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Results for hospital-based intervention

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Author: Community Crime Prevention Associates

Title: California Gang Reduction, Intervention and Prevention (CalGRIP) Grant Program: Final Local Evaluation Report

Summary: The City of San Jose Mayor's Gang Prevention Task Force (MGPTF) applied for State of California CalGRIP funding to transition the Pilot Hospital-Based Intervention Program in partnership with Santa Clara Valley Medical Center (SCCVMC) Trauma Center to a fully staffed and fully operated Evidenced-Based Hospital-Linked Intervention Program. In particular, CalGRIP funding provided the capacity to accomplish the following goals: Approach and enroll more eligible patients while in the hospital Trauma Center with expanded hours; and Provide for more intensive and comprehensive evidenced-informed follow-up case management intervention services upon discharge from the hospital. Results and Findings The established Hospital-Based Intervention Project, Trauma to Triumph Program, hereafter referred to as T2T, has achieved the CalGRIP funding goals and related results, in particular: - The T2T Program was successful in expanding the hours and number of clients serviced from the Pilot Program phase. The T2T program expanded to provide weekly five day coverage, and night and weekend coverage, on an as needed basis. - In addition to providing funding for the San Jose MGPTF to increase its program intervention staffing dedicated to Trauma to Triumph (T2T - the new program name), CalGRIP funding also allowed SCCVMC to request and leverage new funding from the Santa Clara County Supervisors to expand hospital staff for the T2T program. Supervisor Cindy Chavez, a supporter of the program, was successful in gathering Board of Supervisor support to add funding to the county budget in the amount of $500,000 to support hospital staff positions of Program Coordinator, and Social Workers for the T2T program. - The T2T Program was successful in expanding the service capacity of the "pilot program" from enrolling and serving 32 clients to a total of 178 unduplicated youth/young adults who were injured through individual, group assault and/or gang-related violence during the three year funding cycle. - The duplicated number of clients serviced for the three years was a total of 227 clients which included the number of continuation of clients from one program year to the next. This duplication client count represented 91% of the service goal of 250 clients served over the three years. - The T2T Program established a program of comprehensive follow-up case management intervention, support, and health and human services to program participants upon discharge from the hospital to help them stabilize their lives, and reduce the likelihood of repeat victimization. The T2T new program case management intervention services included a full range of types of assistance including: (1) Intake/Referrals from SCCVMC: Assessment of client for program enrollment and level of risk, (2) Hospital/Bedside Visitation, (3) Phone Contacts and response to need for services, (4) 1-1 Coaching and Counseling, (5) Home Visitation(s), (6) Personal Basic Needs: Food, Cloth, Hygiene, etc. Application Assistance, (7) Victim Witness Assistance (Application, Processing, Joint Visits), (8) School Reentry/Appointments, (9) Education Assistance (GED Prep, Community College Admission), (10) Employment Assistance, (11) Pro-social Recreational Activity, and (12) Other needed assistance. - The total number of duplicated Service Benchmarks (Short Term Service Outcomes) achieved for 2016 was 1137, and for 2017 the total was 1256. The Top Five Service Benchmarks were achieved in response to the following:: - Does client have stable housing this month? - Has client stayed free of violence-re-injury and retaliation? - Is client willing and able to assume normal routine (reduced trauma affects) - Was client employed at the end of the month? - Did you assist clients with any other matter? - These Top Five Service Benchmarks in particular, are vital service outcomes toward stabilizing an individual after a traumatic event, getting them to assume a new healthy routine, and provide client with hands-on assistance to access service, resources, and employment that they require to move their life forward. Other Service Benchmarks that were not in the "Top Five," but may also have been vital to clients when addressed were: Received injury follow-up medical care, Received Victims of Crime financial assistance, and other forms of financial/subsistence assistance. The T2T Program follow-up case management intervention services served 227 clients with the following additional details: The total number of Client Service Sessions for the three year project period was 8,345. The three year CalGRIP Funding cost was $1,095,767, which calculates to an average Client Service Session cost of $131.00. The total number of Client Service Hours for the three year project period was 6,588, which calculates to an average cost per service hour for the three year period of $166. While this is only an average calculation of costs (Individual clients costs were not calculated and most likely varied considerable), the cost effectiveness of the T2T Program was reasonable, particularly because of high risk and "difficult to service" target population. Outcome evaluation measures of the ultimate effectiveness of the project, especially whether the project changed the clients' violent-prone lifestyle toward engagement in a pro-social, violent free lifestyle indicated positive results with regard to the low recidivism rate of 4 patients (0.022) out of the 178 unduplicated clients referred by SCCVMC who were re-injured resulting from violence and a low rate of 1.7% recidivism rate with regard to re-arrests. Participants and staff survey responses indicated their attitudes had changed significantly due to the services and care received from the program: - A high percentage--84% average over two years-- felt that their lives had improved due to the services received; - 76% valued their lives more; - 75% indicated that disturbing memories of their trauma had decreased; - 75% felt that they were doing the best possible or really well in their lives; - 89% felt more hopeful about their future with new possibilities; - The outcome data also indicated that 75% of those in school, job training or work were being more successful in their efforts there. The City of San Jose Mayor's Gang Prevention Task Force has also been successful in assuring the continuation of the T2T Program at near the same capacity as funded by (1) CalGRIP by allocating funding for the T2T Program to continue the program beyond the CalGRIP funding cycle, and (2) securing additional funding for two years from the California Office of Emergency Services for the T2T Program.

Details: Sacramento: Board of State and Community Corrections, 2018. 99p.

Source: Internet Resource: Accessed November 8, 2018 at: http://www.bscc.ca.gov/downloads/San%20Jose%20CalGRIP%20Final%20Evaluation%20Report.pdf

Year: 2018

Country: United States

URL: http://www.bscc.ca.gov/downloads/San%20Jose%20CalGRIP%20Final%20Evaluation%20Report.pdf

Shelf Number: 153362

Keywords:
Evidence-Based Programs
Gang Intervention Programs
Gang Prevention
Gang Reduction
Gang Violence
Gangs
Hospital-Based Intervention
Youth Gangs