Hospital youth workers for violence reduction

2020 ◽  
pp. archdischild-2020-318917
Author(s):  
Hannah Jacob ◽  
Charles Travers ◽  
Gayle Hann
Keyword(s):  
Emergency Department ◽  
Young People ◽  
Coping Strategies ◽  
Emotional Disturbance ◽  
District Hospital ◽  
Demographic Data ◽  
Youth Workers ◽  
Urban District ◽  
Violence Reduction

IntroductionYouth workers (YWs) can engage young people following hospital attendances with violence-related injuries. This study aimed to evaluate the efficacy of YWs in an urban district hospital and to explore the views of the young people engaged.MethodsEveryone referred to the hospital YWs during the 31-month study period was included and demographic data were collected. Those who engaged completed emotional disturbance, risk of criminality and feedback questionnaires.ResultsThere were 496 young people referred during the study period with a mean age of 14. 9 years (range 7–26). Of these, 85 (17%) engaged with YWs and 15/85 (18%) completed the programme. Most (14/15, 93%) showed reduced or no change in their criminality and emotional disturbance scores. Young people liked having credible, accessible mentors and learning effective coping strategies.DiscussionYWs based in a district hospital’s emergency department can work effectively with vulnerable young people, and this is well received by young people.

scholarly journals Young victims of youth violence: using youth workers in the emergency department to facilitate ‘teachable moments’ and to improve access to services

2020 ◽  
pp. edpract-2019-318251
Author(s):  
Elizabeth Wortley ◽  
Ann Hagell
Keyword(s):  
Emergency Department ◽  
Young People ◽  
Youth Violence ◽  
Healthcare Workers ◽  
Physical Violence ◽  
Rapid Review ◽  
Youth Workers ◽  
Access To Services ◽  
The Uk ◽  
Improve Access

There have been rising concerns in the UK about the levels of serious violence between young people, especially serious physical violence and knife crime. Interactions with young people in the emergency department (ED) at the time of injury provide an opportunity for screening and intervention in order to reduce the risk of repeat attendances. However, paediatricians and other healthcare workers can feel unsure about the best way to intervene. Embedding youth workers in EDs has started in some UK hospitals, making use of a potential ‘teachable moment’ in the immediate aftermath of an event to help change behaviour. Based on a rapid review of the literature, we summarise the evidence for these types of interventions and present two practice examples. Finally, we discuss how EDs could approach the embedding of youth workers within their department and considerations required for this.

Advancing Urban Peace: Preventing Gun Violence and Healing Traumatized Youth

Youth Justice ◽  
2021 ◽  
pp. 147322542110201
Author(s):  
Jason Corburn ◽  
DeVone Boggan ◽  
Khaalid Muttaqi ◽  
Sam Vaughn ◽  
James Houston ◽  
...  
Keyword(s):  
Young People ◽  
Public Safety ◽  
Urban Neighborhoods ◽  
Gun Violence ◽  
People Of Color ◽  
Violence Reduction ◽  
Reduction Program ◽  
Trauma Informed

This descriptive article highlights the inner-practices of a trauma-informed, healing-centered, urban gun violence reduction program called Advance Peace. We find that the Advance Peace model uses a unique curriculum called the Peacemaker Fellowship, that offers intensive mentorship, caring, and ‘street love’ to youth at the center of gun violence. The Advance Peace approach is one public safety model that may help young people of color heal from the traumas that contribute to gun violence while also reducing gun crime in urban neighborhoods.

scholarly journals Developmental Language Disorder (DLD) in Young People Leaving Care in England: A Study Profiling the Language, Literacy and Communication Abilities of Young People Transitioning from Care to Independence

2021 ◽  
Vol 18 (8) ◽  
pp. 4107
Author(s):  
Judy Clegg ◽  
Ellen Crawford ◽  
Sarah Spencer ◽  
Danielle Matthews
Keyword(s):  
Young People ◽  
Developmental Disorders ◽  
Language Disorder ◽  
Demographic Data ◽  
Developmental Language Disorder ◽  
Social Emotional ◽  
Language Abilities ◽  
Care Leavers ◽  
Language Literacy ◽  
Key Staff

Research indicates children and young people in care have a high prevalence of Developmental Language Disorder (DLD) as part of a complex set of vulnerabilities. This study describes the profile of language, literacy and communication abilities of a cohort of care leavers. The language, literacy and communication abilities of 44 young people leaving care between the ages of 16 and 26 years were assessed using standardized measures. Demographic data about the young people was collected along with a survey to key staff to capture their perceptions and experiences of the language and communication abilities of these young people. Ninety percent of the care leavers’ language abilities were below average and over 60% met criteria for DLD in combination with literacy difficulties, developmental disorders and social, emotional and mental health difficulties (SEMH). The implications of unidentified DLD on the lives of young people leaving care is discussed. Earlier identification of DLD is advocated to enable services to intervene to facilitate more positive outcomes and life chances for this very vulnerable population.

Deliberate self-harm in young people: attendance at a paediatric emergency department

2009 ◽  
Vol 26 (3) ◽  
pp. 114-118 ◽  
Author(s):  
Sophia Morgan ◽  
Sinead Byrne ◽  
Carole Boylan ◽  
Stephen McLearie ◽  
Carol Fitzpatrick
Keyword(s):  
Emergency Department ◽  
Young People ◽  
Medical Records ◽  
Risk Group ◽  
High Risk Group ◽  
Deliberate Self Harm ◽  
Paediatric Emergency Department ◽  
Paediatric Emergency ◽  
Appropriate Treatment ◽  
Self Harm

AbstractObjectives: Deliberate self-harm (DSH) is the strongest predictor of suicidal behaviour. This retrospective study reviewed all DSH presentations to our Paediatric Emergency Department between 2002-2006.Method: Using database and medical records we profiled these presentations. Data was coded and statistically analysed.Results: There were 253 DSH attendances. Twenty-four percent were living in care, 15% were under 12 years and 14% presented more than once. Overdoses (61%) were more common than cutting (16%) and 56% had a psychiatric condition.Conclusions: DSH presents an ongoing challenge to child and adolescent mental health services and those working in suicide prevention. Identifying the characteristics of these young people is essential to providing appropriate treatment for this high-risk group.

WHAT DO YOUNG PEOPLE WANT FROM THE EMERGENCY DEPARTMENT?

2015 ◽  
Vol 32 (12) ◽  
pp. 1007.1-1007
Author(s):  
J Browning ◽  
A Bryans ◽  
J Camilleri-Brennan ◽  
N Patel ◽  
R Price
Keyword(s):  
Emergency Department ◽  
Young People

Determinants of pyelonephritis onset in patients with obstructive urolithiasis

2021 ◽  
pp. 039156032110352
Author(s):  
Georges Abi Tayeh ◽  
Ali Safa ◽  
Julien Sarkis ◽  
Marwan Alkassis ◽  
Nour Khalil ◽  
...  
Keyword(s):  
Emergency Department ◽  
Renal Colic ◽  
Demographic Data ◽  
Vital Signs ◽  
Kidney Injury ◽  
Stone Size ◽  
Positive Urine ◽  
Life Threatening ◽  
Fat Stranding ◽  
Obstructive Pyelonephritis

Background: Acute obstructive pyelonephritis due to urolithiasis represents a medico-surgical emergency that can lead to life-threatening complications. There are still no established factors that reliably predict progression toward acute pyelonephritis in patients presenting with a simple renal colic. Objective: To investigate clinical and paraclinical factors that are associated with the onset of acute obstructive pyelonephritis. Methods: Patients presenting to the emergency department for renal colic with obstructive urolithiasis on imaging were enrolled in the study. Demographic data, vital signs, medical comorbidities, blood test results, urinalysis, and radiological findings were recorded. Obstructive pyelonephritis was defined by the presence of two or more of the following criteria: fever, flank pain or costovertebral angle tenderness, and a positive urine culture. Results: Seventeen patients out of 120 presenting with renal colic, were diagnosed with acute obstructive pyelonephritis (14%). Parameters that were associated with the onset of obstructive pyelonephritis were: diabetes ( p = 0.03), elevated CRP ( p = 0.01), stone size (>5 mm) ( p = 0.03), dilatation of renal pelvis ( p = 0.01), peri-renal fat stranding ( p = 0.02), and positive nitrites on urinalysis ( p < 0.01). Hyperleukocytosis, acute kidney injury, multiple stones, pyuria (>10/mm3), hypertension, and were not associated with the onset of obstructive pyelonephritis. Conclusion: This study showed that known diabetic status, elevated CRP, positive urine nitrites, stone size (>5 mm), pyelic dilatation, and peri-renal fat stranding were associated with the onset of pyelonephritis in patients presenting to the emergency department with obstructive urolithiasis.

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