Community-Led Structural Intervention to Address Health Consequences of Community-Police Interactions

治安和监禁是健康不平等的根本原因，但迄今为止，很少有人努力评估执法做法和监禁制度是如何影响健康状况不佳的结构性因素。为了解决这一差距，我们提出了社区主导的结构性干预措施，以解决社区与警察互动的健康后果，旨在减少德克萨斯州塔兰特县的任意逮捕和监禁。这项研究试图解决治安和监禁对塔兰特县受不成比例影响的社区的影响。将在整个筹资过程中调查刑事司法系统的结构因素、相关政策以及警察行动在加剧身心健康结果方面的作用。我们的研究将汇集受警务影响的利益相关者联盟，包括黑人、拉丁裔/拉丁裔和LGBTQ+社区，以确定每个社区在警务方面的共性和特殊性。使用干预计划的先行-进行模型，我们提出了一个多阶段过程来确定与警务相关的可变优先级。我们预计将评估的具体健康结果包括使用武力和精神健康状况不佳的日子。此外，这项研究将通过社区咨询委员会将不同的社区成员群体聚集在一起，从而使经历过大规模监禁和治安的社区成员参与进来，以改善社区内的人口健康。在成功完成这项工作后，我们预计已经开发、实施和评估了一项试点干预措施，该干预措施将社区与警察的互动和监禁作为健康的结构性决定因素，具有个人、人际和社区后果。

Policing and incarceration are root causes of health inequity, but to date, there have been few efforts to assess how law enforcement practices and the carceral system are structural factors that may shape poor health. Addressing this gap, we propose a Community-Led Structural Intervention to Address Health Consequences of Community-Police Interactions aimed at reducing discretionary arrests and incarceration Tarrant County, Texas. This study seeks to address the impacts of policing and incarceration on Tarrant County’s disproportionately impacted communities. The structural factors of the criminal justice system, related policy, and the role of police actions in exacerbating mental and physical health outcomes will be investigated throughout the course of the funding process. Our study will bring together a coalition of stakeholders affected by policing, including Black, Latine/Latinx, and LGBTQ+ communities, to identify commonalities and particularities of policing among each community. Using the PRECEDE-PROCEED model of intervention planning, we propose a multi-phase process for identifying changeable priorities related to policing. We expect the specific health outcomes that will be assessed include use of force and poor mental health days. Further, this study will bring together a diverse group of community members through a community advisory board, thereby engaging community members that have lived experiences with mass incarceration and policing in order to improve the population health within the community. Upon successful completion of this work, we expect to have developed, implemented, and evaluated a pilot intervention that addresses community-police interactions and incarceration as a structural determinant of health that has individual, interpersonal, and community consequences.