Clinical SciencePassing the torch: evaluating exportability of a violence intervention program
Section snippets
The violence intervention programs
The Wraparound Project, a hospital-based VIP, was developed at our level 1 trauma center (ie, SFGH) in 2005. In January 2010, our VIP was exported to UCD Medical Center, another level I trauma center that treats a significant number of victims of violent injury. Eligibility criteria for the program include individuals injured from interpersonal violence between the ages of 10 to 30 years. Victims of child abuse and domestic violence are excluded and referred to appropriate services. At SFGH,
Results
Annually, approximately 900 patients are treated for injury at both SFGH (the initial VIP host institution) and UCD Medical Center (the exported VIP host institution). Nearly a quarter of these victims are admitted to the hospital for observation, intervention, and/or long-term care. Of those admitted, individuals determined by case managers to be at high risk for reinjury are recruited for enrollment in the VIP. On average, the VIPs serve 30 to 50 clients per year at UCD and SFGH, respectively.
Comments
To achieve widespread violence prevention and lessen the resource and energy expenditure required for “reinventing the wheel,” we must figure out how to replicate and export intervention programs that have proven effective at reducing injury.8 Successful program exportation hinges on a balance between 2 main concepts: (1) implementation fidelity; and (2) adaptability. According to Carroll et al,9 implementation fidelity can be described as “the degree to which programs are implemented as
References (11)
- et al.
Before and after the trauma bay: the prevention of violent injury among youth
Ann Emerg Med
(2009) - et al.
Gender differences among recidivist trauma patients
J Surg Res
(2011) - et al.
Benefits of a hospital-based peer intervention program for violently injured youth
J Am Coll Surg
(2007) - et al.
Where do we go from here? Interim analysis to forge ahead in violence prevention
J Trauma
(2009) - et al.
Repeat victims of violence: report of a large concurrent case-control study
Arch Surg
(2000)
Cited by (0)
The authors declare no conflicts of interest.