1. CREATING TRAUMA- INFORMED COMMUNITIES Using A Health Approach to Prevent Violence and Address Trauma

2. In many US cities, HOMICIDE is the LEADING CAUSE OF DEATH

4. Chronic Exposure to Violence No, Low, or Moderate Exposure to Violence Chronic Exposure to Community Violence Associated with 30x Risk of Perpetrating Probability of Perpetrating Violence Spano, Rivera, & Bolland 2010

5. Age Violent Behavior Score HIGH EXPOSURE LOW EXPOSURE INTERMEDIATE EXPOSURE (Adapted from Spano, 2010) Risk of doing violence is related to exposure to violence and is dose dependent

6. Source: Mullins et al. 2004; Devries et al. 2011 TRANSMISSION OF VIOLENCE Exposure to Violence

7. Health Approach 1.Violence behaves like a contagious disease (epidemic) 2.Treating violence like an epidemic gets results in communities *Do No Harm - Poised to better engage individuals and communities and reduce risk of re-traumatization

8. The Cure Violence Strategy for Reducing Violence DETECT AND INTERRUPT POTENTIALLY VIOLENT CONFLICTS TREAT THOSE AT HIGHEST RISK FOR INVOLVEMENT IN VIOLENCE GROUP AND COMMUNITY NORM CHANGE DATA AND MONITORING TRAINING AND TECHNICAL ASSISTANCE

9. Credible Messengers

10. Able to relate to highest risk Lived experience Able to influence Connected to the community Opinion leaders Qualities of a Credible Messenger

11. Provide: New Skills New Information New Language Promote: Behavior & Norm Change

12. Interrupt Transmission Identify and change the thinking of highest potential transmitters Change Community Norms Stop violent events before they happen Reduce number of violent individuals Create social pressure to stop violence Reduced Violence & Reduced Exposure THE STRATEGY

13. Our Goal

14. arrows 41% - 73% Chicago Shootings and Killings -56% Baltimore Killings -20% New York City Shootings

15. OAKLAND KANSAS CITY NEW ORLEANS EAST ST. LOUIS BALTIMORE CHICAGO PHILADELPHIA ROCKFORD MAYWOOD NORTH CHICAGO ALBANY YONKERS CURE VIOLENCE NATIONAL ADAPTATION PARTNERS September 2015 NEW YORK CITY SPRINGFIELD BUFFALO ROCHESTER SYRACUSE SAN ANTONIO WILMINGTON CAMDEN Loiza, PR ADAPTATION PARTNERS NEW ADAPTATION PARTNERS MT VERNON CICERO TROY HEMPSTEAD POTENTIAL PARTNERS POTENTIAL HEALTH APPROACH PARTNERS ST. LOUIS MIAMI SAN FRANCISCO RICHMOND LOS ANGELES SEATTLE MILWAUKEE MINNEAPOLIS DURHAM TALLAHASSEE

16. Thank youT Thank you! CureViolence @CureViolence LToscano@uic.edu www.cureviolence.org