Joining Forces to Stop Cycle of Violence in St. Louis

January 23, 2018

This article originally appeared in The Source and is reprinted here with permission. 

Institute for Public Health, Bolstered by $1.6 Million Grant, to Lead Unique Regional Partnership

Stopping the cycle of violence in St. Louis is the mission of a new consortium of four hospitals and two academic institutions, believed to be the first collective effort of its kind. (Photo: Joe Angeles/Washington University)

The Institute for Public Health at Washington University in St. Louis will launch the regional St. Louis Area Hospital-Based Violence Intervention Program (STL-HVIP), which will aim to promote positive alternatives to violence, thanks to a $1.6 million grant from Missouri Foundation for Health.

The program, a collaboration between Washington University in St. Louis, Saint Louis University, Barnes-Jewish Hospital, SSM Health Saint Louis University Hospital, Saint Louis Children’s Hospital and SSM Health Cardinal Glennon Children’s Hospital, will form the only such partnership of hospitals and academic institutions in the nation. The University of Missouri-St. Louis will also be involved in program evaluation discussions.

“This kind of program is a wonderful example of the power and impact of research universities and hospitals, working together to face head-on one of America’s greatest public health challenges,” said Washington University Chancellor Mark S. Wrighton. “Interrupting the cycle of violence in our region is crucial, and I am pleased that Washington University’s Institute for Public Health has stepped forward to help lead such an effort.”

“The STL-HVIP, which has been in the works for more than two years, will have a truly regional mission,” said William Powderly, the Dr. J. William Campbell Professor of Medicine and the Larry J. Shapiro Director of the Institute for Public Health at Washington University in St. Louis.

Larry J. Shapiro Director, Institute for Public Health; J. William Campbell Professor of Medicine, director of the Institute for Clinical and Translational Sciences (ICTS), and Co-Director of the Division of Infectious Diseases, School of Medicine

“The model for this program is not new, however to our knowledge, no other city has implemented the model across two different health systems and four different hospitals, in collaboration with two universities,” he said.

Washington University began convening local leaders in 2014 to address the issue of gun violence as a public health crisis, leading to the formation of the university’s Gun Violence Initiative. The idea for the initiative was sparked by Risa Zwerling Wrighton, Chancellor Wrighton’s wife, following the shooting death of her 16-year-old mentee Chelsea Harris.

The new program will promote alternatives to violence in order to reduce retaliation, criminal involvement, re-injury and death among individuals injured by gunshot, stabbing or assault.

This work aligns with the St. Louis Area Violence Prevention Commission’s effort to foster coordination among many stakeholders working on evidence-based violence prevention strategies. The program represents contribution from hospitals to the regional discussion and the commission’s goals.

“While this model may reduce medical system costs, the real focus is on reducing the toll on the community from productivity losses, diminished quality of life and toxic stress, reducing death and suffering and bolstering healthy environments for individuals and families affected by violence,” said Victoria Anwuri, associate director of the Institute for Public Health.

Hospitals are well positioned to interrupt the cycle of violence by intervening at a uniquely teachable moment when individuals have survived a violent injury, she said.

The program will serve victims of violence from the four Level 1 trauma and emergency centers in the St. Louis region that provide the majority of violent injury related care,” Anwuri said. “Participants will be matched with clinical case managers who will deliver evidence-based interventions such as trauma-informed care, motivational interviewing, and brief therapy. Training, resource sharing and communication will be coordinated across all four sites by the Institute for Public Health. A repository of shared regional data will enable evaluation of the program’s primary objective, the reduction of recidivism for interpersonal violent injury, at the regional level.”

“St. Louis Children’s is pleased to expand its pilot program with youth victims of violence through this funding,” said Joan Magruder, president of St. Louis Children’s Hospital, which has been running a scaled-down version of the intervention. “We have seen how powerful intervention at a moment of crisis can be in changing the trajectory of lives. The MFH grant will enable us to test this intervention on a much larger scale, including both youth and adults which we expect will have great impact on the community.”

“This program is truly unique and an outstanding opportunity for St. Louis’ academic medical centers to collaborate towards reducing violence in the region,” said Kate Becker, president of SSM Health Saint Louis University Hospital, speaking on behalf of her institution as well as partner SSM Glennon Health Cardinal Glennon Children’s Hospital.

“Violence is a major factor that contributes to the many health disparities that affect the patients, families, and communities we serve,” said Bob Cannon, president of Barnes-Jewish Hospital. “Through this unique partnership, we look forward to enhancing our efforts toward our goals of mitigating health disparities and achieving health equity.”

“We are proud to partner on a team effort to reduce the reoccurrence of violence for our community,” says Steven Burghart, president of SSM Health Cardinal Glennon Children’s Hospital. “Collaboration across providers is key to ensuring we can help as many children and families as possible.”

The program is scheduled to begin this summer.

The next step is to hiring personnel for the program. View the current employment opportunities.

Media Coverage

KSDK-TV, Chan. 5 Cover Story: Life Outside of Violence, New hospital Partnership to Stop Violence

KTVI-TV, Fox 2 News: Hospitals Stepping Up In Response to Rising Gun Violence Against Children

St. Louis Post-Dispatch: Healing the Deep Wounds of Violence (guest columnist Dr Laurie Punch)

KTVI-TV, Fox 2 Now St. Louis: City hospitals and universities collaborate on violence prevention

KSDK-TV: 4 St. Louis hospitals are teaming up to fight violence

St. Louis Public Radio: Gun violence in St. Louis prompts citywide hospital, university prevention program

The Kansas City Star: St. Louis hospitals team up on violence prevention

The Seattle Times: St. Louis hospitals team up on violence prevention

St. Louis Post-Dispatch: Four city hospitals work together on violence prevention