Scotland's 'Navigators' Transform Lives in the Emergency Room

The Violence Intervention Program at the University of Maryland Medical Center's Shock Trauma Center helps people meet basic needs after they have suffered a gunshot injury. Along with clothing, transportation vouchers, and toothbrushes, the program's social workers also provide talk therapy. The goal is to keep victims of violence from becoming victims again, and the approach is to build trust by giving the help without strings attached. Many people return for the help, and the therapy.

Healing Hurt People (HHP), the program that helped save his life, now employs men like Jermaine McCorey - men who used to be a part of a violent life on the streets of Philadelphia - to reach out to boys and young men in the emergency department and help get them through empathy and personalized support. HHP's goal is to help young people recognize the role trauma has played in shaping their lives, to respect and honor their experience and to help them avoid fueling the cycle of violence.

Healing trauma has never been an easy process but programs like Healing Hurt People help to promote recovery in traumatized, angry young men. This program, in partnership with local medical services, aims to provide therapy in place of violence, which would only cause more trauma down the road. Those who stick with the program have found great success in overcoming their pasts.

Since the 2018 opening of a trauma-care center near the neighborhoods most affected by Chicago's gun violence, the University of Chicago Medical Center's Violence Recovery Program has helped survivors and victims' families to address the emotional harm that can go untreated when only physical harm is treated. Part of a growing field nationwide, hospital-based violence intervention, the program's nine specialists counsel people through the immediate shock of a gun injury or death. Then they address longer-term needs for services. The goals are both humanitarian and pragmatic, to head off more violence.

A nonprofit in Omaha focuses on hospitals for its gang intervention work, making contact with gang members or potential gang members who have been injured through violence and may be ready to make a change in their lives. YouTurn connects them to services like housing, education and job programs and acts as a bridge between families, police and doctors. It also works to prevent violence that might occur in hospitals through revenge or retaliation by rival gangs.

Victims of violence that end up in the emergency room can return within two years with more injuries because of retaliation efforts. Philadelphia’s Healing Hurt People is a hospital-based violence intervention program that assists individuals who need medical care and mental health services. The hospital and social work collaboration helps reduce emergency room costs.

Stand Up to Violence is the only street-outreach gun-violence-prevention program in New York that centers its work in hospitals. Street outreach is a policing alternative that uses former gang members and formerly incarcerated people to intervene before arguments turn deadly. Hospital-based intervention work puts counselors and mediators at gunshot victims' bedside to start the intervention, and offers of services, at the earliest stage. In a four-year span, the areas covered by Stand Up, based at Jacobi Medical Center, saw many fewer shootings and instances where victims got shot again.

Next Step is a hospital-based violence intervention program based at Minneapolis' Hennepin County Medical Center that counsels gunshot victims to try to help lower the chances that they will be harmed again or seek to harm others. Focusing on young adults and their families, the program starts its work when a victim is hospitalized. The counseling and connections to support services can continue for months and even years.

The Violence Against Women Act was billed as a way to make a patriarchal society, and policing profession in particular, take domestic violence more seriously. It encouraged policies making arrest of alleged abusers mandatory, even to the point of punishing victims who refused to cooperate in prosecutions. This has backfired on many victims, especially women of color who distrust police and their punitive approaches to solving family problems. The law also prioritizes punitive approaches in its awarding of federal grants, thus denying victim aid to women who do not wish to cooperate with arrests.

To avoid unnecessary arrests and reduce police-public friction, Denver's STAR program (Support Team Assistance Response) sends a mental health professional and a paramedic to some mental-health-related 911 calls instead of sending police. In the first three months of the pilot program, the STAR team – covering only certain areas of the city during weekdays – handled 350 calls without needing police backup. STAR builds on a 4-year-old program pairing Denver police with mental health professionals. That program handled 2,223 calls in 2019 and is expanding.