Project 463651

Twenty percent of those who are injured by violence will be injured again within the next year. Hospital-based violence intervention programs (HVIP) offer an opportunity to use the time of reflection after a violent injury to increase capacity to thrive and prevent future violent injury. Our team includes individuals with lived experience, clinicians, youth workers and interdisciplinary researchers focused on violence prevention and survivorship. We co-designed a HVIP called THRIVE. A 'coach' with lived experiences will meet the survivor in the hospital to deliver support for ~ 1 year using a wraparound care model and coach the survivor to build personal capacity to thrive. We will complete a pilot study to evaluate the feasibility of a future case-control study of the THRIVE model that will measure built capacity to thrive and repeat violence. This study will ensure the protocol is feasible to deliver and that the outcomes are measurable and validated. The objectives of our study are; 1) To evaluate the feasibility to perform a case-control evaluation. We will evaluate the pilot study based on recruitment, treatment fidelity and participant adherence and will perform a safety assessment; 2) To describe the components of THRIVE and that they are being delivered as designed; 3) To evaluate multiple validated instruments that measure the impact of the HVIP on building personal capacity to thrive; and 4)To validate the data and method used to measure the impact of THRIVE on visits to EDs and hospitals for repeat violent injury within 1 yr using a case-control design. This study will be the first to evaluate the intervention components of a HVIP and link them to the key outcomes of built capacity to thrive and reduced violence. Increasing capacity to thrive while reducing injury will contribute to improved long term health and well-being.