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

H EALING H URT P EOPLE (H (HHP) P ROGRAM • 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 Triage Immediate Medical Psycho-education Care & Follow-up post Behavioral Health injury Counseling Primary Care & Physical Talking, coaching & Therapy motivational Physicals for interviewing in context SSI/Medicaid Physical Behavioral of Behavioral Health Health Insurance Health Health Counseling ED Medical Counseling SELF Groups VCAP Trauma Education Navigation to Social Crisis Management Services (housing, mental, Family Social Advocacy in Social physical, safety) Health Health Services Legal & court issues Mentoring Safety Planning Motivational interviewing in context of Navigation & Mentoring

GET UP/GET STARTED!

GET BETTER!

GET CONNECTED!

Cl Clie ient Fl Flow in n He Heali ling Hu Hurt Peo eople Prog ogram Treated in ED Phase 1: Screening Violent Inj Vi njury • Identification of Admitted to Hospital patients through medical record Intr ntroduction to o HH HHP @ @ be bedside • Tracking denominator of violent injury Phase 2: Active Phase 3: Stabilization Phase 4: Discharge & Phase 1: Engagement Involvement & Step Down Discharge Planning • Intake • • Engagement via Identification of • Assessment • After Care*: Same activities as and connection to hospital ,home • Trauma-Informed Phase 2, long-term goals & Under visit, or phone Therapeutic Case • • Focus on: Early screening & supports Construction Management, (a) stabilization (b) assessment of Navigation, & • acute needs increasing client’s Development of Mentoring • autonomy & role long-term safety Early case • Trauma-Specific in reaching goals plan management Therapeutic • Less intensive; services Interventions • • more future Psycho-education Processing end of • Goal Progression & • Introduction to focused services Achievement SELF • SELF Groups

E VALUATION R ESEARCH : O UTCOMES • 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.

O UTCOME E VALUATION OF HHP Pooled Pooled N=135 N= 90 Intervention Group Control Group (+45) (+45) Baseline ACASI Baseline ACASI  Com. Exp. Violence  Com. Exp. Violence  ACEs  ACEs 6 week ACASI 6 week ACASI  Depression  Depression  PTSD  PTSD  Drug/Alc.  Drug/Alc. 6 month ACASI 6 month ACASI  Sleep quality  Sleep quality  Personal Mastery  Personal Mastery  Social Support  Social Support Interview Interview  Self-rated health  Self-rated health status status  Time client spent with case manager ◊ 1 year record review 1 year record review  Violent re-injury  Violent re-injury  # SELF groups ◊  Arrest for violent crime  Arrest for violent crime ◊ Moderating variables for intervention group ACASI= Audio computer assisted self-interview