Brief violence interventions with community case management services are effective for high-risk trauma patients
| Autor: | Michel B. Aboutanos, Anne Jordan, Stephanie C. Smith, RaShel Charles, Bonita Hogue, Luke G. Wolfe, Robin Foster, Rao R. Ivatury, Raquel W. Halfond, Robert M. Cohen, Kimberly Goodman, Rachel Poindexter |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Psychological intervention Alcohol abuse Poison control Violence Critical Care and Intensive Care Medicine Risk Assessment law.invention Young Adult Randomized controlled trial Trauma Centers law Risk Factors medicine Humans Prospective Studies Child Recidivism business.industry Incidence Trauma center Virginia medicine.disease Cohort Physical therapy Wounds and Injuries Surgery Female Brief intervention business Case Management Social Welfare Follow-Up Studies |
| Zdroj: | The Journal of trauma. 71(1) |
| ISSN: | 1529-8809 |
| Popis: | BACKGROUND:: Currently there are few data that brief violence intervention (BVI) and community case management services (CCMS) are effective for trauma patients admitted for interpersonal violence in terms of recidivism, service utilization, or alcohol abuse. The objective of this study is to assess outcomes for a cohort of young trauma patients in a prospective, randomized trial comparing BVI with BVI + CCMS. METHODS:: Intentionally injured patients, aged 10 years to 24 years, admitted to a Level I trauma center were randomized to receive a brief in-hospital psychoeducational violence intervention alone (Group I) or in combination with a 6 months wraparound CCMS (Group II) that included vocational, employment, educational, housing, mental health, and recreational assistance. Recidivism, alcohol use, and hospital and community service utilization were assessed at 6 weeks (6W) and 6 months (6M). RESULTS:: Seventy-five of 376 eligible injured patients were randomized into Group I and II. The two groups had similar demographics, injuries, and clinical outcomes. After discharge, percent clinic visits maintained was 57% in both the groups. Group II showed better hospital service utilization, CMS, and risk factor reduction at 6W and 6M. One patient in each group sustained a reinjury at 6M. CONCLUSIONS:: In-hospital BVI with community wraparound case management interventions can improve hospital and community service utilization both short- and long-term for high-risk injured patients. Longer follow-up is needed to show sustained reduction. Language: en |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|