Identify Goals and Strategies for Peace/Safety

Identify Goals and Strategies for Peace/Safety Vision: Milwaukee is a model community with healthy, safe, hopeful and empowered residents Strategic Goal Strategies Possible process Collaborators Community Data Related Essential Forces of Change: Question objectives for Action Themes Public Health Services Trends, Factors, and Events Teams (% score ) (Healthiest State Project and assessment findings)

How can the All persons will live in Improve relationships Violence Prevention Challenges Homicide is the EPHS 2. Diagnose And  Escalating health care organizations, safety and peace between community Programs Feeling leading cause of Investigate Health costs residents and and law enforcement Implement evidence- unsafe/Public deaths in Problems and Health  W2 reforms do not assure systems in the city agencies based early childhood safety Milwaukee for Hazards (84%) health care coverage of Milwaukee work education programs as youth ages 15-19  Lack of awareness together to improve primary prevention of Fear of personal and young adults EPHS 5. Develop about accessing Implement early 24 prevention and childhood interventions violence safety in accessing ages 20-34. Policies and Plans that healthcare services and response efforts to as a means of primary services Support Individual and resources achieve safety and prevention of violence Implement and enhance 7.5% of students Community Health  Lack of providers in peace in all parts of and enhance programs early childhood home Handguns/Gun carried a weapon Efforts (65%) heavily populated our city? through integration of visiting to prevent violence on school areas- ex: Midtown risk assessment and maltreatment and youth property in the  High concentration of provision of resources violence Single bullet sales pervious 30 quality health care around violence days, and 12% systems Increase community Gang violence were threatened  Need for diverse and watch programs, utilizing with a weapon on Decrease acceptability 32 culturally competent existing groups (religious Safety of kids on school property health care workforce of violence and abuse and community groups) buses Nationally, 27%  Increasing number of as viable responses Reduce crack-cocaine Drugs/drug-related of state prisoners uninsured availability and use on the crime report having  Continuing tax cuts in Decrease access to streets experienced Milwaukee County illegal firearms and Abuse physical or  Lack of national policy of ammunition Increase security within sexual abuse schools Parents afraid of before everyone’s right to health 33 and health care Increase the capacity to own children incarceration Expand and standardize  Political debate about deliver high-quality, providing universal health comprehensive services mentoring programs for Distrust of Law In Milwaukee, children (Big Bro Big Sis) enforcement 90% of homicide care coverage to survivors (including  Lack of adequate perpetrators) of violence Implement classroom (when providing suspects had interventions for youth anonymous tips) prior arrests; dialogue on the focus of violence prevention 77% of homicide healthcare and public Ensure ex-offenders Racial profiling victims had prior health expenditures have access to high- Implement classroom arrests38  Public health and quality health and interventions for intimate Assets healthcare are human services that partner violence People in In 2005, almost consistently confused enhance their ability to community 40% of homicide  Lack of understanding of succeed Develop city-wide skill- care/want to help victims in public health and the non- based program to reduce Milwaukee tested governmental entities that Participate bullying and school-based After school positive for illicit compromise the bulk of in community-wide pact violence programs drugs at the time the public health system to support law of their death.  Multiple hospital and Develop system for CBO’s 24% of victims health care systems 1 Strategic Goal Strategies Possible process Collaborators Community Data Related Essential Forces of Change: Question objectives for Action Themes Public Health Services Trends, Factors, and Events Teams (% score ) (Healthiest State Project and assessment findings)

enforcement efforts to providing family- and were found to be  General distrust of public disrupt drug commerce community-based therapy Caring neighbors legally systems such as and related illegal using stages of change intoxicated38 healthcare, police, activities models criminal justice Nearly 80% of Develop wraparound homicides in system of care for children Milwaukee in with behavioral and 2006 were emotional needs completed using a firearm38 Develop therapeutic foster care for chronically In nearly 40% of delinquent juveniles as homicides in alternative to incarceration Milwaukee in 2005, the victim Develop system for and suspect anonymous crime were reporting acquaintances. In another 18% Enhance homicide review of homicides, the and review of other crimes suspect and victim were Violence Reduction friends, family Programs members, or Implement environmental intimate modifications to reduce partners38 and control violence (streetlights, improved In 2005, 59% of infrastructure in homicides in impoverished Milwaukee were neighborhoods) precipitated by a robbery; 33% Participate in city were related to planning/built environment the drug trade38 efforts to provide voice around violence According to prevention MKE Fire Dept data, from 2000- Develop social marketing 2005, 2,479 campaign to reduce wounds occurred violence and drug dealing from stabbings, in communities while 1,559 Policies wounds were Enhance firearm and related to 2 Strategic Goal Strategies Possible process Collaborators Community Data Related Essential Forces of Change: Question objectives for Action Themes Public Health Services Trends, Factors, and Events Teams (% score ) (Healthiest State Project and assessment findings)

ammunition laws (city or gunshots. state) According to the Law Enforcement Wisconsin Anti- Programs Violence Effort Facilitate collaboration Educational between the police Fund, an department and average of 56 community members to teenagers die reduce barriers to every year in WI community seeking because of assistance from law gunshot wounds. enforcement

Program/Policies Address racial profiling

 Racial segregation in Milwaukee  State's largest city  Poverty in Milwaukee  Disparities in key health indicators (Infant mortality, teen pregnancy, homicide, insurance coverage, immunization rates)  Health disparities disproportionately impact black men and boys  High incarceration rates  High prevalence of people living in poverty  Perception of danger and crime  High rates child abuse, domestic violence, youth violence, homicide  Availability of guns

3 Footnotes

1. Milwaukee Vital Records. 2005 2. Baker, B., Chen, V., Fillmore, C., Blair, K., Michalski, K. & Paradowski, J. Fetal Infant Mortality Review (FIMR). 2002-2004. Milwaukee Healthy Beginnings Project, Health Resources and Services Administration & Milwaukee Health Department 3. National Institute of Child Health and Human Development. Health Disparities: Bridging the Gap. 2000, reprinted 2005 4. United Way of Greater Milwaukee. If Truth be Told Report. 2006 5. Riverwest Health Initiative Riverwest Community Health Assessment, 2004-2006. 6. Levine, Marc. After the Boom: Joblessness in Milwaukee Since 2000. University of Wisconsin-Milwaukee Center for Economic Development. 2004. 7. Acevedo-Garcia, D., McArdle, N., Osypuk, T.L., Lefkowitz, B. & Krimgold, B. Children Left Behind: How Metorpoliatn Areas are Failing Americans Children. Harvard School of Public Health & Center for the Advancement of Health. January 2007. diversitydata.org 8. Wisconsin Council on Children and Families. Start Smart Milwaukee. 2005 9. Community Health Improvement in Metcalfe and Concordia (CHIMC). “CHIMC Secondary Data Overview” 2006 10. Pawasarat, J. & Quinn, L.. Legal Action Wisconsin Housing Report. University of Wisconsin-Milwaukee Employment and Training Institute. 2007 11. Lapine, L., Larson, L., & Schmitter, A. Child Care for Children who are Mildly Ill: A Description of Perspectives from Child Care Providers, Parents and Employers. Planning Council for Health and Human Services, Inc. 2000. 12. The Wisconsin Department of Public Instruction. http://www.dpi.state.wi.us/ 13. Aurora Health Care. Aurora Milwaukee Community Health Survey 2006. In Partnership with Milwaukee Health Department & Center for Urban Population Health. Prepared by JKV Research, LLC 14. Aurora Health Care. Aurora Central Milwaukee Community Health Survey 2006. In Partnership with Milwaukee Health Department & Center for Urban Population Health. Prepared by JkV Research, LLC. 15. Wisconsin Hospital Association. www.wha.org 16. Wisconsin Department of Health and Family Services. Wisconsin Local Health Department Survey 2003-2004. 2005. 17. Milwaukee Health Department. Public Health Report by Aldermanic District. October 18, 2005. 18. Federal Investigation Bureau. 2005. 19. Wisconsin Department of Health and Family Services. Wisconsin Child Abuse and Neglect Report, 2005 data. Office of Program Evaluation and Planning. Division of Children and Family Services. 20. Bureau of Justice Statistics Factbook, U.S. Department of Justice. 1998 21. Wisconsin Domestic Abuse Incident Report for 2001, Office of Crime Victim Services 22. WCADV, 2000 Domestic Homicide Report 23. Wisconsin Domestic Abuse Incident Report for 2005, Office of Crime Victim Services 24. Blair, K., & Liegel, J. Death: Leading Causes for 1995-2005, City of Milwaukee. June 2007. Milwaukee Health Department. 25. Department of Health and Human Services. Wisconsin Interactive Statistics on Health. http://dhfs.wisconsin.gov/wish 26. Wisconsin STD program. 2004 27. Bureau of Health Information and Policy, Division of Public Health, Wisconsin Department of Health and Family Services. Wisconsin Family Health Survey: City of Milwaukee. 2005. 28. Coley, B., Hollander, G. & Seal, D. Health Disparities Among LBGT Populations In Wisconsin: A Summary Report of Needs. Diverse and Resilient & Center for AIDS Intervention and Research. 2006. 29. Centers for Disease Control and Prevention. Survnet. Data 2000-2006. accessed on the Milwaukee Health Department website www.milwaukee.gov/health 30. Department of Workforce Development. Wisconsin Shares Subsidy Porgram. Monthly Statistics. Accessed on http://dwd.wisconsin.gov/childcare/wishares/default.htm. 2007. Graph only 31. Pawasarat, J. & Quinn, L.M., Addressing Barriers to Employment: Increasing Child Care Rates and the Rate Setting Process Under the Wisconsin Shares Program. University of Wisconsin-Milwaukee Employment and Training Institutes. 2002. 32. Center for Disease Control and Prevention. Youth Behavior Risk Survey. www.cdc.gov 33. Glaze LE. & James DJ, Mental health problems of prison and jail inmates. Bureau of Justice Statistics Special Report. September 2006. 34. United Way of Greater Milwaukee. “Breaking the Cycle of Poverty.” 2008. 35. Pawasarat, J. & Quinn, L. Racial Integration in Urban America: A Block Level Analysis of African American and White Housing Patterns. Employment and Training Institute. School of Continuing Education, University of Wisconsin-Milwaukee, December 2002, revised January 2003. 36. Wisconsin Department of Health and Family Services, Bureau of Health Information and Policy, Division of Public Health. Wisconsin 2001-2005. 37. Wisconsin Department of Health Services.Framework for Action to Eliminate Racial and Ethnic Disparities in Birth Outcomes. January 2009-01-16 38. Milwaukee Homicide Review Commission Interim Progress Report. May 2007. 39. Citylights. Selected health adolescent disparities data. 2007:16(2):3-14. 40. Milwaukee Fire Department. Life Threatening Penetrating Trauma Patients Transported by ALS Units. 2000-2005. 41. Wisconsin Anti-Violence Effort Educational Fund (WAVE). WAVE Report. Fall 2008: Volume 5, Issue 2.