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CTI framework implemented in Seattle with gun-shot wound patients

A group of clinicians and researchers in Seattle have adapted the CTI model to provide structured outreach to people treated for gunshot wounds at the Harborview Medical Center (HMC). In a cluster randomized trial led by Dr. Ali Rowhani-Rahbar, this six-month Helping Individuals with Firearm Injuries (HiFi) intervention is being compared to standard care among patients with firearm-related injuries. “Evidence has shown that patients hospitalized with a gunshot wounds are at a notably high risk of subsequent perpetration of crime,” explains Vivian Lyons, an epidemiology PhD candidate at the University of Washington who directs the fidelity evaluation. “The goal of the study is to assess the effect of the HiFi case management program on arrest over a follow-up period of up to two years after hospital discharge.”


The HiFi study is led by Dr. Ali Rowhani-Rahbar with support from Dr. Lauren Whiteside, Dr. Kevin Hegarty and Dr. Fredrick Rivara. Additional program support is provided by research assistants Alvaro Martinez and Manal Jmaileh, CTI Support Specialist Liz Griffen, MSW, and project coordinator Dr. Anthony Floyd.





Vivian Lyons directs the fidelity evaluation for the HiFi study.



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