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Completed

NCT Number: NCT02174224

At-risk Intervention and Mentoring Evaluation

The purpose of this study is to determine if a hospital-based violence intervention programs can make sustainable behavior changes in at-risk youth using two key components, brief intervention at the hospital bedside and case management.

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Key information

Conditions

Violence Behavior Criminal Behavior Recidivism

Age range

14 year–24 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Denver Health Medical Center

Denver, Colorado, 80204, United States

About this study

This study will be a randomized controlled trial. Youth presenting to the emergency department with an intentional injury (gunshot wound, stab wound, or assault) will be given a behavioral assessment. Participants will be categorized according to risk (low, moderate, high). Only moderate or high youth will continue in the study and be randomized. Low risk youths will receive the medical standard of care and be re-assessed at 18 months.

Randomization will place participants in one of two arms. Arm 1 will receive the standard of care PLUS a brief intervention with AIM outreach workers. Arm 2 will receive standard medical care PLUS a brief intervention PLUS case management.

Every randomized youth will be assessed for risk and protective factors and have have data collected at 6-month intervals (0, 6, 12, 18 months).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 14-24 years of age , Intentional Injury (Gunshot Wound, Stab Wound, Assault)

Exclusion criteria

  • Younger than 14, 25 or older, non-English speaking, unable to give informed consent/assent, sexual assaults, domestic violence, child neglect/abuse.

Treatment and study plan

Brief intervention

Behavioral

Goals of the bedside intervention will be to help the patient understand their risky behaviors that resulted in the injury and to assess and deescalate any threat of retaliatory violence by the patient. The outreach worker will: (1) develop a rapport with the patient by introducing themselves and describing their (outreach worker's) background and reason for the bedside visit; (2) assess the emotional response to the current injury; (3) ensure the patient and/or family understand the nature of the injury and ED course; (4) address any immediate concerns of the patient; and (5) develop a plan for staying safe following discharge.

Case Management

Behavioral

Case management based on needs-assessment. Resource connection and mentoring.

Standard Medical care

Behavioral

This will include physician discretion for medical treatment and potentially a social worker visit as the physician sees fit for the patient. This will also include a list of resources that are typically needed and used for violently injured youth.

Primary outcomes

  1. Violence Risk Scale

    Time frame: 0, 6, 12, 18 months

    Violence Risk Scale (VRS) will be measured with each youth at 4 time points. Change over time will be assessed and compared among study arms.

Secondary outcomes

  1. Composite Score

    Time frame: 0, 6, 12, 18 months

    Composite Score measures both risk and protective factors. This weighted scale uses the interplay between risk and protective factors to determine overall risk for youth to become violently injured.

  2. School Enrollment

    Time frame: 0, 6, 12, 18 months

    Self-report for school enrollment will be measured and compared among arms.

  3. Hospital Recidivism

    Time frame: 0, 6, 12, 18 months

    Every six month, patients' medical records will be scanned to determine if there has been violent injury recidivism. Medical release of Information forms will allow medical record searches from other local hospitals.

  4. Justice System Recidivism

    Time frame: 0, 6, 12, 18 months

    Self-report of criminal history.

  5. Employment

    Time frame: 0, 6, 12, 18 months

    Self-report of employment status.

  6. Resource Utilization

    Time frame: 0, 6, 12, 18 months.

    Self report of resource utilization for health care and social needs.

  7. Mortality

    Time frame: 0, 6, 12, 18 months

    Mortality will be assessed every 6 months.

Sponsors and collaborators

Lead sponsor

Denver Health and Hospital Authority

Other

Registry information

Official study title

Program Evaluation of a Hospital-based Violence Intervention Program (At-risk Intervention and Mentoring)

Acronym: AIM

Important dates

Study start
2014
Primary completion
2019
Study completion
2019
First posted
Jun 25, 2014
Registry last updated
Feb 11, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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