Strengthening the Connections to Opportunities for Prevention Engagement

The Strengthening the Connections to Opportunities for Prevention Engagement (SCOPE) project will create a pathway for children and families from the City of Hartford to connect with a Connecticut Children's Care Coordinator (CC) when they are determined to have high levels of violence exposure. SCOPE seeks to decrease future violence exposure and increase resiliency of children with high levels of exposure to violence through Emergency Department (ED)-based case management and connections with community partners. Hypothesis 1: VPET scores within the intervention group will show significant reductions across the study period. The percent of patients with positive VPET positive scores within the intervention group will show significant reductions from the expected 79% to 70% as compared to the control group that will have the expected 79% Hypothesis 2: The Child and Youth Resilience Measure-Revised (CYRM) scores for the intervention group will increase by 10%, and will be significantly higher than the control group. Hypothesis 3: At least 75% of the intervention group will be assessed as "positive" for having made a connection with community services. Hypothesis 4: 90% of parents with children receiving case management will report being satisfied with the case management services and community connected services. Hypothesis 5: Retention within the intervention group will be at or above 50%, with at least half of participants remaining engaged in the project. Hypothesis 6: Compared to the control group, the intervention group will have fewer documented injuries and ED visits during the 12-month period post-enrollment.