Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Overview

The project aims to create the Houston-Hospital-Based Violence Intervention program at Memorial Hermann Hospital in the Texas Medical Center in Houston, Texas, as a community-level response to firearm violence.

The Houston-HVIP will feature a clustered randomized controlled trial, with a fully immersive hospital violence intervention program and an enhanced case manager program tailored to the firearm victim’s needs. This intervention will be rigorously evaluated to understand program effectiveness and acceptability, the impact of reinjury on those enrolled in each arm of the program, and the role of social determinants of health on firearm injury to the participant and the community. Also, we will examine the program’s impact on racial and ethnic disparities in those impacted by firearm violence.

The program is guided by critical stakeholders, including hospital leadership, public health advocates, law enforcement, community and city leaders, and a multidisciplinary team of experts in injury prevention, health science analysis, and mixed methods evaluations.

Location: Houston, TX

Research Aims

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Phase One (Years 1 & 2)

To develop a coalition of internal and external stakeholders to advise on the formation and oversee the implementation of the Houston-HVIP.  Create the culture prime for the reception of the HVIP by developing inter-professional, trauma-informed care educational platform with a health equity lens. 

Implement and evaluate the Houston-HVIP program to determine the effectiveness of reducing repeat violent events by a program participant.

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Phase Two (Years 3, 4, & 5)

To conduct a randomized controlled trial to evaluate the effectiveness of HVIP in reducing the occurrence of repeat violent events. Determine the impact of the community-engaged HVIP program on mental and behavioral health, and on racial and ethnic disparities in those impacted by firearm violence injury. Identify the predictors of implementation success from the perspective of gun violence victims, health care providers, and community violence intervention specialists.

Principal Investigators

Alexander Testa, PhD

Co-Principal Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Sandra McKay, MD

Co-Principal Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Community Partners

Karlton Harris

Community Partner, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Study Team

Anne Marie Vollero Thompson, MPH, CHES, CLC

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Irma Ugalde, MD, MBE

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Jack Tsai, PhD

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Kevin Rix, PHD, MPH

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Lillian Kao, MD, MS

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Mary E. Aitken, MD, MPH

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Ruosha Li, PhD

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Shreela Sharma, PhD, RDN, LD

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

Vanessa Schick, PhD

Co-Investigator, Incorporation of a Health Equity Approach to Hospital Violence Intervention Programs: The Integration of a Community and Hospital Based Initiatives to Reduce Gun Violence in a Large Metropolitan Area

This research is supported by the National Institutes of Health under Award Number 1UG3NR021232-01. 

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