1. Boston’s Integrated Approach to Violence Prevention: The Work of the Defending Childhood Initiative and the National Forum on Youth Violence Prevention Christopher Byner Catherine Fine Andrea Perry

8. Social Determinants of Health

9. VIP Choice Neighborhoods PACT Defending Childhood Initiative Circle of Promise Boston Public Schools BCYF/ Streetworkers Boston Public Health Commission Health Department of Neighborhood Development EOHHS -- DYS and DCF Non-Profits Clergy/ Faith- based Youth Businesses Colleges/ Universities Foundations Community residents JCS/ YOU Boston Hospitals Prosecutors Probation Corrections Federal agencies Boston Police Department Youth Violence Prevention Funders Learning Collaborative Community Policing – Safe Street Teams, Ceasefire, etc. YouthConnect MAIG Mayor’s Office Boston Reentry Initiatives – adult and juvenile City of Boston’s National Forum Youth Violence Prevention Plan: Comprehensive, multi-agency, City-led three year action plan Person, place, and issue-based strategies Focused on gang and gun violence; young offenders/victims, their families and communities Enhanced information sharing and civic engagement in support of Prevention, Intervention, Enforcement and Reentry Community building and family strengthening are key components

10. Early Prevention Prevention Intervention Enforcement Reentry STRATEGIES 0 AGE Early 30s Low Level of Risk High

11. Principles of our Work: Multi-disciplinary and reliance on partnerships Community involved Strengths-based Considers social norms Coordination and leveraging resources Developmentally appropriate Flexible

12. Evidence based/ evidence informed Decisions about where to focus resources and place based initiatives are data driven “The integration of best research evidence with [practicioner] expertise and [community, client] values” (Institute of Medicine 2001 report, Crossing the Quality Chasm: A New Health System for the 21 st Century) Utilize effective methods to bridge the gap between research and practice

13. Social Spheres Community Level Family/Adult Influencer Level Individual Level

14. Community Level The settings, such as schools, workplaces, and neighborhoods, in which people live, work, and play and the characteristics of these settings that are associated with exposure to violence. – Prevention – designed to impact the climate (including social norms), processes, and policies in a community – Intervention – designed to impact community-level safety

15. Place-based Initiatives – Choice Neighborhoods – Safe Streets Teams/ Community Policing – OJJDP Grant in Mattapan – VIP/STRYVE

16. VIP/STRYVE: Violence Prevention through Community Engagement and Mobilization  Residents are a community’s primary asset  Social cohesion and efficacy are protective factors  Community mobilization can enhance social cohesion and efficacy

17. Operation Ceasefire – Multi-agency, national best practice – Targeting most active gangs, in terms of gun violence – Messaging component to remove anonymity and hold them accountable for their actions Offering services Promising enforcement consequences – Relentless follow up on services and enforcement

18. Youth- Driven Social Marketing Campaign Healthy relationships and healthy masculinity messages Feature Boston youth in campaign materials. Youth develop the messages, manage social media and plan events. Ongoing programming implemented by Peer Leaders.

19. Family/Adult Influencer Level Close relationships (peers, partners, family members) that may influence behavior or otherwise impact the likelihood of experiencing violence as a victim or perpetrator Prevention – designed to support and educate adult influencers to provide positive modeling and messaging for young people; to provide resources and opportunities for siblings/children of those perpetrating violence Intervention – designed to provide resources for families impacted by violence

20. Recognize the role of adult influencers (coaches, youth workers) in communicating healthy relationship messages to youth. – Through DCI, Boston Centers for Youth and Families lead effort to train over 40 athletic directors to implement Coaching Boys to Men curriculum – Host local Y-Summit

21. DCI identified need for increased training for frontline staff, providers, and residents to: Increase their knowledge about the impact of violence and trauma on children Increase skills to support to children, adolescents and families Increase skills to promote resilience and assets in children, adolescents and families

22. Build capacity of local agencies to implement Family Nurturing Programs – The Nurturing program is evidence based and has been adapted for different cultural groups and developmental phases. – Strengths based approach that builds nurturing relationships within and among families as well as connects to local resources. – Meets families where are they are: health centers, early care centers, housing developments, and churches

23. Individual Level Personal history and identity factors that impact the likelihood of becoming a victim or perpetrator of violence – Prevention strategies – designed to promote attitudes, beliefs, and behaviors that prevent violence – Intervention strategies – designed to provide resources for those exposed to/affected by violence and opportunities and/or suppression for those perpetrating violence

24. PACT Initiative PACT is a multi-agency, person and place-based firearm violence reduction initiative that focuses on the individuals driving firearm violence in hotspot neighborhoods. The strategy aims to reduce firearm violence by: Targeting a small but dangerous group of gang involved youth with proactive law enforcement suppression tactics, Offering intervention and prevention services to PACT individuals and their family members, and

25. PACT Enforcement Strategy BPD: Facilitation of creation and maintenance of PACT individuals, convening of partners, ongoing analysis and communication. DA’s Office: Targeted fast- track prosecution, advocating for held without bail, prioritized victim/ witness services. Probation: Enhanced supervision which may include area restrictions curfews, GPS monitoring, and home visits. DYS: Enhanced supervision and prioritized services which may include area restrictions, curfews, and home visits. Caseworkers pull youth back into secure facilities for infractions to stabilize them. Boston Police: Districts and Specialized Units use all legal levers at their disposal, from addressing misdemeanor infractions to intensive investigations. Assisted in PACT selection process. Suffolk County Sheriff’s Department: Automatic placement in the Boston Reentry Initiative (BRI). U. S. Attorney’s Office: Federal adoption of cases for targeted prosecution.

26. PACT Service Strategy Overview PACT Clients: Education and Employment Services PACT Sibs/Children: Case Management with focus on education and out of school time; out of school time and employment opportunities

27. Opportunities for practice change through the PACT Initiative Providing services to children and siblings of clients to interrupt cycle of violence Expanding frame of service delivery from jobs to healing. Ask “What happened to you?” Challenge of accessing resources for multiple exposure to violence

28. Intersection between community violence and intimate partner violence YearTotal Arrests Violent Offence Arrests Domestic Violence Arrests Year 121066 arrests 31.4% of total arrests (66) 13 arrests 6% of total arrests 19.7% of violent offence arrests Year 222062 arrests 28.2% of total arrests (62) 8 arrests 3.6% of total arrests 13% of violent offence arrests

29. Through DCI, increase capacity of behavioral health system to provide evidence based treatments to address trauma – 3 Intensive Learning Communities reaching over 90 clinicians. – Increased Services at 2 Community Health Centers. Focus on family engagement through a family partner Connection to a medical home and primary care Sustainability

30. Primary prevention through: – Promoting healthy relationships among youth through peer leadership. – Universal Social Emotional Learning Curriculums Will reach 23 schools with the Open Circles curriculum 7,000 students grades Kindergarten through 5 th grade Training 750 educators Develop healthy relationships now to prevention future generations’ exposure to violence.

31. Opportunities and Next Directions Federal partnerships benefiting local level strategies Leveraging non-traditional funding streams