Gomez Gerardo, Simons Clark, St John Wendy, Creasser Diana, Hackworth Jodi, Gupta Pari, Joy Theresa, Kemp Heather
Indiana University School of Medicine, Indianapolis, IN, USA.
Am Surg. 2012 Sep;78(9):1000-4.
The recidivism rate for violent injuries in the United States has been reported as high as 45 per cent. Based on a retrospective review, the 5-year recidivism rate at the Indiana University/Wishard Trauma Center is 31 per cent, and the 1-year recidivism rate is 8.7 per cent. Individuals who have been admitted with a violent injury are screened by one of the Prescription for Hope (RxH) support specialists (SS). If the individual consents to participate, the SS conducts an in-depth assessment of risk factors. The SS and participant identify personal goals and develop a tailored service plan, which is outlined in a formalized agreement. In the first year of the RxH program (June 1, 2009, to May 31, 2010), 64 patients were enrolled. The most-often referred community services are in the category of social integration (84%). The SS have a 99 per cent success rate in getting clients to initiate services; 82 per cent have completed the services and 12 per cent are still using the services. As of the time of this writing, 34 subjects have been in RxH for at least 1 year. One patient returned to the trauma center in September 2010 with a repeat violent injury; this represents a 2.9 per cent 1-year recidivism rate. In the first 12 months of our program we did not have any participants return with a violent injury (0% recidivism), and we have only had one patient return to date. We conclude that the RxH SS model may play a significant role in decreasing the recidivism of violent injuries.
据报道，美国暴力伤害的累犯率高达45%。根据一项回顾性研究，印第安纳大学/威沙德创伤中心的5年累犯率为31%，1年累犯率为8.7%。因暴力伤害入院的患者由“希望处方”（RxH）支持专家（SS）之一进行筛查。如果患者同意参与，SS会对风险因素进行深入评估。SS和参与者确定个人目标并制定量身定制的服务计划，该计划在一份正式协议中列出。在RxH项目的第一年（2009年6月1日至2010年5月31日），有64名患者登记参加。最常被推荐的社区服务属于社会融合类别（84%）。SS让客户开始接受服务的成功率为99%；82%的客户已完成服务，12%仍在接受服务。截至撰写本文时，已有34名受试者参加RxH至少1年。一名患者于2010年9月因再次遭受暴力伤害回到创伤中心；这代表1年累犯率为2.9%。在我们项目的前12个月里，没有任何参与者因暴力伤害返回（累犯率为0%），到目前为止我们只有一名患者返回。我们得出结论，RxH SS模式可能在降低暴力伤害的累犯率方面发挥重要作用。
