Brouillette Khadija, Gebru Joseph, Malhotra Armaan K, McKechnie Tyler, Shakil Husain, Tropiano Joseph, Bondzi-Simpson Adom
McGill University, Montreal, QC, Canada.
Brock University, St. Catharines, ON, Canada.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251356386. doi: 10.1177/21501319251356386. Epub 2025 Aug 11.
Violence is a growing public health issue that disproportionately affects low-income and racialized communities across North America. While trauma centers appropriately respond to acute violent injuries, many patients are discharged back into the same environments that put them at risk. Hospital-based Violence Intervention Programs (HVIPs) offer opportunities for trauma care to address the upstream root causes of violence. These programs engage patients during critical "teachable moments," connecting them to staff with lived experience, along with social workers and community partners, providing personalized support such as mental health care, education, employment, and housing services. In Canada, several initiatives in Toronto and Winnipeg are examples of HVIPs assisting with reduction of repeat injury by intervening on root causes. The early results show reductions in re-injury, improved engagement in school, lower justice system involvement, and potential healthcare cost savings. This commentary explores Canadian HVIPs as a model for addressing health disparities linked to violence and considers how similar approaches can be adapted in other healthcare settings to better serve communities.
暴力是一个日益严重的公共卫生问题，对北美各地的低收入和种族化社区造成了不成比例的影响。虽然创伤中心能够妥善应对急性暴力伤害，但许多患者出院后又回到了使他们处于危险之中的相同环境。基于医院的暴力干预项目（HVIPs）为创伤护理提供了机会，以解决暴力的上游根本原因。这些项目在关键的“可教时刻”与患者接触，将他们与有实际生活经验的工作人员、社会工作者和社区伙伴联系起来，提供诸如心理健康护理、教育、就业和住房服务等个性化支持。在加拿大，多伦多和温尼伯的几项举措就是HVIPs通过干预根本原因来协助减少重复伤害的例子。早期结果显示，再受伤情况减少，学校参与度提高，司法系统介入减少，还有可能节省医疗成本。本评论探讨了加拿大的HVIPs作为解决与暴力相关的健康差距的模式，并考虑如何在其他医疗环境中采用类似方法以更好地服务社区。
