Hospitals Against Violence

Combating Violence in Our Communities and Our Hospitals

Our communities must work together to combat all forms of violence, now viewed as one of the major public health and safety issues throughout the country. Community action programs such as those being undertaken by our nation’s hospitals and health systems (alone and with others) are needed now more than ever to help address violence and the toll it takes on our communities and hospital colleagues.

The AHA is committed to helping our hospitals and health systems respond to these challenges by:

•  Identifying, joining or building coalitions and other types of partnerships that focus on relevant community violence issues;

•  Developing tools and resources to highlight and share among our members on programs, initiatives and other efforts to help combat violence in their communities and to help their employees; and,

•  Conducting research to quantify the cost of violence to the hospital field.

Explore this webpage for information on national, state and local efforts to help end violence in our communities, and to help hospital employees cope with the impact of violence, whether at home, on the job or in their neighborhoods. We welcome your thoughts and initiatives; email us at express@aha.org.

Mission Health’s Journey to Prevent Workplace Violence, Dec. 15, 2PM ET

 

This tab will provide you with a broad range of materials and information from the AHA, other hospitals, federal and state governments and various national initiatives and similar efforts to assist our members combat violence in their communities and in their facilities. Check back often for additions to this tab.

AHA Resources

  • Resilient KC webinar, November 15, 2016: A Kansas City partnership to prevent the long-term health impacts of childhood trauma. Kansas Hospital Association President and CEO Tom Bell and Missouri Hospital Association President and CEO Herb Kuhn discussed their joint efforts to use targeted data to mitigate the harm of these adverse childhood events and shared findings and recommendations from a recent report on possible interventions. Conference replay is available: Dial 1-877-919-4059 or 1-334-323-0140 to listen. Your passcode is: 45640394. Click here to download slides.
  • Webinar on Nov. 9, 2016: Strategies to address violence in post-acute environments 

  • Hospitals Against Violence on a mission to improve safety in health care facilities, Health Facilities Management, November 4, 2016. Acting on its commitment to help hospitals and health systems respond to the challenges posed by community violence, the American Hospital Association offers its members valuable online resources to address everything from risk assessment to emergency response best practices.

  • AHA Workforce Center Workplace Safety website. The AHA Workforce Center supports hospitals facing unique workforce issues by providing the most up-to-date models and research on care delivery, supply and demand of health professionals, and clinical work environments. This website has links to many valuable resources and tools from the federal government, the Joint Commission and others to address a wide range of workplace safety issues.

  • Emergency Response Best Practices: How to Handle Crisis, Routine and Emergent Situations, H&HN Webinar September 27, 2016. Healthcare facility managers face emergencies every single day. Some emergencies, however, are bigger than others. The issues facing healthcare are diverse and broad: Zika virus, Legionella growth and spread in buildings, power outages, flooding, severe weather, facility patient evacuations, and active shooters, just to name a few. This webinar begins with a discussion that looks at the difference between a “routine” emergency and a “crisis” emergency. It then peels back how to approach the incident: How to get to situational awareness, how to perform an assessment of the incident, how to develop an incident action plan. Also discussed is how all this fits inside your facility emergency plan and it works with the rest of the healthcare team.
  • New OSHA tools to help prevent workplace violence, Hospitals Facilities Management Magazine, December 4, 2015. The Occupational Safety and Health Administration (OSHA) unveiled a new Web page developed to provide employers and workers with strategies and tools to prevent workplace violence in health care settings. The Web page, part of OSHA'sWorker Safety in Hospitals website, complements the updated Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers, published earlier this year. The new Web page includes real-life examples from health care organizations that have incorporated successful workplace violence prevention programs, and models of how a workplace violence-prevention program can complement and enhance an organization's strategies for compliance and a culture of safety.
  • Hospital Approaches to Interrupt the Cycle of Violence, HPOE/HRET/AHA Guides, March 2015. Hospitals and care systems are uniquely positioned to play an integral role preventing violence in their communities. Evidence shows that hospital-based violence intervention programs reduce violence, save lives and decrease health care costs. This guide offers hospital leaders a model for hospital-based violence intervention that can be tailored to each community’s unique needs. 
  • Guiding Principles for Mitigating Violence in Workplace, January 13 2015 The AONE and Emergency Nurses Association (ENA) created the Guiding Principles on Mitigating Violence in the Workplace to assist nurse leaders in systematically addressing measures to manage and reduce violence against health care professionals. The guiding principles and priorities are steps to systematically reduce lateral, as well as patient and family violence in the work place.
  • Toolkit for Mitigating Violence in the Workplace. AONE. The toolkit’s templates and tools provide an easy step-by-step procedure for customizing a violence prevention plan that will meet the needs of your health care facility. It also includes reporting templates to document your efforts. This toolkit provides nurse leaders with the resources needed to:
    • Understand workplace violence
    • Develop a zero-tolerance policy
    • Assess the risk factors in your facility
    • Develop a workplace violence prevention plan
    • Train and deploy staff
    • Evaluate the changes and identify next steps
  • Healthcare Facility Workplace Violence Risk Assessment Tool, American Society for Healthcare Risk Management (ASHRM).  Violence in the workplace continues to be an area that risk managers need to be proactively preparing their institutions to prevent.  At the same time, the risk manager needs to know what to do in the event they are faced with an immediate situation.  This tool kit is designed to assist preparation to prevent violence against staff and a separate tool to have handy to address it if it happens.  For each item ASHRM has shared some resources such as example policies, but you may also want to print the tool and track resources in your organization so you have everything at the tip of your fingers if needed.  If you have additional resources you think would be valuable to add, please share them with us by emailing ashrm@aha.org.
  • Workplace Violence Toolkit, American Society for Healthcare Human Resources Administration (ASHHRA), Workplace violence is any act or threat of physical violence, harassment, intimidation or other threatening disruptive behavior that occurs at the work site. This toolkit provides tools, white papers and articles and education materials to deal with the full range of threats and verbal abuse to physical assaults and even homicide that can affect and involve employees, clients, customers and visitors.

Preparedness

This tab will provide you with a broad range of materials and information from the AHA, federal government and other national initiatives on efforts to assist our members prepare for and curb the number of hospital-based violent incidents. Check back often for additions to this tab.

AHA Resources

  • Active Shooter Toolkit—Health Staff Training: The Metropolitan Chicago Healthcare Council (MCHC) was a national leader in preparedness procedures and training. Building on MCHC’s Emergency Preparedness Active Shooter Exercise in 2014, they developed a toolkit to guide hospitals through steps they can take to respond to an active shooter situation and create a plan to effectively respond to an incident. This blueprint draws on guidelines and recommendations created by the FBI, regulatory bodies, health care organizations and local partners, as well as lessons learned from past incidents. It arms hospital administrators with the tools and resources they need to prepare for these difficult situations and ensure their staffs are trained to respond appropriately.
  • Hospital security plans stress prevention--2016 Hospital Security Survey, Hospital Facilities Management Magazine, October 5, 2016. In response to increasing security risks and growing pressure from regulatory agencies, including the Centers for Medicare & Medicaid Services and the Occupational Safety and Health Administration, a majority of hospitals have adopted aggressive training programs designed to de-escalate security situations before they erupt. A marked increase in such aggressive management training is one of the key takeaways from the 2016 Hospital Security Survey conducted in June by Health Facilities Management and the American Society for Healthcare Engineering (ASHE).
  • AHA: Hospital security a complex issue, AHA News Now, February 23 2016. A recent New York Times article on the changing nature of health care facility security “highlights the challenge that hospitals face daily both to serve our patients and protect the dedicated men and women who care for them 24/7. Pam Thompson, chief nursing officer and senior vice president for the AHA and CEO of its American Organization of Nurse Executives subsidiary, writes in a letter to the editor, “The complex issues of assuring that patients are safe and protecting hospital workers are best addressed on a hospital-by-hospital basis, and specific training and education are essential.
  • Addressing Violence in the Health Care Workplace, H&HN Magazine, July 2, 2015. Emergency nurses are frequently victims of violence, but often fail to report it.  Workers in health care and social assistance settings are five times more likely to be victims of nonfatal assaults or violent acts than the average worker in all other occupations, according to the Bureau of Labor Statistics. Encouraging them to report acts of physical and verbal violence helps to ensure their safety.
  • Reducing Workplace Violence Incidents -- How health care facilities can improve workplace safety,  Health Facilities Management Magazine, May 6, 2015. Hospitals and other health care facilities have fallen victim to violent episodes similar to those plaguing many other areas of society. Through proper training and a security-focused approach to technology and space planning, health facilities professionals can help to reduce the potential for violence in their facilities.
  • Preventing Violence in the Hospital and Community, Hospitals in the Pursuit of Excellence (HPOE) Webinar, 2015. Violence is a serious safety issue for many communities and hospitals across the United States. Pamela Thompson, CEO of the American Organization of Nurse Executives, will introduce AONE's recently released toolkit for mitigating violence in the health care workplace and discuss the implications for leadership practice. Stephen Leff, co-director of the Children's Hospital of Philadelphia's Violence Prevention Initiative, will address violence prevention in schools, primary care sites, and the emergency department, focusing upon empirically supported prevention programs and hospital training in trauma-informed care. His presentation will illustrate how hospital-based violence prevention efforts can serve as a national model.
  • Hospital Approaches to Interrupt the Cycle of Violence, HPOE/HRET/AHA Guides, March 2015. Hospitals and care systems are uniquely positioned to play an integral role preventing violence in their communities. Evidence shows that hospital-based violence intervention programs reduce violence, save lives and decrease health care costs. This guide offers hospital leaders a model for hospital-based violence intervention that can be tailored to each community’s unique needs.
  • AONE Webinar Archive: Mitigating Violence in the Workplace, 2015, This webinar presentation features nursing leaders from a Midwest hospital who created a culture of teamwork and empowerment in 9 months to increase their HCAHPS 40 percentile points and CMS payments $500,000 a year, and how you can too. (available for purchase)

Federal Government Resources

  • OSHA webpage focuses on preventing violence in health care settings. The Occupational Safety & Health Administration has created a new webpage featuring strategies and tools for preventing workplace violence in health care settings. According to OSHA, the rate of serious workplace violence incidents was more than four times higher in health care settings than the private industry average. The webpage is designed to support OSHA's Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers, which describes the five components of an effective workplace violence prevention program.
  • OSHA Identifies Health Care Susceptible to Workplace Violence, AHA Health Care Labor Report, A directive from the Occupational Safety and Health Administration (OSHA). The directive, Enforcement Procedures for Investigating or Inspecting Workplace Violence Incidents, establishes OSHA’s general enforcement policies and procedures and highlights the steps that OSHA field offices should take in reviewing incidents of workplace violence when considering whether to initiate an inspection in those sectors, like health care, identified by OSHA as susceptible to workplace violence. The directive is meant to provide guidance regarding both how an OSHA workplace violence case is developed and what steps will be taken to assist employers in addressing the issue of workplace violence.
  • New OSHA tools to help prevent workplace violence, , Hospitals Facilities Management Magazine, December 4, 2015. The Occupational Safety and Health Administration (OSHA) unveiled a new Web page developed to provide employers and workers with strategies and tools to prevent workplace violence in health care settings. The Web page, part of OSHA'sWorker Safety in Hospitals website, complements the updated Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers, published earlier this year. The new Web page includes real-life examples from health care organizations that have incorporated successful workplace violence prevention programs, and models of how a workplace violence-prevention program can complement and enhance an organization's strategies for compliance and a culture of safety.

Other National and State Resources

AHA Members in Action

  • HealthSouth Violence Prevention White Paper: Recommendations and Resources 2015. The purpose of this document is to serve as a guide to help HealthSouth hospitals recognize the frequency and severity of workplace violence in health care in general, the risk of episodes of health care violence in each hospital specifically, and provide recommendations for how workplace violence prevention programs can be tailored to each hospital’s specific needs. This paper will also describe the required internal HealthSouth reporting mechanism for workplace violence events. To access this paper electronically, please go to HealthSouth’s intranet site/Corporate Services/Risk Management/Resources/Violence Prevention White Paper: Recommendations and Resources.
  • Florida Hospital's Active Shooter Plan Saves Lives, H&HN Magazine, August 22, 2016. Hospitals are not required to have an active shooter policy, but at Parrish Medical Center in Titusville, Fla., July 17, planning for such a situation prevented a seemingly random act of violence from becoming worse during an active shooter situation at the medical center.
  • Keeping teens from being repeat victims of gunshot, knife wounds,” AHA News, August 18, 2016.  Mark Gestring, M.D., a trauma surgeon at the University of Rochester (N.Y.) Medical Center (URMC), was fed up seeing teenagers arrive at the trauma center to be treated for gunshot or knife wounds, only to return weeks or months later with more serious or fatal injuries. He was fed up, but he didn’t give up. He pulled together a multidisciplinary team from URMC to develop the Rochester Youth Violence Partnership (RYVP), a 10-year-old violence intervention program that is designed to identify at-risk youth immediately after they are brought to the hospital for a knife or gunshot wound and protect them from further injury.
  • Keeping Gun Violence Victims Out of the ED with Substance Abuse Treatment, H&HN Magazine, November 6, 2015. Harborview Medical Center in east Seattle proposes a three-pronged approach to addressing gun violence, which includes intervening during the first visit and assigning a caseworker to each victim. A recent study found that people admitted to the hospital following gun violence in King County were much likelier than others to end up rehospitalized, arrested or murdered.
  • Preventing Violence in the Hospital and Community, Hospitals in the Pursuit of Excellence Webinar, 2015. Violence is a serious safety issue for many communities and hospitals across the United States. Pamela Thompson, CEO of the American Organization of Nurse Executives, will introduce AONE's recently released toolkit for mitigating violence in the health care workplace and discuss the implications for leadership practice. Stephen Leff, co-director of the Children's Hospital of Philadelphia's Violence Prevention Initiative, will address violence prevention in schools, primary care sites, and the emergency department, focusing upon empirically supported prevention programs and hospital training in trauma-informed care. His presentation will illustrate how hospital-based violence prevention efforts can serve as a national model.

 

This tab contains materials and information from the AHA, federal government, other national organizations, as well as AHA-member initiatives focused on increasing community awareness and interventions to stop the cycle of violence in our homes, at our jobs or in our neighborhoods. Check back often for additions to this tab.

AHA Resources

  • Aggression & Violence, AHA Behavioral Health Website. This webpage includes several resources about the lack of a relationship between mental health issues and causation of violent events. Also includes resources on reducing patient violence and youth and violence interventions.
  • Prepared to Care by Rick Pollack, AHA News Now, September 9, 2016. Marking the 15th anniversary of September 11th and the importance of investing in hospitals’ preparedness for natural disasters with mass causalities and community violence.
  • Addressing Violence to Achieve our Vision, AHA Stat Blog, July 8, 2016. As pillars of our communities, hospitals have a role to play in reducing the violence in the communities they serve. In fact, the AHA has taken action on what we can do to reduce violence. These include: giving voice to the need to address the issue; highlighting innovative practices our members adopt to address the problem at the local level; improving understanding of the behavioral dimension of the problem; and supporting research on reducing violence.
  • Field has vital community role to play in reducing violence, says AHA's Pollack, AHA News, July 26, 2016. Decrying the violence that has taken a bloodier turn in recent weeks across America, AHA President and CEO Rick Pollack earlier this week told health care leaders that hospitals have an important role to play in reducing violence in the communities they serve.
  • Orlando, AHA Stat Blog by Rick Pollack, June 16, 2016. The first responders and EMTs on the scene were ready to quickly rescue and transport victims from out of harm’s way. Doctors, nurses, technicians and all hospital staff at the nearby Orlando Regional Medical Center and Florida Hospital stood ready to receive, triage and treat the wounded. For each caregiver, every thought, skill and action was directed to saving lives. We are proud of efforts and moved by their selfless dedication to helping the victims.
  • AHA: Hospital security a complex issue, AHA News Now, February 23 2016. A recent New York Times article on the changing nature of health care facility security “highlights the challenge that hospitals face daily both to serve our patients and protect the dedicated men and women who care for them 24/7. Pam Thompson, chief nursing officer and senior vice president for the AHA and CEO of its American Organization of Nurse Executives subsidiary, writes in a letter to the editor, the complex issues of assuring that patients are safe and protecting hospital workers are best addressed on a hospital-by-hospital basis, and specific training and education are essential. As a society, we must also do more to better address our country’s growing mental health care challenges. America’s hospitals are already working to do both and welcome the support of the communities and patients we serve.”
  • Hospital Readiness by AHA President Rick Pollack, H&HN Magazine, December 14, 2015. Events in small towns and big cities alike have seared the public’s minds with unforgettable images of violence. We watched this year with horror and indignation at those images, but we also watched with pride at medical staff providing emergency care … at how the women and men of America’s hospitals responded selflessly — as they always do — in caring for patients under the most challenging conditions.
  • Human Trafficking: What the Health Care System Can Do, Hospitals in Pursuit of Excellence (HPOE) Webinar, 2015.
  • Breaking the Cycle of Violence, H&HN Magazine, December 18, 2014. Hospitals can help to empower victims, address behavioral health and substance abuse, and provide crisis intervention.
  • Warning from a Mass Grave: Hospitals Under Attack, Part 1, H&HN Magazine, October 7, 2014. Armed attacks on hospitals are occurring more often around the world, resulting in death, injury and destroyed facilities. What can be done to stop this disturbing trend?
  • Warning from a Mass Grave: Hospitals Under Attack, Part 2, H&HN Magazine, December 1, 2014. As hospitals are violated around the world, efforts are underway to protect them. This requires trying to comprehend why these incidents take place — if that is possible.

Federal and State Government Resources

  • US Department of Justice Violence Reduction Clearinghouse and Toolkit. The Department of Justice Violence Reduction Network has introduced an online Violence Reduction Clearinghouse that allows users to build and download a custom toolkit of evidence-based strategies, best practices, training, technical assistance, publications, and more to help reduce violence. Users can browse by topic area, such as justice-involved youth. Topics also include human trafficking, gang violence, community policing, domestic violence, and social media.

  • HHS awards behavioral health workforce grants, Sep 20, 2016. The Department of Health and Human Services awarded $44.5 million to training programs to increase the number of mental health providers and substance abuse counselors. The program emphasizes integrating behavioral health, primary care, violence awareness and prevention, and the involvement of families in the prevention and treatment of mental and substance use disorders.

National Organizations

  • Workplace Violence Prevention: Keeping Healthcare Workers and Patients Safe, Alaska State Hospital & Nursing Home Association and Washington State Hospital Association, November 2016. Presentation to the Allied Association Quality Meeting.

  • Advancing Trauma-Informed Care, a national initiative aimed at understanding how trauma-informed approaches can be practically implemented across the health care sector, led by the Center for Health Care Strategies through support from the Robert Wood Johnson Foundation.

  • In Focus: Recognizing Trauma As a Means of Engaging Patients, The Commonwealth Fund, June 29, 2016. Nearly 20 years after the landmark Adverse Childhood Experiences study linked traumatic childhood experiences to the leading causes of morbidity and mortality in the U.S., some primary care practices have begun screening for exposure to trauma and are adopting the principles of “trauma-informed care” to engage patients whose childhood and adult experiences may be affecting their health and willingness to seek care.

  • Nurse group urges action to curb violence, H&HN Magazine, June 28, 2016. The American Nurses Association, for one, sent out a declaration this past weekend, pushing for what it says are more “sensible gun control measures,” including lifting a ban on studies on gun violence by the Centers for Disease Control and Prevention. The American Medical Association similarly sent out statements earlier this month, declaring gun violence a “public health crisis” and expanding its policies on background checks and waiting periods for gun purchases.
  • Joint Commission launches online violence prevention center, H&HN Magazine, October 7, 2016. The Joint Commission launched an online resource center dedicated to preventing workplace violence in health care settings. The resource center, “Workplace Violence Prevention Resources,” provides a broad range of resources for health care organizations, health care professionals and the general public.

AHA Members in Action

  • Agnesian HealthCare - ASTOP (Assist Survivors / Treatment / Outreach / Prevention) has a long-standing partnership with ASTOP (Assist Survivors / Treatment / Outreach / Prevention), an independent sexual assault service provider offering cost-free treatment, outreach, prevention and advocacy. The hospital provides rent-free space, and its domestic violence program works closely with ASTOP.
  • Ascension – Healthy Neighborhoods Detroit: Healthy Neighborhoods Detroit (HND) was created in 2008 as a response. Ascension’s SJP partnered with Maintaining a Neighborhood Network, Detroit Community Initiative, Nortown Community Development Corp. and the Voices of Detroit Initiative to begin addressing social determinants of health at a neighborhood level. HND opened its first Neighborhood Health & Safety Office (NHSO) on a former hospital campus.
  • Ascension - Lourdes Youth & Family Services offers many prevention and-intervention programs designed to suit the needs of the community’s youth and their families. Future goals include developing and implementing a Minority Youth Violence Prevention Program; providing family engagement programming to further engage at-risk youth/families; and reducing the rise in the number of drug overdose deaths.
  • Baystate Health – Baystate Family Advocacy Center (FAC) has become a regional leader in evidence-based psychotherapies for traumatized children and their families. The FAC received a National Children’s Traumatic Stress Network grant to disseminate these evidence-based practices with the local therapy community and is recognized nationally for its leadership in trauma-informed, evidence-based therapy. In addition, a nationally growing recognition of the importance of commercial sexual exploitation of children has developed in the past few years. Leaders at the FAC have worked diligently with partners at the Department of Children and Families, Homeland Security, and the FBI to develop a growing model program in the community that will serve exploited children and protect children at risk.
  • Bon Secours Health System - The Bon Secours Women's Resource Center is a drop-in center where women can receive emergency and long-term assistance. The Center provides a variety of services at no charge, including hospitality, parent/anger management classes, job readiness preparedness, Mercy Supportive Housing Counseling, Sister to Sister Group Support, arts/craft classes, clothing give-away, one-on-one counseling support, eviction prevention, and House of Ruth connections.
  • Boston Children's Hospital - Children's Hospital Neighborhood Partnerships (CHNP) is the community behavioral health program in the Department of Psychiatry at Boston Children’s Hospital. CHNP places clinicians in schools and community health centers to provide a comprehensive array of services to children where they live and learn. The program focuses on some of the most underserved and under-resourced neighborhoods to help increase access to services, promote healthy social-emotional development, build the sustainable behavioral health capacity of partner organizations, and create systemic change in the delivery of behavioral health services.
  • Boston Medical Center - Violence Intervention Advocacy Program (VIAP) provides specialized services to victims of violence. Violence intervention advocates (VIAs) visit victims at their bedside within 48 hours of admission to the hospital. Direct services and referrals include crisis intervention and stabilization, counseling, mental health, family support services, safety planning, housing, transportation, legal assistance, education, life skills coaching, and health and wellness. In addition to its presence at Boston Medical Center, VIAP has been disseminated to two other hospitals in Massachusetts.
  • Catholic Health Initiatives (CHI) - United Against Violence is a national violence-prevention initiative that provides funding and support to help CHI facilities create or expand local violence-prevention programs. CHI’s approach to violence prevention includes identification of violence-related initiatives; creation of community coalitions to leverage comprehensive, sustainable efforts to reduce violence; and development of a strategy, action plan and measurements.
  • CHI Health St. Francis – SANKOFA Gang Violence Prevention serves a significant number of students from dysfunctional families that face a myriad of social barriers. Some youth are homeless, known as "couch surfers." Program leaders are working to connect these students with various services and resources through an organization known as the Hall County Community Collaborative. Such services can include assistance with college costs or even a car loan. They also are working to create "Summer SANKOFA," a program to target youths on probation or in pre-adjudication. The goal of this program is to address youth who don’t respond to the program during the school year and to provide the program in the summer, a time when youth seem more vulnerable to gang involvement. "Sankofa" is an Akan symbol currently used in the West African nations of Ghana and the Ivory Coast, which means looking to the past to create the future. Literally translated, it means "Go back and retrieve."
  • Children's Hospital of Wisconsin - Project Ujima is a multidisciplinary collaboration addressing youth and adult violence in Milwaukee using individual, family and community intervention and prevention strategies. Services include hospital-based crisis intervention and case management for youth victims of violence; home-based counseling and referrals for medical follow-up and psychological support; Camp Ujima, a summer day camp for youth exposed to violence; a leadership development group that does community outreach; and a grief program for children and families impacted by the loss of a loved one due to community violence.
  • Crozer-Keystone Health System - Crozer Wellness Center serves as an adolescent-focused primary care provider, which operates an array of community-based youth leadership programs, as well as city-wide initiatives aimed at increasing opportunities for young people so they can become healthy, productive adults. Among the 100+ youth served per year in the youth leadership programs, there was a reduction in risk-taking behavior (substance abuse, violence, risky sexual behavior) and an increase in positive behavior (school attendance, on-time graduation, workforce skills and commitment to education, leadership and service). The training and technical assistance provided by the center to more than 20 youth-serving organizations improved services to over 6,000 youth.
  • Crozer-Keystone Health System - New Pathways provides intensive behavioral health treatment in the public school setting. Blending education with constant specialized mental health support, the 12-month program focuses on instilling confidence, self-worth and positive coping skills. Students are required to attend school 12 months a year; the program does not suspend or expel. Children are expected to transition back to their home classrooms.
  • Harborview Medical Center - Gun Violence Initiative is testing an innovative approach to gun violence patterned on alcohol and substance abuse interventions. After clinical staff treat patients’ gunshot wounds, social workers interview them and begin to address high-risk behaviors. Following discharge, a case manager is assigned to individual patients to use evidence-based strategies with victims and their families, analyze the role of guns in victims’ lives, address mental health needs, develop strategies for conflict resolution and connect them to community resources.
  • Holy Cross Hospital - Kids First program involves a social worker who coordinates with medical staff at Holy Cross’s Peñasco Health Clinic and Taos Clinic for Children and Youth to connect rural families to services including substance abuse, domestic violence and mental health counseling. The initiative provides parenting classes and in partnership with local schools, hosts community events on themes including anti-bullying, anti-violence, nurturing relationships and coping with depression. Children perform skits on the topic, a keynote speaker emphasizes themes and dinner is provided.
  • Lancaster General Health - Partnering with Our Amish Neighbors programs include a free child immunization program; educational group meetings for Amish women in their homes; health classes in Amish school houses; farm safety day camps; and programs addressing domestic violence and sexual assault. All efforts are conducted in partnership with leaders from Amish communities.
  • Massachusetts General Hospital Chelsea HealthCare Center - Police Action Counseling Team (PACT) program arranges for Massachusetts General Hospital clinical social workers to ride along with Chelsea police officers   health care. The social workers are available to Chelsea police 24 hours a day, seven days a week. The program is funded by the Massachusetts General Hospital Community Benefit Program.
  • Memorial Hospital at Gulfport - ThinkFirst Injury Prevention educational programs are aimed at helping children, teens and young adults learn to reduce their risk of injury. Presentations explain how an injury can change a person’s life forever and the importance of safe choices, including key messages such as: Use your mind to protect your body! Drive safely, buckle up, wear protective sports gear, avoid violence, don’t dive into shallow water and avoid falls.
  • Northern Arizona Healthcare - Safe Child Center assists child victims of abuse or neglect through the provision of post-event physical examinations, forensic interviews, behavioral health counseling, sexually transmitted infection diagnostic tests, pharmaceutical treatment and other critically needed services.
  • Northwest Hospital - Domestic Violence (DOVE) Program DOVE provides 24/7 crisis intervention to victims of domestic violence in the emergency department, complete documentation of physical and psychological injuries, referrals to community and legal resources, as well as follow-up case management, support groups and counseling. Staff includes crisis interventionists, a forensic nurse, case managers and a psychotherapist.
  • Saint Alphonsus Regional Medical Center - CARE Clinic assists newly arrived families to adapt to the challenges of pregnancy and parenting in a new home, while respecting and honoring their culture of origin. CARE delivers culturally responsive prenatal and pediatric health care, supportive services, and parenting education outreach to address the unique concerns – and traumatic histories – of expectant refugee mothers to ensure healthy pregnancy outcomes and healthy growth/development for the Treasure Valley’s newest first-generation American citizens.
  • Saint Anthony Hospital – Adults and Children Together (ACT) Against Violence is an education series developed by the American Psychological Association for parents of children under age eight to promote parents raising safe kids. The goal of the 10-week series is to strengthen families by teaching positive parenting techniques and creating safe, nurturing, and healthy environments to protect children from violence. Parents view their ACT group as a neutral outlet for sharing their parenting concerns and experiences with other parents. Many parents open up and share – sometimes for the first time – painful and traumatic experiences from their own childhoods.
  • St. Catherine Hospital - Finney County Community Health Coalition brings together more than 50 community partners on a regular basis to identify community needs and find funding to support them. The coalition began by framing three major community needs: reducing risky behaviors for young people, including teen pregnancy, smoking and drinking; improving transportation; and supporting families and children through two agendas – literacy training and preventing domestic violence.
  • St. Vincent Infirmary Medical Center - Forest Heights Middle School "Partners in Education" is a three-pronged initiative aimed at influencing positive choices. The initiative comprises tutoring and mentoring via one-on-one relationships between a student and volunteer. The volunteers are St. Vincent employees. Project OK, a quasi-social work program, places a police officer in the school to have positive interaction with students.
  • The MetroHealth System - Let the Youth Lead the Way engages youth in Cleveland’s Slavic Village neighborhood to become active participants in their community. The project encourages youth to take ownership of their community and establish relationships with adults in their neighborhood by working together on community projects. In partnership with the local P-16/MyCom initiative, youth are actively planning events that benefit Slavic Village residents. Events include: clothing distribution, an education fair for younger children, and beautification projects. Currently, the teens are developing a mission and vision statement that will define their future endeavors.
  • University of Maryland Medical Center - Violence Intervention Program is an intensive hospital-based intervention that provides social assistance to victims of violent injury. Victims receive assessment, counseling and social support from a multidisciplinary team to help make critical changes in their lives. Although this intervention is initiated in the hospital, case managers or outreach workers continue to work with patients after discharge to create an individualized action plan designed to reduce risk factors of violent recidivism. Also, participants have peer support groups to practice new skill sets and to celebrate personal accomplishments
  • Hospital ties a purple ribbon to highlight Domestic Violence Awareness Month, AHA News Now, October 16, 2016, Swedish Covenant Hospital in Chicago held a ceremony earlier this month to tie purple ribbons around a tree in its lobby as part of Domestic Violence Awareness Month. The awareness-raising activity is part of a program that hospital launched earlier this year to better equip providers to identify and respond to domestic violence, as well as victims of human trafficking and sexual assault. Working with local organizations has been a key component of the program.
  • Florida Hospital Proves an Active Shooter Plan Can Save Lives, H&HN Magazine, August 18, 2016, Foresight and planning by a Florida hospital prevented a random shooting that resulted in the death of a patient and staff member from escalating beyond the violence that occurred.
  • AHA NOVA Award winners announced Bithlo Transformation Project led by Orlando Florida Hospital, AHA News Now, July 16, 2016., The Bithlo Transformation Project, led by Orlando’s Florida Hospital, seeks to build a healthier Bithlo, Fla., – a town of 8,000 just 30 minutes outside Orlando that has long been beset by high rates of poverty, illiteracy and unemployment. More than 85 organizations work together on community revitalization efforts that have led to a medical clinic, mobile dental services and a domestic violence coordinator, among other services.
  • How Hospitals Can Help Battle Human Trafficking, H&HN Magazine, January 20, 2016. Catholic Health Initiatives has made it easier for a hospital or health system to get up to speed in identifying and treating potential victims of human trafficking. The Englewood, Colo.-based system recently launched an online half-hour course to do just that. Called “Addressing Human Trafficking in the Health Care Setting,” CHI is aiming to provide more than just an introduction to the problem with its interactive course, which offers facts, tactics and tips on dealing with possible trafficking victims.

This tab contains materials and information from the AHA and other national organizations about a broad range of violence prevention resources and programs. Consider participating in these national and community coalitions as you develop your “Hospitals Against Violence” initiatives. Let us know so we can include your state and local efforts on this list. Check back often for additions to this tab.

AHA Information about Partnerships and Coalitions

  • AHA Community Connections. The case studies on this page demonstrate the many ways hospitals meet their communities’ needs - from free medications and screenings to fostering safety and improving quality of life.
  • AHA Community Connections - Reducing Violence in Our Communities. This Community Connections resource contains a sampling of case examples that illustrate the many ways in which hospitals are leading and engaging in innovative and replicable community outreach programs that focus on violence prevention.
  • Need for Increased Focus on Mental Health and Community Collaboration, AHA STAT Blog by Rick Pollack, January 8, 2016. Hospital leaders know all too well that mental illness is too common in every community. It causes suffering in the adults and children affected and their families, and it has a significant economic and social impact. Treatment works, but the stigma often associated with behavioral health disorders keeps people from getting the care they need. With local collaboration involving public health, law enforcement and other community-based groups, the hospital family can play a central role in building understanding and awareness and increasing access to behavioral health services.

National Organizations & Coalitions

Domestic and Family Abuse

Community Coalitions and Interventions

Youth Violence Prevention – Bullying and Harassment Resources

Elder Abuse

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