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Do burn centers provide juvenile firesetter intervention?
Karla S Ahrns-Klas1, Wendy L Wahl, Mark R Hemmila
1Trauma Burn Center, University of Michigan HealthSystem, Ann Arbor, Michigan 48109-5033, USA.
Juvenile firesetting intervention (JFSI) is lacking in burn centers, with many relying on external services. Burn centers need standardized intervention materials and collaboration to improve care for young individuals engaging in firesetting behavior.
Area of Science:
- Pediatric burn care
- Injury prevention
- Behavioral intervention
Background:
- Juvenile firesetting causes significant injuries and property damage.
- Limited information exists on juvenile firesetting intervention (JFSI) within burn literature.
- Burn centers are critical in managing pediatric burn injuries.
Purpose of the Study:
- To quantify the current state of JFSI in US burn centers.
- To identify challenges and needs for effective JFSI programs.
- To explore the potential for burn center involvement in JFSI.
Main Methods:
- A 23-question survey was distributed to directors of US burn centers.
- Data were collected from 64 out of 112 (57%) verified burn centers.
- Response rate represented 79% of verified burn centers.
Main Results:
- Only 38% of burn centers have an established JFSI program; 38% refer to fire services.
- Lack of staffing and funding are primary reasons for JFSI program discontinuation.
- 95% of centers expressed a need for visual tools detailing firesetting ramifications.
Conclusions:
- Many burn centers treating pediatric patients lack dedicated JFSI programs.
- Existing JFSI programs exhibit significant variability in structure and delivery.
- Burn centers should enhance their role in JFSI, benefiting from collaborative efforts and standardized intervention materials.
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