We Know What To Do:
Preventing Violence
Creates Thriving
Communities
Boulder, CO
October 8, 2013
Larry Cohen, MSW
Executive Director
http://www.facebook.com/PreventionInstitute.org
@preventioninst
Child Restraint & Safety
Belt Use
Health in all Policies:
A Health Lens in Decision-making
“Simply put, in the absence of a radical shift towards
prevention and public health, we will not be successful in
containing medical costs or improving the health of the
American people.” - President Obama
“No epidemic has ever
been resolved by paying
attention to the
treatment of the
affected individual.”
- George W. Albee
A Public Health Approach to Violence

Population-based

Focuses on prevention

Reduces risks

Increases protective
factors
www.preventioninstitute.org/UNITY
What can be done
to prevent the
problem from
occurring
in the first place?
MOVING
UPSTREAM
“We are still standing
on the bank of the
river, rescuing
people who are drowning.
We have not gone to
the head of the river
to keep them from
falling in.
That is the
21st century task.”
Gloria Steinem
Photo Credit:
http://static.flickr.com/90/207590972_a30260c293_b.jpg
The Prevention Continuum
Up Front
Approaches that
take place
BEFORE
violence has
occurred to
prevent initial
perpetration or
victimization
In The Thick
Aftermath
Immediate
Long-term
responses
responses
AFTER
AFTER
violence has
occurred to deal
with the
consequences in
the short-term
violence to deal
with the lasting
consequences
and treatment
interventions
Violence Prevention in Public
Transportation
Washington, DC, USA
Source: Wikipedia. http://en.wikipedia.org/wiki/File:Washington_DC_metro_station_bethesda.jpg
NORMS
“
The ideas of
one generation
become the
instincts
of the next.
- D.H. Lawrence
”
ENVIRONMENT
BEHAVIOR
BEHAVIOR
HEALTH
& SAFETY
Photo courtesy of Latino Health Access
Photo courtesy of Latino Health Access
“
It is unreasonable to expect
that people will change their
behavior easily when so many
forces in the social, cultural,
and physical environment
”
conspire against such change.
Institute of Medicine
Source: Institute of Medicine. (2000). Promoting health: Intervention strategies from social and
behavioral research (B. D. Smedley & L. S. Syme, Eds.). Washington, DC: National Academies Press.
Image Credit: Jelm6
Flickr
Poor people and people of
color are more likely to
live in neighborhoods
receiving less public and
private investment in
infrastructure and
consequently can appear
disorganized and unsafe.
SOURCE: Williams DR, Collins C. (2001) Racial
residential segregation: a fundamental cause of
racial disparities in health.
Landrine H, Corral I. (2009) Separate and unequal:
Image Credit: Michelle Mockbee Flickr residential segregation and black health disparities
Oakland, CA
a 15 year difference in life
expectancy
Source: Life and Death from Unnatural Causes – Health and Social Inequity in Alameda County.
Alameda County Public Health Department. August 2008
For every $12,500 in family income:
One additional year life expectancy
“The health inequities we see…are not
about just individual bad choices:
they are about things not being fair
Nancy Krieger, Harvard School of Public Health
”
The Trajectory of Health Inequities
ENVIRONMENT
EXPOSURES
&
BEHAVIORS
HEALTH
CARE
SERVICES
INJURIES,
ILLNESS &
INEQUITIES
Take 2
Steps to
Prevention
Environment
Exposures &
Behaviors
Medical
Care
Medical Care Alone Cannot
Reduce Injuries and Inequities

Not the primary determinant of health

Treats one person at a time

Often comes late; can’t always restore
health
What’s Sold and How It’s Promoted
Elements of Community Health
PLACE

What’s sold & how it’s
promoted
Liquor Store Closings
Los Angeles, CA

Zoning ordinances shut
down 200 liquor stores in 3
years.

An average 27% reduction
in crime within a four-block
radius of each closed liquor
outlet.
Elements of Community Health
EQUITABLE
OPPORTUNITY
MEDICAL SERVICES

Racial justice

Preventative services

Jobs & local ownership

Access

Education

PLACE

What’s sold & how it’s
promoted
Treatment quality, disease
management, in-patient services,
& alternative medicine

Cultural competence

Emergency response
PEOPLE

Look, feel & safety

Parks & open space


Getting around


Housing

Air, water, soil

Arts & culture

Social networks & trust
Participation & willingness to act
for the common good
Acceptable behaviors & attitudes
Activity
Taking 2 Steps To Prevention
st
1
The
step ...
Environment
Exposures
& Behaviors
Health Care
Services
Two Steps To Prevention Activity
A. Health
Issue
B. Exposures/
Behaviors
C. Community Health
Factors
Circle the Exposures/
Behaviors listed below that are
related to your health issue.
Type 2
Diabetes
•
•
•
•
•
•
•
•
•
Tobacco Use / Smoking
Diet & Inactivity
Alcohol
Microbial agents
Toxic agents
Firearms
Sexual behavior
Motor vehicles
Illicit use of drugs
Circle the factors below that are
related to your health issue.
•
•
•
•
•
•
•
•
•
•
•
•
•
Getting around
Parks and open space
Arts and culture
Social networks and trust
Participation and willingness to
act for the common good.
Norms/Costumbres
Look, feel and safety
Housing
Air, water, soil
What is sold /how it’s promoted
Racial justice & relationships
Jobs and local ownership
Education
D. Community
Goals/Indicators
List specific examples from
your community of the
community health factors you
circled in column C. Choose
up to 3 examples for each
factor.
Let’s take
another
step ...
Environment
Exposures
& Behaviors
Health Care
Services
Two Steps To Prevention Activity
A. Health
Issue
B. Exposures/
Behaviors
C. Community Health
Factors
Circle the Exposures/
Behaviors listed below that are
related to your health issue.
Type 2
Diabetes
•
•
•
•
•
•
•
•
•
Tobacco Use / Smoking
Diet & Inactivity
Alcohol
Microbial agents
Toxic agents
Firearms
Sexual behavior
Motor vehicles
Illicit use of drugs
Circle the factors below that are
related to your health issue.
•
•
•
•
•
•
•
•
•
•
•
•
•
Getting around
Parks and open space
Arts and culture
Social networks and trust
Participation and willingness to
act for the common good.
Norms/Costumbres
Look, feel and safety
Housing
Air, water, soil
What is sold /how it’s promoted
Racial justice & relationships
Jobs and local ownership
Education
D. Community
Goals/Indicators
List specific examples from
your community of the
community health factors you
circled in column C. Choose
up to 3 examples for each
factor.
Louisville, KY:
Healthy Corner Stores
Louisvilleky.gov
The Spectrum of Prevention
Influencing Policy & Legislation
Changing Organizational Practices
Fostering Coalitions & Networks
Educating Providers
Promoting Community Education
Strengthening Individual Knowledge & Skills
Elements of Community Health
PLACE

Parks & open space
“. . .We could use this place as a
place to play sports.
We don’t get to interact as much
because we don’t have places to
play. The bond is broken. We could
build a park so that kids my age
can stay active healthy and
connected.”
Daisy Romero, Age 13
Photo Voice Project, Santa Ana, CA
Park Access
Acres of Park Space
per 1,000 people
31.8
1.7
0.6
Reference: Paul M. Sherer. “The Benefit of Parks.” Trust for Public Land, 2006.
Park Access
Acres of Park Space
per 1,000 people
Predominantly White
Neighborhoods
31.8
African American
Neighborhoods
1.7
Latino
Neighborhoods
0.6
Reference: Paul M. Sherer. “The Benefit of Parks.” Trust for Public Land, 2006.
Prospect Park: Before Revival
Brooklyn, NY
Image Credit: Librado Romero, The New York Times
Prospect Park Revival
Brooklyn, NY
Photo Credit: Librado Romero, The New York Times
UNITY City Network Members
www.preventioninstitute.org/UNITY
UNITY City Network
Seattle
Minneapolis
Detroit
Richmond
Oakland
(San Jose)
Chicago
Cleveland
Denver
St. Louis
Los Angeles
San Diego
Tucson
Nashville
Houston
www.preventioninstitute.org/UNITY
Louisville
New Orleans
Boston
Newark
Philadelphia
UNITY Activities
 Coordinate
the UNITY City Network
 Guide
Effective & Sustainable Practice:
Training, tools and consultation
 Make
the Case: Framing the discourse on
preventing violence
 Educate
Decision Makers & Inform National
Strategies: Highlighting what works, including
supportive policies and resources
UNITY Assessment
Findings

Law enforcement and criminal justice the most
common approaches

Public health departments rarely included

Most cities lacked a comprehensive strategy

Cities with the greatest coordination had the
lowest rates of youth violence
A Coordinated Approach
Minneapolis
Image Credit: City of Minneapolis, Summer 612
UNITY Policy Platform
UNITY Urban Agenda
www.preventioninstitute.org/UNITY
A Lifetime Commitment to Violence Prevention:
The Alameda County Blueprint
Programmatic &
Service Priorities
 Children & Youth
 Families
 Neighborhoods
Structure &
Staffing
 Program & Govt
Effectiveness
 Decreased
risk factors
 Increased
resilience
factors




Leadership
Accountability
Coordination
Understanding
of violence
prevention
Violence
Prevention
Outcomes
 Intimate partner &
domestic violence
 Dating violence
 Sexual assault
 Child abuse
 Elder abuse
 Youth violence
 Community
violence
 Homicide
 Suicide
 Hate violence
 Police brutality
Violence Prevention Blueprint
Principles

Violence is preventable

Violence prevention is local

Honor what’s working

Respect for diversity

Prevention is not containment
or suppression

We are all stakeholders
MINNEAPOLIS, MINNESOTA
Blueprint for Action:
Preventing Youth Violence in Minneapolis
Connect all youth to trusted adults

Intervene at the first sign of risk for
violence

Restore youth who have gone down the
wrong path


Unlearn the culture of violence
Coordinated Approach
Minneapolis, MN

Adopted the Blueprint for
Action: a Multi-Sector Plan
for Prevention.

64 percent decrease in
homicides of young people
aged 15 to 24 years.

Number of youth suspects in
violent crimes dropped by
62 percent.
Source:
Department of Health and Family Support. (2011, May 24). Results Minneapolis. Retrieved from
http://www.minneapolismn.gov/health/yvp/dhfs_data
Street Outreach & Interruption
CureViolence (CeaseFire Chicago) demonstrated
a 41-73% drop in shootings and killings and a 100%
drop in
retaliation murders in three years.
CeaseFire Chicago
Activities at ALL Levels of the Spectrum
in Salinas, California
6. Influencing Policy
and Legislation
5. Changing Organizational
Practices
4. Fostering Coalitions
and Networks
3. Educating
Providers
2. Promoting
Community Education
1. Strengthening Individual
Knowledge & Skills
• Develop public policies to address alcohol
as a risk factor for violent behavior
• Prioritize economic development and job
training for youth
•Develop collaboration between City,
County, and School Districts to implement
this plan
• Develop a strategy to reduce gang violence
• Convene community-wide dialogue on
discipline
• Invest in early childhood and parent
support initiatives
The Synergy of the Spectrum
“The whole is
greater than the
sum of its parts.”
63
Norms Are Behavior Shapers
A
focus on norms
can help prevent
violence against women
and children.
5 Key Norms
Power &
Control
Limited Roles for Women
Violence
Narrow Definitions of
Masculinity
Privacy and Silence
Success stories
Don Imus, host of CBS’s radio
talkshow “Imus in the Morning”
fired for racist & sexist remarks
Tony Kornheiser of ESPN’s
“SportCenter” suspended for
inappropriate remarks concerning
co-worker Hannah Storm.
Addressing the Intersection:
Preventing Violence and Promoting
Healthy Eating and Active Living
Safety &
Preventing
Violence
Healthy
Eating &
Physical
Activity
The Intersection
A) Violence and fear of violence affect
individual behaviors related to healthy eating
and active living.
B) Violence and fear of violence diminish the
community environment, reducing support
for healthy eating and active living.
“Reality and perception of violence are justifications for people
not being outside or letting children outside, and not walking to
places that they normally would”
-Community Leader
“Turf wars deter
people from walking
to grocery stores.”
“We have a wonderful gym in the park, but the
kids don’t use it because they are afraid of the
park.”
“Community safety is our number one concern. If our
employees feel unsafe coming to work, or our patrons are
scared to shop in the area, we won’t open a store there.”
– Head of Security at a major retail corporation
Creating Safe Spaces

Joint use agreements

Safe routes to school

Afterschool
programming

Aesthetics

Safety-promoting
features
Preventing Violence by Improving
Neighborhood Public Spaces
Chula Vista, CA
Safe Routes to School
Flagstaff, AZ
 Due
to safety concerns at the nearby park, parents did not
allow children to walk to school
 The
Bushmaster Neighborhood committee began a
walking school bus
“No Sales 40” initiative
banned the sale of 40-ounce
glass bottles of alcohol
around the park to reduce
crime.
A
The Built Environment and Safety
Medellin, Colombia
Source: Vargas VA and García PV. Violencia urbana, seguridad ciudadana y políticas públicas: la reducción de la
violencia en las ciudades de Bogota y Medellin (Colombia) 1991- 2007.Bogota: Universidad Nacional de Colombia. 2008.
Providing Land Rights & Reducing
Alcohol Abuse
Diadema, Brazil
Source: Echeverri Restrepo, Alejandro . Hacia un Urbanismo Social. Medellin: Empresa de Desarrollo
Urbano de Medellin. Colombia. 2008.
Fostering Social Cohesion
Photo courtesy of Get Moving Kern and Greenfield Walking Group
Multi-Field Collaboration
City
Council
Law
Enforcement
Public
Health
Partnership
Youth
Healthy Eating
Active Living
Violence
Prevention
Interdisciplinary Collaboration
Strengthens Outcomes
 Brings
together diverse expertise
 Combines
advocacy power
 Provides
access to more
constituencies
and networks
 Creates
greater focus on common
goals
 Fosters
sustainability
 Appeals
to many funders
Collaborator 1
Expertise:
Collaboration Multiplier
Shared Outcomes
Collaborator 3
Expertise:
Desired
Outcomes:
Desired
Outcomes:
Key Strategies:
Key Strategies:
Partner Strengths
Collaborator 4
Collaborator 2
Expertise:
Expertise:
Desired
Outcomes:
Key Strategies:
Joint Strategies
Desired
Outcomes:
Key Strategies:
Preventing violence through urban farming
Denver, CO
Violence Prevention
School
Public Health
mmunity
elopment
unity Health
ucation
Faith-based
Parks & Recreation
Planning Depa
City Council
Urban Agriculture
Youth
Promotores
Phase I: Information Gathering
Expertise
Desired Outcomes
n Population-based
prevention
approaches and data
collection of injury
rates
n Reduce unintentional
injuries among all
travelers, including
drivers, pedestrians,
bicyclists, disabled,
elderly
n Facilitate environmental and
policy changes (i.e.,
pedestrian/bicycle-friendly street
design, car seats, seat belts,
driving under the influence,
bicycle helmets)
n Road and sidewalk
design that provides
safe travel for multiple
modes of
transportation
n Prevent traffic
crashes and reduce
severity of injuries if a
crash occurs
n Promote safety regulations for
occupants and vehicles
n Implement street designs that
promote safety
Law
Enforcement
n Expertise in legal
requirements and
crash investigations
and has the authority
to enforce traffic laws
n Increase compliance
to traffic safety laws
n Enforce traffic laws, patrol
neighborhoods, implement
check points, cite reckless
drives, and participate in
educational campaigns
Optometry
n Understanding of
how people visualize
traffic signs and
signals
n Improve vehicle
displays, traffic
signals, and road
signage n Better
driver assessment for
licensing purposes
Public
Health
Transportation
Engineering
.
Strategies
n Utilize color and design
features to increase driver
attention to traffic signals and
signs
2
Health
Sector
Economic
Sector
Analysis
Shared
Outcomes
Partner
Strengths
Joint
Strategies
Education
Sector
Community
Services
Sector
Collaboration Multiplier:
Improving Safety and Increasing Access to Healthy Food
Public Health
Violence Prevention VP
PH
Expertise:
Expertise:
Desired Outcomes:
Desired Outcomes:
Key Strategies:
Key Strategies:
Urban Agriculture
UA
+
City Council
Expertise:
Expertise:
Desired Outcomes:
Desired Outcomes:
Key Strategies:
Key Strategies:
CC
Collaboration Multiplier:
Improving Safety and Increasing Access to Healthy Food
Public Health
Violence Prevention VP
PH
Expertise:
Expertise:
• Experience in population-based interventions
and collection of data on chronic disease and
injury rates
•Expertise in youth violence prevention and
intervention
Desired Outcomes:
Desired Outcomes:
• Unification of collaborative efforts to address
violence and chronic disease
•Decreased gang violence and increased
positive opportunities for at-risk youth
Key Strategies:
Key Strategies:
• Facilitate system and policy changes that link
healthy eating active living with violence
prevention efforts
Urban Agriculture
UA
+
•Build youth leadership and connect youth
to training and employment opportunities
City Council
Expertise:
Expertise:
• Knowledge on urban food system infrastructure and
implementation
• Knowledge and ability to influence local
policy decisions
Desired Outcomes:
Desired Outcomes:
• Long-term partnerships to achieve sustainable
food systems
•Policies that promote health and safety in
the district
Key Strategies:
Key Strategies:
• Create mechanisms for residents to access
fresh, affordable healthy foods
•Help leverage funds for long-term
sustainability
CC
Public Health
Expertise:
PH
• Provide credibility, data and in-kind staff
support
Desired Outcomes:
• Unification of collaborative efforts by
partners to address VP/HEAL
Key Strategies:
• Facilitate system and policy changes that
link healthy eating active living with violence
prevention efforts
Public Health
PH
Expertise:
Shared Outcomes
• Experience in population-based
interventions and collection of data on
chronic disease and injury rates
Desired Outcomes:
• Unification of collaborative efforts to
address violence and chronic disease
• Decreased gang violence and
increased positive opportunities for
at-risk youth
Partner Strengths
Key Strategies:
• Facilitate system and policy changes
that link healthy eating active living
with violence prevention efforts
Expertise:
• Knowledge on urban food system
infrastructure and implementation
Desired Outcomes:
• Long-term partnerships to achieve
sustainable food systems
Key Strategies:
• Create mechanisms for residents to
access fresh, affordable healthy
foods
VP
• Expertise in youth violence prevention
and intervention
Desired Outcomes:
Urban Agriculture
Violence
Prevention
Expertise:
Key Strategies:
• Build youth leadership and connect
youth to training and employment
opportunities
City Council
UA
Expertise:
Joint
Strategies/Activities
• Knowledge and ability to influence
local policy decisions
Desired Outcomes:
• Policies that promote health and
safety in the district
Key Strategies:
• Help leverage funds for long-term
sustainability
CC
PH
Public Health
Shared Outcomes
Expertise:
•Experience in population-based
interventions and collection of data
on chronic disease and injury rates
Desired Outcomes:
•Unification of collaborative
efforts to address violence and
chronic disease
Partner Strengths
Key Strategies:
•Facilitate system and policy
changes that link healthy eating
active living with violence
prevention efforts
Urban Agriculture
Expertise/:
•Knowledge on urban food
system infrastructure and
implementation
Desired Outcomes:
•Long-term partnerships to
achieve sustainable food
systems
Key Strategies:
•Create mechanisms for
residents to access fresh,
affordable healthy foods
• Strong partnerships among partner
organizations and community members
• Safe community gathering space: Urban farm
• Employment for youth and adults
• Increased access to healthy foods
• Institutional systems and local policies to
promote health and safety
UA
• Established trust and respect in community
• Local policy maker involvement and support
• Experience in community engagement and
training
• Content expertise
• In-kind support
• Linked to broader city-wide initiatives
Joint Strategies
• Establish urban farm and farmer’s market
• Build youth capacity to understand goal and
advocate for environmental and policy changes
• Build capacity of leaders
• Cultivate relationships and partnerships
• Connect youth and community residents to
training and employment opportunities
Violence Prevention
VP
Expertise:
•Expertise in youth violence
prevention and intervention
Desired Outcomes:
•Decreased gang violence and
increased positive
opportunities for at-risk youth
Key Strategies:
•Build youth leadership and
connect youth to training and
employment opportunities
City Council
Expertise:
• Knowledge and ability to
influence local policy
decisions
Desired Outcomes:
•Policies that promote health
and safety in the district
Key Strategies:
•Help leverage funds for longterm sustainability
CC
Shared Outcomes
PH
+
VP
+
UA
+
CC
•
Strong partnerships among partner
organizations and community
members
•
Safe community gathering space:
Urban farm
•
Employment for youth and adults
•
Increased access to healthy foods
•
Institutional systems and local
policies to promote health and
safety
Sectors that Prevent Violence







Community
Services
Criminal Justice
Economic
Education
Governance
Public Health
Social Services
Private Sectors:
 Business
 Faith
 Media
Other Departments:
 Housing
 Planning & Zoning
 Public Works
 Transportation
Collaboration Multiplier:
Improving Safety
Health
H
Education
Desired Outcomes:
Desired Outcomes:
Establish a hospital-based violence
intervention program
Deliver trauma informed education
Key Strategies:
Key Strategies:
Conduct a self-assessment on the health
agency’s capacity to prevent violence and
injury
Economic
Desired Outcomes:
Ec
+
Develop alternatives to zero-tolerance
discipline
Incorporate social and emotional
learning into all curriculum and
instruction
Community Services CS
Desired Outcomes:
Build residents’ leadership and advocacy
skills
Key Strategies:
Subsidize start-up costs for entrepreneurs
in disinvested areas
Establish a Business Improvement District
Incorporate Crime Prevention Through
Environmental Design into projects
Ed
Increase access to city resources and
services for communities that have been
historically marginalized
Key Strategies:
Shared Outcomes
H
+
Ed
+
Ec
+
CS
•
Shared data to make better decisions
•
Decisions and programs reflect residents’ priorities
•
Positive stories about youth incorporated into
communications
•
Expanded Safe Routes to School to address gangs, graffiti
and blight, alcohol density
•
Health services provided at schools
•
Pedestrian and neighborhood shopping districts are safe,
clean and accessible
•
Marginal retail areas are rezoned with special attention to
alcohol outlet density
•
Joint Use Agreements
•
Partnering with youth-serving groups and community-based
organizations to complement school-run activities and
supplement the curriculum
•
Funded micro-enterprises to address gaps in neighborhood
services and encourage
youth employment
Collaboration Multiplier:
Improving Safety
Shared
Outcomes
Health
Desired Outcomes:
Establish a hospital-based violence
intervention program
Shared data to make better
decisions
Decisions and programs reflect
residents’ priorities
Positive stories about youth
incorporated into communications
Key Strategies:
Conduct a self-assessment on the health
agency’s capacity to prevent violence and
injury
Economic
Desired Outcomes:
Partner
Strengths
Education
Desired Outcomes:
Deliver trauma informed education
Key Strategies:
Develop alternatives to zerotolerance discipline
Incorporate social and emotional
learning into all curriculum and
instruction
Community Services
E
Desired Outcomes:
Build residents’ leadership and
advocacy skills.
Key Strategies:
Subsidize start-up costs for entrepreneurs
in disinvested areas
Establish a Business Improvement District
Incorporate Crime Prevention Through
Environmental Design into projects
Joint
Strategies/Activities
Expanded Safe Routes to School to
address gangs, graffiti and blight,
alcohol density
Marginal retail areas are rezoned with
special attention to alcohol outlet
density
Joint Use Agreements
Increase access to city resources and
services for communities that have
been historically marginalized
Key Strategies:
A good solution
solves
multiple
problems.
Prevention Institute
Community-Centered
Health Homes
A Different Way
to Think about Health Care
Photo Credit: Daniel Bernstein
“The last time
we looked in the
book, the
specific therapy
for malnutrition
was food.”
Jack Geiger, MD
Medical Equipment
Community-Centered
Health Homes
Patient-Centered
Health Homes
Medical
Homes
Oakland Chinatown
Photo Credit: http://metes.wordpress.com/2009/01/25/diagonal-crosswalks/
CLINICAL/COMMUNITY
POPULATION HEALTH INTERVENTION MODEL
Existing Clinician Skills
PATIENT INTAKE
DIAGNOSIS
TREATMENT
Transferable to Community Prevention
INQUIRY
ASSESSMENT
OUTCOMES
ACTION
IMPROVED
HEALTH
DATA
COLLECTION
PARTNERSHIP
FORMATION
• Health Care
• Public Health
• Community
Organizations
IDENTIFY
PRIORITY
HEALTH ISSUES
COMPREHENSIVE
STRATEGY
DEVELOPMENT
ENVIRONMENTAL
& POLICY
CHANGE
COORDINATED
CLINICAL &
COMMUNITY
PREVENTION
ACTIVITY
COST SAVINGS
EVIDENCE-BASE
FOR EFFECTIVE
PRACTICE
“We are bringing together the health and
human rights voices in south LA and
beyond to discuss the healthcare crisis and
how we build a movement for the right to
health.”
-Jim Mangia, CEO St. John’s
Elements of Community Health
EQUITABLE
OPPORTUNITY
MEDICAL SERVICES

Racial justice

Preventative services

Jobs & local ownership

Access

Education

PLACE

What’s sold & how it’s
promoted
Treatment quality, disease
management, in-patient services,
& alternative medicine

Cultural competence

Emergency response
PEOPLE

Look, feel & safety

Parks & open space


Getting around


Housing

Air, water, soil

Arts & culture

Social networks & trust
Participation & willingness to act
for the common good
Acceptable behaviors & attitudes
Inquiry:
Housing Questionnaire
Analysis:
Collaborative to Assess
Housing Conditions
St. John’s Well Child &
Family Center
Esperanza Community
Housing Corporation
Strategic Actions for a Just
Economy
Los Angeles Community
Action Network
Action:
Policies that Improve Health
Community
Engagement
Outcomes
Medical Care
Health
Action
Education
Advocacy
Litigation
POLICIES:
LA City Attorney’s
Office; LA County
Department of Public
Health
Landlord Compliance
We Must Prevent Violence
“ The first of all
freedoms is freedom
from violence.
The first of all rights
must be the right to
safety.”
-Connie Rice
Director, LA Advancement Project and author of ‘Power Concedes Nothing’
“Intellectuals solve problems.
Geniuses prevent them.”
Albert Einstein
We Can Prevent Violence
“ Violence is not the problem of
one neighborhood or group.
Coming together and owning this
problem and the solutions are
central.”
-Dr. Deborah Prothrow-Stith
Harvard School of Public Health
UNITY Co-Chair
We Need All Our Voices
to Build a Movement
Photo Credit: http://www.historycooperative.org/journals/jah/91.4/images/hall_fig01b.jpg
www.preventioninstitute.org/unity
Larry Cohen
510-444-7738
larry@preventionin
stitute.org
Explore UNITY resources at preventioninstitute.org/unitylinks
Sign up for alerts at preventioninstitute.org/alerts
Connect with us on