PT - JOURNAL ARTICLE AU - Soe-Lin, Hahn AU - Sarver, Anjali AU - Kaufman, Joyce AU - Sutherland, Marilyn AU - Ginzburg, Enrique TI - Miami-Dade County Juvenile Weapons Offenders Program (JWOP): a potential model to reduce firearm crime recidivism nationwide AID - 10.1136/tsaco-2020-000637 DP - 2020 Dec 01 TA - Trauma Surgery & Acute Care Open PG - e000637 VI - 5 IP - 1 4099 - http://tsaco.bmj.com/content/5/1/e000637.short 4100 - http://tsaco.bmj.com/content/5/1/e000637.full SO - Trauma Surg Acute Care Open2020 Dec 01; 5 AB - Introduction Youth firearm violence has been a growing problem in the USA. Several programs across the country aimed at reducing recurrent gun violence in this vulnerable population have published recidivism rates of 40% to 50%. For the past 18 years, the Juvenile Weapons Offenders Program (JWOP) in Miami-Dade County has provided a unique multidisciplinary intervention encompassing 100 hours of violence education, behavioral modification, and social mentoring. The present study defines its outcomes as a national model for youth firearm recidivism prevention.Methods Retrospective analysis of Florida Juvenile Justice Department records from 2008 to 2016 defined a group of youths convicted of firearm-related crimes and subsequently enrolled in the program. Cohorts were those who demonstrated successful completion of the JWOP program versus those who partially completed the program. At 6 and 12 months after release, records were cross-referenced with Florida Department of Justice criminal record system to prospectively capture rates of new all-comer and firearm-specific criminal charges.Results 215 youth were included in the prospectively followed cohort at 6 months and 163 youth followed at 12 months after release. The 6-month recidivism rate for any criminal charge was 20.1% for program completers versus 32.9% for those who did not complete the program (p=0.047). When excluding unarmed criminal offenses, the recidivism rate dropped to 10.1% versus 22.4%, respectively (p=0.008). At 12 months, all-comers recidivism was 33.6% for the GATE program completion cohort versus 50% for the incomplete cohort (p=0.045). When excluding unarmed offenses, the recidivism rates were 18.6% versus 33.9%, respectively (p=0.035).Conclusion The JWOP program has one of the lowest recidivism rates for reoffense for firearm and non-firearm-related offenses. Further investigation into details of the program’s efficacy and its applicability for expansion to other state and national jurisdictions should serve a model for decreasing youth gun violence across the country.