Exploring emergent barriers to hospital-based violence intervention programming during the COVID-19 pandemic.

Exploring emergent barriers to hospital-based violence intervention programming during the COVID-19 pandemic.
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DOI:
10.1016/j.ypmed.2022.107232
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发表时间:
2022-12
影响因子:
5.1
通讯作者:
Richardson, Joseph B.
Richardson, Joseph B.
中科院分区:
医学2区
文献类型:
--
作者:
Wical, William;Harfouche, Melike;Lovelady, Nakita;Aguilar, Nathan;Ross, David;Richardson, Joseph B.

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在COVID-19大流行期间,全国枪支暴力发生率上升。造成这一增长的因素有很多,包括社会孤立、住房不稳定、经济稳定性下降以及有色人种社区的无效和暴力治安等综合后果。由于这一流行病影响到向边缘化社区的个人,特别是那些受到暴力伤害的人提供心理社会服务,这些因素的影响更加严重。以医院为基础的暴力干预计划(HVIPs)已被确定为减少重复暴力伤害的关键干预策略。持续的COVID-19疫情对HVIP协助计划参与者实现其健康相关及社会目标的努力造成重大障碍。这项研究深入了解了在与马里兰州两个最繁忙的创伤中心相关的HVIP中,在两种公共卫生危机-COVID-19和枪支暴力-交汇期间提供社会服务的复杂性。在考虑到财政支持和资源不足的影响,人员配备问题,以及由于对亲自护理的限制而转向虚拟方案时,我们建议对暴力预防方案进行可能的修改,以提高以反映其独特结构位置的方式向参与者提供的护理质量。
National rates of gun violence have risen during the COVID-19 pandemic. There are many contributing factors to this increase, including the compounding consequences of social isolation, unstable housing, decreased economic stability, and ineffective and violent policing of communities of color. The effects of these factors are exacerbated by the pandemic's impact on the provision and availability of psychosocial services for individuals in marginalized communities, particularly those who have been violently injured. Hospital-based violence intervention programs (HVIPs) have been identified as a crucial intervention strategy in reducing repeat violent injury. The ongoing COVID-19 pandemic has engendered, significant barriers in HVIPs' attempts to assist program participants in achieving their health-related and social goals. This research offers insight into the complexities of providing social services during the convergence of two public health crises—COVID-19 and gun violence—at the HVIPs associated with the two busiest trauma centers in the state of Maryland. In considering the effects of inadequate financial support and resources, issues with staffing, and the shift to virtual programming due to restrictions on in-person care, we suggest possible changes to violence prevention programming to increase the quality of care provided to participants in a manner reflective of their unique structural positions.
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