Abstract：
Gun violence disproportionately affects young Black men, but the impact extends to families and communities. Those at highest risk are teens delinquent of gun crimes. While there is no nationally accepted juvenile rate of recidivism, previous literature reveals rearrest rates from 50% to 80% in high-risk youth, and some reports show that up to 40% of delinquent juveniles are incarcerated in adult prisons before the age of 25 years. We hypothesize that Project Inspire, a hospital-led comprehensive intervention, reduces recidivism among high-risk teens.
Led by a level 1 trauma center, key community stakeholders including the juvenile court, city, and city police department joined forces to create a community-wide program aimed at curbing gun violence in high-risk individuals. Participants, aged 13 to 18 years, are selected by the juvenile gun court. They underwent a rigorous 3-week program with a curriculum incorporating the following: trauma-informed training and confidence building, educational/professional development, financial literacy, entrepreneurship, and career-specific job shadowing and mentorship. Rates of recidivism were measured annually.
Project Inspire has hosted two classes in 2018 and 2019, graduating nine participants aged 14 to 17 years. Sixty-seven percent were Black. All were males. At 1 year, none of the graduates reoffended. At 2 years, one participant reoffended. At 3 years, no additional participants reoffended. No graduate reoffended as a juvenile. Thus, the overall rate of recidivism for Project Inspire is 11% to date. Eighty-nine percent of graduates received a diploma, general educational development, or obtained employment.
Project Inspire is a hospital-led initiative that effectively reduces recidivism among juveniles delinquent of gun crimes. This sets the framework for trauma centers nationwide to lead in establishing impactful, comprehensive, gun-violence intervention strategies.
Prognostic and Epidemiological; Level V.
Led by a level 1 trauma center, key community stakeholders including the juvenile court, city, and city police department joined forces to create a community-wide program aimed at curbing gun violence in high-risk individuals. Participants, aged 13 to 18 years, are selected by the juvenile gun court. They underwent a rigorous 3-week program with a curriculum incorporating the following: trauma-informed training and confidence building, educational/professional development, financial literacy, entrepreneurship, and career-specific job shadowing and mentorship. Rates of recidivism were measured annually.
Project Inspire has hosted two classes in 2018 and 2019, graduating nine participants aged 14 to 17 years. Sixty-seven percent were Black. All were males. At 1 year, none of the graduates reoffended. At 2 years, one participant reoffended. At 3 years, no additional participants reoffended. No graduate reoffended as a juvenile. Thus, the overall rate of recidivism for Project Inspire is 11% to date. Eighty-nine percent of graduates received a diploma, general educational development, or obtained employment.
Project Inspire is a hospital-led initiative that effectively reduces recidivism among juveniles delinquent of gun crimes. This sets the framework for trauma centers nationwide to lead in establishing impactful, comprehensive, gun-violence intervention strategies.
Prognostic and Epidemiological; Level V.
摘要：
背景：枪支暴力不成比例地影响年轻人，黑人男性,但影响延伸到家庭和社区。风险最高的是青少年犯有枪支犯罪。虽然没有全国公认的青少年再犯率，以前的文献显示，高危青年的再逮捕率为50-80%，一些报告显示，高达40%的犯罪青少年在25岁之前被监禁在成人监狱。我们假设项目启发，医院领导的，综合干预,减少高危青少年的累犯。
方法：由一级创伤中心领导，包括少年法庭在内的主要社区利益相关者，城市,和市警察局联手制定了一项旨在遏制高危人群枪支暴力的社区计划。参与者,年龄在13至18岁之间，由少年枪法法庭选出。他们接受了严格的为期3周的课程，课程包括以下内容：创伤知情培训和建立信任，教育/专业发展，金融知识，创业,以及特定职业的工作阴影和指导。每年测量累犯率。
结果：ProjectInspire在2018年和2019年举办了2个课程，使9名14-17岁的参与者毕业。67%为黑色。都是男性。在1年,没有一个毕业生得罪。在2年,1名参与者再次冒犯。三年后，没有其他参与者再次冒犯。没有毕业生作为青少年被冒犯。因此，迄今为止，项目灵感的总累犯率为11%。89%的毕业生获得了文凭，GED,或获得就业。
结论：项目启发是一项由医院主导的举措，可有效减少枪支犯罪青少年的再犯。这为全国范围内的创伤中心建立了框架，枪支暴力干预策略。
方法：描述性研究，5.
方法：由一级创伤中心领导，包括少年法庭在内的主要社区利益相关者，城市,和市警察局联手制定了一项旨在遏制高危人群枪支暴力的社区计划。参与者,年龄在13至18岁之间，由少年枪法法庭选出。他们接受了严格的为期3周的课程，课程包括以下内容：创伤知情培训和建立信任，教育/专业发展，金融知识，创业,以及特定职业的工作阴影和指导。每年测量累犯率。
结果：ProjectInspire在2018年和2019年举办了2个课程，使9名14-17岁的参与者毕业。67%为黑色。都是男性。在1年,没有一个毕业生得罪。在2年,1名参与者再次冒犯。三年后，没有其他参与者再次冒犯。没有毕业生作为青少年被冒犯。因此，迄今为止，项目灵感的总累犯率为11%。89%的毕业生获得了文凭，GED,或获得就业。
结论：项目启发是一项由医院主导的举措，可有效减少枪支犯罪青少年的再犯。这为全国范围内的创伤中心建立了框架，枪支暴力干预策略。
方法：描述性研究，5.
