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 社区枪支暴力每年杀死15,000多人，年轻，黑色 男人。此外，居住在枪支暴力率高的社区中的人们会经历长期负面的 持续创伤对身心健康的影响。在邻里条件的根源 这种暴力和持续的创伤是结构性种族主义的几代人，包括重新策略和弥撒 监禁，这有助于这些社区中的系统性投资和社区中断 债券。该提议挑战了长期存在的结构性种族主义政策，以限制资源和地址 暴露后，通过允许和正常创伤来阻碍积极关系的社会背景 枪支暴力通过采用反对积极的，系统性的社区级别的方法来改变 枪支暴力，创伤和监禁的代际周期的环境持续存在。 Brita Roy博士， MD，MPH，MHS，耶鲁医学人口健康总监和耶鲁大学中心的核心教师 研究参与和南部康涅狄格州城市联盟首席执行官弗吉尼亚法术是民权 组织，与康涅狄格州纽黑文的利益相关者合作，设计和测试程序 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 帮助减少纽黑文的暴力暴露的帮助是多级，基于资产的多层次 干预以增加受枪支暴力影响的社区的稳定，财富和福祉：（1） 建立全市社区利益相关者主导的治理结构，以监督该计划并确定和确定和 解决种族主义政策，（2）通过注册400个受监禁影响的家庭提高住房稳定 一年的计划，该计划将全面的金融教育与租金援助或下付和下支付以及 贷款援助，以及（3）通过信任的培训为心理健康和福祉提供更大的支持 社区成员（例如理发师，教育者，信仰领袖，青年导师） 识别和支持受枪支暴力创伤的人的技术。我们将定位 该干预措施的实施给居住在内部受到监禁影响的个人和家庭 六个纽黑文社区的枪支暴力率很高。我们将执行混合类型1 有效性/实施研究以评估真实避风港对邻里事件速率的影响 使用阶梯楔形研究设计的枪支暴力，并确定充当关键的组织和政策因素 真正的避风港实施的障碍和促进者。我们还将跟踪种族主义者的数量和类型 通过模拟模型可以调整政策并提出其社区范围的影响 旨在应对结构性种族主义的其他社区。这项研究将产生城市如何的路线图 有效和系统地应对结构性种族主义，以减少枪支暴力并改善社区健康 和幸福。