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What’s Science Got to Do With It?
Shaping Public Policy on Violence
Prevention
Charles J. Homer
What does it take to move policy?
• Political will
• Scientific evidence
base
• Social
Infrastructure
2
Brain Science and Political
Will
• Potential to challenge core beliefs about crime:
– Core belief 1: Bad people cause crime
– Core belief 2: Criminal behavior inevitable result of
inadequate parenting
– Core belief 3: Criminal behavior results directly from
lack of alternative means of economic support
– Core belief 4: Toughness is the only effective strategy
• Gives an opening for public support for
alternatives strategies for violence prevention…
with risks
3
Mobilizing Political Will
• Grass roots movement
• Windows of opportunity
• Motivated leaders
• Convergence of interests
Brain Science and Evidence
Base
• The long game:
– Early childhood education
– Parent education and support
– Directly addressing conditions of disadvantage:
• Exposure to violence, substance use, homelessness
Brain Science and Evidence
Base
• The shorter term game:
– Developing “executive function” capabilities in
adolescence and young adulthood
– Recognizing impact of “trauma” and adjusting
approaches (mental health, policing, human
services) accordingly
Cure Violence
• Theory based intervention
– Theory of contagion/infectious disease
– Tie to brain science…through trauma
• Very good evidence of effectiveness
• Diffusion of innovation / natural spread
• What will it take to get to “tipping point”?
Evidence and Policy 2008-2016
• Tiered evidence initiatives
– Home Visiting
– Teen Pregnancy Prevention
• Evidence-based Policymaking
Commission Act of 2016
• Other arenas (health care): Cost savings
8
Social Infrastructure
• Potential obstacle to spread
• Is this a public health function (Baltimore)
• Human services function
– community action agencies
• Education
• Policing
9
Examples of Relevant HHS and
Other Federal Policies
Two Generation Strategies
Federal Interagency
Re-Entry Council
Federal Interagency
Re-Entry Council
Reenty Mythbuster
Series
Reenty Mythbuster
Series
Federal Agencies Change Hiring
Reenty Mythbuster
Series
Federal Agencies Change Hiring
Reenty Mythbuster
Series
Federal Agencies Change Hiring
Performance Partnership
Pilots
Thank you!
Charles J. Homer, MD, MPH
Deputy Assistant Secretary, Human Services Policy - ASPE/HHS
(202) -690-7409 – charles.homer@hhs.gov
Charles Homer, What's Science Got to Do with It? Shaping Public Policy on Violence Prevention

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Charles Homer, What's Science Got to Do with It? Shaping Public Policy on Violence Prevention

  • 1. What’s Science Got to Do With It? Shaping Public Policy on Violence Prevention Charles J. Homer
  • 2. What does it take to move policy? • Political will • Scientific evidence base • Social Infrastructure 2
  • 3. Brain Science and Political Will • Potential to challenge core beliefs about crime: – Core belief 1: Bad people cause crime – Core belief 2: Criminal behavior inevitable result of inadequate parenting – Core belief 3: Criminal behavior results directly from lack of alternative means of economic support – Core belief 4: Toughness is the only effective strategy • Gives an opening for public support for alternatives strategies for violence prevention… with risks 3
  • 4. Mobilizing Political Will • Grass roots movement • Windows of opportunity • Motivated leaders • Convergence of interests
  • 5. Brain Science and Evidence Base • The long game: – Early childhood education – Parent education and support – Directly addressing conditions of disadvantage: • Exposure to violence, substance use, homelessness
  • 6. Brain Science and Evidence Base • The shorter term game: – Developing “executive function” capabilities in adolescence and young adulthood – Recognizing impact of “trauma” and adjusting approaches (mental health, policing, human services) accordingly
  • 7. Cure Violence • Theory based intervention – Theory of contagion/infectious disease – Tie to brain science…through trauma • Very good evidence of effectiveness • Diffusion of innovation / natural spread • What will it take to get to “tipping point”?
  • 8. Evidence and Policy 2008-2016 • Tiered evidence initiatives – Home Visiting – Teen Pregnancy Prevention • Evidence-based Policymaking Commission Act of 2016 • Other arenas (health care): Cost savings 8
  • 9. Social Infrastructure • Potential obstacle to spread • Is this a public health function (Baltimore) • Human services function – community action agencies • Education • Policing 9
  • 10. Examples of Relevant HHS and Other Federal Policies
  • 11.
  • 12.
  • 19. Reenty Mythbuster Series Federal Agencies Change Hiring Performance Partnership Pilots
  • 20. Thank you! Charles J. Homer, MD, MPH Deputy Assistant Secretary, Human Services Policy - ASPE/HHS (202) -690-7409 – charles.homer@hhs.gov