Hospital-based violence intervention programs save lives and money

Cost−Benefit Analysis Simulation of a Hospital-Based Violence Intervention Program

“…HVIPs are grounded in empirical data about the recurrent nature of violent injury [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] and the theory that hospitals offer a unique opportunity for intervention. 7,8 HVIPs have shown effectiveness in preventing violent reinjury and perpetration; in improving employment, education, and healthcare utilization; and in reducing aggressive behaviors. 14,[27][28][29][30][31][32] More than 20 HVIPs operate across the U.S. under the National Network of HospitalBased Violence Intervention Programs (NNHVIP) 33 and well-established HVIPs have begun to be replicated.…”

“…7,8 HVIP services are provided by case workers who understand the life experiences of violently injured patients. HVIPs are grounded in empirical data about the recurrent nature of violent injury [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] and the theory that hospitals offer a unique opportunity for intervention.…”

Operation PeaceWorks

“…3 Therefore, the major potential cost savings associated with decreased gang-related violence exceed the cost of the present gang prevention program. 9 Although there was a significant decrease in gang-related violence observed after the present program was started, a causal relation was not established because of the observational study design. The frequency of gang membership may fluctuate because members may be recruited or incarcerated or may quit.…”

“…However, a multidisciplinary approach after a crisis, such as injury or incarceration, may decrease the frequency of recidivism to violent acts, interaction with the criminal justice system, and incarceration. 4,8,9 Communities in Ventura County, California, are experiencing an increased incidence of gang-and drug-related violence (Appendix or Supplemental Digital Content 1, http://links.lww.com/TA/A397). This region is suburban to Los Angeles but has large agricultural areas that maintain a high demand for immigrant workers.…”

Yes, You Can: Physicians, Patients, and Firearms

“…Hospital-and emergency department-based interventions using SBIRT methods or comprehensive case management have shown promise in reducing the risk for repeated violence (73,74). A randomized trial of a collaborative care program, including brief interventions, comprehensive case management, and asneeded mental health treatment, showed decreased weapon carrying among adolescents hospitalized after an injury (75).…”