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

项目摘要/摘要 暴力是几种不良童年经历(ACE)之一，可以显著影响儿童 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 劣势和组织混乱是与社区创伤和暴力有关的风险因素， 可以通过强调社区复原力的社区一级初级预防战略来解决 通过社区组织。这项研究将评估预防研究所对不利因素的实施 社区经验和复原力(ACE|R)社区一级暴力预防框架， 响应目标1：进行有效性研究，以确定社区或社会层面 战略有效防止影响儿童和儿童的多种形式的暴力和其他王牌 青春年华。更具体地说，它有三个目标：(1)追溯衡量ACE|R的有效性 在密尔沃基实施了关于虐待和忽视儿童和青少年暴力的框架，使用了一个具体的 临床试验方法；(2)前瞻性测试ACE|R框架/ 密尔沃基和平蓝图，在四个优先社区组织社区；以及(3)使用混合模式 第一类有效性--探索实施的障碍和促进者的实施设计 在大都市地区(密尔沃基)的ACE|R框架内组织社区，为未来提供信息 通过确定战略以解决因下列原因而产生的执行障碍而作出执行努力 干预特点；(B)形成执行障碍的外部和内部环境因素 促进者；(C)利益攸关方中影响执行障碍和 促进者；(D)促进在ACE|R内实施社区组织的战略 框架。通过解决与社区创伤和暴力有关的几个因素，这一框架 有可能防止虐待儿童、忽视儿童和青少年暴力。这些发现将扩大研究 促进社区复原力工作的证据，并为以下方面提供有价值的见解 有效的、以实践为基础的暴力预防方案。

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.