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Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health – the HVIP-MLP Model -- Supplement

Award Number: UG3HD111325
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health – the HVIP-MLP Model -- Supplement - Project Abstract: Parent Grant: Trauma center verification requires injury prevention efforts, often in the form of Hospital- based Violence Intervention Programs (HVIPs). Limitations exist in how well they address the Structural & Social Determinants of Health (SSDOH) that lead to violence. Medical-Legal Partnerships (MLPs) address the SSDOH of patients, by connecting legal & medical experts to improve health outcomes. No MLP exists to date in a trauma center, incorporated into HVIP activities. In our biphasic proposal, our UG3 aims are to identify the SSDOH of our firearm injured patients after creating & implementing the HVIP-MLP model into our South Side trauma center. Our UH3 aims examine implementation & clinical outcomes, including trauma re- injury. This novel HVIP-MLP approach may enhance the HVIP injury prevention model in trauma centers to better support patients, families & communities in their recovery & prevention of future firearm injury. Proposed Supplement: One challenge with our HVIP-MLP model is the standardized screening of all patients, regardless of age. Our preliminary data indicate that firearm- injured youth have unique SSDOHs that are different from those of adults. This is a crucial distinction since firearm injury is the #1 cause of mortality for youth <20 years. If we do not understand the unique SSDOH of our youth, our HVIP-MLP intervention may be of limited impact in the most vulnerable group affected. Similarly, burnout is a significant concern for our Violence Recovery Specialists (VRS) who work in our HVIPs. Also affected by a history of trauma, VRS are credible messengers from violence-affected communities, and often experience vicarious trauma when caring for violently-injured patients from the same communities. MLP resilience & empowerment may counteract burnout experienced by VRS, but this has not yet been studied. In this Supplement we propose a mixed-methods approach to determine the impact that our HVIP-MLP model has on firearm-injured youth and our VRS, representing vulnerable populations in both the patient & provider spheres of care. In Aim 1, we will understand the specific SSDOH of firearm-injured youth compared to adults. In Aim 2, we will measure the impact of the HVIP-MLP model on the vicarious trauma, resilience & empowerment of our VRS. Appreciating that the upstream SSDOH are related to firearm violence, Aim 3 will center on engaging in research-to-action policy change. With the initial 1-year Supplement (extending into year 2 after UH3 transition) our candidate will gain skills in mixed-methods research & submit a K application using pilot data from this Supplement.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$452,311 )
2025	2023	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	001	1	3/20/2025	SUPPLEMENT FOR EXPANSION	-$214,440
2025	2022	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	000	1	3/20/2025	NEW	-$237,871
														Subtotal = -$452,311

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2022	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	000	1	12/8/2023	NEW	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $214,440 )
2023	2023	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	003	1	9/12/2023	SUPPLEMENT FOR EXPANSION	$0
2023	2023	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	001	1	8/9/2023	SUPPLEMENT FOR EXPANSION	$214,440
2023	2023	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	002	1	9/7/2023	SUPPLEMENT FOR EXPANSION	$0
2023	2022	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	000	1	2/23/2023	NEW	$0
2023	2022	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	004	1	9/26/2023	NEW	$0
														Subtotal = $214,440

Issue Date FY: 2022 ( Subtotal = $1,614,872 )
2022	2022	UNIVERSITY OF CHICAGO	5801 S ELLIS AVE	CHICAGO	IL	60637	COOK	USA	Trans-NIH Research Support	000	1	9/15/2022	NEW	$1,614,872
														Subtotal = $1,614,872

Grand Total All Awards = $1,377,001

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Harmonizing Hospital-Based Violence Intervention Programs with a Novel Medical-Legal Partnership for Equity in the Social and Structural Determinants of Health – the HVIP-MLP Model -- Supplement

Award Number: UG3HD111325

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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