The San Francisco Wraparound Project is now an extension of the Trauma Center's traditional services. The Wraparound Project currently provides mentorship, partners with community organizations and links clients to essential risk-reduction resources in order to reduce injury recidivism and prison recidivism in the citizens of the City of San Francisco, hardest hit by interpersonal and youth violence. 

Interpersonal violent injury is now pervasive in the United States, and trauma centers stand on the front lines of the epidemic. According to the Centers for Disease Control WISQARS reports, homicide was responsible for 17,357 deaths in 2004. This represents over 565,000 potential life years lost, giving credence to the concern that interpersonal violence disproportionately affects our young people. Disadvantaged minority populations are disproportionately represented in this devastation. Homicide is the number one cause of death in African Americans aged 10-24 years old and number two amongst Hispanics.

Fatalities from assault represent the tip of the iceberg; non-fatal injuries are believed to outnumber fatal injuries on the order of one hundred to one. Trauma centers, including San Francisco General Hospital, often typify the "revolving door" phenomenon: for many young individuals who are assaulted, over 300 each year at our hospital, violent injury is not a one-time event. Injury recidivists constitute between 10 and 45% of all violence-related admissions nationwide. Many violently injured youth and young adults have a record of criminal activity but are not provided "reentry" opportunities in a like manner to the criminal justice system. For many of these individuals, they are not ushered towards these opportunities simply because they ended up on the wrong end of the weapon. In addition, physical rehabilitation is provided in the aftermath of injury, however, providing services to reduce or eliminate risk factors associated with violent injury and criminal activity are not traditionally offered upon hospital discharge.