Hospital youth workers for violence reduction

Arch Dis Child. 2020 Apr 27:archdischild-2020-318917. doi: 10.1136/archdischild-2020-318917. Online ahead of print.

Abstract

Introduction: Youth workers (YWs) can engage young people following hospital attendances with violence-related injuries. This study aimed to evaluate the efficacy of YWs in an urban district hospital and to explore the views of the young people engaged.

Methods: Everyone referred to the hospital YWs during the 31-month study period was included and demographic data were collected. Those who engaged completed emotional disturbance, risk of criminality and feedback questionnaires.

Results: There were 496 young people referred during the study period with a mean age of 14. 9 years (range 7-26). Of these, 85 (17%) engaged with YWs and 15/85 (18%) completed the programme. Most (14/15, 93%) showed reduced or no change in their criminality and emotional disturbance scores. Young people liked having credible, accessible mentors and learning effective coping strategies.

Discussion: YWs based in a district hospital's emergency department can work effectively with vulnerable young people, and this is well received by young people.

Keywords: accident & emergency; adolescent health; general paediatrics.