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TRUE HAVEN: TRUsted rEsidents and Housing Assistance to decrease Violence Exposure in New Haven

Award Number: R01MD017526
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/22/2022
PERIOD OF PERFORMANCE END DATE: 03/31/2027
AWARD TERMINATION DATE: 03/29/2025

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TRUE HAVEN: TRUsted rEsidents and Housing Assistance to decrease Violence Exposure in New Haven - Gun violence is concentrated in low-income neighborhoods and contributes substantially to chronic stress, trauma, poor mental health, and premature mortality among residents, even among those not directly victimized. In New Haven, Connecticut, a sharp rise in homicide prompted the development of a community-academic partnership to identify community-led strategies to mitigate the health effects of persistent gun violence. Using participatory systems modeling, this partnership identified improving mental well-being as a key leverage point for reducing the causes and consequences of chronic community violence. The overall objective of this project is to improve mental-wellbeing and community exposure to gun violence. This study will test whether training trusted community members in trauma-informed counseling can improve mental well-being and reduce gun violence exposure in six low-income New Haven neighborhoods. Led by a team of community-academic investigators at Yale, NYU Langone Health, and the Urban League of Southern Connecticut, the project will train 25–50 community members who live or work in each of the six neighborhoods to provide trauma-informed counseling and support and use a stepped wedge trial to assess the efficacy of the intervention to address chronic stress and trauma associated with gun violence exposure across six neighborhoods. Aim 1 will evaluate the effectiveness of the intervention, compared with conditions as usual, on individual- and neighborhood-level mental well-being. Aim 2 will examine implementation outcomes, including reach, adoption, acceptability, appropriateness, feasibility, and maintenance, as well as stakeholder- and participant-level factors affecting implementation. Aim 3 will use system dynamics modeling to identify mechanisms of change, estimate diffusion or spillover effects beyond direct participants, and project long-term impact and sustainability of community-based mental health supports. The central hypothesis is that delivering trauma-informed mental health support through trusted community members and community-based organizations will improve the mental well-being of participants and produce broader neighborhood-level benefits through social diffusion. If successful, this study will generate evidence for a scalable, community-centered approach to addressing trauma and strengthening mental health in neighborhoods affected by chronic gun violence, while producing a simulation model to inform long-term policy and implementation strategies.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $702,065 )
2026	2026	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	000	5	8/11/2026	NON-COMPETING CONTINUATION	$702,065
														Subtotal = $702,065

Issue Date FY: 2025 ( Subtotal = $714,469 )
2025	2025	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	003	4	8/15/2025	NON-COMPETING CONTINUATION	$697,594
2025	2024	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	002	3	3/28/2025	TERMINATION	$0
2025	2024	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	001	3	1/15/2025	SUPPLEMENT FOR EXPANSION	$0
2025	2024	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	000	3	11/18/2024	SUPPLEMENT FOR EXPANSION	$16,875
														Subtotal = $714,469

Issue Date FY: 2024 ( Subtotal = $891,596 )
2024	2024	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	001	3	5/13/2024	NON-COMPETING CONTINUATION	$50,591
2024	2024	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	003	3	9/12/2024	SUPPLEMENT FOR EXPANSION	$190,549
2024	2024	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	002	3	7/17/2024	NON-COMPETING CONTINUATION	$0
2024	2024	YALE UNIV	150 MUNSON ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	000	3	3/31/2024	NON-COMPETING CONTINUATION	$650,456
														Subtotal = $891,596

Issue Date FY: 2023 ( Subtotal = $732,432 )
2023	2023	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	001	2	5/2/2023	NON-COMPETING CONTINUATION	$0
2023	2023	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	000	2	4/30/2023	NON-COMPETING CONTINUATION	$732,432
2023	2023	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	002	2	7/10/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $732,432

Issue Date FY: 2022 ( Subtotal = $702,603 )
2022	2022	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Minority Health and Health Disparities Research	000	1	7/22/2022	NEW	$702,603
														Subtotal = $702,603

Grand Total All Awards = $3,743,165

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TRUE HAVEN: TRUsted rEsidents and Housing Assistance to decrease Violence Exposure in New Haven

Award Number: R01MD017526

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/22/2022

PERIOD OF PERFORMANCE END DATE: 03/31/2027

AWARD TERMINATION DATE: 03/29/2025

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