TRUE HAVEN: TRUsted rEsidents and Housing Assistance to decrease Violence Exposure in New Haven

TRUE HAVEN：值得信赖的居民和住房援助，以减少纽黑文的暴力风险

• 批准号: 10474672
• 负责人: Brita Roy
• 金额: $ 70.26万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-22 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10474672
• 关键词: Address; Adoption; Affect; Age-Years; Barbering; Black race; Businesses; Chronic; Chronic stress; Cities; Civil Rights; Communities; Community Health; Community Networks; Connecticut; Counseling; Coupled; Couples; Data Analyses; Development; Education; Enrollment; Exposure to; Faculty; Family; Financial Support; Fostering; Generations; Goals; Government; Health; Health behavior outcomes; Home; Homicide; Housing; Hybrids; Imprisonment; Incidence; Individual; Institution; Intervention; Latinx; Leadership; Life; Low income; Maintenance; Medicine; Mental Health; Mentors; Modeling; Neighborhoods; Organizational Policy; Outcome; Ownership; Participant; Personal Satisfaction; Persons; Plant Roots; Policies; Research; Research Design; Resources; Social Environment; Specific qualifier value; Structural Racism; Structure; System; Techniques; Testing; Training; Trauma; Trust; Universities; Victimization; Violence; Virginia; Well in self; Youth; base; black men; cognitive performance; cohesion; compare effectiveness; design; effectiveness implementation study; effectiveness testing; ethnic minority; experience; gun violence; health training; implementation intervention; improved; intergenerational; marginalized community; member; models and simulation; payment; physical conditioning; population health; programs; racial minority; response; social cohesion; social factors; spelling; systemic intervention; violence exposure

PROJECT SUMMARY Community gun violence kills more than 15,000 people each year who are disproportionately younger, Black men. In addition, people living in communities with high rates of gun violence experience long-term negative physical and mental health effects from persistent trauma. At the root of neighborhood conditions that allow this violence and trauma to persist are generations of structural racism, including redlining policies and mass incarceration, which contribute to systemic disinvestment in these neighborhoods and disruption of community bonds. This proposal challenges long-standing structurally racist policies that limit resources and addresses the social context that stymies positive relationships by permitting and normalizing trauma after exposure to gun violence by applying a counteracting positive, systemic community-level approach to change the context within which intergenerational cycles of gun violence, trauma, and incarceration persist. Dr. Brita Roy, MD, MPH, MHS, Director of Population Health at Yale Medicine and core faculty at the Yale Center for Research Engagement, and Virginia Spell, CEO of Urban League of Southern Connecticut, a civil rights organization, have partnered with stakeholders across New Haven, Connecticut, to design and test a program to reduce gun violence by addressing structural racism. TRUE HAVEN: TRUsted rEsidents and Housing Assistance to decrease Violence Exposure in New Haven is a multi-level, multi-component, assets-based intervention to increase the stability, wealth, and well-being of neighborhoods affected by gun violence by: (1) setting up a citywide community stakeholder-led governance structure to oversee the program and identify and address racist policies, (2) increasing housing stability by enrolling 400 families affected by incarceration each year in a program that couples comprehensive financial education with rental assistance or down-payment and loan assistance, and (3) providing greater support for mental health and well-being by training trusted community members (e.g., barbers, educators, faith leaders, youth mentors) in trauma-informed counseling techniques to recognize and support those affected by the trauma of gun violence. We will target implementation of this intervention package to individuals and families affected by incarceration residing within six New Haven neighborhoods with high rates of gun violence. We will perform a hybrid type 1 effectiveness/implementation study to assess the effects of TRUE HAVEN on neighborhood rates of incident gun violence using a stepped wedge study design and identify organizational and policy factors that act as key barriers and facilitators to TRUE HAVEN implementation. We will also track the number and types of racist policies addressed and project their community-wide impact using a simulation model that can be adapted by other communities aiming to tackle structural racism. This study will yield a roadmap for how cities can effectively and systematically tackle structural racism to reduce gun violence and improve community health and well-being.

项目总结 社区枪支暴力每年导致15,000多人死亡，其中年轻人占不成比例，黑人 男人。此外，生活在枪支暴力发生率高的社区的人经历了长期的负面影响。 持续创伤对身心健康的影响。在社区条件的根源上，允许 这种持续存在的暴力和创伤是几代人的结构性种族主义，包括红线政策和群众 监禁，这导致这些社区的系统性投资缩水和社区瓦解 债券。这项提案挑战了长期以来的结构性种族主义政策，这些政策限制了资源和解决 通过允许和正常化暴露后的创伤来阻碍积极关系的社会背景 通过应用一种积极的、系统的社区一级方法来改变枪支暴力 在这种背景下，枪支暴力、创伤和监禁的代际循环仍然存在。布里塔·罗伊医生， 医学博士，公共卫生硕士，公共卫生硕士，耶鲁大学医学院人口健康主任，耶鲁大学公共卫生中心核心教员 研究参与度，以及南康涅狄格州城市联盟首席执行官弗吉尼亚·斯佩尔，民权 组织与康涅狄格州纽黑文的利益相关者合作，设计并测试一项计划 通过解决结构性种族主义来减少枪支暴力。真正的避风港：值得信赖的居民和住房 减少纽黑文暴力风险的援助是多层次、多组成部分、以资产为基础的 通过以下方式进行干预以增加受枪支暴力影响的社区的稳定、财富和福祉：(1) 建立全市社区利益相关者主导的治理结构，以监督该计划并确定和 解决种族主义政策，(2)增加住房稳定性，每个家庭接纳400个受监禁影响的家庭 在一个将全面财务教育与租金援助或首付相结合的计划中学习一年 贷款援助，以及(3)通过培训受信任的人，为心理健康和福祉提供更大的支持 社区成员(例如，理发师、教育工作者、宗教领袖、青年导师)在创伤信息咨询中 认识和支持那些受枪支暴力创伤影响的人的技术。我们的目标是 向居住在以下地区的受监禁影响的个人和家庭实施这一干预一揽子计划 纽黑文的六个社区枪支暴力发生率很高。我们将表演一种混合类型1 评估真实避风港对邻里事故率影响的有效性/实施研究 使用阶梯式楔形研究设计和确定作为关键的组织和政策因素的枪支暴力 真正实施避风港的障碍和促进者。我们还将跟踪种族主义者的数量和类型 使用可通过以下方式调整的模拟模型来处理和预测其社区范围的影响 其他旨在解决结构性种族主义的社区。这项研究将为城市如何 有效和系统地解决结构性种族主义问题，以减少枪支暴力和改善社区健康 和幸福。