Defining CVI: A Critical Review of Current Conceptualizations and Their Implications for Policy, Research and Practice.

IF 2.3 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Jordan Costa, Soledad Adrianzén McGrath, Paul Carrillo
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引用次数: 0

Abstract

Community Violence Intervention (CVI) operates at the critical intersection of public health and public safety, offering a community-driven approach to reducing violence while addressing its root causes. Grounded in principles of harm reduction, trauma-informed care, and social determinants of health, CVI reframes violence as a public health crisis rather than solely a criminal justice issue. Despite its promise and demonstrated impact, the field of CVI faces challenges that reflect broader gaps in public health policy. A lack of standardized definitions and measurement frameworks has led to fragmented policies, inconsistent funding, and difficulties in scaling evidence-informed approaches. These issues mirror struggles seen in other public health initiatives, where misalignment between research, practice, and policy weakens long-term sustainability. Without a clearly communicated conceptualization, CVI programs risk being co-opted into enforcement-driven models that dilute their public health foundation. This policy insight explores the challenges with definitional and measurement inconsistencies across the field of CVI and what they reveal about broader public health policy challenges. The authors argue that the field must adopt a unified framework that thoughtfully reflects its historical foundations, prioritizes practitioner expertise, and employs evaluation methods that fully capture its impact. By positioning CVI as a pillar of both public health and public safety, policymakers can move beyond reactionary approaches to violence and invest in long-term, community-driven strategies that promote safety and healing.

定义CVI:当前概念及其对政策、研究和实践的影响的批判性回顾。
社区暴力干预在公共卫生和公共安全的关键交叉点开展工作,提供了一种社区驱动的方法,以减少暴力,同时解决其根源。基于减少伤害、创伤知情护理和健康的社会决定因素的原则,CVI将暴力重新定义为公共卫生危机,而不仅仅是刑事司法问题。尽管有其前景和已显示的影响,CVI领域面临的挑战反映了公共卫生政策中更大的差距。由于缺乏标准化的定义和衡量框架,导致政策支离破碎、资金不一致以及难以扩大循证方法。这些问题反映了在其他公共卫生倡议中看到的困难,在这些倡议中,研究、实践和政策之间的不一致削弱了长期可持续性。如果没有明确的概念传达,CVI项目就有可能被纳入执法驱动的模式,从而削弱其公共卫生基础。本政策见解探讨了整个CVI领域的定义和测量不一致所带来的挑战,以及它们揭示了更广泛的公共卫生政策挑战。作者认为,该领域必须采用一个统一的框架,深思熟虑地反映其历史基础,优先考虑从业者的专业知识,并采用充分捕捉其影响的评估方法。通过将CVI定位为公共卫生和公共安全的支柱,政策制定者可以超越对暴力的反动做法,并投资于促进安全和治疗的长期、社区驱动的战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
192
审稿时长
>12 weeks
期刊介绍: INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.
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