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.

项目摘要和摘要阿肯色州是一个南部的南部国家，相对于总人口，凶杀率很高全国第六个枪支凶杀率）。此外，阿肯色州的大多数县被认为是农村和拥有适用于暴力攻击幸存者的严重有限的医疗保健服务（例如，物理疗法，创伤信息的护理，行为健康服务等）。阿肯色大学医学科学（UAMS）是拟议研究的主要机构，是该州唯一的1级创伤中心，几乎通过区域卫星诊所和远程医疗服务。重要的是，UAMS最近与Little Rock市和其他社区机构站立了第一个也是唯一的基于医院的暴力干预计划（HVIP）阿肯色州。尽管此HVIP的重点是小石城的居民，但我们的拟议研究将扩展 UAMS计划的范围包括包括阿肯色州中部地区的县，其中许多受社区暴力影响不成比例的农村人口。重要的是，我们的拟议的研究扩展了我们小石城的范围，并结合了多个增强功能是解决社区暴力的一种更全面的方法。在这个应用，我们建议与阿肯色中部中部的社区合作伙伴参与多层次，多层次分别干预以减轻对个人和社区的暴力攻击负担。我们的建议将在每个阶段让社区参与，以便在文化上适当，社区信息和社区领导。我们将测试我们多层次的可行性和可接受性以及初步功效通过医院社区合作伙伴关系明确关注预防继发性暴力的干预措施为了防止居住在县的非洲裔美国人中的枪支暴力升级或恢复阿肯色州中部，该州的暴力袭击最大。我们还将合并钥匙实施科学指标，以评估我们提议的干预措施的覆盖范围和可持续性。