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Research Article: Psychosocial Treatment of an Adolescent in a Hospital-Based Violence Intervention Program

Date Published: 2023-06-05

Abstract:
Interpersonal violence is the leading cause of death in adolescents. Hospital-based violence intervention programs (HVIPs) address the emotional and behavioral sequelae of assault and homicide. Few studies have been published on pediatric HVIPs, and no study offers a conceptualization model for treatment approaches. This paper demonstrates the use of empirically supported practices by outlining the services provided and subsequent treatment trajectory of an adolescent receiving care from an HVIP at a Level 1 Pediatric Trauma Center. This case study follows the Case Study Report (CARE) guidelines and is the first to demonstrate the use of intensive case management, Psychological First Aid (PFA), and Skills for Psychological Recovery (SPR) in the treatment of an adolescent presenting to the emergency department (ED) due to assault associated with bullying. Through the use of these treatment approaches to address symptoms of posttraumatic stress, the patient moved from physical recovery to posttraumatic growth. Assessment and trauma-informed treatment suggestions are provided to support evidence-based practices within HVIPs.

Introduction:
In the United States, interpersonal violence is a major public health problem that has been declared a national endemic. It is the leading cause of death for individuals of color ages 15 to 34 [1]. Emergency departments (EDs) are often the first point of medical contact for youth after experiencing interpersonal violence. Violent injury accounts for approximately 600,000 adolescent emergency department visits each year [1]. Annually, these injuries result in more than 4 billion USD for acute medical care and 32…

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