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Ƒ Initially, CBOs may supply CM services
when you are unable to support CMs.
Ȗ Introduce HVIP concept at staff, leadership
committee, and CBO meetings
Ƒ Individualization is key.
Ƒ Stakeholders want to understand
potential human value, but also may
be interested in financial impact.
Ƒ A CBO may want assurance regarding the
role that the community will play in program.
•Designate an inhospital champion (trauma surgeon or
emergency physician)
Ȗ Key for advocacy
Ȗ Should encourage an open-door policy to
ensure critical issues are promptly addressed
Ȗ A community partner is important for developing
partnerships when ready to secure with risk-
reduction resources (Step 3)
IV. Potential pitfalls
•Personnel who assume violence is not “modifiable”
require patience
•Culture inside and outside of hospital
Ȗ Repeatedly remind people that violence is never
acceptable or normal
Ȗ Acknowledge that risk factors are modifiable
•Lack of stakeholder buy-in; occurs for a number of
reasons
Ȗ Messaging to particular groups is out of line
with priorities of a particular stakeholder
Ȗ Stakeholders feel overlooked in
development and implementation
Ȗ Failure to address priority items of particular
stakeholders
Step 3: Developing the essential resources
I. Culturally sensitive/competent CM: Key component
of a successful program
•Longer-term CM model (beyond hospitalization) with
participant follow-up and tracking
• Unique qualities of CM position
Ȗ Often have experience with violent neighborhoods
Ȗ CM must have ability to:
Ƒ Accurately screen for high-risk individuals
Ƒ Conduct needs assessment with clients
Ƒ Develop almost instant rapport
Ƒ Shepherd clients through risk-reduction resources
Ƒ Follow up for more than three
months post-injury
II. Identify your “hospital champion”
• Usually a clinician from the trauma or emergency medi-
cine services who meets the following criteria:
Ȗ Is committed to advocacy
Ȗ Plays large role in development,
implementation, and program sustainability
Ȗ Increases exposure of program
Ƒ Research
Ƒ Fundraising
Ƒ Grant writing
Ȗ Usually is affiliated with other HVIPs and injury
prevention efforts locally/nationally
III. Potential pitfalls
• Lack of dependability on partner organizations for risk
reduction
Ȗ CBOs may have insufficient slots
for services they provide
