The Violence Prevention Initiative (VPI) has designated key programs at CHOP for special emphasis because they fit well into a tiered-risk approach for violence prevention in Philadelphia. In a tiered-risk framework, the needs and level of risk for violence and trauma are matched to the appropriate level of intervention so that limited resources are spent efficiently with the greatest chance for impact. In the spirit of patient-centered care, our violence-prevention activities occur at locations relevant to our patients within schools, hospital sites, and primary care centers.
These programs are being piloted, refined and evaluated with funding from VPI and other sources with a goal to disseminate their models more broadly in the future.
A Tiered-risk Approach to Reducing Youth Exposure to Violence
Tier One: “Universal prevention” interventions serve the broadest population and are delivered to groups rather than to individuals. With this goal in mind, the first tier of VPI programming aims to address bullying in schools, a pervasive antecedent to violence. Through educational and anger-management programming for students and support for school personnel, whole-school approaches will be implemented to prevent peer bullying and to promote a positive and productive school climate.
- Preventing Aggression in Schools Everyday (PRAISE)
- What is it? A 20 session classroom-based problem-solving and bullying prevention program
- For which children? Third to fifth grade students
- Who are our partners? Three schools within West and Southwest Philadelphia
- Friend to Friend (F2F)
- What is it? A small-group school-based intervention program aimed at addressing relational aggression
- For which children? Third to fifth grade girls
- Who are our partners? A randomized control trial has been conducted with six schools within the School District of Philadelphia
- Free2B: Multimedia Bullying Prevention Program
- What is it? A brief multimedia program providing education and knowledge about peer bullying and the impact it can have on students and schools and the important role that positive bystanders can play in reducing bullying and promoting a safe and productive school climate
- For which children? Youth in seventh and eighth grades
- Who are our partners? Two schools in Southwest Philadelphia; Life Changing Experiences
Tier Two: “Selective prevention” interventions recognize that some children and their families are at higher risk for violence than the general population. Our Tier Two programming works with primary care physicians to identify children exposed to violence in their homes and to intervene with their families to reduce violence through increased services and support.
- STOP Intimate Partner Violence (IPV)
- What is it? On-site intimate partner violence counseling, as well as training for healthcare providers in screening procedures and case consultations for family violence
- For which children? Available to all CHOP patient families and staff
- Who are our partners? Lutheran Settlement House (LSH) Bilingual Domestic Violence Program
Tier Three: “Indicated prevention” interventions recognize that assault-injured youth are at the highest risk for future violence and poor outcomes. For our Tier Three programming we identify those directly harmed by community violence and deliver direct support services.
- Violence Intervention Program (VIP)
- What is it? Identifies assault-injured youth in the CHOP Emergency Department and Trauma Unit to deliver direct support services to them and their families
- For which children? Regardless of their role in the violence, assault-injured youth ages 8 to 19 who are treated in the CHOP ED or Trauma Unit
- Who are our partners? Violence Intervention Specialists work with the families, schools, police, and behavioral health and medical providers to help youth safely navigate their environment, enhance their opportunities for success, and prevent future violent events
In addition to these Signature Programs of VPI, there are many more programs at CHOP that are working to reduce the potential for and the impact of violence on children and youth. Read about these programs.
To read more about CHOP's public health approach to reducing our youth exposure to violence read this article that appeared in Christian Science Monitor in March 2018.