Evaluating outcomes for youth receiving hospital-based violence prevention with and without a community-level initiative

项目摘要 青年暴力的后果对社会以及长期的心理社会造成巨大的经济损失。 以及对受害者和社区的物理影响。施暴者也面临许多挑战，如 心理和身体健康、学习成绩、就业、参与和维持方面的问题 健康的人际关系。毫无疑问，青少年暴力对每一个参与者都有巨大的影响。 幸运的是，青少年暴力是一种可以预防的流行病。然而，高危青年往往很难接触到并吸引他们。 在预防策略方面。解决这一问题的一个办法是以医院为基础的暴力预防。每天超过1300 年轻人因与暴力有关的伤害而被送往急诊科。这一创伤性事件可以帮助 作为变革的有力助推剂。以医院为基础的暴力预防方案，如弥合差距 (BTG)，利用这一催化剂，吸引这些高危青年。不幸的是，这些年轻人中的许多人 来自资源低、保护因素稀少的贫困社区，以及社区层面 暴力事件的发生率很高。没有社区层面的预防战略，以医院为基础的暴力预防 在防止年轻人离开医院后参与暴力方面，这些计划可能会受到限制。因此，它可能 综合办法是预防高危暴力的最佳战略 受伤的年轻人。使用从弗吉尼亚州联邦招募的120名暴力伤害青年(12-17岁)的样本 大学创伤中心(VCUTC)，我们的目标是评估BTG青年是否在多种形式下有更大的减少 当青少年来自社区时的暴力行为，接受社区照顾预防系统和 Walker-Talker/Plain Talk社区参与模式(BTG+CTC Plus)与来自社区的BTG青年 没有CTC Plus。此外，我们的目标是评估BTG和BTG+CTC Plus的经济效益 监控数据。最后，我们的目标是测试可能将早期逆境联系在一起的调解人的存在和力量 在接受CTC Plus的社区中接受BTG治疗的年轻人的暴力行为与接受CTC Plus治疗的青少年相比 没有CTC Plus的社区中的BTG。为了实现这些目标，候选人和指导团队(沙利文博士 和Farrell)制定了一项全面的培训计划，概述了一系列培训和研究目标。 这些目标包括对多种形式的暴力、医院和社区的风险/保护因素进行培训。 基于暴力方案、方案评价和经济效益评价。这份K01提案将 充分利用候选人现有的专业知识。这项研究是对以下方面的重要贡献 了解如何在遭受暴力伤害的青年中预防贯穿各领域的暴力行为。体制上的 环境被美国疾病控制与预防中心认可为预防青少年暴力的卓越学术中心，以及 这些导师长期以来在指导和实施暴力预防研究方面取得了成功。这个 制度环境增强了候选人作为训练有素的研究人员发展研究独立性的目标 科学家，最终目的是减少和防止暴力，这与NCIPC的研究优先事项一致。

Project Summary The consequences of youth violence have a massive financial toll on society, as well as long-term psychosocial and physical effects on the victim and communities. Perpetrators of violence also face many challenges, such as problems with mental and physical health, school performance, employment, and engaging and maintaining healthy relationships. Without a doubt, youth violence has a tremendous impact on everyone involved. Fortunately, youth violence is a preventable epidemic. Yet, high-risk youth are often difficult to reach and engage in prevention strategies. A solution to this problem is hospital-based violence prevention. Each day over 1,300 youths are admitted to the emergency department for violence-related injuries. This traumatic event can serve as a powerful precipitant for change. Hospital-based violence prevention programs, such as Bridging the Gap (BTG), capitalize on this catalyst and engage these high-risk youth. Unfortunately, many of these youths come from impoverished communities, where resources are low, protective factors are sparse, and community-levels of violence are high. Without a community-level prevention strategy, hospital-based violence prevention programs may be limited in keeping youth from engaging in violence once they leave the hospital. Thus, it may be that an integrative approach is the best strategy for cross-cutting violence prevention for high-risk violently injured youth. Using a sample of 120 violently injured youth (12-17 years) recruited from Virginia Commonwealth University Trauma Center (VCUTC), we aim to evaluate if BTG youth have greater reductions in multiple forms violence when the youth comes from a community receiving Communities that Care Prevention System and Walker-Talker/Plain Talk Community Engagement Model (BTG+CTC Plus) versus BTG youth from communities without CTC Plus. Also, we aim to evaluate the economic efficiency of BTG and BTG+CTC Plus using surveillance data. Lastly, we aim to test the presence and strength of mediators that may link early adversities to violent behavior for youth who receive BTG in communities with CTC Plus as compared to youth who receive BTG in communities without CTC Plus. To achieve these aims, the candidate and mentorship team (Drs. Sullivan and Farrell) have developed a comprehensive training plan outlining a series of training and research goals. These goals include training in risk/protective factors for multiple forms of violence, hospital-and community- based violence programs, program evaluation, and economic efficiency evaluation. This K01 proposal will capitalize on the existing expertise of the candidate. The research represents an important contribution towards understanding what works for cross-cutting violence prevention in violently injured youth. The institutional environment is recognized by the CDC as an Academic Center of Excellence in Youth Violence Prevention, and the mentors have shown longstanding success mentoring and implementing violence prevention research. The institutional environment enhances the candidate's goal of developing research independence as a highly trained scientist, with the ultimate aim to reduce and prevent violence, consistent with NCIPC's research priorities.