|The State of the States: 2015 Report presents results from the sixth administration of the State of the States survey. The Safe States Alliance conducts this data collection activity on a biennial basis to develop a comprehensive picture of the status of U.S. state health department injury and violence prevention (IVP) programs over time. The 2015 State of the States survey was developed and reviewed by Safe States staff members and an evaluation consultant. Most questions have remained throughout iterations over the years; some questions were updated to improve clarity. The 2015 State of the States survey was administered from November 2015 – May 2016, and collected data on the status of programs in Federal Fiscal Year (FFY) 2015 (October 1, 2014 – September 30, 2015). A total of 46 states participated in the 2015 State of the States Survey. However, not all states responded to all survey questions; therefore, the number of states responding to each question varies, as noted in figures, tables, and text throughout the document. In most states, the state health officer appoints a staff person to serve as the state’s designated Safe States Alliance representative. In these cases, the 2015 survey was sent to this state representative. In states without a designated Safe States Alliance representative, the state IVP program was contacted to identify the appropriate person to complete the survey. Safe States Alliance sent each state representative/survey respondent an email containing a link to the online survey. A copy of the survey was also included as an attachment to the email. Participating states completed the survey online or sent Safe States Alliance a completed hard copy. If a hard copy was submitted, Safe States Alliance staff entered the data into the survey database. Special considerations regarding the data presented are as follows: Results within the report are organized around each of the six core components identified by Safe States Alliance as essential elements that describe the capacity of a comprehensive state public health IVP program. Some questions, such as those about IVP program staff, were asked at the individual level instead of the state level. For these questions, exact numbers are referenced in figures, tables, and document text. Motor vehicle injury as a grouped category was not reported by states in the primary focus areas in the 2015 survey. Totals on graphs and charts may not add up to 100% due to rounding and occurrences in which respondents could select more than one survey option (i.e., “check all that apply”).Unless noted otherwise, all reported results reflect the status of state IVP programs in FFY 2015. All references to “2015 data” or the “2015 survey” are for the period of the 2015 FFY. While a majority of states participated in the survey, the data presented in this report are not national and only represent those states providing responses to survey questions. The results presented in this report were analyzed using the statistical software: Statistical Package for the Social Sciences (SPSS) Version 23.0.