A WrapAround Case Management Program for Youth Injured by Violence

Study Overview
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Brief Summary
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This is a feasibility study of a WrapAround Case Management Program for Youth Injured by Violence. Youth (aged 10-24) who have been injured by violence and visit the emergency department will be offered a support worker who will provide WrapAround Case Management. This study is designed to assess the feasibility of recruitment, enrollment and follow-up.

Official Title
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A WrapAround Case Management Program for Youth Injured by Violence: A Feasibility Study

Conditions
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Intentional Injury

Intervention / Treatment
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* Behavioral: WrapAround Case Management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 10 - 24 and Presentation to an ED or trauma floor with an injury caused by violence (defined as an injury inflicted by someone else and one of a gunshot wound, stab wound, injury due to blunt object, or injury due to bodily force). Exclusion Criteria: Unable to consent due to language or brain injury, Sexual assault, Child Abuse Self-Inflicted Injury, Subject is under arrest or Non-resident of Winnipeg.

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 24 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: WrapAround Care<br> | Behavioral: WrapAround Case Management<br>* Youth Injured by Violence will be paired with a support worker who has extensive experience working with youth affected by violence.It is important to note that the wraparound concept involves individualized care planning and management. As such, the specific care plan will be different for each participant. Through early intensive meetings, they will develop a mentoring relationship. They will work with the youth to develop a support team, which may include family, teachers, child welfare workers and truly anyone the youth has decided can help them in their path to making positive choices.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To estimate the recruitment rate of an ED referral program for injured youth | We will evaluate the proportion of eligible patients who are identified for enrolment and any biases in subject identification | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To identify barriers to participation in a hospital-based case management program |  | 6 months | 
| To determine the average number of contacts and amount of time required per participant |  | 6 months | 
| To estimate the rates of follow-up among those successfully recruited |  | 6 months | 
| To determine the most appropriate way to notify the case manager of an eligible participant |  | 6 months | 
| To determine the most successful enrollment strategy for retention of participants |  | 6 months | 
| To determine level of engagement between the case manager and youth |  | 6 months | 
| To determine the most appropriate method of follow-up |  | 6 months | 
| To determine the impact in violence-related attitudes and behaviours among participants |  | 6 months | 
| To determine the impact on recurrent intentional injury amongst participants |  | 6 months | 
| To determine the impact on modifiable risk factors |  | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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youth, violence, injury, emergency department, intervention