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Tag: emergency department

Translating Violence Prevention Programs from Research to Practice: SafERteens Implementation in an Urban Emergency Department

Carter PM, Cunningham RM, Eisman AB, Resnicow K, Roche JS, Cole JT, Goldstick J, Kilbourne AM, & Walton MA. (2022). Translating Violence Prevention Programs from Research to Practice: SafERteens Implementation in an Urban Emergency Department. The Journal of Emergency Medicine, 62(1), 109–124.

This study examined the translation of SafERteens, an evidence-based violence prevention program, into clinical care. Implementation of the program was piloted in an emergency department (ED) hospital setting with youth (14-18 years old) who screened positive for recent aggression during an ED visit. Youth participants were randomized to SafERteens (delivered remotely by study therapists or in-person by hospital staff) or enhanced usual care. The SafERteens intervention is a 30–45-minute brief behavioral intervention that integrates motivational interviewing for cognitive behavioral strategies. Participants also received an optional 2-month tailored text messaging program on self-efficacy, reminders on their goals, and tools to avoid violence. Data was collected from hospital staff on implementation facilitators and barriers using the RE-AIM framework. SafERteens completion rate was found to be 77.6% for remote delivery and 49.1% for in-person delivery. The SafERteens and tailored text messaging demonstrated high acceptability among youth; 84.9% of participants found it helpful. After the intervention, participants reported increased self-efficacy to avoid fighting and decreased pro-violence attitudes compared to baseline. Hospital staff reported a number of barriers to implementation such as limited staff availability and lack of reimbursement for staff time to conduct intervention delivery. Remote delivery of SafERteens can be a promising strategy to overcome resource limitations. Results demonstrate that policymakers should continue to expand reimbursement mechanisms in hospitals for violence screening and interventions.


In the US, A New Approach to Counting Overdoses

Article Excerpt: Accessing overdose data is particularly tricky in Texas, although a dearth of timely and complete numbers is also a problem in many other states. Often, the data isn’t updated in real time, nor does it include non-fatal overdoses. There may also be inconsistencies in how the deaths are reported. To change that, researchers across the United States have been setting up new digital platforms with reports from people who use drugs, medical examiners, and others. While these platforms may lack the rigor of official government numbers, the academics say the new data could tell Project Vida and programs like it where to focus efforts — and, they argue, could save lives.

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Article Source: GCN


Science Update: Digital Tool to Increase Youth HIV Testing Shows Promise in NIH-Funded Study

Article Excerpt: Youth aged 13 to 24 years who were offered HIV testing by a digital health tool on a tablet computer were as likely to accept as those who were offered testing face-to-face, according to a study funded by the National Institutes of Health. However, among study participants aged 19 and younger who previously declined HIV testing, those who used the digital tool were 1.7 times more likely to agree to an HIV test, compared to those who received a face-to-face offer. Findings from the study, which was conducted in a New York City hospital emergency department, appear in Cureus. The Mobile Augmented Screening tool, or MAS, was developed and evaluated with funding from NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development. Ian David Aronson, Ph.D., of Digital Health Empowerment and New York University, led the work.

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Article Source: NICHD


Dartmouth Study Reveals Flaws in Statistical Modeling Approach Used in Health Services Research

Article Excerpt: Findings from a new study conducted jointly at Dartmouth’s Geisel School of Medicine and Harvard Medical School, and published in Health Services Research, highlight the statistical drawbacks of one form of analysis commonly used in health services research while demonstrating the benefits of another. “An ongoing goal of health services research has been to understand the reasons for variation in healthcare delivery, whether it’s between physicians, hospitals, or geographic areas—and how that variation may contribute to disparities in healthcare across different types of patients (defined by characteristics such as their sex, race, or socio-economic status),” says James O’Malley, MS, PhD, a professor of The Dartmouth Institute for Health Policy and Clinical Practice and of biomedical data science at the Geisel School of Medicine, who served as lead author on the study.

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Article Source: Geisel School of Medicine News


New Dashboard Gives Data on Latest Trends in Drug Overdoses

Article Excerpt: The Michigan Department of Health and Human Services (MDHHS) has launched an interactive data dashboard to highlight the latest trends in drug overdoses among Michigan residents. The dashboard also monitors the use of overdose prevention and substance use disorder treatment services. The new dashboard shows the most up-to-date data available on both fatal and nonfatal overdoses in Michigan through a range of data visualizations, including graphs, charts, and maps. The dashboard was funded through a Center for Disease Control and Prevention’s Overdose Data to Action grant.

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Article Source: WILX


A Year of Living Online Has Caused a Youth Mental Health Crisis. Can Tech Help Us Solve It?

Article Excerpt: A pandemic within a pandemic. That’s what experts are calling it. Subjected to screens in a year of mostly remote learning, children’s mental health has suffered. Physically distanced from many of the supports and connections that define childhood and school in a year of unprecedented stressors, “the kids are not OK,” as Vermont Gov. Phil Scott said in February. It’s a sentiment that’s been echoed repeatedly, by governors all throughout New England, from Massachusetts to New Hampshire to Rhode Island, as well as the Centers for Disease Control, which reported that nationwide the proportion of children’s mental health-related emergency department visits, among all pediatric emergency department visits, rose from mid-March through October 2020, with increases of 24% among children aged five to 11 years and 31% among adolescents aged 12 to 17 years, compared with the same period in 2019.

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Article Source: Union Leader


Predictive Analytics Tool Accurately Assesses Teen Suicide Risk

Article Excerpt: Using predictive analytics algorithms, a universal screening tool can accurately determine an adolescent’s suicide risk and alert providers of which patients are in need of follow-up interventions, according to a study published in JAMA Psychiatry… Researchers set out to develop a personalized system to better detect youths at high risk of suicide. The screening tool, called the Computerized Adaptive Screen for Suicidal Youth (CASSY) is designed to be used in emergency rooms through a brief and efficient system that doesn’t disrupt care.

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Article Source: Health IT Analytics


Linking Hospital and Other Records Can Predict Both Fatal and Nonfatal Opioid Overdoses, Study Suggests

Article Excerpt: A new study by researchers at the Johns Hopkins Bloomberg School of Public Health found that the odds of a fatal opioid overdose were 1.5 times higher for individuals with one to two visits to the emergency department for any medical issue than for people with no hospital visits. The researchers also found that individuals with a hospital visit where opioid use disorder was addressed were 2.9 times more likely to die from an overdose over the coming year, compared with other people…The findings, published online June 24 in JAMA Psychiatry, suggest that risk of an overdose can be accurately predicted by leveraging information found across databases.

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Article Source: Medical Xpress


“Safe Station”: A Fire Chief’s Compassionate Response to the Opioid Crisis

Article Excerpt: NIDA asked Dan Goonan, Fire Chief in Manchester, New Hampshire, to join NACDA (National Advisory Council on Drug Abuse) because he started a program called “Safe Station” to help people in Manchester who are misusing prescription opioids. “Safe Station” has inspired other communities around the country to do something similar.

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Article Source: NIDA for Teens