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Youth Support in the Emergency Department: A hospital intervention to reduce youth violence

Centre for Abuse and Trauma Studies Applied research in the digital age. Youth Support in the Emergency Department: A hospital intervention to reduce youth violence Yaél Ilan-Clarke, Jeffrey De Marco, Amanda Bunn & Professor Antonia Bifulco Re-Imagining Youth Justice: Howard League

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Youth Support in the Emergency Department: A hospital intervention to reduce youth violence

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  1. Centre for Abuse and Trauma StudiesApplied research in the digital age Youth Support in the Emergency Department: A hospital intervention to reduce youth violence Yaél Ilan-Clarke, Jeffrey De Marco, Amanda Bunn & Professor Antonia Bifulco Re-Imagining Youth Justice: Howard League 2nd April, 2014 Oasis Youth Support @ Guys & St Thomas’ Hospital

  2. Session Plan • The OYS intervention • Evaluation methods • Findings • Evidence for change: Quant • Qual findings: Trust and support • Summing up

  3. Why the Emergency Department (ED?)

  4. The intervention Oasis Youth Support (OYS) service

  5. The Evaluation - Mixed methods:

  6. Young people – Questionnaires: Questionnaires: • Strengths and Difficulties Questionnaire (SDQ) (Goodman, 1997) – Psychopathology, • Emotional, conduct, hyperactivity, peer, and prosocial • ASSETT Self-Report – ‘What Do You Think’ • Family and where you live • School/college/work • Lifestyle and area • Substance use • Health • Thinking and behaviour • What you think about your injury and how it affects you (Adapted from original WDYT!) • Exit survey – satisfaction with the service

  7. Service-access and referral (20 March 2014)

  8. Evaluation Results:Characteristics of 103 YP in service • Gender: • 79% Male, 21% Female • Age: • Mean = 14.8 (Boys), 14.2 (Girls) • Range: 11-18 • Ethnicity: • 39% Black/Ethnic minority • Family: • 41% Live with Single Parents/ 2% Care

  9. Nature of violence (n=101)

  10. FINDINGS: ASSETT WDYT1) Change in lifestyle risk (n=31) P<.001 P<.01 P<.002

  11. SDQ symptoms questionnairei) Change in disorder levels (n=31) Change in SDQ disorder*: Baseline to follow up P<.001 P<.003 * Case or Borderline case level

  12. Exit Surveyi) Perceived benefits (n=51) • Perceived best aspects of OYS: • Support • Mentoring • Activities • Friendship

  13. Summary of quantitative findings • A significant change in YP seen at follow up, particularly in: • Family relationships • Thinking and behaviour / Conduct disorder • The intervention was endorsed by young people, who reported that the best thing was the 1-2-1 relationship with mentor

  14. Qualitative findings 1) YPs views of the service and youth workers • YP appreciated the positive relationships and felt these to be a vehicle for change ‘After I finished working with T it seemed pretty much the same, but then you know when occasions came up when I had to pick if to go into a fight or not, T’s interviews and chats would pop up so it did change my attitude to these things...’ (A25)

  15. Qualitative findings 2) Imagining a better future The discussions YP had with the YWs provided them with an avenue to explore more positive futures that they hadn’t previously considered. ‘...it doesn’t only help you with frustration and anger wise, it helps you to learn about how hard it is to work in the outside life and how important it is to do college or school work…[its] not only helping YP sort their life out, [its] helping them understand where they could be in the future and what they have planned, instead of getting involved with all the violent gangs, they can come out of that and do something positive’.

  16. Limitations Evaluation Intervention

  17. Clinical and Social implications

  18. Yael Ilan-Clarke Centre for Abuse and Trauma studies (CATS) Middlesex University y.ilan-clarke@mdx.ac.uk 0208 4116606 Thank you.

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