Navigation Links
Study quantifies cost-benefit of hospital-based program to keep youth out of prison

CHICAGO (November 12, 2007) With violence plaguing inner-city youth at epidemic rates, the report of a new study in the November issue of The Journal of the American College of Surgeons illustrated a research-based approach to confronting this national problem. The study showed that Caught in the Crossfire, a hospital-based peer intervention program, reduced involvement in the criminal justice system among youth aged 12 to 20. Additionally, this program proved to be cost efficient in comparison with the cost of a stay in a juvenile detention center.

In 2001, the US Surgeon General warned of an epidemic in youth violence, calling for a research-based approach to systematically confronting the problem. Despite the attention, this issue continues to be a major public health concern in the US, where intentional violent trauma is the second leading cause of death among youth between the ages of 15 and 24. Violence among youth is notably worse in some inner-city areas, including Oakland, CA, where this study took place.

This study demonstrates that investing dollars in preventive intervention programs is not only a good public health practice, but it is a good economic practice as well, said Daniel Shibru, MD, University of California, San Francisco. The findings are particularly significant because it proves that peer intervention programs like Caught in the Crossfire can reduce retaliatory youth violence as well as their involvement in the criminal justice system, especially as they return to the same violent environments where their injuries occurred.

This retrospective, comparative double cohort study included 154 patients treated at a university-based urban trauma center in Alameda County, CA. Patients were 12 to 20 years of age and were hospitalized for intentional violent trauma. The two groups evaluated included the enrolled group of 75 patients with a minimum of five interactions with an intervention specialist and the control group of 79 patients who were selected based on age, gender, ethnicity or race, type of injury and year of hospitalization. Follow-up review for both groups was conducted over a period of 18 months after the date of their initial hospitalization and injury to determine three outcomes: whether they had died, had been re-hospitalized for another intentional violent injury, or had been involved or reinvolved with the criminal justice system.

Participants in the hospital-based peer intervention program reduced risk of criminal justice involvement for at-risk youth six months after completion of the one-year program (relative risk=0.67; 95% CI, 0.45, 0.99; p=.04). Based on a logistic regression analysis of age, gender and ethnicity or race, the study showed that only age (under 17 years) had a confounding effect on the association between program participation and criminal justice involvement (relative risk=0.71; p=0.043). After successful treatment through the program, risk of subsequent violent criminal behavior was reduced by 7 percent compared to the control group (p=0.15). Risk of death, physical re-injury and re-hospitalization from intentional violence were similar between both groups.

After a significant association was established between program participation and subsequent criminal justice involvement, attributable risk calculations showed that 16 percent of risk reduction in criminal justice involvement can be attributed to the peer intervention program. To prevent a single adverse criminal outcome, six patients needed to be treated through the program.

The cost of the program, which treats 75 to 100 youth annually, is approximately $3,500 per patient per year. The annual cost for a juvenile detention center admission in Alameda County is $80,000 per person. Since six patients need to be treated through the program to see a 16 percent risk reduction in involvement in the criminal justice system, the intervention programs annual cost amounts to $60,000 less per patient than the cost of incarceration in the juvenile detention system. Annually, this program could produce a total cost reduction of approximately $750,000 to $1.5 million, assuming that each juvenile who is rearrested and reconvicted spends one year in a detention center.


Contact: Sally Garneski
Weber Shandwick Worldwide

Related medicine news :

1. Penn study finds pro-death proteins required to regulate healthy immune function
2. New study shows promise in reducing surgical risks associated with surgical bleeding
3. Study, meta-analysis examine factors associated with death from heatstroke
4. Study suggests loss of 2 types of neurons -- not just 1 -- triggers Parkinsons symptoms
5. Study says COPD testing is not measuring up
6. Preclinical study suggests organ-transplant drug may aid in lupus fight
7. Ability to cope with stress can increase good cholesterol in older white men, study finds
8. High alcohol consumption increases stroke risk, Tulane study says
9. Mailman School of Public Health study examines link between racial discrimination and substance use
10. Pitt study finds inequality in tobacco advertising
11. Stanford study highlights cost-effective method of lowering heart disease risks
Post Your Comments:
(Date:6/26/2016)... ... 27, 2016 , ... Quality metrics are proliferating in cancer care, and are ... the eye of the beholder, according to experts who offered insights and commentary in ... Managed Care. For the full issue, click here . , For the American ...
(Date:6/26/2016)... Lake Orion, Clarkston, Michigan (PRWEB) , ... June ... ... direction with respect to fertility once they have been diagnosed with endometriosis. These ... tolerable intercourse but they also require a comprehensive approach that can help for ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency ... named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. ... Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director ...
(Date:6/24/2016)... ... 2016 , ... A recent article published June 14 on E ... goes on to state that individuals are now more comfortable seeking to undergo not ... as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians ...
(Date:6/24/2016)... ... 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that 20 ... by their peers for this recognition are considered among the top 2 percent of ... honors as members of this year’s Legal Elite Hall of Fame: Miami Shareholders ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... -- Research and Markets has announced ... Applications, Technologies, Forecasts" report to their offering. ... Smart Skin, Structural Health Monitoring, Composite Smart Structures, ... involves electronic and/or electrical components and circuits that ... such as vehicle bodies or conformally placed upon ...
(Date:6/24/2016)... and SAN CLEMENTE, Calif. , June ... -based mobile pulmonary function testing company, is now able to ... devices developed by ndd Medical Technologies , Inc. ... done in hospital-based labs.  Thanks to ndd,s EasyOne PRO ® , ... , can get any needed testing done in the comfort of ...
(Date:6/24/2016)... 2016   Pulmatrix, Inc ., (NASDAQ: ... drugs, announced today that it was added to the ... its comprehensive set of U.S. and global equity indexes ... important milestone for Pulmatrix," said Chief Executive Officer ... our progress in developing drugs for crucial unmet medical ...
Breaking Medicine Technology: