Overall design
trauma
SECONDARY
The purpose of TRUE HAVEN is to assess the feasibility of implementing a city-wide intervention to address structural racism, and if so, to evaluate the extent to which it reduces the incidence and effects of community gun violence and creates the enabling conditions for historically marginalized populations to thrive. Funded by the National Institute on Minority Health and Health Disparities (NIMHD), TRUE HAVEN is a hybrid type 1 effectiveness-implementation stepped wedge trial [
Timeline of TRUE HAVEN and list of activities by year and 6-month periodThe primary outcome is neighborhood rates of incident gun violence defined by the annualized rate of gun violence incidents out of the total adult population of the neighborhood. We will also measure secondary outcomes and other outcomes at the individual, implementer/program, and neighborhood/city levels using quantitative and/or qualitative data, where implementers are the ULSC staff responsible for the housing stability intervention component. We also employ the RE-AIM implementation science framework dimensions [
Implementation and effectiveness outcomes for TRUE HAVEN intervention under the RE-AIM framework. Abbreviations: H = housing; F = financial security; T = breaking cycle of trauma; NHPD = New Haven police department; PM = project manager; CHFA = Connecticut Housing Finance AuthorityImplementers/InvestigatorsImplementers/InvestigatorsNeighborhood/CityImplementers/InvestigatorsFollowing the principles of community-based participatory research, all aspects of this project -- from study design, through resource governance, and implementation -- have been achieved through collaborating with community partner organizations. A Community Advisory Board (CAB) that is comprised of racially and ethnically diverse community members living in neighborhoods with high rates of gun violence, firearm assault survivors, formerly incarcerated people, leaders of community-based organizations, educators, academics, city officials, youth mentoring programs, violence deterrence programs, probation officers, and physical and mental healthcare and other social service providers, has been overseeing and guiding this work for more than a decade. Coordinated by the Urban League of Southern Connecticut (ULSC), a regional civil rights organization that aims to empower economically disadvantaged people and groups to secure and sustain economic self-reliance and parity among communities in Connecticut, the CAB meets monthly and will deliver or support delivery of relevant intervention components, as listed in Supplemental Table 1.