies and university based research. The results of this more scientific approach to prevention of unintentional injury has been significant in lowering injury mortality rates as much as 45% in children (Rivara, 1999). This is not to say that only the unintentional injury statistics have improved, all injury related statistics have improved with the increased involvement of the entire prior mentioned, but intentional injury either by self infliction and/or injury sustained due to violence from others will not be discussed.
             Any discussion regarding unintentional injury must be framed within the concept of prevention. Even with the reduction in mortality rates previously quoted, over 13,000 children died of unintentional injury in 1996 (Rivara,1999). Many of these deaths are categorized as preventable and therefore the continued goal must be to increase practices that result in reduction of preventable deaths/injuries, such as the use of Child Safety Seats and Boosters.
             In 1978 the first mandatory child restraint law was implemented in Tennessee and by 1985 all states and the District of Columbia had child restraint laws (Block, Hanson, Keane, 1998). There are few that will argue that active laws that required chil
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