Gang Dynamics

RACE/ETHNICITY OF GANG MEMBERS, 1996-2011Gangs tend to emerge in the most disadvantaged areas and thus naturally attract the disadvantaged youth residing in these areas.

National Gang Center. National Youth Gang Survey Analysis. http://www.nationalgangcenter.gov/survey-analysis

46%

35%

12%

7%

Gang Dynamics

GANG MEMBER INFORMATION BY AREA TYPE, 2011

National Gang Center. National Youth Gang Survey Analysis. http://www.nationalgangcenter.gov/survey-analysis

Gang Dynamics

MAJOR RISK FACTORS FOR GANG MEMBERSHIPNo one risk factor is responsible for youths joining gangs; rather, it is the accumulation of multiple risk factors across the following domains that greatly increases the risk.• Individual Risk Factors: Juvenile delinquency, drug use, and involvement in

violence (as either victim or offender).

• Family Risk Factors: Conditions that compromise parental capacity to carry out child development responsibilities, including low parent education, family poverty, low family socioeconomic status, pro-violence attitudes, and child maltreatment (abuse or neglect); lack of parental supervision (including control, monitoring, and management of family matters); living with a gang member.

• School Risk Factors: Low academic achievement and/or poorly functioning and unsafe schools.

• Peer Risk Factors: Association with aggressive peers; rejection by prosocial peers (being unpopular).

• Community Risk Factors: Access to drugs/high drug use, exposure to firearm violence, high community arrest rates, feeling unsafe in the neighborhood, neighborhood disorganization.

National Gang Center, Institute for Intergovernmental Research Tallahassee, FL. https://www.nationalgangcenter.gov/SPT/Risk-Factors/FAQ

Gang Dynamics

WHY DO YOUTHS BECOME INVOLVED IN A GANG?• Social reasons: Youth join to be around friends and family members

(especially siblings or cousins) already part of the gang.

• Protection: Youth join for the presumed safety they believe the gang can afford.

• Also reported by youth, albeit far less frequently, are more instrumental reasons for joining a gang, such as drug selling or making money.

• Most youth reported being in a gang for one year or less, but field studies in Chicago and Los Angeles, where some gangs are intergenerational, provide some evidence of more long-term patterns of gang membership among youth.

FAQ page, National Gange Center, Institute for Intergovernmental Research Tallahassee, FL. http://www.nationalgangcenter.gov/about/faq

ROLE PROFILE AGENDA/HOPE TO ACHIEVE

Clinician• Surgical resident at county hospital• Frustrated with the number of gunshot victims who return to the trauma bay

with repeat injuries

Communicate your hopes:• Stakeholders will begin to think of violence-related injuries the way people think of chronic

illness: preventable and manageable• They will be inspired to get involved and fully participate in collaborating on sustainable

plans to reduce gang violence and its related traumatic injuries• Action steps will be developed to sustain the momentum and lead to positive change

Public Health Representative

• Convener of the meeting• Director of the county department of public health• Responsible for all public health functions including surveillance and disease control

Express these points about violence:• It is a leading cause of injury, disability and premature death• It increases the risk of other poor health outcomes• It is a signi�cant health disparity, disproportionately a�ecting young people and people of color

Former Gang Member

• Recently released from prison after serving a 10-year sentence for armed robbery• Newfound Christian faith is driving a desire to help others avoid gang life

• Eager to help transform the lives of young people who believe they have no life-a�rming options.

City Council Member

• Business owner (printing/graphics)• City councilman for four years• Mayoral candidate in the upcoming election, with a public safety platform

• Increase support base for the election• Continue learning about gang violence issues

Police O�cer• Patrol o�cer in a hotbed of gang activity for �ve years• Part of new gang suppression unit at the police force• Gulf War veteran

Communicate your perspective:• The community deserves to feel safe and secure and needs to be protected• Perpetrators who “do the crime should do the time”• There simply are no excuses for what gang bangers do for the sake of “honor” and “respect”

School Counselor

• Counselor at a high school in an impoverished neighborhood for eight years• Recently completed a master’s degree in social work, with a focus on urban

family practice• Board member of A Bridge to a Better Future (a.k.a. “Bridge”)

• Make meaningful connections in the community to further the mission of Bridge

Hospital Administrator

• Administrator at the County Hospital for the last 15 years, handling long-term planning, managing the budget, and supervising the delivery of medical services, including the Level I trauma center.

• Stay in the loop on this issue and make sure any ideas put forth that involve the hospital are �scally prudent

• Keep an eye on Janet, making sure her public activities continue to highlight her as a responsible representative of the hospital.

Others Who CareGANG VIOLENCE

ROLE OBSTACLES FACED RESOURCES TO OFFER

Clinician• Young doctor with inadequate network in the a�ected

community• Limited free time

• Enthusiasm and dedication• Credibility and knowledge

Public Health Representative

• High workload with little time for an extra project• Limited funding

• Ability to coordinate stakeholder e�orts and build capacity among multiple players

• Access to epidemiologists and statisticians who can provide relevant data.

Former Gang Member

• Judgment for past behavior• First-hand knowledge of gang life, along with risk factors and

protective factors• “Street cred”

City Council Member

• Upcoming election makes evasiveness necessary (political clout could be harmed by siding with a particular group)

• Funding from the Community Development Council – up to $50,000 per year for �ve years – for interventions that will result in measureable reductions in gang violence

Police O�cer• Personal skepticism that the problem can be solved• Increasing negative perceptions of police o�cers in the

community

• Familiarity with day-to-day life on the street• Knowledge of repeat o�enders, both gang “kingpins” and their “pawns”

School Counselor

• Lack of funding• Limited free time

• Enthusiasm for strengthening families, �nding adult role models for children and teens, and �nding ways to provide marketable job skills.

Hospital Administrator

• Balancing the need for positive public relations with the need to maintain revenue for the hospital

• Link between the hospital and the board of trustees, and responsible for initiating fund-raising activities

• Responsible for approving any community-level campaigns

Others Who CareGANG VIOLENCE

Know What Affects Health

Source: www.cdc.gov/chinav

Know What A�ects Health

Match these factors to their impact level:

• Physical environment

• Clinical care

• Socioeconomic factors

• Health behaviors

40%

10%

30%

20%

More information on reverse side

City Facts

• Large, metropolitan area

• Diverse population of 500,000 (adding the surrounding county, it is close to a million)

• Ethnic makeup:– 42.5% White– 21.3% Asian– 20.2% African-American– 11.1% Hispanic– 4.5% Native American– 0.4% Paci�c Islander

• Gang activity is mostly isolated to areas of poverty. Race/ethnicity of gang members is as follows:– 46.7% Hispanic or Latino– 38.4% Black or African American– 8.4% White– 5.5% Asian– 1.0% All Other

• Unemployment rate: 10.6%

• Homicides are on the rise, with 38 in 2001, 45 in 2003, 58 in 2007, and 60 in 2013.

• Trauma care:– County hospital, the only Level I trauma center in

the city, treated 87% of the �rearm victims– Olympus Medical Center is a new private hospital

with plans to o�er state-of-the-art trauma care.– Adolescents (ages 15-24) have the highest rates

of non-fatal violent injury, primarily involving assaults, resulting in hospitalization.

– In 2010, county hospital treated 228 gunshot victims and 196 stab victims. There were nearly three times as many gunshot victims in 2010 than there were only �ve years prior. Over half the victims were under the age of 25.

500,000PEOPLE

42.5%

21.3%

20.2%

11.1%

4.5%

0.4%

White

Asian

African American

Hispanic

Native American

Pacific Islander

42.5%

21.3%

20.2%

11.1%

4.5%

0.4%

White

Asian

African American

Hispanic

Native American

Pacific Islander

1%

White

Asian

African American

Hispanic

All Other

46.7%

38.4%

8.4%

5.5%

1%

White

Asian

African American

Hispanic

All Other

46.7%

38.4%

8.4%

5.5%

228 VICTIMS

196 VICTIMS

2001 2003 2005 2007 2009 2011 2013

70

35

0

3845

58 60

Number of Homicides

Nam

e: Ja

net W

ilson

, MD

Your

Age

nda:

You

are

at t

his

mee

ting

toda

y be

caus

e yo

u re

ache

d ou

t to

the

loca

l hea

lth d

epar

tmen

t fo

r dat

a an

d de

velo

ped

a ra

ppor

t with

the

dire

ctor

, Cas

ey C

hang

. Bot

h of

you

are

inte

rest

ed in

brin

ging

st

akeh

olde

rs to

geth

er to

dis

cuss

pot

entia

l sol

utio

ns to

the

prob

lem

of g

ang

viol

ence

in y

our c

omm

unity

, an

d th

at w

as th

e im

petu

s fo

r thi

s m

eetin

g. C

asey

will

con

vene

toda

y’s

mee

ting

and

ask

you

to b

egin

the

conv

ersa

tion;

you

can

do

so b

y us

ing

som

e of

the

back

grou

nd in

form

atio

n on

this

pag

e.

Mot

ivat

ion:

Sin

ce th

at d

ay w

hen

Mic

hael

sho

wed

up

near

dea

th in

the

trau

ma

bay,

you

hav

e be

en b

usy

cond

uctin

g re

sear

ch, c

olle

ctin

g da

ta, a

nd fo

rmin

g al

lianc

es:

• Yo

u fo

und

natio

nal g

ang

viol

ence

and

trau

mat

ic in

jurie

s su

rvei

llanc

e da

ta, b

ut n

o lo

cal d

ata.

• Ra

tio o

f mor

talit

y re

late

d to

gun

shot

wou

nds

vers

us s

tab

wou

nds

is n

early

10:

1.•

It is

mor

e di

�cu

lt to

trea

t a g

unsh

ot v

ictim

, in

the

ER a

nd in

reco

very

.•

Hos

pita

l dat

a ar

e on

ly c

olle

cted

abo

ut c

ases

in g

ener

al (n

umbe

r of t

otal

gun

shot

s, kn

ife w

ound

s, et

c.)

due

to p

atie

nt p

rivac

y is

sues

.•

DO

As

aren

’t ev

en re

port

ed in

the

hosp

ital s

yste

m, b

ut ra

ther

by

the

med

ical

exa

min

er to

the

depa

rtm

ent o

f pub

lic h

ealth

. Thi

s ga

ve y

ou th

e id

ea to

see

k ou

t dat

a at

the

loca

l hea

lth d

epar

tmen

t.•

Loca

l law

enf

orce

men

t age

ncie

s in

som

e ci

ties

trac

k in

cide

nts

by ty

pe o

f crim

e on

ly (h

omic

ides

, ag

grav

ated

ass

aults

, dru

g tr

a�ck

ing,

�re

arm

pos

sess

ion,

etc

.), w

hile

som

e id

entif

y w

heth

er th

ose

crim

es a

re s

tron

gly

asso

ciat

ed w

ith g

angs

. Whi

le y

ou w

ere

able

to d

eter

min

e th

at a

new

gan

g su

ppre

ssio

n un

it is

bei

ng fo

rmed

in y

our c

ity, t

he p

olic

e de

part

men

t has

not

sha

red

any

of it

s da

ta.

• Yo

u st

arte

d at

tend

ing

mee

tings

of a

loca

l com

mun

ity-b

ased

org

aniz

atio

n ca

lled

A B

ridge

to a

Bet

ter

Futu

re (a

.k.a

. “Br

idge

”) a

nd m

et:

– A

sch

ool g

uida

nce

coun

selo

r, Lo

nny

Rodr

igue

s, M

Ed, M

SW, a

nd

– A

form

er g

ang

mem

ber,

Dar

rell

Robi

nson

. •

To p

rove

you

r com

mitm

ent,

you

feel

you

nee

d to

just

kee

p “s

how

ing

up,” w

hich

is w

hy y

ou a

tten

ded

a re

cent

tow

n ha

ll m

eetin

g so

me

of th

e Br

idge

mem

bers

thou

ght w

as im

port

ant.

– O

ne o

f the

spe

aker

s w

as m

ayor

al c

andi

date

Mel

Hic

ks, w

ho is

taki

ng a

str

ong

anti-

gang

sta

nce.

Frie

nds

Foes

Unk

now

n•

You

have

had

mul

tiple

one

-on-

one

mee

tings

with

Pub

lic H

ealth

Re

pres

enta

tive,

Cas

ey C

hang

, MPH

.•

You’

ve m

et tw

ice

with

Sch

ool G

uida

nce

Coun

selo

r, Lo

nny

Rodr

igue

s, M

Ed, M

SW, o

nce

at th

e sc

hool

and

onc

e at

a c

o�ee

sh

op a

long

with

Dar

rell

Robi

nson

, a fo

rmer

gan

g m

embe

r.•

You

soug

ht o

ut H

ospi

tal A

dmin

istr

ator

: Adr

ian

Bank

s, M

BA, a

fter

th

e re

cent

roun

d of

gan

g vi

olen

ce. A

fter

you

exp

lain

ed a

ll yo

ur

conc

erns

, you

feel

that

it is

crit

ical

to in

volv

e Ad

rian

in th

is p

roce

ss.

• Ci

ty C

ounc

il Re

pres

enta

tive:

Mel

Hic

ks•

Polic

e O

�ce

r: Ch

ris H

ayes

Wha

t you

hop

e to

ach

ieve

: You

r obj

ecti

ves

for t

his

mee

ting

are

: 1) s

take

hold

ers

begi

n to

thi

nk o

f vi

olen

ce-r

elat

ed in

juri

es t

he w

ay p

eopl

e th

ink

of c

hron

ic il

lnes

s: p

reve

ntab

le a

nd m

anag

eabl

e;

2) t

hey

are

insp

ired

to g

et in

volv

ed a

nd fu

lly p

arti

cipa

te in

col

labo

rati

ng o

n su

stai

nabl

e pl

ans

to

redu

ce g

ang-

viol

ence

and

its

rela

ted

trau

mat

ic in

juri

es; a

nd 3

) act

ion

step

s ar

e de

velo

ped

to s

usta

in

the

mom

entu

m a

nd le

ad to

pos

itiv

e ch

ange

.

Char

acte

r Ske

tch:

CLIN

ICIA

N

Nam

e: C

asey

Cha

ng, M

PH

Your

Age

nda:

You

are

at t

his

mee

ting

beca

use

you

are

the

conv

ener

. You

thin

k pu

blic

hea

lth c

an b

uild

ca

paci

ty a

mon

g al

l the

sta

keho

lder

s, an

d th

e he

alth

dep

artm

ent s

erve

as

a cl

earin

ghou

se o

r hub

for v

ital

viol

ence

pre

vent

ion

e�or

ts. A

ll in

tere

sted

par

ties

– sc

hool

s, la

w e

nfor

cem

ent,

soci

al s

ervi

ces,

econ

omic

de

velo

pmen

t, co

mm

unity

-bas

ed o

rgan

izat

ions

, etc

. – h

ave

circ

umsc

ribed

man

date

s, bu

t pub

lic h

ealth

can

se

rve

as th

e “b

ig te

nt,” b

ringi

ng e

very

one

toge

ther

and

link

ing

thei

r e�o

rts.

As

spec

i�ed

in y

our m

eetin

g ag

enda

, beg

in w

ith a

sho

rt in

trod

uctio

n of

you

rsel

f, an

d th

en a

sk e

very

one

to in

trod

uce

them

selv

es a

nd

brie

�y s

tate

thei

r int

eres

t in

the

issu

e. T

hen

ask

Dr.

Jane

t Wils

on to

beg

in th

e co

nver

satio

n by

giv

ing

deta

ils

abou

t why

she

reac

hed

out t

o th

e he

alth

dep

artm

ent.

Don

’t fo

rget

to w

rap

up th

e m

eetin

g by

sum

mar

izin

g an

y ac

tion

step

s fo

r a fu

ture

mee

ting.

Mot

ivat

ion:

You

are

the

dire

ctor

of t

he c

ount

y de

part

men

t of p

ublic

hea

lth a

nd th

e co

unty

hea

lth o

�ce

r, re

spon

sibl

e fo

r all

publ

ic h

ealth

func

tions

incl

udin

g su

rvei

llanc

e an

d co

ntro

l of b

oth

com

mun

icab

le a

nd

non-

com

mun

icab

le d

isea

ses,

and

of h

ealth

pro

tect

ion

for t

he c

ount

y’s

one

mill

ion

resi

dent

s.

• Yo

u ha

ve b

een

in th

is jo

b fo

r 10

year

s.•

Your

pre

viou

s jo

b w

as th

e di

rect

or o

f the

Div

isio

n of

Chr

onic

Dis

ease

and

Inju

ry P

reve

ntio

n.•

You

did

a ro

tatio

n w

ith th

e D

ivis

ion

of V

iole

nce

Prev

entio

n du

ring

a fe

llow

ship

with

CD

C. It

was

the

�rst

tim

e yo

u be

cam

e ac

utel

y aw

are

of th

e lin

k be

twee

n di

seas

e an

d so

cial

det

erm

inan

ts o

f hea

lth.

Her

e ar

e th

e m

ain

poin

ts y

ou w

ant t

o m

ake

sure

you

get

acr

oss

to th

e ot

hers

at t

he m

eetin

g to

day:

• Vi

olen

ce is

a le

adin

g ca

use

of in

jury

, dis

abili

ty a

nd p

rem

atur

e de

ath.

• Vi

olen

ce in

crea

ses

the

risk

of o

ther

poo

r hea

lth o

utco

mes

.•

Viol

ence

is a

sig

ni�c

ant h

ealth

dis

parit

y, d

ispr

opor

tiona

tely

a�e

ctin

g yo

ung

peop

le a

nd p

eopl

e of

col

or.

Frie

nds

Foes

• Yo

u ar

e on

a c

omm

ittee

cal

led

Firs

t 5 (f

ocus

ing

on h

ealth

of c

hild

ren

ages

0-5

) with

Adr

ian

Bank

s fr

om th

e Co

unty

Hos

pita

l, an

d yo

u tw

o ha

ve a

gre

at ra

ppor

t.

• Yo

u m

et o

n se

vera

l occ

asio

ns w

ith D

r. Ja

net W

ilson

afte

r she

cont

acte

d yo

u ab

out l

ocal

surv

eilla

nce

data

in

volv

ing

gang

-rela

ted

inju

ries.

You

wer

e ap

preh

ensiv

e at

�rs

t – cl

inic

ians

seem

to h

ave

thei

r ow

n ar

cane

lin

go –

but

she

did

mor

e lis

teni

ng th

an ta

lkin

g an

d se

emed

ver

y co

mm

itted

to �

ndin

g vi

able

solu

tions

.

• Yo

u ha

ve b

een

wor

king

with

a g

roup

of u

rban

pla

nner

s at

the

Com

mun

ity D

evel

opm

ent C

ounc

il,

and

they

are

will

ing

to h

elp

fund

initi

ativ

es --

up

to $

50,0

00 p

er y

ear f

or �

ve y

ears

– th

at w

ill re

sult

in m

easu

reab

le re

duct

ions

in g

ang

viol

ence

. You

att

ende

d on

e of

thei

r mee

tings

a fe

w m

onth

s ag

o, w

hich

was

als

o at

tend

ed b

y Ci

ty C

ounc

il Re

pres

enta

tive

Mel

Hic

ks, w

ho s

eem

s co

ncer

ned

abou

t the

issu

e bu

t per

haps

not

ver

y co

mm

itted

.

You

don’

t hav

e an

y co

n�ic

ts w

ith a

nyon

e at

the

mee

ting,

but

yo

u ar

e op

pose

d to

th

e no

tion

that

any

si

ngle

inte

rven

tion

– es

peci

ally

mor

e ar

rest

s of

gan

g m

embe

rs –

is

goin

g to

hav

e lo

ng-

term

e�e

ctiv

enes

s.

Wha

t you

hop

e to

ach

ieve

: Her

e’s w

hat y

ou th

ink

the

publ

ic h

ealth

wor

ld c

an o

�er t

o de

al w

ith th

e pr

oble

m*:

• Pu

blic

hea

lth p

rovi

des

and

can

mai

ntai

n a

focu

s on

pre

vent

ion

of v

iole

nce

befo

re it

occ

urs.

• Pu

blic

hea

lth c

an m

easu

re th

e pr

oble

m a

nd th

e pr

ogre

ss in

add

ress

ing

it.•

Publ

ic h

ealth

can

pla

y a

key

role

in c

oord

inat

ing

the

rang

e of

nee

ded

e�or

ts, a

nd b

uild

cap

acity

am

ong

mul

tiple

pla

yers

.•

Publ

ic h

ealth

can

dev

elop

dat

a-in

form

ed s

trat

egy.

• Pu

blic

hea

lth c

an b

e an

inva

luab

le a

dvoc

ate

for p

reve

ntio

n of

vio

lenc

e.

* Fro

m: P

reve

ntio

n In

stitu

te. A

Pub

lic H

ealth

App

roac

h to

Pre

vent

ing

Viol

ence

: FAQ

. UN

ITY,

200

9

Char

acte

r Ske

tch:

PUB

LIC

HEA

LTH

REP

RESE

NTA

TIV

E

Nam

e: D

arre

ll Ro

bins

on

Your

Age

nda:

You

are

at t

his m

eetin

g be

caus

e yo

u w

ant t

o st

op y

oung

peo

ple

from

mak

ing

the

sam

e m

ista

ke

you

did.

To d

o th

is y

ou k

now

you

, mus

t sho

w th

em th

ere

are

optio

ns o

ther

than

get

ting

tied

up in

gan

g lif

e.

Mot

ivat

ion:

• Yo

u “c

ame

up h

ard”

and

beg

an li

ving

on

the

stre

ets

whe

n yo

u w

ere

10 y

ears

old

and

bec

ame

a m

embe

r of

a g

ang

calle

d th

e 41

5 M

a�a

whe

n yo

u w

ere

13.

• Yo

ur s

peci

al ta

lent

was

thie

very

, bec

ause

in a

gan

g, if

you

can

take

som

ethi

ng fr

om s

omeo

ne e

lse

and

then

�au

nt it

as

a tr

ophy

, it i

ncre

ases

you

r sta

tus.

Stat

us is

all

you

have

whe

n yo

u ru

n w

ith a

gan

g, a

nd

you

have

to p

rote

ct it

, all

the

time.

• Yo

u w

ere

rece

ntly

rele

ased

from

pris

on a

fter

ser

ving

a 1

0-ye

ar s

ente

nce

for a

rmed

robb

ery.

Whi

le in

pr

ison

, you

wer

e “s

hank

ed” m

ultip

le ti

mes

dur

ing

an a

lterc

atio

n in

the

yard

. You

su�

ered

ser

ious

inju

ries

and

cam

e cl

ose

to d

ying

.

• A

fter

this

exp

erie

nce,

you

sta

rted

att

endi

ng th

e pr

ison

chu

rch.

You

had

an

“aha

” mom

ent w

hen

you

real

ized

that

turn

ing

the

othe

r che

ek, i

s no

t a s

how

of w

eakn

ess,

but a

sho

w o

f str

engt

h.

• Yo

ur n

ewfo

und

Chris

tian

orie

ntat

ion

help

ed y

ou to

re�e

ct o

n yo

ur li

fe, a

nd s

urpr

isin

gly,

the

othe

r in

mat

es p

rett

y m

uch

left

you

alo

ne a

fter

you

“con

vert

ed.”

• Fi

ndin

g th

at th

ings

are

not

as

hope

less

as

you

once

bel

ieve

d, y

ou d

ecid

ed to

ste

p aw

ay fr

om g

ang

life

perm

anen

tly.

• Yo

ur m

antr

a is

Rom

ans

12:2

: “D

o no

t con

form

to th

e pa

tter

n of

this

wor

ld, b

ut b

e tr

ansf

orm

ed b

y th

e re

new

ing

of y

our m

ind.

The

n yo

u w

ill b

e ab

le to

test

and

app

rove

wha

t God

’s w

ill is

– h

is g

ood,

ple

asin

g an

d pe

rfec

t will

.”

• Yo

u ac

tivel

y en

gage

str

eet y

outh

, inc

ludi

ng c

urre

nt g

ang

mem

bers

, in

conv

ersa

tions

alm

ost e

very

day

. Th

is is

why

you

r pas

tor g

ot y

ou in

volv

ed w

ith a

loca

l com

mun

ity-b

ased

org

aniz

atio

n ca

lled

A B

ridge

to

a Be

tter

Fut

ure

(a.k

.a. “

Brid

ge”)

.

• It

was

at a

rece

nt B

ridge

mee

ting

that

you

met

Dr.

Jane

t Wils

on, a

nd a

lthou

gh y

ou d

oubt

she

’s go

t wha

t it

take

s to

stic

k it

out i

n th

is ro

ugh

wor

ld, y

ou’v

e de

cide

d to

giv

e he

r a c

hanc

e. Y

ou th

ink

her a

skin

g yo

u to

be

at th

is m

eetin

g is

a s

ign

of G

od’s

will

, and

you

are

on

the

right

trac

k w

ith y

our n

ew li

fe.

Frie

nds

Foes

You

are

on th

e sa

me

page

with

the

folk

s w

ho ru

n Br

idge

, but

you

fe

el s

ome

of th

em a

re o

ut o

f tou

ch w

ith s

tree

t cul

ture

and

won

’t be

abl

e to

real

ly c

onne

ct w

ith g

ang

mem

bers

. How

ever

, Lon

ny

Rodr

igue

s, th

e sc

hool

cou

nsel

or, h

as b

een

very

kin

d an

d he

lpfu

l. To

geth

er y

ou w

ent t

o a

loca

l co�

ee s

hop

to m

eet w

ith D

r. Ja

net

Wils

on, a

loca

l sur

geon

who

is c

once

rned

abo

ut a

ll th

e gu

nsho

t w

ound

s sh

e se

es a

t her

hos

pita

l.

You

are

dist

rust

ful o

f law

enf

orce

men

t o�

cial

s in

gen

eral

, be

caus

e th

ey h

ave

neve

r hel

ped

you

or a

nyon

e yo

u kn

ow. I

n fa

ct, t

hey

don’

t rea

lize

that

bei

ng h

assl

ed b

y th

e po

lice

or e

ven

goin

g to

pris

on c

an “u

p yo

ur ju

ice”

on

the

stre

et. I

t als

o oc

curr

ed to

you

to h

ope

that

non

e of

th

e gu

ys y

ou’v

e be

en m

ento

ring

see

you

with

the

polic

e o�

cer,

Chris

Hay

es; t

hey

may

not

trus

t you

aft

er th

at.

Wha

t you

hop

e to

ach

ieve

: Hav

ing

plac

ed y

our f

aith

in a

hig

her p

ower

, you

hav

e be

en p

rayi

ng fo

r dire

ctio

n an

d yo

u ar

e ea

ger t

o he

lp tr

ansf

orm

the

lives

of y

oung

peo

ple

who

bel

ieve

they

hav

e no

life

-a�

rmin

g op

tions

.

Char

acte

r Ske

tch:

FORM

ER G

AN

G M

EMB

ER

Nam

e: M

el H

icks

Your

Age

nda:

You

are

at t

his

mee

ting

beca

use

you

have

dec

ided

to ru

n fo

r may

or, a

nd p

ublic

saf

ety

is p

art

of y

our p

latf

orm

.

*Mot

ivat

ion:

• Yo

u ha

ve b

een

a m

embe

r of c

ity c

ounc

il fo

r fou

r yea

rs, w

hile

als

o ru

nnin

g yo

ur o

wn

succ

essf

ul p

rintin

g an

d gr

aphi

cs c

ompa

ny. R

ecen

tly, y

ou d

ecid

ed to

run

for m

ayor

.

• Be

caus

e ga

ng a

ctiv

ity is

ram

pant

on

the

sout

h si

de o

f you

r dis

tric

t, yo

u de

cide

to m

ake

publ

ic s

afet

y a

key

cam

paig

n is

sue

and

you

need

to h

one

your

pol

itica

l app

roac

h.

• Yo

u’re

lean

ing

tow

ard

rhet

oric

abo

ut g

un c

ontr

ol, b

ut y

ou s

till n

eed

to te

st th

e w

ater

s to

see

how

that

w

ill a

�ect

you

r vot

e pr

ojec

tions

.

• Yo

ur c

ampa

ign

man

ager

feel

s yo

u ne

ed m

ore

supp

ort f

rom

min

oriti

es, b

ut y

ou’re

not

exa

ctly

sur

e w

here

they

com

e do

wn

on th

is is

sue.

• D

urin

g re

cent

tow

n ha

ll m

eetin

gs, y

ou h

ave

been

app

roac

hed

by p

aren

ts, s

choo

l tea

cher

s, m

erch

ants

, an

d ev

en a

sur

geon

from

the

coun

ty h

ospi

tal,

all d

espe

rate

for t

heir

own

reas

ons

to h

ave

som

ethi

ng

done

abo

ut g

ang

viol

ence

.

• Th

is su

rgeo

n fo

llow

ed u

p w

ith y

ou a

nd in

vite

d yo

u to

toda

y’s m

eetin

g. Yo

u w

ere

thin

king

, “W

e’ll s

ee h

ow so

on

she

lose

s int

eres

t in

this

pet p

roje

ct,” b

ut y

ou a

gree

d to

take

par

t any

way

… in

cas

e so

met

hing

use

ful r

esul

ts.

• W

hile

you

per

sona

lly b

elie

ve th

e m

ost e

�ci

ent a

nd c

ost-

e�ec

tive

way

to h

andl

e ga

ng v

iole

nce

is

expa

ndin

g th

e po

lice

pres

ence

in d

ange

rous

are

as, i

t see

ms

polit

ical

ly p

rude

nt to

cas

t a w

ider

net

. For

th

is re

ason

, you

are

hig

hly

mot

ivat

ed to

be

at th

is m

eetin

g to

day

and

lear

n al

l you

can

.

• O

n th

e ca

mpa

ign

trai

l, yo

u ar

e pl

edgi

ng to

hire

mor

e po

lice

o�ce

rs a

nd m

ake

gang

vio

lenc

e a

prio

rity

at th

e po

lice

depa

rtm

ent.

You

know

they

are

cur

rent

ly o

rgan

izin

g a

gang

sup

pres

sion

team

, so

you

spok

e w

ith th

e po

lice

chie

f and

sug

gest

ed h

e at

tend

toda

y’s

mee

ting

with

you

. He

coul

dn’t

mak

e it,

but

he

ass

igne

d a

polic

e o�

cer t

o at

tend

who

is p

art o

f the

new

team

.

Frie

nds

Foes

• A

gro

up o

f urb

an p

lann

ers

at th

e Co

mm

unity

Dev

elop

men

t Cou

ncil

has

been

lobb

ying

for s

olut

ions

for i

nner

-city

vio

lenc

e. T

hey

are

will

ing

to h

elp

fund

initi

ativ

es –

up

to $

50,0

00 p

er y

ear f

or �

ve y

ears

–

that

will

resu

lt in

mea

sura

ble

redu

ctio

ns in

gan

g vi

olen

ce. Y

ou

actu

ally

met

with

them

a fe

w m

onth

s ag

o, a

long

with

Cas

ey C

hang

of

the

coun

ty h

ealth

dep

artm

ent.

• Yo

u ar

e m

akin

g it

a po

int t

o be

on

good

term

s w

ith a

ll co

nstit

uenc

ies.

You

have

non

e of

whi

ch y

ou a

re a

war

e, b

ut o

f co

urse

any

one

runn

ing

for p

ublic

o�

ce n

eeds

to

be

prep

ared

. You

wer

e cr

itici

zed

in th

e m

edia

re

cent

ly fo

r wan

ting

to b

eef u

p th

e po

lice

depa

rtm

ent –

the

repo

rter

wro

te th

at y

ou w

ere

“big

gov

ernm

ent o

n a

little

bud

get.”

Wha

t you

hop

e to

ach

ieve

: You

hop

e to

incr

ease

you

r sup

port

bas

e an

d co

ntin

ue e

duca

ting

your

self

on

the

issu

es. Y

ou a

re e

spec

ially

inte

rest

ed in

lear

ning

wha

t thi

s in

itiat

ive

can

do fo

r you

at t

his

poin

t in

the

elec

tion

cycl

e. L

ow-h

angi

ng fr

uit i

s es

peci

ally

att

ract

ive

– an

ythi

ng th

at c

an b

e ac

com

plis

hed

quic

kly

whi

le

you’

re s

till i

n o�

ce.

* N

ote:

this

is a

di�

cult

role

to p

lay

beca

use

you

don’

t wan

t to

harm

you

r pol

itica

l clo

ut b

y si

ding

with

any

par

ticul

ar g

roup

this

ear

ly in

the

gam

e. T

ry to

be

evas

ive

abou

t mak

ing

com

mitm

ents

. In

othe

r wor

ds, d

on’t

wor

ry a

bout

ens

urin

g th

is g

roup

’s su

cces

s … si

t on

the

fenc

e if

it’s b

ette

r for

you

.

Char

acte

r Ske

tch:

CITY

CO

UN

CIL

MEM

BER

Nam

e: C

hris

Hay

es

Your

Age

nda:

You

are

at t

his

mee

ting

beca

use

your

bos

s, th

e po

lice

chie

f, to

ld y

ou to

att

end.

.

Mot

ivat

ion:

• Yo

u ha

ve b

een

a pa

trol

o�

cer i

n H

epbu

rn H

eigh

ts (a

hot

bed

of g

ang

activ

ity) f

or �

ve y

ears

.

• Yo

u de

scrib

e yo

ur b

eat a

s “tr

ibal

war

fare

com

bat d

uty”

bec

ause

it re

min

ds y

ou o

f you

r tou

rs o

f dut

y in

Iraq

and

Afg

hani

stan

.

• Re

cent

ly y

ou w

ere

mad

e pa

rt o

f the

new

gan

g su

ppre

ssio

n te

am a

t the

pol

ice

depa

rtm

ent.

• Yo

u ar

e on

e of

the

mos

t kno

wle

dgea

ble

o�ce

rs o

n th

e fo

rce

abou

t the

gan

gs in

the

area

(inc

ludi

ng

thei

r his

tory

, ini

tiatio

n pr

actic

es, i

dent

i�er

s lik

e sy

mbo

ls, c

loth

ing,

tatt

oos

and

gra�

ti), s

o yo

ur b

oss

is c

ount

ing

on y

ou to

hel

p tr

ain

the

othe

r o�

cers

who

are

bei

ng tr

ansf

erre

d on

to th

is te

am.

• Th

e ga

ng s

uppr

essi

on u

nit h

as b

een

task

ed w

ith “r

espo

ndin

g to

gan

g-re

late

d cr

imes

and

de

velo

ping

com

mun

ity-b

ased

str

ateg

ies

to re

duce

gan

g ac

tivity

with

in th

e ci

ty,”

whi

ch is

�ne

if

thes

e “c

omm

unity

-bas

ed s

trat

egie

s” a

re re

ally

goi

ng to

wor

k an

d ke

ep p

eopl

e sa

fe.

• Yo

u fe

el s

tron

gly

abou

t the

oat

h yo

u m

ade

to p

rote

ct th

e pe

ople

in y

our d

istr

ict.

They

des

erve

to

feel

saf

e an

d se

cure

so

they

can

pro

tect

and

car

e fo

r the

ir lo

ved

ones

.

• Fe

w p

eopl

e re

aliz

e ho

w fr

ustr

atin

g it

is to

mak

e so

man

y ga

ng-r

elat

ed a

rres

ts, o

nly

to h

ave

the

case

s dr

oppe

d be

caus

e pe

ople

in th

e co

mm

unity

are

afr

aid

to te

stify

aga

inst

the

perp

etra

tors

.

• Yo

ur a

ttitu

de to

war

d cr

imin

als,

or a

nyon

e w

ho th

inks

they

can

thre

aten

this

saf

ety

and

secu

rity,

is

very

rigi

d: Y

ou a

bide

by

and

belie

ve in

the

“do

the

crim

e an

d do

the

time”

man

tra.

• M

ost o

f the

peo

ple

you

keep

trac

k of

, sha

ke d

own

for i

nfor

mat

ion

and

som

etim

es a

rres

t, ar

e ju

st p

awns

fo

r the

gan

g’s p

ower

-hun

gry

lead

ersh

ip. B

ut w

hile

you

und

erst

and

man

y of

the

unde

rlyin

g dy

nam

ics o

f ga

ngs,

ther

e si

mpl

y ar

e no

exc

uses

for w

hat p

erpe

trat

ors

do fo

r the

sak

e of

“hon

or” a

nd “r

espe

ct.”

Frie

nds

Foes

Unk

now

n

Your

bos

s is

frie

nds

with

Mel

Hic

ks, t

he

city

cou

ncilm

an

runn

ing

for m

ayor

, so

you

gues

s he

’s on

e of

th

e go

od g

uys.

You

don’

t kno

w a

nyon

e el

se

at th

e m

eetin

g, b

ut fr

om

wha

t you

’ve

hear

d th

ey a

re

a bu

nch

of o

ver e

duca

ted

do-g

oode

rs w

ho d

on’t

real

ly

unde

rsta

nd h

ow th

ings

re

ally

are

on

the

stre

et.

You

hear

d a

form

er g

ang

mem

ber w

as in

vite

d to

att

end.

You

don

’t kn

ow h

im –

he

was

o�

the

stre

ets

by th

e tim

e yo

u st

arte

d –

but y

ou w

onde

r w

heth

er h

e w

ill b

e fr

iend

or f

oe. I

f he

has

an

attit

ude

prob

lem

, tha

t’s g

oing

to b

e tr

oubl

e. O

n th

e ot

her h

and,

like

you

, he

has

seen

his

com

rade

s ki

lled

and

lived

thro

ugh

the

stre

ss o

f “ba

ttle

.” M

aybe

ther

e’s

som

e co

mm

on g

roun

d.

Wha

t you

hop

e to

ach

ieve

: You

hop

e to

get

a c

hanc

e to

add

you

r per

spec

tive

to th

is m

eetin

g, b

ut y

ou a

re

skep

tical

that

any

pra

ctic

al o

r im

plem

enta

ble

stra

tegi

es w

ill c

ome

to li

ght t

hat h

asn’

t bee

n th

ough

t of b

efor

e.

Char

acte

r Ske

tch:

POLI

CE O

FFIC

ER

Nam

e: Lo

nny

Rodr

igue

s, M

Ed, M

SW

Your

Age

nda:

You

are

at t

his

mee

ting

beca

use

of y

our k

now

ledg

e of

the

educ

atio

nal s

yste

m, y

our

expe

rienc

e w

ith lo

cal y

outh

and

you

r des

ire to

giv

e th

em a

mor

e ho

pefu

l fut

ure.

Mot

ivat

ion:

• Yo

u ha

ve b

een

a co

unse

lor a

t Nue

va V

ista

Hig

h Sc

hool

for e

ight

yea

rs.

• Yo

ur s

choo

l is

loca

ted

in a

n im

pove

rishe

d ne

ighb

orho

od.

• Tr

uanc

y is

a m

ajor

pro

blem

, and

teac

hers

con

stan

tly e

xpre

ss th

e ch

alle

nges

of t

each

ing

at N

ueva

Vi

sta:

dis

rupt

ive

stud

ents

, fea

r of p

hysi

cal h

arm

and

teac

hing

stu

dent

s w

ho m

iss

clas

s fr

eque

ntly

.

• M

any

of th

e st

uden

ts a

t you

r sch

ool h

ave

a se

nse

of fa

talis

m a

nd h

opel

essn

ess

and

ther

efor

e ar

e ea

sily

sed

uced

into

gan

gs. Y

ou s

trug

gle

with

mot

ivat

ing

stud

ents

to s

ee b

eyon

d th

eir c

urre

nt

situ

atio

n be

caus

e th

ey �

nd th

ings

they

nee

d w

ith g

angs

: a s

ense

of b

elon

ging

, pow

erfu

l rol

e m

odel

s, an

d pr

estig

e; th

ey a

lso

like

havi

ng th

e “r

ight

” tat

toos

and

all

the

glitz

y bl

ing.

• Yo

u re

cent

ly c

ompl

eted

you

r mas

ter’s

in s

ocia

l wor

k, w

ith a

focu

s on

urb

an fa

mily

pra

ctic

e.

• Yo

u fe

el th

e ke

ys to

get

ting

a ha

ndle

on

the

trua

ncy

issu

e ar

e:–

Stre

ngth

enin

g fa

mili

es–

Find

ing

adul

t rol

e m

odel

s fo

r chi

ldre

n an

d te

ens

– Fi

ndin

g w

ays

to p

rovi

de m

arke

tabl

e jo

b sk

ills.

• Yo

u w

ere

invi

ted

to th

is m

eetin

g be

caus

e yo

u ar

e a

boar

d m

embe

r of a

loca

l com

mun

ity-b

ased

or

gani

zatio

n ca

lled

A B

ridge

to a

Bet

ter F

utur

e (a

.k.a

. “Br

idge

”). I

t is

a re

lativ

ely

new

, und

erfu

nded

or

gani

zatio

n, b

ut h

as a

lot o

f pro

mis

e.

• Br

idge

is a

lso

oppo

sed

to c

rimin

aliz

ing

yout

h o�

ense

s an

d se

eks

mor

e su

stai

nabl

e op

tions

.

Frie

nds

Foes

You

are

look

ing

forw

ard

to in

tera

ctin

g w

ith th

e di

rect

or o

f th

e co

unty

hea

lth d

epar

tmen

t and

with

Dar

rell

Robi

nson

, a

refo

rmed

gan

g m

embe

r who

has

bee

n vo

lunt

eerin

g w

ith B

ridge

. Yo

u’ve

bee

n ta

lkin

g ab

out t

his

stak

ehol

der m

eetin

g w

ith h

im fo

r se

vera

l wee

ks a

nd e

ven

took

him

to a

n in

form

al m

eetin

g w

ith D

r. Ja

net W

ilson

. The

thre

e of

you

met

at a

co�

ee s

hop,

bec

ause

you

th

ough

t he

wou

ld fe

el m

ore

com

fort

able

at t

he la

rger

mee

ting

if he

kne

w s

ome

of th

e st

akeh

olde

rs in

adv

ance

.

You

are

conc

erne

d ab

out M

el H

icks

fro

m c

ity c

ounc

il, th

e m

ayor

al c

andi

date

w

ho h

as b

een

cam

paig

ning

for a

ddin

g m

ore

polic

e o�

cers

in a

reas

rife

with

ga

ng a

ctiv

ity; y

ou b

elie

ve it

’s a

was

te

of m

oney

and

doe

sn’t

solv

e th

e re

al

prob

lem

s –

not t

o m

entio

n th

e ad

ded

cost

s to

the

crim

inal

just

ice

syst

em!

Wha

t you

hop

e to

ach

ieve

: You

hop

e to

mak

e m

eani

ngfu

l con

nect

ions

in th

e co

mm

unity

to fu

rthe

r the

m

issi

on o

f Brid

ge.

Char

acte

r Ske

tch:

SCH

OO

L CO

UN

SELO

R

Nam

e: A

dria

n Ba

nks,

MBA

Your

Age

nda:

You

are

at t

his

mee

ting

beca

use

you

are

look

ing

for w

ays

to s

ave

mon

ey fo

r the

hos

pita

l.

Mot

ivat

ion:

• Yo

u ha

ve b

een

the

adm

inis

trat

or a

t the

cou

nty

hosp

ital f

or �

ftee

n ye

ars.

• Yo

u ar

e re

spon

sibl

e fo

r han

dlin

g lo

ng-t

erm

pla

nnin

g, m

anag

ing

the

budg

et, a

nd s

uper

visi

ng th

e de

liver

y of

med

ical

ser

vice

s, in

clud

ing

the

Leve

l I tr

aum

a ce

nter

.

• Yo

u al

so re

view

�na

ncia

l rep

orts

, man

aged

car

e co

ntra

cts

and

maj

or h

ospi

tal e

xpen

ditu

res.

• Yo

u ar

e th

e lin

k be

twee

n th

e ho

spita

l and

the

boar

d of

trus

tees

, res

pons

ible

for i

nitia

ting

fund

-rai

sing

ac

tiviti

es, w

hich

you

enj

oy b

ecau

se y

ou h

ave

a lo

t of c

onne

ctio

ns. Y

ou s

uspe

ct th

is is

why

the

surg

ical

re

side

nt, J

anet

Wils

on, c

ame

to y

ou a

fter

the

rece

nt g

ang-

rela

ted

trau

mat

ic in

jurie

s tr

eate

d at

the

hosp

ital –

she

’s de

term

ined

to d

o so

met

hing

abo

ut it

, and

nat

ural

ly, t

hat’s

goi

ng to

cos

t mon

ey.

• Th

ere

are

seve

ral t

hing

s ab

out w

hich

Jane

t isn

’t fu

lly a

war

e:–

On

one

hand

, tra

uma

care

is a

cas

h co

w fo

r the

hos

pita

l – th

at’s

cras

s, bu

t tru

e.

» Av

erag

e ch

arge

s fo

r ass

ault

vict

ims

wer

e a

little

ove

r $10

0,00

0 pe

r pat

ient

last

yea

r, w

ith a

rang

e be

twee

n $1

0,00

0 an

d $6

30,0

00.

» Th

e re

venu

e fr

om a

gun

shot

wou

nd is

abo

ut $

154,

000

per s

urvi

vor v

ersu

s a

knife

wou

nd, w

hich

is

abo

ut $

12,0

00 p

er s

urvi

vor.

» Ev

en w

hen

peop

le a

re u

nins

ured

, the

trau

ma

cent

er g

ets

stat

e an

d fe

dera

l dol

lars

to c

are

for

thes

e pa

tient

s, an

d m

any

qual

ify fo

r Med

icai

d af

ter t

hey’

re in

jure

d.

• Bu

t on

the

othe

r han

d, d

ue to

the

Patie

nt P

rote

ctio

n an

d A

�ord

able

Car

e Ac

t (PP

ACA

) and

oth

er

maj

or re

form

s w

ithin

the

heal

thca

re s

yste

m, s

oon

the

hosp

ital w

on’t

get m

ore

mon

ey to

trea

t cer

tain

co

nditi

ons

(car

diac

pat

ient

s, fo

r exa

mpl

e), i

f the

y ar

e re

adm

itted

too

soon

aft

er b

eing

rele

ased

. You

’re

read

ing

the

writ

ing

on th

e w

all,

and

pred

ictin

g th

at re

imbu

rsem

ents

for a

ll so

rts

of re

cidi

vism

– e

ven

gang

-rel

ated

gun

shot

wou

nds

– m

ay b

e dr

ying

up.

• La

stly

, due

to IR

S m

anda

tes,

cond

uctin

g a

com

mun

ity h

ealth

nee

ds a

sses

smen

t is n

eces

sary

to m

aint

ain

the

hosp

ital’s

tax-

exem

pt st

atus

. Tod

ay’s

mee

ting

is a

gre

at w

ay to

mak

e m

ore

conn

ectio

ns in

the

com

mun

ity

and

to g

et a

sen

se o

f wha

t mig

ht b

e in

volv

ed in

trul

y w

orki

ng w

ith th

e co

mm

unity

on

heal

th is

sues

.

Frie

nds

Foes

• Yo

u ar

e on

a c

omm

ittee

cal

led

Firs

t 5 (f

ocus

ing

on h

ealth

of c

hild

ren

ages

0-5

) with

D

r. Ch

ang

from

the

loca

l hea

lth d

epar

tmen

t, an

d yo

u tw

o ha

ve a

gre

at ra

ppor

t.

• Yo

u lik

e Ja

net a

nd a

dmire

her

det

erm

inat

ion

to m

ake

mea

ning

ful c

hang

e in

th

e co

mm

unity

. You

hop

e th

at y

ou c

an fu

lly s

uppo

rt h

er, b

ut h

ones

tly, i

t will

de

pend

on

wha

t mak

es �

nanc

ial s

ense

for t

he h

ospi

tal.

Your

com

petit

ion

is O

lym

pus M

edic

al

Cent

er, t

he p

rivat

e ho

spita

l in

the

area

, w

hich

has

bee

n m

akin

g e�

orts

to im

prov

e its

trau

ma

care

. The

re is

com

petit

ion

for

case

s, w

hich

are

hig

hly

reim

burs

able

.

Wha

t you

hop

e to

ach

ieve

: You

hop

e to

sta

y in

the

loop

on

this

issu

e an

d m

ake

sure

any

idea

s pu

t for

th

that

invo

lve

the

hosp

ital a

re �

scal

ly p

rude

nt. Y

ou a

lso

have

to k

eep

an e

ye o

n Ja

net,

mak

ing

sure

her

pub

lic

activ

ities

con

tinue

to h

ighl

ight

her

as

a re

spon

sibl

e re

pres

enta

tive

of th

e ho

spita

l.

* N

ote:

Thi

s is a

di�

cult

role

to p

lay

beca

use

you

wan

t to

help

solv

e th

e pr

oble

m b

ut y

ou h

ave

mul

tiple

aim

s. In

oth

er w

ords

, don

’t w

orry

abo

ut b

eing

a sk

eptic

al

pres

ence

am

ong

the

grou

p. M

ake

them

conv

ince

you

with

�na

ncia

l arg

umen

ts –

how

will

this

a�e

ct th

e bo

ttom

line

?

Char

acte

r Ske

tch:

HO

SPIT

AL

AD

MIN

ISTR

ATO

R

Nam

e: __

____

____

____

____

____

____

____

____

__

Your

Age

nda:

___

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____

Mot

ivat

ion:

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__

Frie

nds

Foes

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Wha

t you

hop

e to

ach

ieve

: ___

____

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Char

acte

r Ske

tch:

Wraparound Project Strategies

The San Francisco Wraparound Project employs culturally competent case managers who see victims of interpersonal/youth violence from 10-30 years of age while they are recovering from physical injury. They make an assessment and enroll patients they deem high risk for repeat injury and/or incarceration, based on the presence or absence of risk factors.

The following is a list of services and risk-reduction resources provided through the Wraparound Project:

• Crisis response services along with the City’s Crisis Response Network and crisis home visits• Vocational training programs via Goodwill, Glide, trucking academies, Friends of the Urban Forest, and

Job Core Employment opportunities throughout the region• Tattoo removal services• After-school programs – Department of Parks and Recreation• Mental health services for victim and family• Cognitive behavioral therapy through the Trauma Recovery Center• Completion of education and improved performance through school advocacy and placement, and

referrals to the city’s General Education Degree resources• Assistance in obtaining a driver’s license, temporary disability and victim services

For more about The San Francisco Wraparound Project: http://violenceprevention.surgery.ucsf.edu/about-us/overview.aspx

Mod

el fo

r Im

prov

emen

tSource: Langley GL, Moen R, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (2nd edition). San Francisco: Jossey-Bass Publishers; 2009.

Wha

t are

we

tryi

ng

to a

ccom

plis

h?

How

will

we

know

th

at a

cha

nge

is a

n im

prov

emen

t?

Wha

t cha

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ill re

sult

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impr

ovem

ent?

Act

Stud

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Plan Do