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: 10670259
• 负责人: Brita Roy
• 金额: $ 73.24万
• 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/10670259
• 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; Faith leader; Family; Financial Support; Fostering; Generations; Goals; Government; Health; Health behavior and outcomes; Home; Homicide; Housing; Hybrids; Imprisonment; Incidence; Individual; Institution; Intervention; Investments; Latinx; Leadership; Life; Low income; Maintenance; Medicine; Mental Health; Mentors; Modeling; Neighborhoods; Outcome; Ownership; Participant; Personal Satisfaction; Persons; Policies; Research; Research Design; Resources; Social Environment; Specific qualifier value; Structural Racism; Structure; Techniques; Testing; Training; Trauma; Trust; Universities; Victimization; Violence; Virginia; Well in self; Youth; black men; cognitive performance; cohesion; community building; compare effectiveness; design; dynamic system; effectiveness testing; effectiveness/implementation study; ethnic minority; experience; gun violence; health training; implementation intervention; improved; intergenerational; marginalized community; member; models and simulation; payment; physical conditioning; poor health outcome; population health; programs; racial minority; response; social cohesion; social factors; spelling; structural determinants; 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.

项目摘要 社区枪支暴力每年造成超过15，000人死亡，这些人不成比例地年轻，黑人 男人此外，生活在枪支暴力发生率高的社区的人会经历长期的负面影响。 持续性创伤对身心健康的影响在邻域条件的基础上， 这种暴力和创伤持续存在是几代人的结构性种族主义，包括红线政策和大规模种族主义。 监禁，这有助于系统性地减少对这些社区的投资，破坏社区 债券这项提案挑战了长期存在的限制资源的结构性种族主义政策， 社会环境通过允许和正常化暴露后的创伤来阻碍积极的关系， 通过采取积极的、系统的社区一级的反制方法， 在这种背景下，枪支暴力，创伤和监禁的代际循环持续存在。布里塔·罗伊医生， 医学博士，公共卫生硕士，MHS，耶鲁大学医学院人口健康主任和耶鲁大学中心的核心教师， 研究参与，和弗吉尼亚斯佩尔，南康涅狄格州城市联盟，民权首席执行官 组织，已经与康涅狄格州纽黑文的利益相关者合作，设计和测试一个程序 通过解决结构性种族主义来减少枪支暴力。True Haven：可信的学生和住房 减少纽黑文暴力风险的援助是一个多层次、多组成部分、以资产为基础的 干预，以增加受枪支暴力影响的社区的稳定，财富和福祉：（1） 建立一个全市范围的社区业主领导的治理结构，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，每个家庭招收400名受监禁影响的家庭， 一年的计划，夫妇全面的金融教育与租金援助或首付， 贷款援助，以及（3）通过培训信任，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）在创伤知情咨询 识别和支持那些受枪支暴力创伤影响的人的技术。我们将瞄准 * 对居住在下列地点的受监禁影响的个人和家庭实施这一整套干预措施： 六个枪支暴力高发的纽黑文社区我们将执行混合1型 评估TRUE HAVEN对邻近地区事故发生率的影响的有效性/实施研究 使用阶梯楔形研究设计的枪支暴力，并确定作为关键的组织和政策因素 TRUE HAVEN实施的障碍和促进因素。我们还将跟踪种族主义者的数量和类型， 政策，并使用模拟模型预测其对整个社区的影响， 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，以减少枪支暴力并改善社区健康 和幸福