Assault injured youth . For most, the ED was able to heal their physical wounds, but the patients were discharged back into the community only to be re- admitted with similar violent injuries. The Violence Prevention Program is determined to reduce the frequency and the severity of recidivism for violent injury and criminal. The nationally recognized and evidence, hospital-based violence intervention program.Fein realized that violence prevention required a public health approach, and trauma- informed care needed to be at the core of providing services to families. CHOP VIP provides a direct and sustainable connection between the hospital and the community. Today, as part of CHOP’s comprehensive Violence Prevention Initiative, this program promotes healing, and seeks to reduce re- injury and retaliation through a community- and family- focused model that works directly with patients between 8 and 1. CHOP for an injury due to interpersonal violence. How VIP Works. The Community We Serve. VIP Impact. Towards a Replicable Model. Violence is a preventable health care issue. Violence prevention and intervention programs are a powerful way to stop the revolving door of violent injury in our hospitals and communities. Engaging patients in the hospital. The Group Violence Intervention (GVI) reduces violent crime when community members join together with law enforcement and social service providers to focus an antiviolence message on highly active street groups. The VIP Initiative is an ongoing program of the Division of Violence Prevention at the Boston Public Health Commission. VIP works in five micro-neighborhoods averaging 900 households. The neighborhoods were selected because. Offers shelter and support for domestic violence victims. Includes articles, safety tips and volunteer opportunities.
Recommended Reading. CHOP- specific Research on Treating Assault Injured Youth. How VIP Works. A youth injured by assault is referred to the program by social workers, who are called by the ED clinicians to see all violently injured patients in the ED or Trauma Service. A CHOP VIP Violence Prevention Specialist will then connect with the patient’s family, at the bedside when possible but often after discharge, to perform a comprehensive intake assessment and provide psycho- education regarding trauma symptoms, safety planning, and resources to support families through the post- injury period. After discharge from the hospital, we provide trauma- informed case management, mental health services, and navigation to needed services. The patient and family work together with VIP team members to establish goals with the aim of reducing the negative consequences of violent injuries. The VIP serves as a bridge to long- term support for families and increases the likelihood that families successfully engage in services. In order to satisfy our patient's goals, the team builds relationships and partnerships with service providers and community agencies in the Philadelphia area. These relationships facilitate access to the services and programs that our patients require to achieve recovery and safety. Through VIP directly, our youth and staff can participate in psycho- educational peer groups that help build their resilience after an assault injury. Read more about Building Resilience After A Violent Event (BRAVE) and Stress. Busters. The multidisciplinary VIP team includes Licensed Social Workers, an Emergency Department Physician, an Adolescent Medicine Physician, a Psychiatrist, a Clinical Psychologist, Research Coordinators, and Administrative staff. Download the VIP brochure to learn more. The Community We Serve. We serve assault injured youth who reside in Philadelphia County and have sought care for assault- related injuries in the ED or the Trauma Unit at CHOP. Here are a few facts about the community of youth that we serve. The majority of program participants (7. West and Southwest Philadelphia. The average age at injury for our patients is 1. African- American, and we serve an equal numbers of male and female youth. Overall, Philadelphia has a young population, with 2. Approximately 7. 0% of our patients’ assaults occur in school or directly after school. Thus, we provide advocacy on the individual school and district level to ensure the safety needs of patients are being addressed. While there has been an overall decrease in homicides in Philadelphia, homicide remains the leading cause of death for our teens and young adults. At CHOP, we have seen an increase in violently injured youth presenting for emergency care. During that time we advocate to reduce barriers to successful goal resolution and coach youth and family members in how to successfully navigate complex service systems. CHOP VIP measures its impact by rigorous tracking of each patient’s needs, goals, and outcomes. Our intensive community- focused model provides services to more than 5. Patients who have completed our program have had an average of 5 self- identified goals, and almost 8. VIP. To date, our youth are most in need of support in these critical areas: Mental health (8. Providing and/or referring youth/siblings/caregivers for therapy to; suicide safety planning; referring family to the Office of Intellectual Disabilities; care coordination with clinical professionals; and providing support to family in seeking emergency mental health care. Education (6. 4% of youth): Care coordination and advocacy; re- enrollment or school transfer (due to safety issues); assistance in 5. Accommodations; requests for an Individual Education Plan (IEP); assistance with homebound services requests; college preparation assistance; and referrals to the Education Law Center. Legal (5. 7% of youth): Accompanying patients and families to court hearings; assisting families in navigating the legal system; obtaining police reports; and care coordination and advocacy within legal system. Being able to assess our case management goals has been extremely beneficial in guiding both our research efforts and our clinical services. In addition to these successes, we see our clinical work (therapy and psycho- educational peer groups) as critical to improving outcomes in patients' self- esteem; sense of safety; ability to trust; sense of belonging; emotion regulation; coping and communication skills; and family relationships. We are currently designing outcome measures for these domains. Towards a Replicable Model. The VIP is one of more than 3. National Network of Hospital- based Violence Intervention Programs (NNHVIP) and we are increasingly recognized as a model in pediatric hospital- based violence prevention. Philadelphia is fortunate to have a number of these hospital- based programs and we are grateful for the assistance of and collaboration with the Healing Hurt People program at Drexel University. Sacramento Violence Intervention Program (SVIP) Sacramento Violence Intervention Program (SVIP) is modeled on the evidence-based program Caught in the Crossfire (CiC). Caught in the Crossfire is a hospital-based peer violence. Through NNHVIP, CHOP’s VIP collaborates on clinical best practices, while we undertake research opportunities to rigorously evaluate and inform enhancements to our program. NNHVIP hosts an annual conference that brings more than 2. Aboutanos, M. B., Jordan, A., Cohen, R., Foster, R. L., Goodman, K., Halfond, R. Brief Violence Interventions With Community Case Management Services Are Effective for High- Risk Trauma Patients. Journal of Trauma and Acute Care Surgery, 7. Becker, M. G., Hall, J. S., Ursic, C. M., Jain, S., & Calhoun, D. Caught in the Crossfire: the effects of a peer- based intervention program for violently injured youth. Journal of Adolescent Health, 3. Cheng, T. L., Wright, J. L., Markakis, D., Copeland- Linder, N, & Menvielle, E. Randomized trial of a case management program for assault- injured youth: impact on service utilization and risk for reinjury. Pediatric Emergency Care, 2. Cheng, T. Effectiveness of a Mentor- Implemented, Violence Prevention Intervention for Assault- Injured Youths Presenting to the Emergency Department: Results of a Randomized Trial. Pediatrics, 1. 22(5): 9. Cooper, C., Eslinger, D. M., & Stolley, P. D. Hospital- based violence intervention programs work. Journal of Trauma- Injury Infection & Critical Care, 6. Corbin TJ, Purtle J, Rich LJ, Rich JA, Adams EJ, Yee G, Bloom SL (2. The Prevalence of Trauma and Childhood Adversity in an Urban, Hospital- Based Violence Intervention Program. Journal of Health Care for the Poor and Underserved, 2. Corbin TJ, Rich JA, Bloom SL, Delgado D, Rich LJ, Wilson AS (2. Developing a Trauma- Informed, Emergency Department- Based Intervention for Victims of Urban Violence. Journal of Trauma and Dissociation, 1. Naneen K, Cunningham RM, Becker MG, Fein JA, Knox LM (2. A Best Practices Guide for Launching & Sustaining a Hospital- based Program to Break the Cycle of Violence. Online PDF courtesy of the National Network of Hospital- based Violence Intervention Programs and Youth ALIVE! Purtle J, Dicker R, Cooper C, Corbin T, Greene MB, Marks A, Creaser D, Topp D, Moreland D (2. Hospital- based Violence Intervention Programs Save Time and Money. Journal of Trauma and Acute Care Surgery, 7. Shibru, D.,E. Zahnd, E., Becker, M., Bekaert, N., Calhoun, D., & Victorino, G. Benefits of a hospital- based peer intervention program for violently injured youth. Journal Of The American College Of Surgeons, 2. Zun, L. S., Downey, L, & Rosen, J. The effectiveness of an ED- based violence prevention program. American Journal of Emergency Medicine, 2. CHOP- specific Research on Treating Assault Injured Youth. Fein JA, Mollen CJ, Greene MB. Fein JA. 2. 01. 2; 5. Wiebe DJ, Blackstone MM, Mollen CJ, Culyba AJ, Fein JA. Cunningham R, Knox L, Fein JA, et al. Blackstone MM, Wiebe DJ, Mollen CJ, Kalra A, Fein JA. Hausman AJ, Hohl B, Hanlon AL, et al. E2. 2- 3. 0. Cohn JM, Ginsburg KR, Kassam- Adams N, Fein JA. W1. 4. Pub. Med. Fein JA, Kassam- Adams N, Gavin M, Huang R, Blanchard D, Datner EM. Pub. Med. Fein JA, Kassam- Adams N, Vu T, Datner EM. Pub. Med. Fein JA, Ginsburg KR, Mc. Grath ME, Shofer FS, Flamma JC, Datner EM.
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