Online Program

Identifying and Meeting Needs of Victims of Violent Injury: Trends from 10 Years of the Wraparound Project

Monday, November 2, 2015

Laya Cooperman, MPH, Department of Surgery, University of California, San Francisco, San Francisco, CA
Rochelle Dicker, MD, FACS, Center for Global Surgical Studies, Department of Surgery, UCSF School of Medicine, University of California, San Francisco, San Francisco, CA
Catherine Juillard, MD, MPH, FACS, Center for Global Surgical Studies, Department of Surgery, UCSF School of Medicine, University of California, San Francisco, San Francisco, CA
Background/Purpose:  There is an estimated violent injury recidivism rate of 30-55% nationally. A comprehensive public-health approach is a promising means to address the epidemic of violent injury. The Wraparound Project (WA) is a hospital-based violence intervention program that seeks to stop the recurrence of violence through case management and collaboration with community-based organizations (CBO). This study examines trends in the types of needs identified for violence victims, and factors that contribute to successfully meeting needs and preventing injury recidivism.

Methods: WA identified clients through the trauma registry and emergency department records. Victims were screened for eligibility. Upon enrollment case managers conducted a needs assessment and provided intensive case management for six months to one year. Demographic information and variables of programmatic interest were recorded and analyzed using descriptive statistics and regression analysis.

Results: 63% of clients had more than half of their needs met within one year, and 7.8% were in progress. Type of need varied by age, though mental health, employment, and housing were most commonly cited overall. CBOs played a critical role in meeting needs through a referral process.

Conclusions: Hospital-based violence intervention programs are an opportunity to link injury victims to social services and community resources. Like other chronic diseases, addressing violent injury requires cultural competency, which can be achieved by collaborating with CBOs. The National Center for Injury Prevention and Control is prioritizing a focus on preventing youth violence. This study highlights how violence prevention spans many policy areas, including education, housing policy, and mental health.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Program planning

Learning Objectives:
List 3 benefits of hospital-based violence intervention programs. Explain similarities between violent injury and chronic diseases. Describe the role of community-based organizations in addressing the needs of victims of violent injury.

Keyword(s): Violence & Injury Prevention, Case Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I received a Masters in Public Health from the University of California, Davis, with coursework focused on epidemiology social determinants of health, and community-based interventions. I am experienced in study design and data analysis for social-behavioral research, with an emphasis on risk engagement. Serving as a key research staff on multiple studies affords me knowledge of both research methods and information particular to violence prevention, risk behaviors, and community-based interventions.
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: 3306.0: Violence Related Injuries