Recovery Legal Care Clinical Trial
University of Chicago
500 participants
Feb 10, 2025
INTERVENTIONAL
Conditions
Summary
Hospital-Based Violence Intervention Programs (HVIPs) affiliated with trauma centers in the US often focus on individual behavior modification for reduction in re-victimization. There is a lack of reproducible evidence that has demonstrated effectiveness, given the exclusion of addressing inequities in the Social and Structural Determinants of Health (SSDOH), often the root causes of violent injury and preventable homicide. The study investigators created a Medical Legal Partnership (MLP) to partner with an existing HVIP. This novel program offers beside legal assistance to address the SSDOH. The purpose of this study is to evaluate the effectiveness of the HVIP-MLP program in improving violence-related outcomes, legal needs, health-related quality of life, PTSD symptoms, and perceived stress.
Eligibility
Inclusion Criteria5
- Treatment for a violent injury at the University of Chicago Trauma Center
- Ages 14-64 years
- Able to provide informed consent (18 years and older) or assent (14-17 years)
- Inclusion of women and minorities: This research proposal includes women and ethnic minorities. Patient participants will be primarily non-Hispanic Black or Hispanic race and ethnicity. The study expects participants to be proportional to the population-wide estimates for the South Side community. The majority will be low-income with variable functional health literacy. These characteristics are representative of the target population and describe the population most likely to benefit from the proposed study. Youth stakeholder participants will be multi-ethnic and racially diverse.
- Inclusion of children: This study will include children ages 14-17 years old, based on Illinois state labor laws for child employment, as well as the ages of youth who are primarily treated for penetrating injury at the UCMC trauma center. This age is also a pragmatic cutoff for children providing meaningful input on community and healthcare solutions to violence.
Exclusion Criteria5
- Diagnosis of severe mental illness (i.e., psychotic disorder, schizophrenia, suicidality)
- Unable to provide informed consent due to mental status
- Prior receipt of legal services at UCMC within the past year
- Currently imprisoned or incarcerated
- Residing at an Indiana address.
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Interventions
These patients will receive support from our HVIP standard of care (Violence Recovery Program) plus our Medical Legal Partnership (Recovery Legal Care) for additional legal support to address health-harming legal needs and public benefits.
These patients will receive HVIP standard of care (Violence Recovery Program Support)
Locations(1)
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NCT06618794