How Does Treating Gun Violence As A Public Health Crisis Work? One Bronx Program Offers A Potential Flagship Model

A novel way to help young men growing up in communities in which concentrated poverty, violence and unemployment are well-documented barriers to health and longevity: male youth of color are trained to be the emergency response team to help stabilize street victims before doctors or nurses begin procedures.

Colombia has attempted to decrease murder and homicide rates by setting up curfews for teenagers, forcing bars to close earlier in the evening, and creating gun laws to prevent the carrying of weapons. As a result of this epidemiological, data-driven approach, along with other governmental factors, the homicide rate has decreased significantly in most of the cities in which it was implemented.

The highest hospital costs come from preventable emergency room visits. A doctor in Camden developed a home visit program which gives better and cheaper care.

According to the Centers for Disease Control and Prevention, drug overdoses are the leading cause of injury-related mortality. Naxolone, a drug used to revive overdose victims, is only available by prescription. However, private organizations have distributed Naxolone kits nationally, showing that the drug can save lives when it is more readily accessible.

With pressures of depression, anxiety, and suicide on the rise, teenagers in the United States are challenged to find the comfortable outlet and accessibility for emotional support. The Crisis Text Line offers a counseling service through mobile texting, which reduces the shame that can occur when approaching an in-person counselor, and expands access to professional mental health counseling nationwide.

In Houston, TX, many individuals with mental illnesses cycled in and out of emergency care while arrested or incarcerated. Houston’s police department has decreased the number of incarcerated who have mental illness by opening a division to mental health called the Chronic Consumer Stabilization Unit. Now Milwaukee seeks to replicate Houston’s results.

Milwaukee County’s mental health system put more resources in expensive emergency care rather than invest in programs that offer continual care. As a result, Milwaukee County identifies nine solutions from other cities that have had success in repairing mental health systems. Solutions include the ending of reliance on emergency care, expand community support programs, change laws, and supportive housing.

Richmond, California ranked among the highest homicide rates in the country. The city created the Office of Neighborhood Safety to engage the community in the effort to curb gun violence and prevent homicides. ONS works directly with the young people who are at risk and have succeeded in reducing the homicide rate.

In Brooklyn's Crown Heights neighborhood, an organization called Save Our Streets Crown Heights (S.O.S.) is taking steps to disrupt violence. The organization is modeled after Chicago's violence interrupters, which employ people from the neighborhood to connect with those most at-risk and disrupt conflicts and retalitory violence.

A program in Philadelphia is pioneering new ways to treat the urban wounded. By seeing it as PTSD, and not pointing fingers, the city is using mental health tools to decrease violence and heal communities.