Online Program

Hospital-Based Trauma-Services Intervention for Gunshot Victims

Monday, November 2, 2015 : 11:30 a.m. - 11:45 a.m.

Brianna McDonough, MPH, Department of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PA
Richard Garland, MSW, Center for Health Equity, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA
Art Terry, Terry Consulting Services, Pittsburgh, PA
Roland Slade Sr., MSW, Zakar Empowerment, LLC, Pittsburgh, PA
Leigh Frederick, MSN, Presbyterian Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA
Patricia I. Docum├ęt, MD, DrPH, Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
Lora Ann Bray, BS, CCRP, Center for Health Equity, University of Pittsburgh, Pittsburgh, PA
Steve M. Albert, PhD, Department of Behavioral & Community Health Sciences, University of Pittsburgh, Pittsburgh, PA
Background/Purpose.  The US faces substantial firearm violence (3.55 fatal and 19.68 nonfatal gunshot injuries per 100,000 [2013]). We developed an intervention to test whether meeting the service needs of gunshot victims and their social contacts lowers the risk of subsequent violence.

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

Learning Objectives:
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

Presenting author's disclosure statement:

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.

Back to: 3159.0: Firearm Related Injuries