Effectiveness of Adverse Community Experiences and Resilience (ACER) and Community Organizing for Preventing Youth Violence and ACEs.

项目总结/摘要 暴力是几种不良童年经历（ACE）之一，可以显着影响儿童的 未来的身体和行为健康。针对青年的不同类型的暴力，如虐待儿童和 忽视和社区青年暴力往往具有相同的风险和保护因素。社区 弱势和无组织是与社区创伤和暴力有关风险因素， 可通过强调社区复原力的社区一级初级预防战略加以解决 通过社区组织。本研究将评估预防研究所实施的不良反应， 社区经验和复原力（ACE）|R）社区一级暴力预防框架， 目标1：进行有效性研究，以确定 有效预防多种形式的暴力和影响儿童的其他ACE的战略， 青年具体而言，它有三个目标：（1）追溯性地衡量ACE的有效性|R 在密尔沃基实施的关于虐待和忽视儿童以及青年暴力的框架， 临床试验方法;（2）前瞻性测试ACE的比较有效性|R框架/ 密尔沃基和平蓝图与社区组织在四个优先社区;和（3）使用混合 类型1有效性-实施设计，以探索实施的障碍和促进因素 ACE内的社区组织|R框架在一个大都市区（密尔沃基），以告知未来 执行工作，确定战略，解决执行工作中的障碍， （B）形成执行障碍的外部和内部环境因素， （c）影响执行障碍的利益攸关方的个人特点， 促进者，以及（d）促进ACE内社区组织实施的策略|R 框架.通过解决与社区创伤和暴力有关的几个因素， 有可能防止虐待儿童、忽视儿童和青少年暴力。调查结果将扩大研究 促进社区复原力努力的证据，并就以下方面提供宝贵的见解 有效的、基于实践的暴力预防方案。

PROJECT SUMMARY/ABSTRACT Violence is one of several Adverse Childhood Experiences (ACEs) that can significantly impact children's future physical and behavioral health. Different types of violence against youth, such as child abuse and neglect and community youth violence, often share the same risk and protective factors. Community disadvantage and disorganization are risk factors associated with community trauma and violence, which can be addressed by community-level primary prevention strategies that emphasize community resilience through community organizing. This study will evaluate Prevention Institute's implementation of the Adverse Community Experiences and Resilience (ACE|R) community-level violence prevention framework, responding to Objective 1: Effectiveness research to determine which community- or societal-level strategies effectively prevent multiple forms of violence and other ACEs that impact children and youth. More specifically, it has three aims: (1) retroactively measure the effectiveness of the ACE|R framework implemented in Milwaukee on child abuse and neglect and youth violence using an idiographic clinical trial approach; (2) prospectively test the comparative effectiveness of the ACE|R framework/ Milwaukee Blueprint for Peace with community organizing in four Priority Communities; and (3) use a Hybrid Type 1 effectiveness-implementation design to explore the barriers and facilitators to implementing community organizing within the ACE|R framework in a large metropolitan area (Milwaukee) to inform future implementation efforts by determining strategies to address implementation barriers arising from (a) the intervention characteristics, (b) outer and inner setting factors that shape implementation barriers and facilitators, (c) individual characteristics among stakeholders that influence implementation barriers and facilitators, and (d) strategies that facilitate implementation of community organizing within the ACE|R framework. By addressing several factors associated with community trauma and violence, this framework has the potential to prevent child abuse, child neglect, and youth violence. Findings will expand research evidence for the facilitation of community resilience efforts and contribute valuable insight regarding efficacious, practice-based violence prevention programming.