aDepartment of Emergency Medicine, Drexel University College of Medicine, Philadelphia, PA 19102-1192, USA.
J Trauma Dissociation. 2011;12(5):510-25. doi: 10.1080/15299732.2011.593260.
The Surgeon General's report on youth violence, the Centers for Disease Control and Prevention, and other national organizations are calling for public health approaches to the issue of youth violence. Hospital-based violence intervention programs have shown promise in reducing recurrent violence and decreasing future involvement in the criminal justice system. These programs seldom address trauma-related symptoms. We describe a conceptual framework for emergency department-based and hospital-based violence intervention programs that intentionally addresses trauma. The intervention described--Healing Hurt People--is a trauma-informed program designed to intervene in the lives of injured patients at the life-changing moment of violent injury. This community-focused program seeks to reduce recurrent violence among 8- to 30-year-olds through opportunities for healing and connection. Healing Hurt People considers the adversity that patients have experienced during their lives and seeks to break the cycle of violence by addressing this trauma.
美国外科医生总署发布的关于青少年暴力问题的报告、美国疾病控制与预防中心和其他国家组织呼吁采取公共卫生措施解决青少年暴力问题。基于医院的暴力干预项目已显示出减少暴力复发和减少未来卷入刑事司法系统的潜力。然而，这些项目很少涉及与创伤相关的症状。我们描述了一个基于急诊室和医院的暴力干预项目的概念框架，该框架旨在有针对性地解决创伤问题。所描述的干预措施——治愈受伤的人——是一个创伤知情的项目，旨在在暴力伤害改变生活的时刻干预受伤患者的生活。这个以社区为中心的项目旨在通过提供治疗和联系的机会，减少 8 至 30 岁人群的暴力复发。治愈受伤的人考虑到患者在生活中经历的逆境，并通过解决这种创伤来打破暴力循环。
