TRUsted rEsidents and Housing Assistance to Decrease Violence Exposure in New Haven (TRUE HAVEN)

Yale University

Status: Enrolling

Conditions: Firearm Injury

Treatments: Behavioral: TRUE HAVEN

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05723614

1R01MD017526-01 (U.S. NIH Grant/Contract)

2000032184

Details and patient eligibility

About

The overall objective of this study is to implement and test a strengths-based, community-driven intervention to reduce gun violence by (1) improving housing stability through providing financial assistance coupled with comprehensive financial education for the re-entry population as well as their family members, and (2) fostering greater support for mental health by training a trusted network of community members in trauma-informed counseling.

Full description

Proposed is a type I hybrid effectiveness/implementation study using a neighborhood-level, stepped-wedge trial design across six primarily Black/Latinx, socially vulnerable neighborhoods in New Haven. Residents of each neighborhood who have been affected by incarceration (i.e., currently have a family member incarcerated or a person returning to the community from prison within the last 12 months) will be eligible for our intervention for a period of 6 months. The Consolidated Framework for Implementation Research (CFIR) and the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) implementation science frameworks will be used to measure and track processes in achieving outcomes. A mixed methods approach will be used, primarily the use of quantitative methods for this study, along with qualitative focus groups will be conducted to assess some implementation outcomes. The primary outcome, rates of gun violence at the neighborhood level, are obtained from administrative data. Survey data will be collected for some implementation process measures (e.g., assessing acceptability and appropriateness of the intervention).

Enrollment: 61,770 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

All residents in the study neighborhoods are eligible for outcome assessment. For the intervention component of housing support, the below inclusion and exclusion criteria apply.

Inclusion criteria:

• Age 18 or above
• Family member currently incarcerated or person returning from prison within the last 12 months
• Live in one of the six neighborhoods with highest rates of gun violence in New Haven, Connecticut

Exclusion criteria:

• Plans to leave the study area within 1 year

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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61,770 participants in 2 patient groups

Control

No Intervention group

Intervention

Experimental group

Description:

The two components in the intervention arm of TRUE HAVEN are: housing support for recently incarcerated people as well as family members of currently incarcerated people, and mental wellness training for neighborhood residents to participate in trauma-informed care training sessions.

Treatment:

Behavioral: TRUE HAVEN