scholarly journals Fifteen Minutes per Day Keeps the Violence Away: a Crossover Randomised Controlled Trial on the Impact of Foot Patrols on Serious Violence in Large Hot Spot Areas

Author(s):  
Matthew Bland ◽  
Michelle Leggetter ◽  
David Cestaro ◽  
Jacqueline Sebire

Abstract Research Question Did a 15-min patrol delivery over 1 day reduce serious violent crime in large hot spots (mean size = 2 km × 2 km), without displacing such crimes to nearby areas? Data We tracked daily official crime reports in a sample of 21 high-crime Bedfordshire (UK) Lower-layer Super Output areas (LSOAs). We measured time spent by two-person police foot patrols in those areas with daily GPS data from handheld devices given to officers working on overtime. We also counted proactively initiated arrests. Methods We used a crossover randomised controlled trial on the 21 “hot spot” LSOAs, each of which was randomly assigned daily to be either in a treatment condition of 15-min of patrol (as one of seven each day) or a control condition of no patrol (as one of 14 each day) for each of 90 days. We used an intention-to-treat framework to analyse the impact of patrols on the outcome measures overall, on consecutive days of assignment to the same condition, and in 100-m ‘buffer’ zones around each hot spot. Findings We found that on treatment days the hot spots had 44% lower Cambridge crime harm index scores from serious violence than on control days, as well as 40% fewer incidents across all public crimes against personal victims. Statistically significant differences in lower prevalence, counts and harm of both non-domestic violent crime and robbery and other non-domestic crimes against personal victims were also found. We found no evidence of either displacement of serious crime into a 100-m buffer zone, nor any evidence of residual deterrence on no-patrol days following patrol days. We did find evidence of a cumulative effect: the largest differences in crime harm on control days were found in treatment days that came after 3 days of consecutive patrol in the same LSOA. Conclusions Even minimal amounts of foot patrol can prevent serious violent crime across a large area, and repeated patrols over several days help even more. Our findings suggest that, to reduce both violent and other forms of crime, uniformed officers need to patrol hot spots for short amounts of times on consecutive days.


BDJ ◽  
2021 ◽  
Vol 230 (4) ◽  
pp. 229-235
Author(s):  
Jan Clarkson ◽  
Craig Ramsay ◽  
Thomas Lamont ◽  
Beatriz Goulao ◽  
Helen Worthington ◽  
...  


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Elanor C. Hinton ◽  
Laura A. Birch ◽  
John Barton ◽  
Jeffrey M. P. Holly ◽  
Kalina M. Biernacka ◽  
...  


2019 ◽  
Author(s):  
Marica Cassarino ◽  
Katie Robinson ◽  
Íde O’Shaughnessy ◽  
Eimear Smalle ◽  
Stephen White ◽  
...  

Abstract Background : Older people are frequent Emergency Department (ED) users who present with complex issues that are linked to poorer health outcomes post-index visit, often have increased ED length of stay and tend to have raised healthcare costs. Encouraging evidence suggests that ED teams involving health and social care professionals (HSCPs) can contribute to enhanced patient flow and improved patient experience by improving care decision-making and thus promoting timely and effective care. However, the evidence supporting the impact of HSCPs teams assessing and intervening with older adults in the ED is limited and identifies important methodological limitations, highlighting the need for more robust and comprehensive investigations of this model of care. This study aims to evaluate the impact of a dedicated ED-based HSCP team on the quality, safety, clinical and cost-effectiveness of care of older adults when compared to usual care. Methods : The study is a single-site randomised controlled trial whereby patients aged ≥65 years who present to the ED of a large Irish hospital will be randomised to the experimental group (ED-based HSCP assessment and intervention) or the control group (usual ED care). The recruitment target is 320 participants. The HSCP team will provide a comprehensive functional assessment as well as interventions to promote a safe discharge for the patient. The primary outcome is ED length of stay (from arrival to discharge). Secondary outcomes include: rates of hospital admissions from the ED, ED re-visits, unplanned hospital admissions and healthcare utilisation at 30-days, four and six-month follow-up; patient functional status and quality of life (at baseline and follow-up); patient satisfaction; costs-effectiveness in terms of costs associated with ED-based HSCP compared to usual care; and perceptions on implementation by ED staff members. Discussion : This is the first randomised controlled trial testing the impact of HSCPs working in teams in the ED on the quality, safety, clinical and cost-effectiveness of care for older patients. The findings of the study will provide important information on the effectiveness of this model of care for future implementation. Trial registration : ClinicalTrials.gov, NCT03739515; registered on 12 th November 2018. Protocol version 1. URL: https://clinicaltrials.gov/ct2/show/NCT03739515



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