At-risk Intervention and Mentoring Evaluation
- Conditions
- Violence
- Interventions
- Behavioral: Brief InterventionBehavioral: Case ManagementBehavioral: Standard Medical Care
- Registration Number
- NCT02174224
- Lead Sponsor
- Denver Health and Hospital Authority
- Brief Summary
The purpose of this study is to determine if a hospital-based violence intervention programs can make sustainable behavior changes in at-risk youth using two key components, brief intervention at the hospital bedside and case management.
- Detailed Description
This study will be a randomized controlled trial. Youth presenting to the emergency department with an intentional injury (gunshot wound, stab wound, or assault) will be given a behavioral assessment. Participants will be categorized according to risk (low, moderate, high). Only moderate or high youth will continue in the study and be randomized. Low risk youths will receive the medical standard of care and be re-assessed at 18 months.
Randomization will place participants in one of two arms. Arm 1 will receive the standard of care PLUS a brief intervention with AIM outreach workers. Arm 2 will receive standard medical care PLUS a brief intervention PLUS case management.
Every randomized youth will be assessed for risk and protective factors and have have data collected at 6-month intervals (0, 6, 12, 18 months).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 133
- 14-24 years of age , Intentional Injury (Gunshot Wound, Stab Wound, Assault)
- Younger than 14, 25 or older, non-English speaking, unable to give informed consent/assent, sexual assaults, domestic violence, child neglect/abuse.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description SMC + BI + Case Management Case Management This arm will include all interventions in Standard Medical Care + Brief Intervention Arm. Case management will also be given to this arm. General needs based assessments will be conducted by the outreach worker. These assessments will be done at the hospital or at the youth's home, whichever they prefer. This assessment tool addresses education, vocational training, employment, housing, medical insurance, follow-up care and pro-social activities. Although each youth in this arm will receive the same needs-based assessment, individual youth will have variable needs, which will guide each unique and individualized case management plan. SMC + BI + Case Management Standard Medical Care This arm will include all interventions in Standard Medical Care + Brief Intervention Arm. Case management will also be given to this arm. General needs based assessments will be conducted by the outreach worker. These assessments will be done at the hospital or at the youth's home, whichever they prefer. This assessment tool addresses education, vocational training, employment, housing, medical insurance, follow-up care and pro-social activities. Although each youth in this arm will receive the same needs-based assessment, individual youth will have variable needs, which will guide each unique and individualized case management plan. SMC + BI + Case Management Brief Intervention This arm will include all interventions in Standard Medical Care + Brief Intervention Arm. Case management will also be given to this arm. General needs based assessments will be conducted by the outreach worker. These assessments will be done at the hospital or at the youth's home, whichever they prefer. This assessment tool addresses education, vocational training, employment, housing, medical insurance, follow-up care and pro-social activities. Although each youth in this arm will receive the same needs-based assessment, individual youth will have variable needs, which will guide each unique and individualized case management plan.
- Primary Outcome Measures
Name Time Method Violence Risk Scale 0, 6, 12, 18 months Violence Risk Scale (VRS) will be measured with each youth at 4 time points. Change over time will be assessed and compared among study arms.
- Secondary Outcome Measures
Name Time Method Hospital Recidivism 0, 6, 12, 18 months Every six month, patients' medical records will be scanned to determine if there has been violent injury recidivism. Medical release of Information forms will allow medical record searches from other local hospitals.
Composite Score 0, 6, 12, 18 months Composite Score measures both risk and protective factors. This weighted scale uses the interplay between risk and protective factors to determine overall risk for youth to become violently injured.
Resource Utilization 0, 6, 12, 18 months. Self report of resource utilization for health care and social needs.
Employment 0, 6, 12, 18 months Self-report of employment status.
Mortality 0, 6, 12, 18 months Mortality will be assessed every 6 months.
School Enrollment 0, 6, 12, 18 months Self-report for school enrollment will be measured and compared among arms.
Justice System Recidivism 0, 6, 12, 18 months Self-report of criminal history.
Trial Locations
- Locations (1)
Denver Health Medical Center
🇺🇸Denver, Colorado, United States