Clinical assessment of gang violence risk through history and physical exam.
Primary-care clinicians can assess gang involvement and gang violence risk during the routine history and physical exam. This paper forwards a model for history and risk assessment. The objective of creating the model was to develop a practical prototype for clinicians to use in this assessment. The history and physical exam variables were determined by a study of the etiology and correlates of gang membership and gang violence. The history and physical risk assessment tool is based on standard patient care algorithms. It works best in a managed care setting with a high incentive for violence prevention and cost reduction, and where access to a broad range of traditional and nontraditional referral sources exists. Representative referrals are discussed.
Mondragón
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Center for Health Policy and Ethics, Creighton University School of Medicine, Omaha, NE 68178, USA.
D000293:Adolescent; D000294:Adolescent Behavior; D002648:Child; D003142:Communication; D005260:Female; D006126:Group Processes; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008960:Models, Psychological; D010808:Physical Examination; D018570:Risk Assessment; D014754:Violence / Q000517:prevention & control*