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A Conceptual Model of Help-Seeking by Black Americans After Violent Injury: Implications for Reducing Inequities in Access to Care

NCJ Number
307533
Journal
Prevention Science Volume: 25 Dated: 2024 Pages: 95-107
Author(s)
Date Published
August 2022
Length
23 pages
Annotation

This paper synthesizes extant research on help-seeking, discrimination in criminal legal system functioning, and barriers to victim services into a theoretically and empirically informed conceptual model that captures factors in Black Americans’ decision to report their victimization to the police and subsequent help-seeking.

Abstract

This study uses qualitative and quantitative data to ground a developing model that captures the range of factors that shape Black Americans’ decision to report their victimization to the police and subsequent help-seeking. The conceptual model can help lay the foundation for research that seeks to remedy the marked mismatch between the prevalence of violent victimization and help-seeking among Black Americans. Many inequities exist in serving and supporting Black survivors of violent crime. A key question in reducing inequities in care after victimization is whether police first responders and other formal system providers identify the victim as an “offender” and/or someone who is “undeserving” of supports. These labels and associated biases can directly reduce access to supports through a variety of mechanisms that include police withholding information about one’s rights as a victim, among other direct and indirect barriers to social and health services. Unaddressed financial, mental, and physical health consequences of victimization contribute to poorer health outcomes later in life. This paper seeks to bring together the extant research on help-seeking, discrimination in criminal legal system functioning, and barriers to victim services by synthesizing these discrete threads into a theoretically and empirically informed conceptual model that captures the range of factors that shape Black Americans’ decision to report their victimization to the police and subsequent help-seeking. The study is based on a purposive sample of 91 Black victims of community violence. Research findings can be applied to guide policies and programming to reduce inequities in care for victims of violence. (Published Abstract Provided)

Date Published: August 1, 2022