A Multicenter Qualitative Stakeholder Evaluation of the Hospital-Based Violence Intervention Programs in the Los Angeles County Safety-Net Healthcare System.
Violent injury is a leading cause of death and non-fatal injury among individuals aged 5 to 35 in the USA, with reinjury rates ranging from 29 to 37%. This study explores the barriers and facilitators to an intervention designed to prevent violent reinjury, the Los Angeles County Hospital Violence I...
| Published in: | Journal of Urban Health Vol. 103; no. 2; pp. 443 - 454 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , |
| Format: | Article |
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Springer Nature
Apr2026
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194256193&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194256193 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Apr2026 vid: 103 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 194256193 10.1007/s11524-026-01059-1 ppf: 443 ppct: 11 formats: tig: atl: A Multicenter Qualitative Stakeholder Evaluation of the Hospital-Based Violence Intervention Programs in the Los Angeles County Safety-Net Healthcare System. aug: au: Thompson, Zachary E. Turner, Barbara Laughter, Jennifer Yen, Adrian Ganesh, Sid S. Samra, Shamsher Chong, Vincent Haque, Sumala Garibay, Juan Afable, Walter Axeen, Sarah Hong, Clemens Giboney, Paul Plantmason, Lee Romero, Mirna Zuniga, Jennifer Pinedo, Teresa Solano, Laura Koa, Joshua Clark, Damon affil: https://ror.org/03taz7m60 Keck School of Medicine, University of Southern California, Los Angeles, CA, USA https://ror.org/03taz7m60 Gehr Center for Health Systems Science and Innovation, USC Keck School of Medicine, Los Angeles, CA, USA https://ror.org/04thj7y95 Office of Violence Prevention, Department of Public Health, Alhambra, CA, USA https://ror.org/046rm7j60 David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA https://ror.org/046rm7j60 Harbor-University of California Los Angeles Medical Center, Carson, CA, USA Southern California Crossroads Community Organization, Lynwood, CA, USA https://ror.org/04s7a0g31 Rancho Los Amigos National Rehabilitation Medical Center, Rancho Research Institute, Downey, CA, USA https://ror.org/03xyjdy64 Los Angeles County Department of Health Services, Los Angeles, CA, USA Los Angeles General Medical Center, Los Angeles, CA, USA https://ror.org/04hxzf837 Soledad Enrichment Action Community Organization, Los Angeles, CA, USA su: United States Los Angeles (Calif.) Qualitative research Violence prevention Community health workers Integrated health care delivery Stakeholder analysis Health care industry sug: subj: Qualitative research United States Los Angeles (Calif.) All Other Health and Personal Care Stores Violence prevention Community health workers Integrated health care delivery Stakeholder analysis Health care industry keyword: Hospital-based violence intervention Implementation science Medical and Health Sciences Public Health and Health Services Social determinants of health Hospital-based violence intervention Implementation science Medical and Health Sciences Public Health and Health Services Social determinants of health ab: Violent injury is a leading cause of death and non-fatal injury among individuals aged 5 to 35 in the USA, with reinjury rates ranging from 29 to 37%. This study explores the barriers and facilitators to an intervention designed to prevent violent reinjury, the Los Angeles County Hospital Violence Intervention Program (LAHVIP), through key informant interviews. This qualitative study evaluated LAHVIP through interviews with 16 stakeholders from three hospitals and their community-based organization (CBO) partners. Interviews were coded into themes based on Braun and Clarke's methodology. Data were analyzed within the RE-AIM QuEST framework. Our results suggest that stakeholders were confident in the ability of LAHVIP to recruit patients engaged at the hospital. They also felt patients benefited from the mentorship provided by the program. Several barriers impeded program effectiveness, however, including poor integration between LAHVIP and their partner hospitals, as well as funding constraints and consequent staffing shortages. The limitation of resources in Los Angeles was also a constraint as patients had to wait several months before the services HVIP had connected them with were provided. Key factors for successful implementation included strong patient engagement, effective referrals, and the vital role of community health workers (CHWs) with lived experience. Barriers such as poor coordination between hospitals and community-based organizations, limited CHW staffing, lack of stable housing resources, and staff turnover hindered program effectiveness. Future efforts should focus on shared funding responsibility, enhanced hospital staff training, and better integration of workflows and technology to ensure long-term success. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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