The Impact of Local Violence Intervention Programs

April 1, 2019

Gun homicides, nonfatal shootings, and exposure to gun violence reflect and intensify this country’s long-standing racial inequities. Individuals in some neighborhoods are impacted by gun violence at higher rates than other Americans in part because of deliberate policy decisions that have resulted in segregated neighborhoods and underinvestments in Black and Hispanic communities. These communities are disproportionately burdened by gun violence.Center for American Progress. Systematic Inequality. February 21, 2018. https://ampr.gs/2okO7qy; Chandler A. Cities United. Interventions for Reducing Violence and its Consequences for Young Black Males in America. https://bit.ly/2xGoNPG.

There are nearly 13,000 gun homicides in the U.S. every year

  • There are nearly 13,000 gun homicides in the U.S. every year.Centers for Disease Control and Prevention. WISQARS Fatal Injury Reports. Data reflects a 5-year average (2012-2016). In this document, homicide intent includes gun deaths by homicide and legal intervention. In 2015, over a quarter of these gun homicides occurred in neighborhoods containing less than two percent of the country’s population.The Guardian. Want to fix gun violence in America? Go Local. Published January 9, 2017. Accessed April 19, 2018. Available at: https://bit.ly/2i6kaKw. Neighborhoods are defined as US census tracts; 1,200 census tracts represent 26 percent of gun homicides and 2 percent of the population.
  • Gun violence is further concentrated in small social networks. In Chicago, for example, 70 percent of all nonfatal gunshots and 46 percent of gun homicides occurred in social networks containing less than six percent of the city’s population.Papachristos, A. Wildeman, C. Roberto, E. Tragic, but Not Random: The Social Contagion of Nonfatal Gunshot Injuries. Social Science & Medicine, 2015; 125, 139-150; and Papachristos A, Wildeman, C. Network Exposure and Homicide Victimization in an African American Community, American Journal of Public Health. 2014; 104(1), 143-150. Similarly, in New Orleans, less than one percent of the city’s population were involved in over 50 percent of all homicides.Corsaro N, Engel, R. Most Challenging of Contexts: Assessing the Impact of Focused Deterrence on Serious Violence in New Orleans. Criminology and Public Policy. 2015; 14(3), 471-505.
  • Within these social networks, violence spreads like a disease – when an individual is victimized by or exposed to violence, it increases the likelihood that they will be victimized again or become a perpetrator.Tracy M, Braga A, Papachristos A. The Transmission of Gun and Other Weapon-Involved Violence Within Social Networks. Epidemiological Reviews, 2016; 38(1), 70-86.,Green, B. Horel, T. Papachristos, A. Modeling Contagion Through Social Networks to Explain and Predict Gunshot Violence in Chicago, 2006 to 2014. Journal of American Medical Association Internal Medicine, 2017, 177(3), 326-333.

Everytown supports violence intervention programs that provide comprehensive support to the individuals who are at greatest risk of gunshot victimization.

Violence intervention programs identify individuals who are at the highest risk of shooting or being shot to reduce violence through targeted interventions

Community-based violence intervention programs apply a localized approach to gun violence prevention that are well-suited to address gun violence in the hardest hit neighborhoods. These programs identify individuals who are at the highest risk of shooting or being shot, and work to reduce violence through targeted interventions. There are several program models. Three of the most common include the below:

  • Cure Violence starts with a premise that violence is contagious and employs a public health approach to fight the disease of violence. The hallmark of the program are street outreach workers, who actively work to mediate conflicts and prevent retaliatory violence between those who are at-risk to commit or become the victims of gun violence. Street outreach workers are often former members of street groups, allowing them to speak with credibility and understanding.
  • Group Violence Intervention (GVI) programs utilize the call-in, a meeting where members of violent groups hear from law enforcement, social service organizations and community members that the violence must stop. Law enforcement brings a strong message that if violence continues, the perpetrators will be caught and face harsh consequences. Individuals seeking help are connected to social services, including education programs, tattoo removal and employment counseling. Following a shooting, impacted individuals are recruited to attend a call-in through customized street and hospital outreach.
  • Hospital-Based Violence Intervention programs (HVIPs) are located in trauma centers and emergency departments. These programs engage patients while they are still in the hospital, often just hours after a violent injury, to reduce the chance of retaliation and violent injury recurrence. They are based in the premise that there is a unique window of opportunity to engage victims of violence in the immediate aftermath of a traumatic injury. Participants are connected to a case manager, who helps the victim access mental health counseling, education, employment counseling and other services. HVIPs often collaborate with the Cure Violence program in their city.

Evidence-based gun violence intervention programs reduce gunshot victimizations in the neighborhoods most impacted by gun violence.

In the South Bronx cure violence programs were associated with a 37 percent decline in gun injuries and a 63 percent decline in shooting victimizations

  • The Cure Violence program reduces shootings and homicides. In Philadelphia, the program resulted in 2.4 fewer shootings per month for every 10,000 residents in the areas served by the program.Roman C, Klein H, Wolff K, Bellamy MD, Reeves K. Philadelphia CeaseFire: Findings from the Impact Evaluation. Philadelphia, PA: Temple University. 2017. Similarly, an evaluation of the Cure Violence program in the South Bronx found that it was associated with a 37 percent decline in gun injuries and a 63 percent decline in shooting victimizations while a similar neighborhood without the program did not experience the same rate of reduction.Delgado, SA. Alsabahi, L. Wolff, K. Alexander, N. Cobar, P. Butts, JA. The Effects of Cure Violence in the South Bronx and East New York, Brooklyn. Brooklyn. In Denormalizing Violence: A Series of Reports from the John Jay College Evaluation of Cure Violence Programs in New York City. New York, NY: Research and Evaluation Center, John Jay College of Criminal Justice, City University of New York.
  • Group Violence Intervention reduces gun violence. In Chicago, the program reduced gun violence among group members who attended a call-in. These individuals were 32 percent less likely to be the victim of a fatal or nonfatal shooting than individuals who did not receive the intervention; homicides decreased by 37 percent in targeted neighborhoods.Andrew V. P., David S.K., Changing the Street Dynamic: Evaluating Chicago’s Group Violence Reduction Strategy, Chicago’s Group Violence Reduction Strategy. Criminology and Public Policy, American Society of Criminology. Vol 14. Issue 3
  • Hospital-based violence intervention programs (HPIV) are an effective means of reducing the risk that an individual will suffer an additional violent injury after leaving the hospital. These programs also reduce the likelihood that an individual will participate in retaliatory violence. In Baltimore, individuals who did not receive the HPIV program were six times more likely to be hospitalized again for a violent injury and four times more likely to be convicted of a violent crime than individuals who received the intervention. Individuals who received the intervention also saw their employment increase from 39 percent to 82 percent, while employment fell for those not in the program.Carnell C. Dawn M.E. Paul D.S. Hospital-Based Violence Intervention Programs Work. The Journal of Trauma Injury, Infection, and Critical Care. Sept 2016. In San Francisco, an HPIV program reduced the percent of patients who were readmitted with a violent injury from 8.4 percent to 4.9, a two-fold reduction in violent reinjury.Juillard, C. Cooperman, L. Allen, I. Pirracchio, R. Henderson, T. Marquez, R. Orellana, J. Texada, M. Dicker, RA. A Decade of Hospital-based Violence Intervention: Benefits and Shortcomings. WTA Plenary Paper. Trauma Acute Care Surgery. 2016; Vol 81. Number 6.

Group Violence vs. Gang Violence

Gun violence occurs within social groups; most individuals who are shot know the person who shot them.Papachristos A, Wildeman C, Roberto E. Tragic, but Not Random: The Social Contagion of Nonfatal Gunshot Injuries. Social Science & Medicine. 2015; 125, 139-150; and Papachristos A, Wildeman C. Network Exposure and Homicide Victimization in an African American Community. American Journal of Public Health. 2014, 104(1), 143-150; Corsaro N, Engel R. Most Challenging of Contexts: Assessing the Impact of Focused Deterrence on Serious Violence in New Orleans. Criminology and Public Policy, 2015; 14(3), 471-505; Tracy M, Braga A, Papachristos A. The Transmission of Gun and Other WeaponInvolved Violence Within Social Networks. Epidemiological Reviews, 2016; 38(1), 70-86; Green B, Horel T, Papachristos A. Modeling Contagion Through Social Networks to Explain and Predict Gunshot Violence in Chicago, 2006 to 2014. Journal of American Medical Association Internal Medicine. 2017; 177(3), 326-333. Although some of this violence is tied to gangs, most occurs within informal social groups.National Network for Safe Communities. FAQ: Why does GVI focus on groups?. John Jay College. https://nnscommunities.org/our-work/faqs#2 Accessed 9/6/2018. Gangs are established, formal organized crime organizations that make money for a larger entity and control a large amount of territory for multiple generations.FBI. What We Investigate: Gangs. https://www.fbi.gov/investigate/violent-crime/gangs. Accessed 9/6/2018. Most gun violence occurs within informal social networks where individuals are tied together by living on the same block or having the same friend group. Violence within groups, which represents the majority of city gun violence, occurs spontaneously and often over minor disagreements or perceived disrespect.Engel RS, Baker SG, Tillyer MS, Eck J, Dunham J. Implementation of the Cincinnati Initiative to Reduce Violence (CIRV): Interim Report. University of Cincinnati Policing Institute. 2008. This violence becomes deadly because of the presence of a gun, and is not used for strategic reasons or to maintain control of an area.