IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...

 
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IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
IMPROVING COMMUNITY SAFETY
    Through Public Health Strategies

    LESSONS FROM ATLANTA AND MILWAUKEE
IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
ACKNOWLEDGMENTS
The Foundation would like to thank the many partners who contributed to this report,
including: Alfred Garner II, director of Zone 3 Community Initiatives at CHRIS 180;
DeMicha Luster, founder of The Urban Advocate; Reggie Moore, former director of the
Milwaukee Office of Violence Prevention in the Department of Health; and Markasa
Tucker, executive director of the African-American Roundtable.

ABOUT THE ANNIE E. CASEY FOUNDATION
The Annie E. Casey Foundation is a private philanthropy that creates a brighter future for
the nation’s children and youth by developing solutions to strengthen families, build paths
to economic opportunity and transform struggling communities into safer and healthier
places to live, work and grow.

For more information, visit the Foundation’s website at www.aecf.org.
© 2021, The Annie E. Casey Foundation, Baltimore, Maryland

Design and production: Shagas Design / Photography: ©Bari R. Love and Caselove, LLC
(cover, pp. 8, 12 and 13); Milwaukee Office of Violence Prevention (pp. 3, 14 and 19);
UIC Photo Services (p. 6); ©Chiaki Kawajiri (pp. 7 and 11); ©Joe Brusky / Overpass Light
Brigade (p. 16); ©Laura Dierbeck, courtesy of MKELifestyle.com (p. 17)
IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
CONTENTS

2		 INTRODUCTION

3     A NEW APPROACH TO COMMUNITY SAFETY AND HEALING

7     CURBING VIOLENCE IN ATLANTA WITH COMMUNITY ENGAGEMENT

14    A CITY-LED PLAN TO REIMAGINE COMMUNITY SAFETY IN MILWAUKEE

19    EARLY LESSONS AND CONSIDERATIONS

20    CONCLUSION

21		 ENDNOTES

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IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
introduction

AMERICA IS A TAPESTRY of storied communities, where children
dream of the best the nation has to offer and take pride in the outstanding leaders
who have come before them. Violence, however, hinders the ability of young people
growing up in these places — especially youth of color — to take advantage of
educational and economic opportunities, and leads to trauma that can have lifelong
consequences. Many communities of color continue to bear the brunt of long-
standing discriminatory policies and disinvestment, creating a vicious cycle of poverty
and crime that is hard to escape.

A
        s the nation reckons with             community violence prevention                             safety strategies with the support
        these and other deeply                programs” as part of the proposed                         of local nonprofits and other
        rooted inequities, calls are          American Jobs Plan.2                                      public and private partners.
growing louder for new violence                                                                         Their stories highlight the many
prevention and safety approaches.1            This report offers early lessons                          ways that philanthropic and
Communities across the country                and recommendations from work                             system leaders can help catalyze
are rethinking their investments              the Annie E. Casey Foundation                             alternative public safety models
in neighborhood services and                  is supporting in Atlanta and                              and support their development
support, implementing innovative              Milwaukee to prevent gun                                  and implementation — including
programs focused on healing and               violence. These communities are                           helping to establish a new
working to reduce the roles that              part of a national movement to                            narrative about what it takes
law enforcement and the justice               increase safety and heal trauma                           to keep communities safe and
system play in addressing violence.           by examining root causes and                              building and sharing evidence
At the federal level, President               addressing these issues from a                            on effective public health
Biden has also urged Congress                 public health and racial justice                          interventions.
to commit $5 billion over eight               perspective. Residents in both
years to support “evidence-based              cities are shaping and leading

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IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
A NEW APPROACH
                                to Community Safety and Healing

As community leaders across the nation work to improve health, education and housing conditions in their
neighborhoods, the damaging effects that gun violence has on these efforts — and the young people and
families who experience it — cannot be overstated.

Gun violence stifles economic           The roots of these disparities are                safety still heavily rely on policing
growth, lowers home values and          complex. They stem from decades                   and punitive measures, with
damages social networks and             of disinvestment, oppression                      investments primarily made in law
norms. People who are exposed           and discriminatory policies,7                     enforcement and justice systems.
to shootings and other violent          as well as fraught community-                     These approaches not only have
incidents often suffer emotional        police relationships.8 Despite                    failed to curb violence but also
and psychological damage and can        well-documented inequities,                       have created additional problems,
experience symptoms of post-            including the many killings of                    including mass incarceration
traumatic stress disorder.3 For         unarmed Black men and women                       and the subsequent ripple
children, that resulting emotional      at the hands of police that our                   effects on children, families and
trauma makes it difficult to learn in   nation has witnessed in recent                    communities.9
school and increases the likelihood     years, traditional approaches to
that they will abuse substances
and engage in criminal behavior as
adults.4 As these effects accumulate,
neighborhoods become trapped in
a cycle where violence begets more
violence and crime.

These consequences are not
felt evenly. Black Americans
experience shootings and other
violent deaths at 10 times the rate
of white Americans — a larger
gap than that created by other
health issues such as diabetes,
heart disease and asthma.5 Gun
violence is also the leading cause
of death for Black males ages 15
to 24, according to the Centers for
                                        Seeds of Hope garden mural on Milwaukee’s Southside.
Disease Control and Prevention.6

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IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
KEY PRINCIPLES

In response, the Casey Foundation has invested in a multipronged approach to
safety that is rooted in research and driven by community members. It is grounded
in five key principles:

                                                   Gun violence is preventable.
                       PREVENTION

                                                   Healing and restorative practices
                                                   are crucial to fostering safety.
                         HEALING

                                                   Communities are safer when children
                                                   and families have access to educational
                      OPPORTUNITY                  and economic opportunities.

                                                   The people and communities most
                                                   affected by violence and trauma should
                       COMMUNITY                   lead the development and implementation
                       ENGAGEMENT                  of solutions.

                                                   We must openly acknowledge and address
                                                   the historic policies and practices that
                                                   have led to disproportionate rates of
                         POLICIES
                                                   violence in communities of color, and the
                                                   lasting damage they cause.

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IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
The Foundation’s investments           • implementing prevention                        As the work featured in this
are built on the belief that              strategies at hospitals, through               report shows, both public and
gun violence is a public health           trained staff and community                    private entities have roles to play
epidemic that must be addressed           partners who counsel patients                  in supporting a public health
with preventive measures. Casey           with injuries from violence and                approach to safety. Residents in
is supporting approaches that             aim to steer them away from                    Atlanta, with funding and support
incorporate an assessment of              retaliation;                                   from Casey and other investors,
both risk and resilience factors                                                         established a neighborhood-
at the community level and             • c reating opportunities for                    based advisory group and began
that tackle underlying causes,            community members to                           implementing the Cure Violence
interrupt situations likely to            address trauma and atone for                   model. In Milwaukee, another
result in violence and promote            wrongdoing through “healing                    place where the Foundation is
community-wide healing and                circles,” with their peers                     supporting Cure Violence, the
support.                                  providing emotional support                    movement to reimagine public
                                          during facilitated meetings;                   safety is being driven by the city’s
To date, the Foundation’s                                                                Office of Violence Prevention.
investments have focused on:           • a dvocating for public support
                                          of violence intervention                       Each community developed
• s upporting efforts, such as           and redirecting funds from                     strategies and programs based
   the Cure Violence model (see           criminalization and detention to               on local goals, needs and
   more on page 6), that rely on          prevention; and                                circumstances. One common
   citizens with life experience and                                                     thread underpinning their
   strong community ties, known        • r esearching community violence
                                                                                         efforts has been the purposeful
   as “credible messengers,” who          and developing a base of
                                                                                         engagement and inclusion of
   can intervene when violence or         evidence that shows what works
                                                                                         people living in the areas directly
   retaliation is likely to occur;        in promoting safety.
                                                                                         affected by violence.

AS THE WORK FEATURED in this report shows, both public
and private entities have roles to play in supporting a public health approach
to safety. Residents in Atlanta, with funding and support from Casey and
other investors, established a neighborhood-based advisory group and began
implementing the Cure Violence model. In Milwaukee, another place where
the Foundation is supporting Cure Violence, the movement to reimagine
public safety is being driven by the city’s Office of Violence Prevention.

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IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
“Having community members take
the lead in identifying problems,
                                                     Physician and epidemiologist Gary Slutkin dedicated years of his career
devising solutions and launching
                                                     battling disease outbreaks such as tuberculosis and HIV/AIDS overseas.
interventions is absolutely critical
                                                     Upon returning to the United States, he began to see gun violence in a
to be effective,” says Amoretta
                                                     similar light as the epidemics he had been treating.
Morris, former director of National
Community Strategies for the                         Drawing on his public health background, Slutkin established the Cure
Casey Foundation.                                    Violence model, which employs disease control and behavior change
                                                     methods to prevent and reduce gun violence and help neighborhoods
Morris, who helped spearhead
                                                     heal.
these efforts before leaving the
Foundation to lead Borealis
Philanthropy, was adamant that
residents be supported to take the
lead: “We must have all interested
stakeholders represented at the
table and involved in decision
making from the start so that
strategies can address local needs,
gain acceptance and effectively
drive change.”

                                                             CURE VIOLENCE                                      The model has worked
                                                            has three core components:
                                                                                                                internationally and in major U.S.
                                                                                                                cities such as Chicago, where it
                                                                                                                led to a significant reduction in
                                                     1 Interrupting the transmission of                        shootings — up to 73% — within
                                                        violence. Workers identify and
                                                                                                                the neighborhoods where it was
                                                        mediate street-level conflicts to
                                                                                                                implemented.10
                                                        ensure that individuals wounded
                                                        by gun violence do not retaliate.                       For more information about Cure
                                                                                                                Violence, including its inception
                                                     2 Mitigating risks. Community
                                                        members are trained to identify                         and founding principles; how
                                                        and counsel the individuals in their                    the model works and is adapted
                                                        neighborhoods who are most likely                       to meet a community’s needs;
                                                        to commit violence.                                     and where Cure Violence
                                                                                                                intersects with community
                                                     3 Establishing new norms. Through                         policing, visit www.aecf.org/
                                                        events, group counseling and                            blog/meet-the-disease-control-
                                                        public education, community                             expert-who-is-curing-an-
                                                        outreach workers also help                              epidemic-of-gun-violence.
                                                        establish new norms that deem
                                                        violence as an unacceptable
                                                        response to conflicts.

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IMPROVING COMMUNITY SAFETY - Through Public Health Strategies LESSONS FROM ATLANTA AND MILWAUKEE - Annie E. Casey ...
CURBING VIOLENCE
                           in Atlanta With Community Engagement

Atlanta’s Neighborhood Planning Unit V (NPU-V) — which includes the Adair Park, Capitol Gateway,
Mechanicsville, Peoplestown, Pittsburgh and Summerhill neighborhoods — was once a thriving epicenter
for African Americans. Pittsburgh, for example, was established in 1883 by formerly enslaved people, many
of whom sought stable housing and jobs with the nearby railroad companies. By the turn of the century, the
neighborhood was home to a drugstore, barber shops, restaurants and a funeral parlor — as well as the city’s
first African American orphanage and several educational institutions.11

NPU-V began to change, however,         tangible change on the ground as                  with high levels of gun violence,
in the 1950s and ’60s as residents      organizational and political leaders              Garner still sees the strengths in
moved to surrounding suburbs and        changed and priorities shifted.                   his community. “Folks [here] care
home values declined. Decades of        These realities have caused mistrust              about their neighborhoods and
disinvestment and displacement          between residents, the city and                   want to see things happen now and
followed — much of which can be         other organizations coming into                   want services and support now, but
traced to discriminatory policies       the community, Garner says.                       they’re very wary of outsiders and
and practices, including the                                                              programs coming through for just
construction of interstates 20, 75      And though he acknowledges                        a season.”
and 85.12                               that NPU-V has long struggled

Growing up in a nearby
neighborhood, Alfred Garner often
visited Mechanicsville as a child to
see a family friend. “Going outside
was not necessarily safe,” he says.
“I couldn’t go far, or leave the
street, because of the drugs and
violence.”

Many of the families who did
choose to stay in NPU-V were
eventually pushed out by large
development projects, including
the installation of a major league
baseball stadium in 1997. Outside
entities often came in to launch
new programs and promote
                                        Healing circles, similar to this one from 2019, enable NPU-V residents to address
revitalization, then failed to effect   trauma, atone for wrongdoing and receive emotional support.

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DeMicha Luster, an NPU-V resident
                                                                                                        and advocate, conducts door-to-door
                                                                                                        visits to check on community members
                                                                                                        after incidents of violence.

                                                                                                        Building trust, gaining community
                                                                                                        buy-in and elevating local
                                                                                                        leadership have been a core part of
                                                                                                        the community safety investments
                                                                                                        Casey has been making in Atlanta
                                                                                                        since 2016. The process began
                                                                                                        with a scan of existing violence
                                                                                                        prevention programs and a
                                                                                                        listening tour to determine the
                                                                                                        scope of problems, priorities and
                                                                                                        solutions. An advisory group,
                                                                                                        called the NPU-V Community
                                                                                                        Safety Committee, was then
                                                                                                        formed with residents, local faith
                                                                                                        and nonprofit leaders, health
                                                                                                        care providers, law enforcement
                                                                                                        agencies, Casey staff and other
Garner has met that desire for                empathy in connecting with
                                                                                                        stakeholders to develop a plan.
services and support head-on. For             community members facing
the past three years, he has been             violence as well as financial, mental                     “We had to center the folks who
leading community safety work at              health and education struggles.                           are most directly affected and
the nonprofit CHRIS 180,13 which                                                                        co-design the investment strategy
provides behavioral health, housing           “When I first started in this role,
                                                                                                        with them,” Morris says. “Instead
and youth services in the Atlanta             I had to go through a process of
                                                                                                        of doing this planning work
area and coordinates Casey’s                  building trust,” Garner says. “I
                                                                                                        ourselves, we did it on the ground,
community safety work in NPU-V.               showed up consistently. I was at
                                                                                                        with the community.”
Following a career as a graduation            all the meetings. I was in constant
coach working with students in                communication with stakeholders,                          After conducting this research and
the alternative education program             doing small things like helping to                        hearing from national experts, the
of the local public school system,            set up before meetings and break                          committee chose to prioritize the
Garner has deep experience and                things down afterward.”                                   following activities.

                        improving community safety through public health strategies: lessons from atlanta and milwaukee / 8
THE TRAUMA RESPONSE NETWORK PROCESS

                            First responders
                          address situation and
                            notify community
                            leaders from the
                            trauma response                                          Trauma responders are
                                 network.                                          deployed to conduct family
                                                                                    and community outreach.

      TRAGIC                                                                                                       TRAUMA RESPONSE
     INCIDENT                                                                                                          NETWORK

  affects NPU-V.                           Community leaders use rubric to                                       debriefs and completes
                                           determine response and activate                                         necessary reports.
                                               other trauma responders
                                                   via a phone tree.

• L
   aunching regularly scheduled             witnessed the violence and                       engaging over 400 NPU-V
  meetings called healing circles,           provide connections to local                     residents. When the COVID-19
  where trained residents facilitate         resources for further help.                      pandemic hit in 2020, the
  a safe space for reflecting, sharing                                                        gatherings went virtual, enabling
  feelings and providing emotional        • A
                                             dopting the evidence-based                      attendees to still find support and
  support.                                  Cure Violence model, which has                    discuss topics such as stress and
                                            successfully lowered the shooting                 anxiety. CHRIS 180 also began
• E
   ducating and deploying                  rate by over 60% in other                         delivering food and supplies to
  volunteers and staff as part of           communities.                                      residents who were struggling to
  a trauma response network to                                                                run errands or pay bills, as well as
  immediately follow up with              “The Casey Foundation didn’t
                                                                                              sharing instructions on requesting
  neighbors and family members            come in with a plan and say,
                                                                                              groceries or accessing health
  after incidents of violence.            ‘This is what we’re going to do in
                                                                                              services — including mental health
  These individuals, called trauma        your community,’ ”says Garner.
                                                                                              counseling.
  responders, participate in an           “Instead, they asked, ‘What do
  eight-hour training on topics           you want to see happen in terms of                  Trauma responders also have been
  including the effects of trauma,        safety in this community? How can                   deployed over 20 times to follow
  safety protocols for responding         we address gun violence? How can                    up with families and neighbors
  to violent incidents and strategies     we help address trauma?’ All these                  within 48 hours of violent
  to foster and protect their own         questions and answers came out                      incidents in NPU-V. While law
  mental well-being. Following            of a group of elders, community                     enforcement officials typically
  a shooting, trauma responders           leaders and other stakeholders.”                    focus their efforts on victims and
  knock on doors, check in with                                                               perpetrators of crime, the trauma
                                          Since January 2019, healing circles
  community members who                                                                       response network focuses attention
                                          have been held twice a month,

                                            the annie e. casey foundation/www.aecf.org / 9
on those who may not be directly               “Sometimes they’ve seen me                               for peace, interact with community
involved in an incident but are                walking around the neighborhood,                         members and help interrupt some
affected nonetheless, whether as               handing out flyers for Halloween                         of the violence.”
a neighbor, a family member or                 events and things like that, so it’s
a bystander.                                   nice to see a familiar face,” she says.                  These outreach workers helped
                                               “They appreciate someone coming                          defuse conflicts and connect
“A lot of times, the neighbors                 around to check on them.”                                neighbors to resources, while also
experience an extreme amount                                                                            supporting other community
of trauma and are terrified,”                  According to Luster, loyalty                             organizations and leaders to
says DeMicha Luster, a resident                and togetherness are two of the                          channel energy into a peace
leader who has been working in                 neighborhood’s strongest assets.                         march, town hall discussion
Mechanicsville for six years and               “Our community is very resilient,                        and the creation of an advocacy
frequently participates in trauma              and we are willing to fight and                          agenda. The team recognizes that
response network visits. “Families             stand for what we believe is right.                      responding with care helps to
often want to transfer to another              Even when we disagree, we still can                      reduce retaliation and a continuing
community or send their kid to                 focus on the overall well-being of                       cycle of harm, according to Garner.
live with another relative because             the community.”                                          Their efforts, however, are not
their house has been shot up too                                                                        always enough to prevent further

OUR COMMUNITY is very resilient, and we are willing to fight
and stand for what we believe is right.

many times, and you can see the                That commitment to justice was                           violence — but they believe in the
bullet holes across the home.”                 on display following the shooting                        power of them and continue to
                                               death of Rayshard Brooks by an                           press forward.
Luster, who also founded the                   Atlanta police officer outside a
grassroots organization The Urban              fast-food restaurant in Peoplestown                      When 8-year-old Secoriea Turner
Advocate, believes engaging with               in summer 2020. CHRIS 180                                was fatally shot in NPU-V soon
residents directly affected by                 staff deployed to the parking lot,                       after Brooks, outreach workers
violence is critically important in            where large numbers of residents                         sprang into action once more,
promoting behavior change and                  had gathered. “Emotions were                             providing support to her family
preventing retaliation. When she               high, and guns were out there,”                          and the community. It was a
knocks on doors and checks in on               says Garner. “But due to the                             devastating blow to residents and
residents, the reaction usually is             relationship that we have in the                         underscored the dire need for the
positive.                                      community, our Cure Violence                             people-focused Cure Violence
                                               program staff were able to go down                       outreach.
                                               there and help create some space

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Alfred Garner hugs a fellow
                                                                                    community member at a
                                                                                    resource fair in 2019.

With their firsthandKNOWLEDGE               of what it takes to make
peace, credible messengers are crucial in helping residents understand
the role they can play to prevent violence from the start.

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A core element of this on-the-                    the needs of those at high risk of                        Along with CHRIS 180, the
ground outreach is the hiring                     engaging in violence. With their                          NPU-V advisory group is
and training of community                         firsthand knowledge of what it                            partnering with nearby Grady
residents — both men and women                    takes to make peace, credible                             Memorial Hospital, which serves
of various ages — as credible                     messengers are crucial in helping                         the greatest share of gun violence
messengers to work directly with                  residents understand the role they                        victims in Atlanta. Doctors and
people in the midst of street-level               can play to prevent violence.                             social workers there are exploring
conflicts, providing mediation                                                                              various violence intervention
and counseling individuals most                   “They can go out and identify                             approaches, including best
likely to commit violence. These                  where the trouble is and literally                        practices from the Health Alliance
full-time staff members often have                try to stop it from happening,                            for Violence Intervention,14 to
backgrounds similar to those of                   getting ahead of a shooting before                        help gunshot victims process the
the people they serve — in some                   it takes place,” Garner says. Often,                      violence they experienced, connect
cases previously instigating violence             this means finding out who has                            them to resources and try to stem
and in others having survived                     which problem with whom, then                             retaliation. Grady staff are seeking
the consequences of violence.                     confronting both parties separately                       resources to deepen, expand and
Their experience creates a deep                   and talking them down from                                sustain this work, and formally
understanding about the dynamics                  violence. “It’s not an easy job. We                       coordinate with the Atlanta Cure
of conflict and retaliation and                   have people trained to go in, ready                       Violence team.
                                                  to stick their neck in, talk to all
                                                  the people involved when tensions                         Early data on these interventions
                                                  are high and make sure residents                          show that they are making a
                                                  remain safe and don’t have a                              difference, despite the historically
When the COVID-19 pandemic hit in
                                                  situation with guns shooting back                         violent year Atlanta has had.
2020, CHRIS 180 began delivering
food and supplies to residents who were           and forth.”
struggling to run errands or pay bills.

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While the city saw a 58% increase
in homicides during the first
half of 2021, rates in NPU-V           THIS WORK           has helped residents reimagine
stayed relatively flat compared
to previous years.15 “We believe       what safety means. They knew that something
the Cure Violence Atlanta team’s       different needed to be done, but they just didn’t
work with residents and partners
is beginning to have an impact         know what their options were.
and is preventing violence in a
community that has historically
suffered from too much of it,” says
Natallie Keiser, a senior associate
who oversees neighborhood
transformation strategies for
the Casey Foundation’s Atlanta
Civic Site.

The Foundation and its partners
are advocating for sustained private
investment in approaches like
these and seeking public resources
to expand this type of work in
other neighborhoods with high
rates of gun violence. Casey is also
investing in evaluation and research
efforts to build further evidence of
best practices to share with other
communities and funders.               helping residents develop and lead                 DeMicha Luster distributes fliers for a
                                       safety plans. “This work has helped                community safety event.
“We cannot take our foot off the       residents reimagine what safety
pedal,” says Ade Oguntoye, who         means,” Keiser says. “They knew
oversees Casey’s safety investments    that something different needed                    on education, employment, health
in Atlanta alongside Keiser.           to be done, but they just didn’t                   or otherwise — to gain traction.
“Shootings are still taking place in   know what their options were.                      “When communities are safe, we
NPU-V, and community members           The work with CHRIS 180, and                       are better able to make progress
are losing loved ones in nearby        the exposure to other approaches                   in the other aspects of family
neighborhoods. Residents need          from across the country, has                       well-being.”
continued support from the safety      allowed residents to innovate
committee and our Cure Violence        and adapt effective models to                      These efforts are catching the eye
partners to heal and head off future   meet the specific needs of their                   of local policymakers. In March
violence.”                             neighborhoods.”                                    2021, Atlanta Mayor Keisha
                                                                                          Lance Bottoms pledged $5 million
Oguntoye and Keiser believe            Safety, she underscores, is a                      to help expand Cure Violence
funders have a unique role to play     fundamental requisite for any                      throughout the city, citing the
in creating those opportunities and    other effort — whether focused                     success of the NPU-V pilot.16

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A CITY-LED PLAN
                     to Reimagine Community Safety in Milwaukee

Casey is supporting efforts in Milwaukee to expand a violence prevention initiative similar to Atlanta’s that
grew out of a reassessment of community safety that has been underway for several years. A key moment
came in 2014, when a Milwaukee police officer shot and killed Dontre Hamilton, an unarmed 31-year-old man
who had been sleeping in a park. The officer was fired from the force but was not charged with a crime. The
killing led to widespread protests, and the fallout highlighted long-standing tensions between the community
and the police department.

The following year, violence                  creating more equitable health                            strategies to advance public safety
in the city soared. Homicides                 and safety outcomes. The city was                         and well-being.
increased from 88 to 146,17 and               committed to ensuring that the
by 2016, Milwaukee was listed                 resulting plan was developed and                          “We believe that violence is
as the fifth most dangerous city              owned by the entire community.19                          more than a problem for police,
in the country.18 The fractured                                                                         courts and politicians,” the report
relationship with the community               This process resulted in the launch                       states in an opening section.
and the spiking crime rate led                of Milwaukee’s first comprehensive                        “Preventing violence requires
the city government to expand                 violence prevention plan, known                           each and every one of us —
its Office of Violence Prevention,            as the Blueprint for Peace,20 in                          parents, young people, schools,
which is housed within the                    2017. It focused on public health                         businesses, hospitals, faith-based
health department, and launch                 instead of policing, as well as                           institutions, cultural groups
an ambitious community safety
planning process in fall 2016.

Over 10 months, more than 1,500
people — including residents,
youth organizers, elected officials,
nonprofit leaders, criminal justice
experts and health officials —
came together to discuss how
to make the community safer.
Mayor Tom Barrett appointed
a steering committee to lead
the effort, and the Office of
Violence Prevention facilitated
the planning process with support
from the Prevention Institute,
                                               Reggie Moore, former director of Milwaukee’s Office of Violence Prevention,
a national nonprofit focused on
                                               speaks at the 414LIFE campaign launch in 2018.

                        improving community safety through public health strategies: lessons from atlanta and milwaukee / 14
and more — working together            Milwaukee’s residents must be at                   stemming from the COVID-19
to promote the preservation of         the forefront of change. “When                     pandemic 22 — and, in part,
life. We must be willing to do         violence spiked in 2015, the                       challenges faced by violence
everything possible to reduce and      community rightfully demanded                      interveners who have had to
ultimately eliminate the likelihood    something different,” says Reggie                  adjust their outreach to conform
of violence occurring in our homes,    Moore, who served as director of                   to social-distancing requirements.
schools and neighborhoods.”            the Office of Violence Prevention                  Still, Moore sees power in the
                                       from 2016 to 2021.                                 Blueprint in driving lasting
The Blueprint for Peace was built                                                         change.
on four key principles:                In December 2018, after the
                                       Blueprint’s release, Milwaukee                     “Milwaukee built a movement and
• C OMMUNITY: Youth and families      launched the 414LIFE violence                      raised the profile of violence as a
  hurt most by violence should         prevention initiative — a                          public health issue across the city,”
  drive the plan and share in          partnership between the city,                      Moore says. “Instead of people
  the responsibility of making         a local hospital, philanthropic                    seeing violence as an unsolvable
  Milwaukee safer.                     groups and other stakeholders.                     issue we could do nothing about,
                                       Similar to the work in Atlanta’s                   it became understood that it is
• R ESILIENCE: Despite the
                                       NPU-V, Milwaukee uses the Cure                     a systemic, learned behavior, for
   widespread effects of violence,
                                       Violence model to train people                     which new approaches can have
   Milwaukee’s people have
                                       from the community to work                         an impact. It has inspired hope.”
   assets that can foster change,
                                       hand-in-hand with residents on
   including strong community                                                             Moore says that having a process
                                       violence interruption. 414LIFE
   organizations and resident-led                                                         that allowed for true community
                                       also assigns a worker to visit
   redevelopment initiatives.                                                             engagement on safety issues was
                                       shooting victims in nearby
                                       Froedtert Hospital to try to stem                  vital. In some ways, he says, the
• E QUITY: Because of institutional
                                       the cycle of retaliatory violence                  process was more important than
   racism, violence falls hardest
                                       and connect them with support                      the final product.
   on specific neighborhoods and
   populations, including youth,       services in the community. The
                                                                                          While the city of Milwaukee drove
   women and people of color.          program has received more than
                                                                                          the initial process of reimagining
                                       500 referrals to contact shooting
                                                                                          public safety, community
• A CTION: Practical, measurable      victims in the hospital, mostly
                                                                                          activists have continued to
  strategies are needed.               men ages 18 to 35.
                                                                                          press for additional change. For
The document aims to stem              Following the launch of the                        example, they have been holding
violence and addresses the             Blueprint and 414LIFE,                             community meetings over the
underlying factors that contribute     homicides in Milwaukee declined                    past three years to help residents
to it, with strategies focused on      markedly. From 2017 to 2019,                       understand how the city’s budget
promoting restorative justice,         for instance, the number dropped                   is allocated. Markasa Tucker, a
supporting children and youth,         from 119 to 98.21                                  community organizer who helped
generating economic opportunity,                                                          lead this work, would often
building safe and thriving             Similar to other cities across the                 display a large chart contrasting
neighborhoods and better               nation, though, Milwaukee has                      the enormous police budget with
coordinating violence prevention       seen a recent spike in murders,                    the smaller sums allocated to
efforts. It makes clear that           which experts link to pressures

                                        the annie e. casey foundation/www.aecf.org / 15
LiberateMKE advocates for
                                                                                                                             greater investment in jobs,
                                                                                                                             public health, housing and
                                                                                                                             other community services.
PREVENTING VIOLENCE                      requires each and every one
of us — parents, young people, schools, businesses, hospitals, faith-
based institutions, cultural groups and more — working together
to promote the preservation of life. We must be willing to do
everything possible to reduce and ultimately eliminate the likelihood
of violence occurring in our homes, schools and neighborhoods.

                      improving community safety through public health strategies: lessons from atlanta and milwaukee / 16
Markasa Tucker has been a crucial          these meetings early on. “He said                  support for a different approach
advocate for a new approach to community
safety and investment in Milwaukee.        this is the first time in 30 years that            to violence in the city.” In June
                                           he’d been invited to come and talk                 2019, about 40 organizations
                                           to the community,” Tucker says.                    came together to create
health, housing and other public                                                              LiberateMKE, a partnership that
services.                                  Tucker and her team developed                      has sustained the effort to invest
                                           a survey to identify budget                        more in community services.
“I found it to be very disturbing,”        priorities, to which more than                     Later that year, more than 200
says Tucker, who also serves as            1,000 Milwaukee residents                          Milwaukee residents testified at
executive director of Milwaukee’s          responded. Three priorities rose                   the city’s annual budget hearings
African-American Roundtable.               to the top: housing, employment                    — compared to a handful who
“This is the taxpayers’ money, and         for young people and violence                      had testified the previous year.
it looks like one department is            prevention. “That organizing                       The organization set a goal of
hoarding the money, but they’re            affirmed what we heard in the                      increasing resources for housing,
unable to solve the problems.”             development of the Blueprint for                   public health and other efforts
                                           Peace,” says Reggie Moore. “It                     that create safety by reducing
Tucker and her team invited the            was good to see there was growing                  police spending by 25%.
city’s budget director to attend

                                            the annie e. casey foundation/www.aecf.org / 17
LiberateMKE and its partners,         safety approach. In fall 2020,                     LiberateMKE says it will
including a local grassroots          the city increased funding for                     continue its fight for additional
organization named Metcalfe Park      community programs sought by                       funding for public health and
Community Bridges, have stayed        the organization by approving a                    housing programs. It is asking
active during the pandemic —          small cut in the police budget.                    for a $5 million reduction from
for example, meeting residents                                                           the police budget to support
one-on-one on their porches           Engaging the community                             such efforts. The group is also
and holding a community block         through meetings, surveys and                      advocating for a new model
party — with a goal of educating      brainstorming sessions remains a                   to deal with behavioral health
community members and                 key part of LiberateMKE’s work.                    emergencies that relies on
fostering their involvement in city   “We try to create and cultivate                    health professionals rather than
budget decisions.                     spaces for people to imagine                       police officers, and for more
                                      how to do things differently,”                     accountability for police.
The group has made some               Tucker says. “We had people
progress in convincing the city’s     draw pictures of what a healthy
elected leaders to embrace their      community looks like. Nobody
vision for a new community            included police.”

LIBERATEMKE SAYS IT WILL CONTINUE ITS FIGHT
for additional funding for public health and housing programs. It is asking
for a $5 million reduction from the police budget to support such efforts.
The group is also advocating for a new model to deal with behavioral health
emergencies that relies on health professionals rather than police officers,
and for more accountability for police.

                                       the annie e. casey foundation/www.aecf.org / 18
EARLY LESSONS
                                     and Considerations

The work in Atlanta and Milwaukee has already surfaced important lessons for the Casey Foundation and
other partners interested in supporting community-led safety efforts.

        • 	Engaging local community leaders and residents early and often is key to ensuring
            local buy-in and community ownership of chosen solutions.

        • 	Building trust and relationships with community members takes time. Patience
            with the process and relationship building helps ensure solutions have roots that
            will grow.

        • 	Providing for adaptability and evaluation of what does and does not work will
            allow for greater effectiveness and sustainability of strategies. This is especially
            important in areas where many pilot projects and innovative ideas have arisen and
            then died down quickly when immediate results were not achieved.

        • 	Shifting to community-driven and prevention-focused approaches is not always
            easy. Because traditional law-enforcement and punitive approaches are deeply
            ingrained and heavily resourced, partners must be willing to go against the tide at
            times.

        • 	Providing residents with opportunities to learn from peers in other locations who
            have successfully implemented prevention solutions is key.

                                                                                       We Got This, a program
                                                                                       for young men founded by
                                                                                       Milwaukee resident Andre
                                                                                       Lee Ellis, promotes self-
                                                                                       efficacy by pairing youth
                                                                                       with community-based role
                                                                                       models, offering opportunities
                                                                                       to earn money and teaching
                                                                                       gardening skills.
conclusion

A
        ny effort to improve          service providers, business leaders                evidence on effective public health
        youth and family well-        and law-enforcement agencies,                      interventions.
        being cannot fully            to reimagine their approaches to
succeed if people are unable to       safety and violence prevention.                    The need for this work has never
go about their daily activities                                                          been clearer. As communities
free of violence and harm. When       The Foundation also hopes to                       continue to grapple with the
individuals do feel safe in their     inspire other philanthropies                       effects of the COVID-19
neighborhoods, they are more          to support this work in ways                       pandemic — including spikes
likely to trust public systems and    that align with their missions                     in homicides and other violent
access needed services, engage        and goals. This can take many                      crime — as well as racial
and advocate on behalf of their       forms, including developing                        injustices and the resulting unrest,
communities and pursue life and       and strengthening community-                       public and private entities have
career goals. Community safety        based interventions; supporting                    an important role to play in
increases overall economic activity   the efforts of public and private                  supporting residents to reimagine
and school attendance and reduces     partners to develop a shared                       restorative approaches to safety.
involvement in the child welfare      safety agenda; funding models                      The Foundation is continuing
and juvenile justice systems.         that have successfully redirected                  its investments in Atlanta and
                                      resources from punishment and                      Milwaukee and has begun
The Casey Foundation hopes            confinement to prevention;                         supporting similar work in
the early lessons and successes       helping to establish a new                         Jackson, Mississippi, and Baton
highlighted in this report can        narrative about what it takes                      Rouge, Louisiana, to address
help public and private entities,     to keep communities safe; and                      gun violence and create safer
including government officials,       helping to build and share                         neighborhoods.

                                       the annie e. casey foundation/www.aecf.org / 20
ENDNOTES

1 Brooks, B. (2021, April 13).                    8 Giffords Law Center. (2019,                             16 Mayor’s Office of
Citizens lead the call for police reform          May 1). N.Y. Rifle & Pistol v. Beach:                     Communications. (2021, March
since George Floyd’s death. Reuters.              Supporting Strong Licensing Standards                     31). Mayor Keisha Lance Bottoms
Retrieved from www.reuters.com/                   for Concealed Carry (Amicus brief ).                      delivers 2021 State of the City Address
world/us/protesting-shaping-police-               Retrieved from https://giffords.org/                      (Press release). Retrieved from www.
reform-citizens-lead-way-since-george-            lawcenter/amicus-brief/n-y-rifle-pistol-                  atlantaga.gov/Home/Components/
floyds-death-2021-04-13                           v-beach-defending-strong-licensing-                       News/News/13655/1338
                                                  standards-for-concealed-carry
2 The White House. (2021, March                                                                             17 Journal Sentinal. (n.d.). Milwaukee
31). Fact sheet: The American Jobs                9 The Annie E. Casey Foundation.                          homicides. Retrieved June 21, 2021,
Plan. Retrieved April 15, 2021, from              (2016, April 18). A shared sentence:                      from https://projects.jsonline.com/
www.whitehouse.gov/briefing-room/                 The devastating toll of parental                          apps/Milwaukee-Homicide-Database
statements-releases/2021/03/31/                   incarceration on kids, families and
fact-sheet-the-american-jobs-plan                 communities (KIDS COUNT policy                            18 Sauter, M. B., Stebbins, S., &
                                                  report). Baltimore, MD: Author.                           Frohlich, T. C. (2016, October
3 Pinderhughes, H., Davis, R.,                    Retrieved from www.aecf.org/                              1). The most dangerous cities in
& Williams, M. (2015). Adverse                    resources/a-shared-sentence                               America. USA Today. Retrieved from
community experiences and resilience: A                                                                     www.usatoday.com/story/money/
framework for addressing and preventing           10 Cure Violence. (n.d.). Evaluation                      business/2016/10/01/most-dangerous-
community trauma. Oakland, CA:                    of Cure Violence Chicago. Retrieved                       cities-america/91227778
Prevention Institute. Retrieved from              from https://1vp6u534z5kr2
www.preventioninstitute.org/sites/                qmr0w11t7ub-wpengine.netdna-ssl.                          19 The process was funded by
default/files/publications/Adverse%20             com/wp-content/uploads/2019/09/                           Advancing a Healthier Wisconsin
Community%20Experiences%20                        Skogan-2009-Eval.pdf                                      Endowment at the Medical College
and%20Resilience.pdf                                                                                        of Wisconsin, with support from the
                                                  11 Johnston, T. (2012, July 8).                           Tides Foundation and the federal
4 National Institute of Justice.                  Preserving Atlanta’s Pittsburgh                           ReCAST Milwaukee initiative.
(2016, September 21). Children                    neighborhood against all odds.
exposed to violence. Retrieved from               SaportaReport. Retrieved from                             20 Blueprint for Peace Steering
https://nij.ojp.gov/topics/articles/              https://saportareport.com/                                Committee. (2017). Milwaukee
children-exposed-violence                         preserving-atlantas-pittsburgh-                           blueprint for peace. Milwaukee,
                                                  neighborhood-against-all-odds                             WI: City of Milwaukee Health
5 Heron, M. (2019). Deaths: Leading                                                                         Department, Office of Violence
causes for 2017. National Vital                   12 Givens, D. (2017, Nov. 18).                            Prevention. Retrieved from https://
Statistics Reports, 68(6). Retrieved from         Interstates, racial segregation,                          city.milwaukee.gov/ImageLibrary/
www.cdc.gov/nchs/data/nvsr/nvsr68/                and elections in Atlanta.                                 Groups/healthAuthors/OVP/
nvsr68_06-508.pdf                                 Medium. Retrieved from https://                           Reports/20171117OVP-Report-
                                                  daringivens.medium.com/                                   MKEBlueprintforPeace-Low-Res.pdf
6 Office of Minority Health &                     interstates-racial-segregation-and-
Health Equity, Centers for Disease                elections-in-atlanta-2946383f7f99                         21 Journal Sentinal. (n.d.). Milwaukee
Control and Prevention. (2019,                                                                              homicides.
November 20). Leading causes of death             13 CHRIS 180. (n.d.). Cure Violence
- Males - Non-Hispanic Black - United             Atlanta. Retrieved from https://                          22 Hughes, E. (2021, January 1).
States, 2017. Retrieved from https://             chris180.org/cureviolence                                 Milwaukee’s historic year of violence
www.cdc.gov/healthequity/lcod/                                                                              concludes with 189 people killed in
men/2017/nonhispanic-black/index.                 14 The Health Alliance for Violence                       homicides. Milwaukee Journal Sentinel.
htm#anchor_1571149616                             Intervention. (n.d.). Healing systemic                    Retrieved from www.jsonline.com/
                                                  and interpersonal violence. Retrieved                     story/news/2021/01/01/milwaukees-
7 Hinton, E., Henderson, L., & Reed,              from www.thehavi.org                                      historic-year-violence-ends-189-
C. (2018). An unjust burden: The                                                                            homicide-victims/4073606001
disparate treatment of Black Americans            15 Abusaid, S. (2021, June 11). After
in the criminal justice system. New York,         historically deadly 2020, Atlanta
NY: Vera Institute of Justice. Retrieved          homicides are up nearly 60% in 2021.
from www.vera.org/downloads/                      The Atlanta Journal-Constitution.
publications/for-the-record-unjust-               Retrieved from www.ajc.com/news/
burden-racial-disparities.pdf                     after-historically-deadly-2020-atlanta-
                                                  homicides-are-up-nearly-60-in-2021/
                                                  N63RJ5OKQZCZVOCNH2D6376
                                                  S3E

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