Hospital-Based Trauma-Services Intervention for Gunshot Victims
Methods. GRIPS, “Gunshot Reoccurring Injury Prevention Services,” is a peer-to-peer intervention that adapts the National Network of Hospital-based Violence Intervention Programs model. It involves contact with gunshot victims in the hospital directly after a shooting and follow-up for case management and mentoring. Interventionists arrange service linkages monthly. Participants complete a baseline and 6-month interview and are tracked for repeated hospitalization and criminal justice outcomes.
Results/Outcomes: All four Level I hospital trauma centers in Allegheny County, PA have agreed to participate. In its first 8 months, the project has enrolled 33 gunshot victims, roughly a quarter of those eligible. 91% are African-American, 69% completed high school, and 76% are unemployed; 15% report gang membership, 45% selling drugs, and 33% carrying a gun. 30% meet criteria for depressed mood or PTSD. One-third has dropped out after baseline contact. Participants sought an average of 10 services involving health, housing, education, employment, family, or legal issues. To date, one (3%) has had readmission to the hospital for assault and four (12%) have been arrested.
Conclusions. Intervention in the hospital trauma services is acceptable to a substantial proportion of gunshot victims. Maintaining follow-up and completing service linkages is challenging. Follow-up will determine if this model decreases firearm violence and emergency department recidivism relative to nonparticipants.
Learning Areas:Assessment of individual and community needs for health education
Public health or related research
Social and behavioral sciences
Describe the demographic makeup and service needs of participants in a hospital-based violence intervention program Identify challenges to violence intervention program implementation with gunshot victims
Keyword(s): Violence & Injury Prevention, Hospitals
Qualified on the content I am responsible for because: I serve as project coordinator for this research study, monitor weekly progress, have full access to data, and work closely with Dr. Steven Albert, principal investigator. I prepared the data used in this analysis, which was reviewed by Dr. Albert.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.