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Utilization of Mental Health Services in Pediatric Patients Surviving Penetrating Trauma Resulting from Interpersonal Violence
- Source :
- Am J Surg
- Publication Year :
- 2020
-
Abstract
- Background Violent trauma has lasting psychological impacts. Our institution’s Community Violence Response Team (CVRT) offers mental health services to trauma victims. We characterized implementation and determined factors associated with utilization by pediatric survivors of interpersonal violence-related penetrating trauma. Methods Analysis included survivors (0–21 years) of violent penetrating injury at our institution (2011–2017). Injury and demographic data were collected. Nonparametric regression models determined factors associated with utilization. Results There was initial rapid uptake of CVRT (2011–2013) after which it plateaued, serving >80% of eligible patients (2017). White race and higher injury severity were associated with receipt and duration of services. In post-hoc analysis, race was found to be associated with continued treatment but not with initial consultation. Conclusion Successful implementation required three years, aiding >80% of patients. CVRT is a blueprint to strengthen existing violence intervention programs. Efforts should be made to ensure that barriers to providing care, including those related to race, are overcome.
- Subjects :
- Male
Mental Health Services
medicine.medical_specialty
Adolescent
Wounds, Penetrating
Interpersonal communication
Violence
Article
03 medical and health sciences
Young Adult
0302 clinical medicine
030225 pediatrics
Intervention (counseling)
medicine
Humans
Child
Retrospective Studies
Receipt
business.industry
Mental Disorders
030208 emergency & critical care medicine
General Medicine
medicine.disease
Mental health
Community violence
Interpersonal violence
Family medicine
Surgery
Female
business
Penetrating trauma
Facilities and Services Utilization
Pediatric trauma
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Am J Surg
- Accession number :
- edsair.doi.dedup.....732988564c3c76685c820ed14b18f97f