Characteristics of a three-pronged continuum of care model for hospital-based violence intervention

Gun violence is a health crisis that disparately affects non-Hispanic black males, where victims get stuck in a cycle of recurrent violence perpetuated by systemic inequities. Hospital-based violence intervention programs (HVIPs) decrease violent reinjury by addressing social drivers/determinants of health. Many HVIPs solely focus on inpatient interventions. We designed a novel three-pronged continuum of care model: the Bedside, Clinic, Community (BCC) model as a longitudinal approach for equitable service delivery. Our HVIP, Interrupting Violence in Youth and Young Adults (IVYY), serves victims of community violence. The first pillar provides 'Bedside' care for inpatients; the second uses a multidisciplinary 'Clinic' to address medical and social concerns; and the third 'Community' pillar consists of partnerships with local grassroots organizations. Throughout the intervention, IVYY provides pathways for education, mental health, housing, employment, financial, and legal aid. In the first year of service, IVYY enrolled 299 patients who received 1168 inpatient visits. 26.1% were considered high risk and were seen in the IVYY clinic. Community partners provided innumerable resources to IVYY participants. By implementing the BCC model, we provide longitudinal care that addresses patient needs at every stage of their journey.