About this trial
Hospital-Based Violence Intervention Programs (HVIPs) affiliated with trauma centers in the US often focus on individual behavior modification for reduction in re-victimization. There is a lack of reproducible evidence that has demonstrated effectiveness, given the exclusion of addressing inequities in the Social and Structural Determinants of Health (SSDOH), often the root causes of violent injury and preventable homicide. The study investigators created a Medical Legal Partnership (MLP) to partner with an existing HVIP. This novel program offers beside legal assistance to address the SSDOH. The purpose of this study is to evaluate the effectiveness of the HVIP-MLP program in improving perceived stress, violence-related outcomes, legal needs, health-related quality of life, and PTSD symptoms.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Treatment for an interpersonal violent injury at the University of Chicago Trauma Center (e.g., gunshot, stab wound, assault)
Ages 14+ years
Able to provide informed consent (18 years and older) or assent (14-17 years)
Disqualifiers
Diagnosis of severe mental illness (e.g., psychotic disorder, schizophrenia, suicidality)
Treated for a non-interpersonal violent injury type (e.g., car accident)
Treated for self-inflicted or accidental injuries
Unable to provide informed consent due to mental status
Trial design
Parallel
Treatments tested in this trial
Recovery Legal Care
Other interventionThese patients will receive support from our HVIP standard of care (Violence Recovery Program) plus our Medical Legal Partnership (Recovery Legal Care) for additional legal support to address health-harming legal needs and public benefits.
HVIP Standard of Care
Other interventionThese patients will receive HVIP standard of care (Violence Recovery Program Support)
Treatment groups
Trial outcomes
Primary outcomes
Stress
The Patient-Reported Outcomes Measurement Information System (PROMIS) scale measures self-reported psychological stress.
Secondary outcomes
Firearm victimization and aggression
The adapted Conflict Tactics Scale 2 (CTS2) measures behaviors related to firearm victimization and aggression over the past 3 months.
Legal needs self-efficacy
The adapted Bandura Self-Efficacy Scale measures belief in one's ability to have legal needs addressed.
Health-related quality of life
The SF-12 Health Survey measures both physical and mental health domains of health-related quality of life.
Post-Traumatic Stress Disorder (PTSD) Symptoms
The PCL-5 measures symptoms of PTSD.
Sponsors and contacts
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University of Chicago
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator
U.S. Department of Justice
Collaborator
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator