Trauma Resiliency

Helping
Others After Trauma

We are creating and implementing interventions that change the trajectory of people’s lives.

Brenda Battle, Senior Vice President, Community Health Transformation and Chief Equity Officer, UChicago Medicine

Block Hassenfeld Casdin Collaborative for Family Resilience

Healing trauma and changing lives

The Block Hassenfeld Casdin (BHC) Collaborative for Family Resilience is a vital resource for children and families affected by gun violence. The BHC Collaborative started in 2019 with a $9.1 million gift from the Ellen & Ronald Block Family Foundation and the Hassenfeld Family Foundation.

Through funding and by working with the community, the BHC Collaborative has greatly expanded and improved trauma-focused programs at UChicago Medicine that help patients and their families at a critical time of need. While clinical care teams take care of physical wounds, these programs also focus on needs relating to mental, spiritual and emotional health; housing; legal assistance; employment; food security; and more.

THE BHC Collaborative includes:

Violence Recovery Program (VRP)

The VRP is the University of Chicago Medicine’s hospital-based violence intervention program. Violence Recovery Specialists from different backgrounds provide support to victims of intended violence, as well as their families. They help patients with recovery and safety, and assess the patient’s needs for services related to social drivers of health. The BHC Collaborative helped the VRP grow from two specialists in May 2018 to a 20-person team.

Supporting BHC’s mission to serve children and families, the VRP engages people under 21 years old through interventions and/or referrals. Of the total of patients and/or families seen, 90% received one or more interventions during crisis including:

  • Social services, mental health or crisis intervention
  • Housing
  • Employment
  • Food
  • Education
  • Victim’s compensation support
  • Transportation assistance

*data is through October 1, 2023

Child Life

Child Life Specialists work with children and teens and their families who are in the hospital because of violent injuries. They provide personal therapeutic services including help with returning to school and support for siblings.

Spiritual Care

Spiritual Care Chaplains are clinically trained spiritual care providers who offer emotional and spiritual support to patients and their families, 24 hours a day, 7 days a week.

  • In 2023, Spiritual Care expanded its capacity to assist patients and their families by reintroducing a clinical pastoral education program. Clinical pastoral education (CPE) is a combination of professional education and hands-on experience, providing spiritual care to patients, families, and staff members in a multi-faith clinical setting.
REACT Program

REACT (Recovery & Empowerment After Community Trauma) provides mental healthcare for children and young adult (18 to 25 years) trauma patients who are affected by community violence and who may or may not have been injured. Patients are evaluated and, if needed, referred for trauma-informed therapy. There are also services for the caregivers of patients.

  • From October 2022 to September 2023, 145 children and families were engaged in ongoing counseling through the REACT Program.
  • In 2023, the New England Journal of Medicine posted this video featuring members of REACT to discuss trauma from community violence and how the medical community can help.
  • In August 2022, REACT launched a virtual clinic to provide follow-up care for pediatric trauma patients discharged from the hospital.
Healing Hurt People – Chicago (HHPC)

For UCMedicine patients under age 19 who have been injured from violence, HHPC, a partnership with the John H. Stroger, Jr. Hospital of Cook County, offers community-based services including intensive case management and group sessions for young people with violent injuries. HHPC has people who can go with patients to medical appointments, school and court. They offer family support, advocacy and more.

  • From October 2022 to September 2023, 148 violently injured UCMedicine patients received outreach, support, or psychoeducation and 40 received intensive case management through HHPC.
  • In August 2022, HHPC launched a virtual clinic to provide follow-up care for children discharged from the hospital
Community-Based Organizations

Of the 7,984 patients engaged by the Violence Recovery Program since the BHC Collaborative started, more than 2,500 have received referrals to our community partners to assist with housing, employment, education, social services, food, mental health and other services that help victims of violence and their families heal.

BHC
Grants

In June 2023, the BHC Collaborative funded new grants for three South Side community organizations:

  • Fathers, Families, and Healthy Communities ($50,000): Supporting a trauma-informed program for young fathers between the ages of 18 and 26.
  • YWCA Metropolitan Chicago ($50,000): Providing trauma-informed therapeutic services to victims of sexual assault (ages 3-26).
  • Medical Career Exposure and Emergency Preparedness Pipeline Initiative ($27,330): Training underrepresented minority youth in trauma recovery and prevention of violence.

Violence Recovery Program

Helping patients and families heal from trauma – in the hospital and in their communities

The Violence Recovery Program (VRP) is the University of Chicago Medicine’s hospital-based violence intervention program. Through the program, Violence Recovery Specialists from different backgrounds provide support to victims of intended violence, as well as their families.

The violence recovery team works with patients and their families in the Emergency Department and after they go home. Violence Recovery Specialists help patients with their recovery and safety. They also assess the patient’s needs for services related to social determinants of health.

Violence Recovery Specialists can help patients and their families connect to resources for:

  • Education
  • Employment
  • Food security
  • Funeral services
  • Housing
  • Mental health
  • Street outreach

Violence Recovery Program outcomes

  Patients engaged by the VRP (Fiscal 2023)
Total patients engaged 1,805
Children served 157
Families served 890
Patients with at least one need for behavioral health or social determinants of health
  • 259 behavioral health need
  • 409 social determinants of health need
Patients connected to community-based social and behavioral health services
  • 190 behavioral health referrals
  • 108 social determinants of health referrals
Total patients engaged since program launch
(May 4, 2018 to July 12, 2023)
  • 8,262 patients engaged

VRP
programs
and partnerships

Recovery Legal Care

In December 2022, The University of Chicago Medicine launched a program with Legal Aid Chicago, embedding two full-time lawyers within the health system’s Level 1 trauma center. The initiative, called Recovery Legal Care, provides bedside civil legal help for patients and families recovering from violent injuries. The program helps patients focus on recovery instead of worrying about legal needs and economic stability.

  • Top legal assistance needs include crime victim’s compensation, Supplemental Nutrition Assistance Program, and Supplemental Security Income and Social Security Disability Insurance.
  • Since the program launch, Recovery Legal Care has expanded to include an additional attorney and paralegal.
Expanding key partnerships

In 2023 The Illinois Department of Human Services provided $564,000 in funding to expand the VRP’s partnership with Metropolitan Family Services, which oversees a network of community organizations called Communities Partnering 4 Peace (CP4P).

The grant has helped UChicago Medicine and community organizations work together to address needs around social drivers of health in South Side communities.

  • Claretian Associates is an example of a VRP partner that provides housing and focuses on violence prevention on the South Side. The communities Claretian served saw a decrease in shootings between 2021 and 2023: South Shore 41.67% decrease, South Chicago 39.02% decrease, South Deering 18.9% decrease.
Providing training and technical assistance to other communities

In October 2023, UChicago Medicine’s Violence Recovery Program was awarded a $99,000 grant from the Illinois Department of Public Health to provide training and technical assistance to other hospital-based violence intervention programs in Illinois. For the next year, the VRP and members of the BHC Collaborative will work with OSF Rockford St. Anthony Medical Center to offer best practices and integrate proven interventions into OSF’s health system.

Supporting VRP team members

In November 2022, in collaboration with John Sykes, a lecturer at the University of Chicago’s Crown Family School of Social Work, the VRP team launched a vicarious trauma support group.

“We’ve have long been focused on self-care for our team, but there is always more we that we can do.” – Carlos Robles, LCSW, Clinical Operations Manager, Violence Recovery Program

Recognizing 5 years of Trauma Care and Violence Recovery Services

In May 2023, UChicago Medicine recognized the 5-year anniversary of the Level 1 Adult Trauma Center and the Violence Recovery Program. When the trauma center opened in May 2018, the South Side had not had a trauma center for 27 years, and community voices played a vital role in shaping the hospital’s plan to increase access to critical services. Since then, it has served more than 20,000 adult patients and another 3,000 pediatric patients. The Violence Recovery Program has served more than 8,000 patients.

Read more from Dr. Selwyn O. Rogers Jr., UChicago Medicine trauma surgeon and founding director founding director of the UChicago Medicine Trauma Center.

We’re a learning organization. We learn, we improve, we tinker. That has led to great care despite the challenges.

Southland RISE

Southland RISE
Strengthening the trauma recovery network across Chicago’s South Side and South Suburbs

Southland RISE (Resilience Initiative to Strengthen and Empower) was launched in 2019 by UChicago Medicine and Advocate Health Care to strengthen and integrate the two health systems’ violence recovery and trauma programs. Through Southland RISE, the two health systems collaborate with community partners to prevent and mitigate the effects of intentional violence and strengthen trauma resiliency.

Southland RISE was inspired by U.S. Sen. Dick Durbin’s Chicago HEAL Initiative (Hospital Engagement, Action and Leadership), which encourages Chicagoland’s healthcare providers to help reduce community violence and address healthcare needs associated with violence recovery.

Funding grassroots efforts to address trauma and violence prevention

In May 2023, Southland RISE awarded $150,000 in grants to 19 South Side and Southland grassroots organizations for their summer youth programs. These programs provided more than 5,000 community members with opportunities to participate in a variety of activities that included dance, gardening, video production and sports, while also building their skills around leadership, resiliency and conflict resolution, among others.

Over the past five years, Southland RISE has awarded $650,000 to support more than 50 community-based programs focused on violence prevention and trauma resiliency for youth and families on Chicago’s South Side.

Connecting hospital trauma teams with street outreach workers

In 2023, Southland RISE organized four 20-hour training sessions, bringing together more than 120 professionals dedicated to trauma recovery and violence prevention. Attendees included violence recovery specialists from UChicago Medicine and Advocate Health Care as well as many street outreach workers.

The trainings were designed to help teams work together more effectively in meeting their shared goal: serving trauma patients and their families and preventing reinjury. The sessions were developed and hosted in partnership with Metropolitan Peace Initiatives, a division of Metropolitan Family Services and the Communities Partnering 4 Peace (CP4P) network. The Illinois Criminal Justice Information Authority (ICJIA) funded the training.

Watch a story about the training sessions on WTTW's “Chicago Tonight.”

Read more about the Southland RISE training here 

Workforce Resilience Enhancement Project
(WREP)

The Workforce Resilience Enhancement Project (WREP) is a collaboration between Chicago community-based workforce development organizations, UChicago Medicine’s Urban Health Initiative and the University of Chicago. WREP is supported by a grant provided by AT&T.

In early 2023, WREP partnered with the From Adversity to Entrepreneurship (FATE) Project to provide support to community members affected by trauma. As part of FATE 2023’s Learning Series, VNN Media Services adapted WREP resources to develop a Trauma Informed Business Development Toolkit. The toolkit is a resource to help employers understand how trauma can affect an employee’s ability to gain and maintain successful employment.