ABSTRACT

Youth in the U.S. experience a high rate of assault-related injuries resulting in physical, psychological and social sequelae that require a wide range of services after discharge from the hospital. Hospital-based violence intervention programs (HVIP’s) have been developed to engage youth in services designed to reduce the incidence of violent injury in young people. HVIP’s combine the efforts of medical staff with community-based partners to provide trauma-informed care to violently-injured people and have been found to be a cost-effective means to reduce re-injury rates and improve social and behavioral health outcomes. Few studies have explored the organizational and community level factors that impact implementation of these important and complex interventions. The objective of this study was to develop an in-depth understanding of the factors that impact HVIP implementation from the perspectives of 41 stakeholders through qualitative interviews. Thematic analysis generated three themes that included the importance of integrated, collaborative care, the need for providers who can perform multiple service roles and deploy a range of skills, and the importance of engaging clients through extended contact. In this article we explore these themes and their implications for healthcare social work.

 抽象的

美国青少年遭受袭击相关伤害的比例很高，导致身体、心理和社会后遗症，出院后需要广泛的服务。已经制定了以医院为基础的暴力干预计划（HVIP），让青少年参与旨在减少青少年暴力伤害发生率的服务。 HVIP 将医务人员与社区合作伙伴的努力结合起来，为遭受暴力伤害的人提供创伤知情护理，并且已被证明是降低再次受伤率并改善社会和行为健康结果的一种经济有效的方法。很少有研究探讨影响这些重要而复杂的干预措施实施的组织和社区层面的因素。本研究的目的是通过定性访谈从 41 个利益相关者的角度深入了解影响 HVIP 实施的因素。主题分析产生了三个主题，包括综合协作护理的重要性、对能够履行多种服务角色并部署一系列技能的提供者的需求，以及通过扩展接触吸引客户的重要性。在本文中，我们探讨这些主题及其对医疗保健社会工作的影响。