Outreach, engagement, and practical assistance: essential aspects of PTSD care for urban victims of violent crime.
The purpose of this article is to examine the literature on the increased risk factors of disadvantaged inner-city residents for becoming victims of violence and for developing posttraumatic stress disorder (PTSD) and barriers to accessing comprehensive mental health services. Second, the article discusses the limitations of evidence-based treatments for early intervention with urban victims of violence and provides a new model of care emphasizing outreach, engagement, and practical assistance. Finally, the article concludes with recommendations for comprehensive hospital-based urban programs in terms of practice, policy, and research.
Kelly
Vanessa G
VG
University of California, San Francisco, CA, USA. vanessa.kelly@ucsf.edu
Merrill
Gregory S
GS
Shumway
Martha
M
Alvidrez
Jennifer
J
Boccellari
Alicia
A
D000223:Adaptation, Psychological; D003159:Community-Institutional Relations; D019548:Crime Victims / Q000523:psychology / Q000534:rehabilitation*; D054521:Cultural Competency; D055317:Evidence-Based Practice; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D008913:Minority Groups / Q000706:statistics & numerical data; D008962:Models, Theoretical; D020380:Needs Assessment; D011369:Professional-Patient Relations; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000628:therapy*; D014481:United States / Q000453:epidemiology; D019037:Urban Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data