Item 5: Hospital-based Violence Intervention Program (HVIP) presentation — original pdf

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ASCENSION TEXAS Center for Violence Prevention & Policy © Ascension 2026. All rights reserved. Reflection “ "If everyone in the world wrote down their problems and put them in a hat, would you risk grabbing one, or keep yours?" © Ascension 2026. All rights reserved. © Ascension 2026. All rights reserved. The Center of Violence Prevention & Policy embodies the Mission of Ascension Texas in serving the most vulnerable among our communities while ensuring violence is addressed as a public health issue © Ascension 2026. All rights reserved. Site President & Leadership team Hospital EDs & Acute Units Trauma Services/ Injury Prevention Human Trafficking (HT) Prevention Hub Hospital-based Violence Intervention Program (HVIP) Domestic Violence (DV) Operations Advocacy External Affairs Philanthropy Community partners // external relationships with key agencies serving people who have experienced violence or human trafficking 5 Human Trafficking Community Violence Domestic Violence Over 1200 survivors served at Ascension Texas since 2017 171 served at DSMC & DCMC (pilot) in 18 months Beginning phase of pilot underway Fall 2026 A crime against persons involving force, fraud or coercion Violence between unrelated individuals who may or may not know each other and can include gun violence, hate crimes, mass shootings, assaults and stabbings (CDC) Relational abuse between intimate partner(s) involving power & control 6 HVIP: By the Numbers People served by HVIP from program inception (October 2024) through September 30, 2026 OVERALL IMPACT 184 Unduplicated Clients (consented) Total unique individuals reached and receiving dedicated support services across all intervention pathways. PRIMARY VICTIMS SECONDARY VICTIMS 99 85 Primary Victims (consented) Secondary Victims (consented) Definition: Patients directly treated for a traumatic injury caused by violence. Definition: Family or household members impacted by patient's injury; interested in HVIP services. © 2017 Ascension. This work, including its content, may not be used, reproduced, duplicated, displayed or distributed absent express written permission from Ascension. 7 A testament What is HVIP? ● Innovative approach to assist victims of violence who seek medical services as a result of their injuries. ● Provide wrap-around services that go beyond medical treatment to make the victim whole by connecting them to a range of community resources. ● Main goal of HVIP is to break the cycle of violence with the long-term objective of decreasing rates of violent injury. LaPorshia Maloy, HVIP Res ponder Dell Children’s Medical Center ● Motivational Interviewing - completed training ● Trauma-Informed Care - completed training ● Suicide Prevention - completed certification ● Intro to Violence Prevention - completed training ○ HAVI ● Violence Prevention Professional - first in the state of Texas ○ HAVI ● Resilience Facilitator - resiliency training (Ascension & Partners) ● PACT team member (Ascension) ● SAFE Kids Austin Coalition (Board Member) © Ascension 2026. All rights reserved. HVIP Response Methods Hospital-based Violence Intervention Program (HVIP) patient identification and notification pathways 01 02 03 04 Trauma Activation Alert System Bed Boards (Real Time) Internal Referrals & Consults Manual Chart Auditing Automated notification triggers initiated during emergency trauma activations for immediate responder intervention. Continuous real-time tracking of admitted emergency and trauma patients across active hospital units. Direct practitioner and care team consult requests submitted by clinical staff and social workers. Systematic review of electronic medical records to identify eligible cases missed by automated systems. Social Determinants of Health (SDoH) We work with all HVIP consenting patients and families to assess their SDoH in the following areas: Healthcare Transportation Food Utilities Housing & Shelter Interpersonal Violence Employment & Income Education Social Connection 15 Hospital-based Violence Intervention Program (HVIP) 14 Help to decrease ED bed hours through intervention Support for providers and care teams Expanded specialized res ources and s upport Taking care of ours elves Distinct Emerging Pathways: Early Findings Dell Children's | Level 1 Trauma Pediatric Dell Seton | Level 1 Trauma Adult 20% of HVIP Patients Injuries took place on a school campus. Opportunity to embed deeper in prevention, aligned with Injury Prevention & Trauma Services and school partners. 90% vs 37% Adults Pedia tric pts involved cons ented s econda ry victims of violence. Highlights a drastically higher consent rate and distinct intervention pathway compared to adult populations. 100% Unhoused Population HVIP unhous ed popula tion coming from DSMC. Immediate response and rapport building directly at the bedside is critical for effective engagement. Continuity & Impact Data Long-term follow-up & tra cking needed. Essential to demonstrate long-term reduction in readmittance and ensure crucial connections to community referrals. 19 One consistent dynamic: Culture shift HVIP requires a culture shift of: 01 | Patient & Community Engagement 02 | Provider & Care Team Alignment Rapport & Trust Focus on Vulnerable Populations Understanding & building rapport and trust in populations where there is heightened distrust, complex trauma, and competing SDoH factors. Care Team Relationships Multidisciplinary & Holistic Healing Understanding & building relationships with providers & care teams serving primary medical needs; creating awareness of the whole person & recognizing complex trauma in community violence and our collective contribution in the journey to heal individuals, families & the community. 20 LaPorshia Maloy HVIP Responder Dell Children's Medical Center Violence Prevention Professional ( VPP ) Hospital-based Violence Intervention Program ( HVIP ) laporshia.maloy@ascension.org 512-324-5812 Jenny Laing Director, Strategic Operations Ascension Texas jlhawkins@ascension.org 512-845-4857 Questions “It is incredibly demoralizing as a trauma surgeon to feel like you’re standing at the bottom of a waterfall, trying to catch good humans again and again when they are violently injured. We have to go upstream to address root causes of violence to stop people from falling in the first place or falling again.” Dr. Rochelle Dicker Trauma Surgeon, HAVI Board Chair, Vice Chair of the ACS Committee on Trauma Injury Prevention Committee © Ascension 2026. All rights reserved.