H EALING H URT P EOPLE (H (HHP) P ROGRAM Healing Hurt People (HHP) - - PowerPoint PPT Presentation

HEALING HURT PEOPLE (H (HHP) PROGRAM

• Healing Hurt People (HHP) is a trauma-informed

violence intervention program that engages youth ages 8-30 at Level I trauma centers in Philadelphia

• HHP addresses the mental health consequences of

trauma through intensive case management in order to decrease the rate of hospital recidivism for violent injury

HHP: What We Provide

Physical Health

Behavioral Health

Social Health Family Health

Immediate Medical Care & Follow-up post injury Primary Care & Physical Therapy Physicals for SSI/Medicaid Health Insurance ED Medical Counseling VCAP Triage Psycho-education Behavioral Health Counseling Talking, coaching & motivational interviewing in context

• f Behavioral Health

Counseling SELF Groups Trauma Education Navigation to Social Services Advocacy in Social Services Mentoring Motivational interviewing in context of Navigation & Mentoring

Crisis Management (housing, mental, physical, safety) Legal & court issues Safety Planning

GET UP/GET STARTED!

GET BETTER!

GET CONNECTED!

Vi Violent Inj njury Phase 1: Screening Intr ntroduction to

• HH

HHP @ @ be bedside Admitted to Hospital Phase 4: Discharge & Discharge Planning Treated in ED Phase 2: Active Involvement Phase 3: Stabilization & Step Down Phase 1: Engagement

• Identification of

patients through medical record

• Tracking

denominator of violent injury

• Engagement via

hospital ,home visit, or phone

• Early screening &

assessment of acute needs

• Early case

management services

• Psycho-education
• Introduction to

SELF

• Intake
• Assessment
• Trauma-Informed

Therapeutic Case Management, Navigation, & Mentoring

• Trauma-Specific

Therapeutic Interventions

• Goal Progression &

Achievement

• SELF Groups
• Same activities as

Phase 2,

• Focus on:

(a) stabilization (b) increasing client’s autonomy & role in reaching goals

• Less intensive;

more future focused

• Identification of

and connection to long-term goals & supports

• Development of

long-term safety plan

• Processing end of

services

Cl Clie ient Fl Flow in n He Heali ling Hu Hurt Peo eople Prog

• gram

After Care*: Under Construction

EVALUATION RESEARCH: OUTCOMES

• Primary outcomes: hospital recidivism for violent injury

and arrest for a violent crime (assessed at one year follow-up by hospital and criminal justice records)

• Secondary outcomes: a range of psychosocial

variables, Assessed through audio computer-assisted self-interviews (ACASI) administered at baseline, 6 weeks, and 6 months.

Baseline ACASI 6 month ACASI

• Com. Exp. Violence
• ACEs
• Depression
• PTSD
• Drug/Alc.
• Sleep quality
• Personal Mastery
• Social Support
• Self-rated health

status

• Time client spent with

case manager◊

• # SELF groups◊

6 week ACASI

• Com. Exp. Violence
• ACEs
• Depression
• PTSD
• Drug/Alc.
• Sleep quality
• Personal Mastery
• Social Support
• Self-rated health

status 6 month ACASI N= 90 (+45)

◊ Moderating variables for intervention group

ACASI= Audio computer assisted self-interview

OUTCOME EVALUATION OF HHP

Pooled Control Group N=135 (+45) Interview Pooled Intervention Group 6 week ACASI Baseline ACASI Interview 1 year record review

• Violent re-injury
• Arrest for violent crime

1 year record review

• Violent re-injury
• Arrest for violent crime