儿童期人际暴力所致穿透性创伤存活者的精神卫生服务利用情况。
Utilization of mental health services in pediatric patients surviving penetrating trauma resulting from interpersonal violence.
机构信息
Boston University School of Medicine, 72 E Concord St, Boston, MA, 02118, USA.
Montefiore Medical Center, 111 E 210th St, Bronx, NY, 10467, USA.
出版信息
Am J Surg. 2021 Jan;221(1):233-239. doi: 10.1016/j.amjsurg.2020.06.031. Epub 2020 Jul 8.
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.
背景
暴力创伤会造成持久的心理影响。我们机构的社区暴力应对小组（CVRT）为创伤受害者提供心理健康服务。我们对实施情况进行了描述，并确定了与人际暴力相关穿透性创伤的儿科幸存者利用这些服务的相关因素。
方法
分析包括在我们机构（2011-2017 年）遭受暴力穿透性损伤的幸存者（0-21 岁）。收集了损伤和人口统计学数据。非参数回归模型确定了与利用相关的因素。
结果
CVRT 在最初的快速采用（2011-2013 年）之后趋于平稳，为超过 80%的符合条件的患者（2017 年）提供服务。种族和更高的损伤严重程度与服务的获得和持续时间有关。在事后分析中，发现种族与持续治疗有关，但与最初的咨询无关。
结论
成功实施需要三年时间，帮助了超过 80%的患者。CVRT 为加强现有的暴力干预项目提供了蓝图。应努力确保克服提供护理的障碍，包括与种族有关的障碍。
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