At-risk Intervention and Mentoring Evaluation

NCT02174224 | Completed

• 1 other identifier: OJJDP-2013-3579
• Study Type: interventional
• Target: 133
• Locations: 1 country
• Sites: 1

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.

Conditions

Violence

Keywords

Violence; At-risk youth; Intentional Injury; Violence Intervention; Youth; recidivism

Outcome Measures

Primary Outcomes (1)

• Violence Risk Scale

  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.

  0, 6, 12, 18 months

Secondary Outcomes (7)

• Composite Score

  0, 6, 12, 18 months

• School Enrollment

  0, 6, 12, 18 months

• Hospital Recidivism

  0, 6, 12, 18 months

• Justice System Recidivism

  0, 6, 12, 18 months

• Employment

  0, 6, 12, 18 months

Study Arms (1)

SMC + BI + Case Management

EXPERIMENTAL

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.

Behavioral: Brief Intervention; Behavioral: Case Management; Behavioral: Standard Medical Care

Interventions

Brief Intervention BEHAVIORAL

Goals of the bedside intervention will be to help the patient understand their risky behaviors that resulted in the injury and to assess and deescalate any threat of retaliatory violence by the patient. The outreach worker will: (1) develop a rapport with the patient by introducing themselves and describing their (outreach worker's) background and reason for the bedside visit; (2) assess the emotional response to the current injury; (3) ensure the patient and/or family understand the nature of the injury and ED course; (4) address any immediate concerns of the patient; and (5) develop a plan for staying safe following discharge.

SMC + BI + Case Management

Case Management BEHAVIORAL

Case management based on needs-assessment. Resource connection and mentoring.

SMC + BI + Case Management

Standard Medical Care BEHAVIORAL

This will include physician discretion for medical treatment and potentially a social worker visit as the physician sees fit for the patient. This will also include a list of resources that are typically needed and used for violently injured youth.

SMC + BI + Case Management

Eligibility Criteria

• Age: 14 Years - 24 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• years of age , Intentional Injury (Gunshot Wound, Stab Wound, Assault)

You may not qualify if:

• Younger than 14, 25 or older, non-English speaking, unable to give informed consent/assent, sexual assaults, domestic violence, child neglect/abuse.

Sponsors & Collaborators

• Denver Health and Hospital Authority: lead

Study Sites (1)

Denver Health Medical Center

Denver, Colorado, 80204, United States

Location

MeSH Terms

Conditions

Recidivism

Interventions

Crisis Intervention; Case Management

Condition Hierarchy (Ancestors)

Criminal Behavior; Behavior

Intervention Hierarchy (Ancestors)

Psychotherapy; Behavioral Disciplines and Activities; Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Katie Bakes, MD

  Denver Health Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 23, 2014
• First Posted: June 25, 2014
• Study Start: June 1, 2014
• Primary Completion: April 1, 2019
• Study Completion: April 1, 2019
• Last Updated: February 11, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)