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

警务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系统如何成为可能造成健康状况不佳的结构性因素。为了解决这一差距，我们提出了一个社区主导的结构性干预，以解决社区-警察互动的健康后果，旨在减少随意逮捕和监禁，塔兰特县，德克萨斯州。本研究旨在解决警务和监禁对塔兰特县不成比例受影响社区的影响。将在整个供资过程中调查刑事司法系统的结构性因素、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，以确定每个社区警务的共性和特殊性。使用干预计划的pre - proceed模型，我们提出了一个多阶段的过程，以确定与警务相关的可变优先事项。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召集不同群体的社区成员，从而吸引有过大规模监禁和警务经历的社区成员，以改善社区内的人口健康。在成功完成这项工作后，我们预计将开发、实施和评估一项试点干预措施，以解决社区警察互动和监禁作为健康的结构性决定因素，对个人、人际和社区产生影响。

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.