The urban emergency department (ED) represents an underutilized venue for delivering violence interventions among adolescents. In the United States, there are over 100 million ED visits each year, of which at least 3 million are the result of violence.
A recent study (the SafERteens Study) demonstrated the efficacy of an ED-based BI for violence on changing attitudes, self-efficacy, and reducing violent behaviors, peer victimization, and violence related consequences. From a public health standpoint, however, in order to reduce violence on a broader scale studies are needed to determine the effectiveness of the SafERteens behavioral intervention (BI) when delivered by clinical staff in real world ED settings.
This study is designed to translate this efficacious BI for violence into a practical prevention program incorporated into ED clinical practice; with ED staff conducting the screening and BI. Specifically, we will determine the reach, effectiveness, adoption, implementation, and maintenance of the SafERteens BI in two diverse and novel ED settings: Children’s Hospital of Philadelphia (CHOP) and Grady Memorial Hospital in Atlanta (GMH).
Aim 1: To refine and package intervention and training materials essential to translating an efficacious ED-based behavioral intervention (BI) for violence (SafERteens) for delivery by ED staff.
Aim 2: To conduct a translation study of an ED based BI for violence among adolescents (ages 14-18) at two diverse urban ED settings (CHOP and GMH) using the RE-AIM framework.
A total of 650 patients ages 14-18 who seek care at the Children's Hospital of Philadelphia and Grady Memorial Hospital in Atlanta; and who screen positive for past year violence.