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.

项目概要 社区枪支暴力每年导致超过 15,000 人死亡，其中年轻人尤其多，黑人 男人。此外，生活在枪支暴力高发社区的人们会经历长期的负面影响。 持续性创伤对身心健康的影响。从根本上来说，邻里条件允许 这种持续存在的暴力和创伤是几代人的结构性种族主义，包括红线政策和大规模种族主义 监禁，导致对这些社区的系统性投资减少和社区的破坏 债券。该提案挑战了长期存在的结构性种族主义政策，这些政策限制了资源并解决了 通过允许和正常化接触后的创伤而阻碍积极关系的社会环境 通过采用积极的、系统的社区层面的反制方法来改变枪支暴力 枪支暴力、创伤和监禁的代际循环持续存在的背景。布丽塔·罗伊博士， MD、MPH、MHS、耶鲁大学医学中心人口健康主任和耶鲁大学中心核心教员 研究参与，以及民权组织南康涅狄格城市联盟首席执行官弗吉尼亚·斯佩尔 (Virginia Spell) 组织，与康涅狄格州纽黑文市的利益相关者合作，设计和测试了一个项目 通过解决结构性种族主义来减少枪支暴力。 TRUE HAVEN：值得信赖的居民和住房 减少纽黑文暴力暴露的援助是多层次、多组成部分、基于资产的 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性、财富和福祉：(1) 建立一个全市社区利益相关者主导的治理结构来监督该计划并确定和 解决种族主义政策，(2) 通过将 400 个受监禁影响的家庭纳入其中，提高住房稳定性 一年的计划，将全面的金融教育与租金援助或首付结合起来， 贷款援助，以及 (3) 通过培训值得信赖的人员，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、信仰领袖、青年导师）进行创伤知情咨询 识别和支持受枪支暴力创伤影响的人的技术。我们将瞄准 对居住在该地区的受监禁影响的个人和家庭实施这一干预措施 纽黑文的六个枪支暴力发生率很高的社区。我们将执行混合类型 1 有效性/实施研究，评估 TRUE HAVEN 对邻里事故发生率的影响 使用阶梯楔形研究设计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。我们还将追踪种族主义的数量和类型 使用模拟模型解决政策并预测其对社区的影响，该模型可以通过以下方式进行调整： 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、系统地解决结构性种族主义，以减少枪支暴力并改善社区健康 和幸福。