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November 1, 2022The Annals of the American Academy of Political and Social Science54 citations

Research on the Effects of Hospital-Based Violence Intervention Programs: Observations and Recommendations

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DWDaniel WebsterJRJoseph B. RichardsonNMNicholas S. Meyerson

Key Points

  • To review the effects of hospital-based violence intervention programs (HVIPs) on subsequent involvement in violence as a victim or perpetrator compared to nontreated control groups.
  • Reviewed controlled studies evaluating HVIP outcomes relative to nontreated control groups.
  • Identified and analyzed 13 eligible studies, consisting of 7 randomized controlled trials (RCTs) and 6 observational studies.
  • Evaluated program components, including the use of credible messengers, intensive case management, and linkage to community violence intervention initiatives.
  • RCTs of the most robust HVIPs demonstrated some protective effects, but overall evidence for reduced violence risk across all studies was mixed.
  • Identified RCTs were underpowered to detect definitive outcomes, and all but one study were vulnerable to selection bias.
  • Evaluated programs relied heavily on credible messengers and intensive case management, with little evidence of formal linkage to community-based violence programs.

Abstract

We conducted a review of studies on the effects of hospital-based violence intervention programs (HVIPs) on subsequent involvement in violence as a victim or perpetrator that included a nontreated control group. We identified seven randomized controlled trials (RCTs) and six observational studies. Most HVIPs evaluated relied principally on credible messengers to engage potential participants and intensive case management to provide social services. Evidence of linkage of HVIPs to community violence intervention programs was lacking. RCTs of the most robust HVIPs showed some evidence of protective effects, but overall evidence of reduced risks for violence was mixed. RCTs were underpowered, and all but one were vulnerable to selection bias. Stronger interventions and research methods are needed to advance our understanding of the potential for HVIPs to reduce risks for future violence.

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Cite This Study

Webster et al. (2022) studied this question.

synapsesocial.com/papers/69d77c4eb4cef8fedc48ff22https://doi.org/10.1177/00027162231173323
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