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Public Safety

Community Violence Interruption and Hospital-Based Intervention logic model

Four police beats with 6% of the city's population accounted for 38% of nonfatal shootings last year, and about 1 in 5 gunshot patients treated at the trauma center return with another violent injury within 5 years.

Inputs

  • 12 credible messenger violence interrupters and 4 hospital-based intervention specialists
  • Partnership with the Level I trauma center and the city's violence prevention office
  • Life coaching, relocation and emergency assistance funds
  • Training in conflict mediation and trauma-informed care

Activities

  • Respond to shootings within hours to prevent retaliation
  • Mediate active conflicts identified through street outreach
  • Engage gunshot patients at the bedside and provide 12 months of case management
  • Connect participants to jobs, school, mental health care and legal help

Outputs

  • 340 conflicts mediated each year
  • 180 high-risk individuals enrolled in intensive life coaching
  • 210 hospital bedside engagements of violently injured patients
  • 95% of shootings in target beats receive an interrupter response within 24 hours

Short-term outcomes

  • Most mediated conflicts show no violent follow-up at 90 days
  • Enrolled participants complete individual safety plans

Intermediate outcomes

  • Nonfatal and fatal shootings in target beats fall by 20% against comparison beats
  • Violent reinjury among hospital program participants falls by half

Long-term impact

  • Sustained reduction in gun violence in the target area
  • City funds violence intervention as a permanent public safety line item

Indicators and data sources

IndicatorSourceFrequency
Fatal and nonfatal shooting incidents by beatPolice department incident data and the city open data portalMonthly
Violent reinjury among program participantsTrauma center registryQuarterly
Conflict mediations and outcomesProgram outreach databaseMonthly
Participant connection to employment and educationCase management system and state UI wage recordsQuarterly

Assumptions

  • Interrupters keep credibility and safe access in target beats
  • The trauma center maintains bedside access for program staff

Programs this model suits

  • BJA Community Violence Intervention and Prevention Initiative (CVIPI) (many awards were terminated in 2025; check for a current solicitation)
  • State violence prevention grant programs such as California CalVIP
  • Private foundation and hospital community benefit funds

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