Violence Clinical Trial
Official title:
Optimization Study of the Wraparound Care for Youth Injured by Violence Program
This study is an optimization study to evaluate how a wraparound program for youth who have been injured by violence helps to change violence related attitudes and beliefs, change individual risk factors for violence and reduce the risk of future injury due to violence. Wraparound care involves linking the youth with a support worker who will work with the youth to develop positive support networks and help them link with services that address risk factors towards future violence.
In Canada, violence is the most common reason for youth (aged 12- 24) to visit an emergency
department (ED) and the leading cause of hospitalization among males aged 20 to 24. Injury is
a chronic, recurring disease. In Winnipeg, Canada, 20% of youth injured by violence visited
the same ED in the next year with a repeat injury due to violence. Currently the standard of
care for this vulnerable population is to discharge them from our EDs with no effort to
prevent the next injury.
There are 5 components key to implementing wraparound care for youth who are at risk of
violence. The 1st component is the establishment of a relationship between support worker and
youth at the time of injury - i.e. during a teachable moment. The 2nd component is that the
support worker has extensive "lived experience". Many youth affected by violence have been
marginalized by society and have significant trust issues with figures of traditional power
(i.e. doctors, social workers etc.). It is imperative that the support worker establish trust
quickly and act as a role model. The 3rd component is that the care program is individualized
for and by each youth. The support worker helps the youth to define their own goals and the
steps required to achieve them. The 4th component is to provide trauma-informed care.
Trauma-informed care is an approach used by caregivers that acknowledges the current and past
traumas a person may have experienced and helps the person heal and build a sense of control
over their lives. The final component is the opportunity to access community supports within
their own culture.
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