@article{ref1,
title="A decade of hospital-based violence intervention: benefits and shortcomings",
journal="Journal of trauma and acute care surgery",
year="2016",
author="Juillard, Catherine and Cooperman, Laya and Allen, Isabel and Pirracchio, Romain and Henderson, Terrell and Marquez, Ruben and Orellana, Julia and Texada, Michael and Dicker, Rochelle",
volume="81",
number="6",
pages="1156-1161",
abstract="INTRODUCTION: Initial analyses of hospital-based violence intervention programs (VIPs) have demonstrated decreased violent injury recidivism. Long term VIP performance has not been assessed. VIP quality improvement requires evaluation to identify shortcomings and client sub-populations warranting additional resources. We evaluated our case manager-based VIP's to identify modifiable risk factors that most impact violent injury recidivism and determine sub-populations that need modification of targeted services. <br><br>METHODS: Demographic variables, socio-economic factors, needs, and injury recidivism from 2005 to 2014 was collected through our VIP database. Possible client needs included housing, education, employment, court advocacy, driver's license obtainment, and &quot;other.&quot; Case managers assessed needs as &quot;not needed,&quot; &quot;identified (unmet),&quot; and &quot;met&quot;. Chi-square and non-parametric tests were used to identify factors associated with recidivism reduction. <br><br>RESULTS: Over the 10-year period, 466 clients were enrolled in VIP. During the program period the violent re-injury rate was 4%, as compared to a historical control of 8% from 2000-2004. Women had lower rates of re-injury than men (3% vs 13%, respectively, p=0.023). Blacks had the lowest recidivism (2%, p<0.0001), while a higher rate (11%) was observed among Latinos. Though a minority of clients (5%), 100% of White clients were re-injured. Mental health services (51%), Victim of Crime compensation (48%), employment (36%), and housing (30%) were the most frequently identified needs. Expressing the need for education was significantly associated with likelihood of re-injury, an effect that was completely reversed when the need was met. <br><br>CONCLUSION: This evaluation of a VIP demonstrates sustained recidivism reduction and success in addressing client needs from a traditionally underserved population. Efforts to identify and address root causes of Latino and White client re-injury should be increased. VIP prioritization of housing needs may reduce future re-injury. This study demonstrating sustainable success underscores the importance of increased integration of VIP into trauma centers nationally. LEVEL OF EVIDENCE: III STUDY TYPE: Therapeutic.<p /> <p>Language: en</p>",
language="en",
issn="2163-0755",
doi="10.1097/TA.0000000000001261",
url="http://dx.doi.org/10.1097/TA.0000000000001261"
}