The Liaison Youth Outreach Worker

A Pioneering Approach to Adolescent Emergency Services

Lambeth and Southwark are two of the top London boroughs for the incidence of teenage knife crime. Thanks to a grant of £348,500 from the Charity, a pioneering project at St Thomas' Hospital is taking an innovative approach to helping vulnerable adolescents and reducing violence amongst 12-18 year olds.

The Charity Oasis launched the three-year project in 2010 with one full-time youth worker in residence at St Thomas' Hospital, supported by two part-time students. Based in A&E, the youth workers target adolescents who regularly attend the department having been assaulted or involved in violence. Young people considered at high risk of further violence due to repeated visits to A&E are offered follow up support, advice, and counselling, such as anger management.

In addition, they are introduced to services such as Connexions, which offers 13-19 year olds advice on education, careers, housing, money, health and relationships. Oasis also works closely with Dulwich Picture Gallery as part of its Urban Youth programme, which introduces hard-to-reach young people to creative opportunities.

Having a youth worker on site also supports A&E staff who often report that dealing with difficult and troubled adolescents is one of the most stressful and time consuming aspects of their job.

The initiative reflects the Charity's belief in combining energy, knowledge, ideas and resources by bringing together community, voluntary sector and acute services to tackle a particular health issue.

"This is about helping individuals through a holistic approach with the hope that we will have a positive effect in reducing the escalating rates of knife crime," says Dr John Criddle, consultant in paediatric emergency medicine and project lead. "This would also have a positive effect on the NHS overall in terms of reducing the resources required to deal with this type of repeat crime."

Kingston University is evaluating the effectiveness of the project in reducing the chances of young people presenting as victims of violence. "There is already anecdotal evidence, which we hope to confirm, of positive changes in the young people's activities, social skills and personal development as a direct result of the project," Kingston University research associate Yael Ilan-Clarke said.

  • Key facts

    Organisation lead:
    Guy’s and St Thomas’ NHS Foundation Trust

    Financial support:
    £348,000 grant 

    Start date:
    September 2010