040714handoutsfinal€¦ · to serve as backbone organizations for violence prevention activities...

4/3/2014

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Stopping Violence Before it Occurs:

Violence Prevention, Maternal and Child Health,

and Public Health

Stopping Violence Before it Occurs:

Violence Prevention, Maternal and Child Health,

and Public Health

Produced by the Alabama Department of Public HealthVideo Communications and Distance Learning DivisionProduced by the Alabama Department of Public HealthVideo Communications and Distance Learning Division

Satellite Conference and Live WebcastMonday, April 7, 2014

12:00 – 1:30 p.m. Central Time

Satellite Conference and Live WebcastMonday, April 7, 2014

12:00 – 1:30 p.m. Central Time

FacultyFacultyChris Gunther, MPH

Manager of Strategic InitiativesCity of New Orleans Health Department

Chris Gunther, MPHManager of Strategic Initiatives

City of New Orleans Health Department

Sponsored by the Tulane Maternal and Child Health Leadership Training Program with funding from the Maternal and Child Health Bureau,

Health Resources and Services Administration

Sponsored by the Tulane Maternal and Child Health Leadership Training Program with funding from the Maternal and Child Health Bureau,

Health Resources and Services Administration

OverviewOverview• Violence is a public health issue

• Primary prevention of violence is a

MCH priority

• Addressing trauma is essential

• Violence is a public health issue

• Primary prevention of violence is a

MCH priority

• Addressing trauma is essential• Addressing trauma is essential

• Violence is a complex problem that

requires comprehensive solutions

• Case study: New Orleans

• Addressing trauma is essential

• Violence is a complex problem that

requires comprehensive solutions

• Case study: New Orleans

Background: The New Orleans Health Department


• Vision

– To serve New Orleanians as a

21st century health department

• Vision

– To serve New Orleanians as a

21st century health department y p

and a model for the nation through

data-driven decision-making and

policy development

y p

and a model for the nation through

data-driven decision-making and

policy development



• Historically:

– Focused on individuals and

treatment of disease

• Historically:

– Focused on individuals and

treatment of disease

• Today:

– Population health focus, emphasis

on prevention strategies

• Violence is a major public health issue

• Today:

– Population health focus, emphasis

on prevention strategies

• Violence is a major public health issue

What Can “Full House” Teach Us About Violence?

What Can “Full House” Teach Us About Violence?

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Violence Is A Public Health IssueViolence Is A Public Health Issue• Violence is extremely pervasive

– In 2010, 4,828 young people ages

10 - 24 were victims of homicide

– Nearly two out of three children

• Violence is extremely pervasive

– In 2010, 4,828 young people ages

10 - 24 were victims of homicide

– Nearly two out of three childrenNearly two out of three children

have been exposed to violence

Nearly two out of three children

have been exposed to violence

Violence Is A Public Health IssueViolence Is A Public Health Issue• Violence negatively affects physical

and mental health

– Childhood exposure to violence

increases risk of chronic disease

• Violence negatively affects physical

and mental health

– Childhood exposure to violence

increases risk of chronic disease

and risky health behaviorsand risky health behaviors

Violence Is A Public Health IssueViolence Is A Public Health Issue• Violence is a significant health

disparity

– Among ages 10 - 24, homicide is

the leading cause of death for

• Violence is a significant health

disparity

– Among ages 10 - 24, homicide is

the leading cause of death for

African-Americans

• Like a host of other health issues,

violence is preventable, not

inevitable

African-Americans

• Like a host of other health issues,

violence is preventable, not

inevitable

Life Course Approach:Violence Is A MCH IssueLife Course Approach:

Violence Is A MCH Issue• Where people live, learn, work, and

play matters for violence prevention

• MCH expands the frame for potential

• Where people live, learn, work, and

play matters for violence prevention

• MCH expands the frame for potential p p

interventions

• MCH promotes a lifelong approach to

preventing violence

p p

interventions

• MCH promotes a lifelong approach to

preventing violence

Life Course Approach:Violence Is A MCH IssueLife Course Approach:

Violence Is A MCH IssueThe

Telescope

From Hosking, J, From Hosking, J, AmeratungaAmeratunga, S, Morton, S, & Blank, D. (2011). A life course approach to injury prevention: A “lens and telescope” , S, Morton, S, & Blank, D. (2011). A life course approach to injury prevention: A “lens and telescope” conceptual model. conceptual model. BMC Public Health, 11BMC Public Health, 11:695.:695.

The Lens

Trauma: Treatment is Prevention

Trauma: Treatment is Prevention

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Preventing Violence Requires A Collective Impact ApproachPreventing Violence Requires A Collective Impact Approach

• Common agenda

• Shared measurement

• Common agenda


Local health departments are wellLocal health departments are well--situated situated to serve as backbone organizations for to serve as backbone organizations for

violence prevention activitiesviolence prevention activities

Local health departments are wellLocal health departments are well--situated situated to serve as backbone organizations for to serve as backbone organizations for

violence prevention activitiesviolence prevention activities


• Mutually reinforcing activities

• Continuous communication

• Backbone support


• Mutually reinforcing activities

• Continuous communication

• Backbone support

From Turner, S, Merchant, K, From Turner, S, Merchant, K, KaniaKania, J, & Martin, M. (2012). Understanding the value of backbone organizations in collective impact. , J, & Martin, M. (2012). Understanding the value of backbone organizations in collective impact. Stanford Social Innovation ReviewStanford Social Innovation Review. Retrieved from . Retrieved from <http://www.ssireview.org/blog/entry/understanding_the_value_of_backbone_organizations_in_collective_impact_1>.<http://www.ssireview.org/blog/entry/understanding_the_value_of_backbone_organizations_in_collective_impact_1>.

Case Study: New OrleansCase Study: New Orleans

New Orleans’ Murder Rate Has Been 7- 8x The National Average For Over 30 Years

New Orleans’ Murder Rate Has Been 7- 8x The National Average For Over 30 Years

400

5002010 2011 2012 2013

0-17 12 19 12 13

0

100

200

300

53

242

19

79

19

80

19

81

19

82

19

83

19

84

19

85

19

86

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87

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95

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19

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19

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19

99

20

00

20

01

20

02

20

03

20

04

20

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07

20

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20

09

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10

20

11

AverageMurder Rate

Average #of Murders

18-24 62 64 58 47

25 and older

96 115 121 94

Unk. 5 1 2 1

Total 175 199 193 155

NOLA FOR LIFENOLA FOR LIFE• Stop the shootings

• Invest in prevention

• Get Involved and rebuild neighborhoods

P t j b d t it

• Stop the shootings

• Invest in prevention

• Get Involved and rebuild neighborhoods

P t j b d t it• Promote jobs and opportunity

• Improve the NOPD

• Promote jobs and opportunity

• Improve the NOPD

www.nolaforlife.orgwww.nolaforlife.org

Success To DateSuccess To Date• In 2013, murders down 20%

from the same period in 2012

• Impact of early efforts focused

on intervention and enforcement

• In 2013, murders down 20%

from the same period in 2012

• Impact of early efforts focused

on intervention and enforcement

– Group Violence Reduction Strategy

– Multi-Agency Gang Unit

– CeaseFire Central City

– Group Violence Reduction Strategy

– Multi-Agency Gang Unit

– CeaseFire Central City

Deepening Our Investment in Prevention

Deepening Our Investment in Prevention

• Focusing more resources on

children, youth, and families

• Sustaining reductions in violence

• Focusing more resources on

children, youth, and families

• Sustaining reductions in violence g

over the long haul

• Expanding our partnerships

• Vision: Children live in a city of

peace and prosperity

g

over the long haul

• Expanding our partnerships

• Vision: Children live in a city of

peace and prosperity

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Planning ProcessPlanning Process• Led by NOHD in collaboration with

planning core team

• Supported by National Forum on

Youth Violence Prevention

• Led by NOHD in collaboration with

planning core team

• Supported by National Forum on


• 18 listening sessions with over

150 stakeholders

• Planning culminated with

Youth Violence Prevention Summit

• 18 listening sessions with over

150 stakeholders

• Planning culminated with

Youth Violence Prevention Summit

Planning ProcessPlanning Process• Partners reviewed and provided

feedback on draft plan• Partners reviewed and provided

feedback on draft planSpectrum of Prevention Asset Map

The Spectrum of Prevention is a signature tool of the Prevention Institute. For more information: www.preventioninstitute.orThe Spectrum of Prevention is a signature tool of the Prevention Institute. For more information: www.preventioninstitute.orgg

Spectrum Level

By 2020, 95% of Our Youth will Feel Safe in Their Schools

and Neighborhoods

By 2020, 95% of Our Youth will Feel Safe in Their Schools

and Neighborhoods

GradeStudents Who

Felt Safe in Their School

Students Who Felt Safe in Their

Neighborhood

Perceived Youth Safety, 2012 (CCYS)Perceived Youth Safety, 2012 (CCYS)

n = 2 338 Their School Neighborhood

6 81% 68%

8 77% 78%

10 79% 72%

12 69% 68%

n = 2,338

• By designing a structure to support youth

Designate a Structure for


• By laying out a series of strategic

Coordinate and Integrate

Activities toward Shared Priorities

• By establishing a citywide goal to improve

th f t

Establish Benchmarks and

Foster Accountability

The NOLA FOR LIFE PLAYbook:Promoting Life for All Youth

The NOLA FOR LIFE PLAYbook:Promoting Life for All Youth

support youth violence prevention, the PLAYbookensures that youth violence prevention activities will be inclusive of diverse partners, coordinated, and sustainable.

strategic priorities for youth violence prevention, the PLAYbooktargets resources toward young peoples’ most pressing needs.

youth safety, the PLAYbooksets a benchmark to track the impact of youth violence prevention activities on young peoples’ lives.

NOLA FOR LIFE Team

• Integration with City

New Orleans Health

Department

• Dedicated staffing to

StructureStructure

Children and Youth

Planning Board

• Authorized by state law and murder

reduction efforts

• Input from senior City leadership

staffing to coordinate activities

• Data collection and tracking

• Communication among partners

state law and City ordinance

• Ensures input from a wide range of community partners

Shared PrioritiesShared Priorities

Up Front

Goal:

Stop

In The ThickGoal: Intervene at the first sign

AftermathGoal:

Repair and t

pviolence from happening before it occurs

the first sign of risk and respond effectively when violence does occur

restore our youth, families, and communities that have been affected by violence

4/3/2014

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80.6%78 8%80%

85%90%95%

100%

Percentage of Students Who Feel Safe in Their School

Grade 6

Perceived Youth Safety, 2004 - 2012 (CCYS)Benchmarks

% of Students Who Feel Safe in Their School

63.2%

47.4%

77.0%

50.9%

78.8%

48.6%

69.2%

40%45%50%55%60%65%70%75%80%

2004 2006 2008 2010 2012

Grade 6

Grade 8

Grade 10

Grade 12

95% Goal

80%85%90%95%

100%

Percentage of Students Who Feel Safe in Their Neighborhood

Grade 6

Perceived Youth Safety, 2004 - 2012 (CCYS)Benchmarks

% of Students Who Feel Safe in Their Neighborhood

51.8%

68.4%

53.0%

78.1%

66.9%72.2%

58.8%

68.1%

40%45%50%55%60%65%70%75%80%

2004 2006 2008 2010 2012

Grade 6

Grade 8

Grade 10

Grade 12

95% Goal

Priorities for 2014:Preventing School Violence

Priorities for 2014:Preventing School Violence• Restorative justice

• Positive behavior interventions

and supports

• Restorative justice

• Positive behavior interventions

and supports Promoting pp

(PBIS)

pp

(PBIS)positive school

climates

--Reduced suspensions and expulsions

--Increased attendance

--Improved academic performance

Priorities for 2014:Preventing Family Violence


• WIC a nexus for family violence prevention

– 62% of New Orleans children

5 and under are eligible for WIC

• WIC a nexus for family violence prevention

– 62% of New Orleans children

5 and under are eligible for WIC

– Domestic violence screening program

– Parenting education

• Triple P – Positive Parenting Program

• Play Nicely

– Domestic violence screening program

– Parenting education

• Triple P – Positive Parenting Program

• Play Nicely



DV Support

Public Benefits

Mental Health

WICBenefits

Parenting Resources

Social Services

Health Care

Services

Priorities for 2014:Building Public Health

Infrastructure

Priorities for 2014:Building Public Health

Infrastructure

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Conclusion:Keys to Success


• Committed high - level leadership

• Clearly and consistently making the

case for prevention

• Committed high - level leadership

• Clearly and consistently making the

case for preventionp

– To policymakers, community

members, and funders

• Opening a big tent – build

partnerships locally and nationally

p

– To policymakers, community

members, and funders

• Opening a big tent – build

partnerships locally and nationally



• Embrace the challenge

– Solutions must be big and bold

• Pegging success to metrics and

• Embrace the challenge

– Solutions must be big and bold

• Pegging success to metrics and• Pegging success to metrics and

tracking progress

• Pegging success to metrics and

tracking progress

For More InformationFor More Information

Chris Gunther

[email protected]

Chris Gunther

[email protected] @ g

(504) 658-2590

www.nola.gov/health

jg @ g

(504) 658-2590

www.nola.gov/health

040714handoutsfinal€¦ · to serve as backbone organizations for violence prevention activities...

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