CHAPTER 4: THE CAUSES AND COMBATANTS OF YOUTH VIOLENCENo S<strong>in</strong>gle Theory Expla<strong>in</strong>s <strong>Youth</strong><strong>Violence</strong>Although no s<strong>in</strong>gle <strong>the</strong>ory has been able <strong>to</strong> expla<strong>in</strong> <strong>the</strong> multifacetedcomponents <strong>of</strong> <strong>the</strong> social, psychological, <strong>and</strong> biophysicalfacets that appear <strong>to</strong> be <strong>in</strong>tertw<strong>in</strong>ed with<strong>in</strong> violentbehaviors, some <strong>the</strong>ories are better suited than o<strong>the</strong>rs <strong>to</strong>underst<strong>and</strong> <strong>and</strong> prevent youth violence. From <strong>the</strong>se researchtraditions, various philosophies developed <strong>to</strong> <strong>in</strong>form<strong>the</strong> practice <strong>of</strong> reduc<strong>in</strong>g youth violence. Suchapproaches <strong>in</strong>clude <strong>the</strong> public health, ecological, publicsafety, community peace, resiliency <strong>and</strong> positive youth development<strong>the</strong>ories. These approaches are not mutuallyexclusive.Public Health ApproachThe study <strong>of</strong> violence prevention <strong>and</strong> <strong>in</strong>tervention, comb<strong>in</strong>edwith <strong>the</strong> practical medical dem<strong>and</strong>s <strong>of</strong> address<strong>in</strong>g<strong>the</strong> results <strong>of</strong> violence has led <strong>to</strong> <strong>the</strong> creation <strong>of</strong> a “publichealth” approach <strong>to</strong> youth <strong>and</strong> o<strong>the</strong>r k<strong>in</strong>ds <strong>of</strong> violence.The public health approach is a holistic, comprehensive<strong>and</strong> preventive approach that is implemented on a larger,population-wide scale than is <strong>the</strong> law enforcement approach,for example. Accord<strong>in</strong>g <strong>to</strong> <strong>the</strong> Centers for DiseaseControl <strong>and</strong> Prevention (CDC), <strong>the</strong> public healthapproach <strong>to</strong> violence prevention is a four-step process,which <strong>in</strong>volves def<strong>in</strong><strong>in</strong>g <strong>the</strong> problem, identify<strong>in</strong>g risk <strong>and</strong>protective fac<strong>to</strong>rs, develop<strong>in</strong>g <strong>and</strong> test<strong>in</strong>g preventionstrategies, <strong>and</strong> assur<strong>in</strong>g widespread adoption:1. The first step <strong>in</strong> prevent<strong>in</strong>g violence is <strong>to</strong> grasp <strong>the</strong>magnitude <strong>of</strong> <strong>the</strong> problem: analyz<strong>in</strong>g data such as <strong>the</strong>number <strong>of</strong> violence-related behaviors, <strong>in</strong>juries, <strong>and</strong>deaths. Data can demonstrate how frequently violenceoccurs, where it is occurs, trends, <strong>and</strong> who <strong>the</strong> victims<strong>and</strong> perpetra<strong>to</strong>rs are. Data are ga<strong>the</strong>red from widerang<strong>in</strong>gsources <strong>in</strong>clud<strong>in</strong>g, police reports, medical exam<strong>in</strong>erfiles, vital records, hospital charts, registries<strong>and</strong> population-based surveys.2. Determ<strong>in</strong><strong>in</strong>g <strong>the</strong> key cause(s)/risk fac<strong>to</strong>rs associatedwith <strong>the</strong> problem; <strong>in</strong> this case, identify<strong>in</strong>g risk <strong>and</strong> protectivefac<strong>to</strong>rs help identify where prevention effortsneed <strong>to</strong> be focused.3. Develop<strong>in</strong>g an action plan <strong>to</strong> tackle <strong>the</strong> problembased on <strong>the</strong> identified cause(s)/risk fac<strong>to</strong>rs; researchdata <strong>and</strong> f<strong>in</strong>d<strong>in</strong>gs from needs assessments, communitysurveys, stakeholder <strong>in</strong>terviews, <strong>and</strong> focus groups areuseful for design<strong>in</strong>g prevention programs. Us<strong>in</strong>g <strong>the</strong>sedata <strong>and</strong> f<strong>in</strong>d<strong>in</strong>gs is known as an evidence-based approach<strong>to</strong> program plann<strong>in</strong>g. Once programs are implemented,<strong>the</strong>y are evaluated rigorously <strong>to</strong> determ<strong>in</strong>e<strong>the</strong>ir effectiveness.4. Implement<strong>in</strong>g policies <strong>and</strong> procedures with<strong>in</strong> <strong>the</strong>def<strong>in</strong>ed population. Once prevention programs havebeen proven effective, <strong>the</strong>y must be dissem<strong>in</strong>ated.Communities are encouraged <strong>to</strong> adapt programs <strong>to</strong>meet <strong>the</strong>ir own needs <strong>and</strong> <strong>to</strong> evaluate <strong>the</strong> program’ssuccess. Dissem<strong>in</strong>ation techniques <strong>to</strong> promote widespreadadoption <strong>in</strong>clude tra<strong>in</strong><strong>in</strong>g, network<strong>in</strong>g, technicalassistance, <strong>and</strong> process evaluation. 53The public health approach <strong>to</strong> any problem is <strong>in</strong>terdiscipl<strong>in</strong>ary<strong>and</strong> science-based, mean<strong>in</strong>g that it draws frommany discipl<strong>in</strong>es <strong>in</strong>clud<strong>in</strong>g medic<strong>in</strong>e, psychology, sociology,crim<strong>in</strong>ology, epidemiology, education <strong>and</strong> economics.54 This comb<strong>in</strong>ation <strong>of</strong> knowledge <strong>and</strong> practice fromsuch diverse discipl<strong>in</strong>es def<strong>in</strong>es <strong>the</strong> <strong>in</strong>novation <strong>and</strong> success<strong>of</strong> <strong>the</strong> public health field. The public health approachalso emphasizes collective action <strong>in</strong> prevent<strong>in</strong>g any healthproblem. “Each sec<strong>to</strong>r has an important role <strong>to</strong> play <strong>in</strong> address<strong>in</strong>g<strong>the</strong> problem <strong>of</strong> violence <strong>and</strong> collectively <strong>the</strong> approachestaken by each have <strong>the</strong> potential <strong>to</strong> produceimportant reductions <strong>in</strong> violence.” 55The public health approach believes that youth violence isa preventable epidemic. It focuses on underst<strong>and</strong><strong>in</strong>g howrisk fac<strong>to</strong>rs are related <strong>to</strong> violence <strong>and</strong> how protective fac<strong>to</strong>rscan aid <strong>in</strong> develop<strong>in</strong>g effective prevention, <strong>in</strong>tervention<strong>and</strong> suppression <strong>in</strong>itiatives. The public health modelcan significantly reduce <strong>the</strong> number <strong>of</strong> <strong>in</strong>juries <strong>and</strong> deathscaused by violence by identify<strong>in</strong>g <strong>the</strong> problem <strong>and</strong> develop<strong>in</strong>gsolutions for <strong>the</strong> def<strong>in</strong>ed population. Additionally,<strong>the</strong> public health approach aims <strong>to</strong> dissem<strong>in</strong>ate successfulmodels as part <strong>of</strong> a coord<strong>in</strong>ated effort <strong>to</strong> educate <strong>and</strong> reachout <strong>to</strong> <strong>the</strong> public.Ecological PerspectiveDue <strong>to</strong> <strong>the</strong> fact that <strong>the</strong>re are numerous recurr<strong>in</strong>g determ<strong>in</strong>ants<strong>of</strong> violence it is important <strong>to</strong> adopt an ecological perspective<strong>in</strong> order <strong>to</strong> tackle <strong>the</strong> youth violence epidemiceffectively. The Ecological Model explores <strong>the</strong> relationshipbetween <strong>in</strong>dividual <strong>and</strong> contextual fac<strong>to</strong>rs <strong>and</strong> considersviolence as <strong>the</strong> product <strong>of</strong> multiple levels <strong>of</strong><strong>in</strong>fluence on behavior. 56 The ecological perspective high-53 (http://www.cdc.gov/ncipc/dvp/PublicHealthApproachTo_<strong>Violence</strong>Prevention.htm).54 JA Mercy, ML Rosenberg, KE Powell, CV Broome <strong>and</strong> WL Roper, “Public Health Policy for Prevent<strong>in</strong>g <strong>Violence</strong>,” Health Affairs, 12.4 (1993).55 World Report on <strong>Violence</strong> <strong>and</strong> Health (Geneva: World Health Organization, 2002).30
A BLUEPRINT FOR ACTIONlights <strong>the</strong> multiple <strong>and</strong> complex causes <strong>of</strong> violence <strong>and</strong> <strong>the</strong><strong>in</strong>teraction <strong>of</strong> risk fac<strong>to</strong>rs operat<strong>in</strong>g with<strong>in</strong> family, community,social, cultural, <strong>and</strong> economic contexts. Thismodel also adopts a developmental perspective <strong>of</strong> how violencemay be l<strong>in</strong>ked <strong>to</strong> different fac<strong>to</strong>rs at different stages<strong>of</strong> one’s life.Public Safety ApproachHis<strong>to</strong>rically, most jurisdictions sought <strong>to</strong> solve youthdel<strong>in</strong>quency <strong>and</strong> violencewith a law <strong>and</strong> Voices from <strong>the</strong> <strong>District</strong>DC does not always“embrace its youth <strong>in</strong> apositive light. We demonizeour youth so much. We rarelyfocus on <strong>the</strong> good stuff. I th<strong>in</strong>kthat we have encouraged aculture <strong>of</strong> fear <strong>of</strong> youth <strong>in</strong> thiscity. I don’t th<strong>in</strong>k it’s that hard<strong>to</strong> fix, but we have <strong>to</strong> becommitted <strong>to</strong> fix<strong>in</strong>g it. I justth<strong>in</strong>k that a part <strong>of</strong> gangviolence prevention, a criticalpiece has <strong>to</strong> be, <strong>to</strong> embraceour youth as an importantasset <strong>and</strong> <strong>to</strong> embrace ouryouth <strong>in</strong> a lov<strong>in</strong>g way;lett<strong>in</strong>g <strong>the</strong>m know that <strong>the</strong>yare significant.”order, or public safetyapproach. This approachfocuses on suppress<strong>in</strong>gviolent <strong>and</strong>socially-unacceptablebehavior. Five basicstrategies have evolved<strong>in</strong> deal<strong>in</strong>g with youthgangs: (1) neighborhoodmobilization; (2)social <strong>in</strong>tervention, especiallyyouth outreach<strong>and</strong> work with streetgangs; (3) provision forsocial <strong>and</strong> economicopportunities, such asspecial school <strong>and</strong> jobprograms; (4) gangsuppression <strong>and</strong> <strong>in</strong>carceration;(5) an organizational development strategy, suchas specialized police <strong>and</strong> probation gang units.Increas<strong>in</strong>gly, gang <strong>and</strong> youth violence have been viewedless as social problems <strong>and</strong> more as crim<strong>in</strong>al <strong>and</strong> pathologicaldisorders, accord<strong>in</strong>gly <strong>the</strong> call for ramped up lawenforcement has <strong>in</strong>creased. Unlike <strong>in</strong> o<strong>the</strong>r public safetydiscussions, <strong>the</strong> “law enforcement approach” deemed necessary<strong>to</strong> combat youth <strong>and</strong> gang violence is <strong>of</strong>ten suppression<strong>and</strong> not community polic<strong>in</strong>g. Key components<strong>of</strong> suppression are surveillance, stakeouts, aggressive patrols<strong>and</strong> arrests, curfews, zero <strong>to</strong>lerance policies/practices<strong>and</strong> <strong>in</strong>telligence ga<strong>the</strong>r<strong>in</strong>g. 57Community Peace ApproachIn response <strong>to</strong> <strong>the</strong> national concern about youth violence <strong>in</strong><strong>the</strong> 1990s, <strong>the</strong> Institute for Community Peace (ICP) wasformed <strong>to</strong> br<strong>in</strong>g a primary prevention focus <strong>to</strong> communitybasedviolence problems. The community peace model isa comprehensive, research-basedpracticemodel that comb<strong>in</strong>es<strong>the</strong> o<strong>the</strong>r approaches<strong>and</strong> <strong>in</strong>cludes thosemost directly affected–community residents,<strong>in</strong>clud<strong>in</strong>g young people– as <strong>the</strong> drivers forchange. Essential <strong>to</strong>this model are:• Build<strong>in</strong>g capacity <strong>to</strong>collaborate across discipl<strong>in</strong>e<strong>and</strong> sec<strong>to</strong>r;• Broad-based residentengagement;• A focus on rootcauseanalysis <strong>of</strong> violence;• The implementation<strong>of</strong> a comprehensive,evidence-based action plan;Voices from <strong>the</strong> <strong>District</strong>Most community based organizationsknow <strong>the</strong>ir neigh-“borhoods, <strong>the</strong>y’re on <strong>the</strong>ground, <strong>and</strong> are familiar with<strong>the</strong> people <strong>in</strong> <strong>the</strong> neighborhoods.But sometimes it’s achallenge <strong>to</strong> overcome <strong>in</strong>ertia;recogniz<strong>in</strong>g when someth<strong>in</strong>gisn’t work<strong>in</strong>g as good as itcould, tak<strong>in</strong>g new <strong>in</strong>formation<strong>and</strong> <strong>in</strong>tegrat<strong>in</strong>g that <strong>in</strong><strong>to</strong> yourapproach; work<strong>in</strong>g with evaluations<strong>and</strong> look<strong>in</strong>g at differentmodels <strong>to</strong> <strong>in</strong>tegrate. Theredoes tend <strong>to</strong> be a lot <strong>of</strong> resistance– like ‘We’ve been do<strong>in</strong>gthis for a long time.’”• Consistent reflection <strong>and</strong> revision <strong>of</strong> <strong>the</strong> plan;• Attention <strong>to</strong> prevent<strong>in</strong>g violence <strong>and</strong> build<strong>in</strong>gcommunity; <strong>and</strong>• A focus on susta<strong>in</strong>ability.The community peace model differs from <strong>the</strong> o<strong>the</strong>r approaches<strong>in</strong> that it challenges community <strong>and</strong> collaborativepartners <strong>to</strong> create a safe environment <strong>and</strong> <strong>to</strong> buildcommunity that is resistant <strong>to</strong> violence. An evolutionaryframework, developed by ICP, assists <strong>in</strong> underst<strong>and</strong><strong>in</strong>g <strong>the</strong>evolutionary process <strong>in</strong> which communities move fromcrisis <strong>and</strong> <strong>in</strong>action over violence <strong>to</strong> susta<strong>in</strong>ed peace.Called <strong>the</strong> developmental stages, this framework providesa guide <strong>to</strong> effective resource distribution <strong>and</strong> target<strong>in</strong>g effortsover <strong>the</strong> life <strong>of</strong> a community’s work <strong>to</strong> develop <strong>and</strong>susta<strong>in</strong> peace.Resiliency TheoryFor <strong>the</strong> past 30 years researchers have been try<strong>in</strong>g <strong>to</strong> determ<strong>in</strong>e<strong>the</strong> answers <strong>to</strong> <strong>the</strong> follow<strong>in</strong>g questions: Why dosome children from very adverse circumstances grow up <strong>to</strong>be productive, responsible adults while o<strong>the</strong>rs do not?Why are some children “resilient” <strong>in</strong> <strong>the</strong> face <strong>of</strong> seriousrisks, <strong>and</strong> o<strong>the</strong>rs are not? What can we do <strong>to</strong> <strong>in</strong>crease <strong>the</strong>chances <strong>of</strong> successful outcomes? The outgrowth <strong>of</strong> <strong>the</strong>sequestions <strong>and</strong> research related <strong>to</strong> <strong>the</strong>m is known as resiliency<strong>the</strong>ory, a major <strong>the</strong>oretical approach <strong>to</strong> del<strong>in</strong>-56 U Bronfenbrenner, “Ecological Systems Theory”, Annals <strong>of</strong> Child Development (1989).57 Ibid.31