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Protocol for the Houston Hospital-based violence intervention program.

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This study evaluates the Houston Hospital-Based Violence Intervention Program (Houston-HVIP) to reduce firearm violence recidivism. The program offers intensive case management for individuals with gunshot wounds, aiming to decrease future violence exposure.

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Area of Science:

  • Public Health
  • Trauma Surgery
  • Criminology

Background:

  • Firearm violence is a critical public health issue in the U.S., causing significant injury and mortality.
  • Hospital-based violence intervention programs (HVIPs) offer a strategy to mitigate recurrent violence by providing post-discharge support.
  • Effective implementation of HVIPs in trauma centers is crucial for reducing community violence.

Purpose of the Study:

  • To describe the design and implementation of the Houston Hospital-Based Violence Intervention Program (Houston-HVIP).
  • To evaluate the effectiveness of the Houston-HVIP through a randomized controlled trial.
  • To assess the impact of intensive case management on reducing firearm violence exposure and related outcomes.

Main Methods:

  • A randomized controlled trial at a Level 1 trauma center enrolling individuals aged 16-35 with gunshot wounds.
  • Randomization to either intensive case management (treatment) or usual care (control).
  • Assessment of primary outcomes (firearm violence exposure) and secondary outcomes (violent reinjury, PTSD, aggression) at multiple time points.

Main Results:

  • The study protocol outlines the enrollment of 274 participants.
  • Quantitative and qualitative data will be collected to evaluate program impact and participant experiences.
  • The primary outcome is a composite measure of firearm violence exposure.

Conclusions:

  • The Houston-HVIP protocol provides a framework for implementing and evaluating violence intervention programs in trauma centers.
  • Findings will inform the design and effectiveness of HVIPs in reducing firearm violence.
  • This research aims to contribute to reducing violence recidivism among high-risk populations.