The HVIP+ Community Model: A Community Violence Prevention Program in a Southern State

HVIP 社区模式：南部各州的社区暴力预防计划

基本信息

批准号：
10812074
负责人：
Nakita Lovelady
金额：
$ 142.08万
依托单位：
UNIV OF ARKANSAS FOR MED SCIS
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-20 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10812074
关键词：
Address Adoption African American African American population Arkansas California Caring Cities Clinic Clinical Trials Collaborations Communities Community Health Aides Community Hospitals County Criminal Justice District of Columbia Education Employment Firearms Funding Grant Health Health Personnel Health Services Health system Healthcare Homicide Hospitals Housing Illinois Incidence Individual Interruption Intervention Interview Legal Link Maintenance Medical Mental Health Services Michigan Midwestern United States Modeling New Jersey Outcome Patients Phase Physical therapy Population Prevention Prevention program Process Public Health Reach, Effectiveness, Adoption, Implementation, and Maintenance Records Research Risk Rural Rural Population Science Series Service provision Services Structure Survivors Telemedicine Time Transportation Trauma Universities Violence acceptability and feasibility assault behavioral health community engagement community partnership community violence design evidence base experience feasibility testing flexibility gun violence health care service health disparity implementation efforts implementation evaluation implementation outcomes implementation science implementation strategy improved intervention program member men multi-component intervention patient oriented prevent primary outcome process improvement programs response revictimization scale up social stakeholder perspectives trauma centers underserved community violence prevention

项目摘要

PROJECT SUMMARY AND ABSTRACT Arkansas is a rural southern state with a high burden of homicide relative its total population (AR ranks 6th nationally in firearm homicide rates). Furthermore, most counties in Arkansas are considered rural and have severely limited healthcare services appropriate for survivors of violent assault (e.g. physical therapy, trauma-informed care, behavioral health services, etc.). The University of Arkansas for Medical Sciences (UAMS), the lead institution for the proposed research, is the only Level-1 trauma center in the state and provides healthcare to Arkansans in nearly every county, largely through regional satellite clinics and telemedicine services. Importantly, UAMS has recently partnered with the City of Little Rock and other community agencies to stand up the first and only hospital based violence intervention program (HVIP) in the state of Arkansas. While the focus of this HVIP is on residents of Little Rock, our proposed study will extend the reach of the UAMS program to include counties within the Central Arkansas region, many of which have sizable rural populations which are disproportionately impacted by community violence. Importantly, our proposed research extends the reach of our City of Little Rock based efforts and incorporates multiple enhancements such that it is a more comprehensive approach to addressing community violence. In this application, we propose to engage community partners throughout Central Arkansas in a multi-level, multi- faceted intervention to reduce the burden of violent assault on individuals and communities. Our proposal will engage community at every stage such that it will be culturally appropriate, community-informed and community led. We will test the feasibility and acceptability, as well as preliminary efficacy, of our multi-level intervention with an explicit focus on secondary violence prevention through hospital-community partnerships to prevent escalation or revictimization from firearm violence among African Americans living in counties in Central Arkansas, the region of the state where violent assault is greatest. We will also incorporate key implementation science metrics to evaluate the reach and sustainability of our proposed intervention.

项目概要和摘要阿肯色州是一个南部农村州，相对于其总人口而言，凶杀案负担较高（AR 排名枪支凶杀率全国第六）。此外，阿肯色州的大多数县都被视为农村县和农村县。适合暴力袭击幸存者的医疗服务（例如物理治疗、创伤知情护理、行为健康服务等）。阿肯色大学医学科学学院（UAMS）是拟议研究的牵头机构，是该州唯一的一级创伤中心主要通过区域卫星诊所和远程医疗服务。重要的是，UAMS 最近与小石城市和其他城市合作社区机构在该地区建立第一个也是唯一一个以医院为基础的暴力干预计划 (HVIP) 阿肯色州。虽然本 HVIP 的重点是小石城的居民，但我们提出的研究将延伸 UAMS 计划的覆盖范围包括阿肯色州中部地区的县，其中许多县已经大量农村人口受到社区暴力的影响尤为严重。重要的是，我们的拟议的研究扩展了我们基于小石城的努力的范围，并纳入了多项研究增强功能，使其成为解决社区暴力问题的更全面的方法。在这个应用程序中，我们建议让整个阿肯色州中部的社区合作伙伴参与多层次、多层次的合作多方面的干预措施，以减轻暴力袭击对个人和社区的负担。我们的建议将在每个阶段让社区参与进来，使其在文化上适当、了解社区情况并社区主导。我们将测试我们的多层次的可行性和可接受性以及初步效果通过医院-社区伙伴关系进行干预，重点明确预防继发性暴力防止居住在各县的非裔美国人中枪支暴力升级或再次受害阿肯色州中部，该州暴力袭击最严重的地区。我们还将整合关键实施科学指标来评估我们提议的干预措施的范围和可持续性。