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Safe Streets Baltimore
Baltimore, Maryland
H f Th J h H ki H i l d Th J h H ki Home of The Johns Hopkins Hospital, and The Johns Hopkins School of Medicine, founding institutions of modern American medicine
Home of The Inner Harbor ‐ historic seaport, tourist attraction and iconic landmark
Home of The Baltimore Ravens with 7 playoff appearances Home of The Baltimore Ravens with 7 playoff appearances since 2000
Baltimore, Maryland, y
Where the leading cause of death among Baltimore City residents aged 15‐34 years is homicide
Wh 30% f hild i tWhere 30% of children grow up in povertyWhere many youth don’t believe they’ll live to be 25, and if they
do for some it will be behind barsWhere the juvenile homicide rate is 8.4 times higher than the
national rate
Top 5 Reasons for Dying Too YoungTop 5 Reasons for Dying Too Young in Baltimore City
Top 5 Causes of Deaths <75 years in Baltimore City
% of All Years of Potential Life Lost
1. Heart Disease 15.4
2. Cancer (all Causes) 14.8
3 Homicide 12 53. Homicide 12.5
4. HIV/AIDS 7.6
5 Drug‐induced 6 95. Drug‐induced 6.9
Cure Violence•Evidence‐based, public health model to reduce
shootings and killingsg g
• Health problem (disease)
• Epidemic• Epidemic
• Infectious
• Based in behavior (learned/social norm)
• Behavioral interventions can interrupt transmission by changing normschanging norms
The Public Health ApproachStop shootings & killings by:
•Working with people at the•Working with people at the highest risk (in this case those most associated withmost associated with violence)
•Working in those•Working in those communities that are disproportionately effecteddisproportionately effected
• Using data and research to i f th kinform the work
The Cure Violence Model to Reduce Sh ti d KilliShootings and Killings
Identification Change Beh io
Interruption, Intervention
and DetectionBehaviors and Normsand Risk
Reduction
D t d M it iData and Monitoring
Behavior Formation Modeling:
• Imitation
• Start of infectivity fof
behaviors
Behavior Formation
Trial and error:
• Intentional or unintentional
• Consequences
• Physical
• Social
P di ti i f t ti• Prediction in future action
Behavior Change
Change agents move individuals and groups to the tipping pointtipping point.
Change Happens When…
• Engage influencers
Outreach workers and violence interrupters:
• Engage influencers • Correct old information • Provide new information• Assist in overcoming barriers • Monitor change process
F l b h i i i th i lf i t t d f l i ht
Program participants:
• Feel new behavior is in their self‐interest and feels right• Have opportunities to develop new skills • Feel new behavior evokes positive social reactions (and• Feel new behavior evokes positive social reactions (and avoids negative)
Multiple Messages Change What is “Normal”
Outreach Interveners 3 Variables Behavioral Outcome
Workers Violence Interrupters
Norms
p Peers Family Members Risk
No ShootingsMembers
Community members
Faith Leaders Faith Leaders Law Enforcement
Champions
Alternatives
Champions
Critical Elements of the Model
The Right…
• Community• Community
• Participants
• Approach
Workers with the Right skills & Right backgroundsWorkers with the Right skills & Right backgrounds
Partners
Messages and Messengers
• Using data to inform the work and ensure effectivenessUsing data to inform the work and ensure effectiveness
The Right Partners
• Implementing OrganizationsImplementing Organizations
•The Community
•Faith Leaders
• Law Enforcement
•Hospitals
•Service Providers
The Right Partners: Implementing Organizations
•Mission supports violence prevention strategiesMission supports violence prevention strategies
•Understands public health approach
•Dedicated to the implementation process
•Committed to maintaining model fidelityg y
•Willing to partner with BCHD
•Able to manage detailed fiscal accounting
The Right Partners: Community
•Demonstrated need for intervention
•Organizations, businesses and other g ,partners within the target neighborhood who are supportive of the Safe Streets Baltimoremission
•History of collaborative efforts between ycommunity groups
•Several residents within the targetSeveral residents within the target community who are vocal advocates that shootings within their community are not acceptable
•Unique position to
The Right Partners: Faith Leaders
•Unique position to influence thinking and behavior
•Engage members of the faith community to partner on events, shooting responses, etc.
Partnership can include:• Opening facility as a safe haven
• Preaching nonviolence
Att di d/ l di h ti• Attending and/or leading a shooting response
• Urging congregants to work to stop shootings and killings
The Right Partners: Law Enforcement
• Notification of Shootings
D t• Data
• Participation in Hiring Panels
• Background Checks
• Allows staff to conduct shooting• Allows staff to conduct shooting responses and events without interferenceinterference
Common Goal = Reduce Violence
• Partnership allows
The Right Partners: Hospitals• Partnership allows Interrupter and Outreach Staff to meet with victims and their friends and families
• Increases ability to t t li tiprevent retaliation
Common Goal = Commitment to reducing violent trauma recidivism among victims admitted to the hospital for gun shot wounds
The Right Partners: Service Providers
Provide assistance to highest risk:
Education
Job Readiness
Employment
Substance Abuse
Mental Health
Housing
The Right Staff with the Right SkillsMUST BE:
Able to relate to highest risk
Credible
Connected to target communityConnected to target community
Street‐smart
Willing to adhere to the model
Primary Responsibilities:
• Identify and detect
• Interrupt• Interrupt
• Redirect
Outreach Workers
•Build rapport and trust with highest risk individuals
•MEDIATE CONFLICTSMEDIATE CONFLICTS
•Manage caseload of 20 participantsparticipants
•Provide support services
• Connect to positive alternatives
• Help highest‐risk get on and stay on a positive path
Violence Interrupters•Have respect of streetHave respect of street organizations
•Monitor the “pulse” of the•Monitor the pulse of the community
MEDIATE CONFLICTS•MEDIATE CONFLICTS
•Work to prevent retaliations
•Manage follow‐up after resolution of conflicts
• Refer potential participants to Outreach staffto Outreach staff
Changing Normsg g
Changing Norms: Community Outcry
Changing Norms: Shooting Response
Changing Norms: Community Activity
For Additional Information:
Lori Toscano, Director
443.984.3566
www.Facebook.com/BmoreYVP
