Battling America's other PTSD crisis

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

An ambitious plan for the 69-acre Regent Park neighborhood is disrupting entrenched notions of class, race and religion, at a time when concerns over income inequality and immigration are growing.

The Office of Neighborhood Safety in Richmond, CA took a radical new approach to urban violence by creating mechanisms to financially stabilize perpetrators of violent acts in crime-ridden neighborhoods - essentially paying people not to kill. They have been dramatically successful at weening violent criminals off the destructive behavior by using a comprehensive approach that includes using solid data, employing mentors with similar backgrounds to the criminals, and monetary incentives.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

The Centre for the Prevention of Radicalization Leading to Violence in Quebec has expanded rapidly, becoming a model for programs around the world. What sets it apart from projects in Europe and the United States is that it confronts extremism of all stripes — not just Islamist — and focuses on behavior that signals the risk of violence, not just radical ideas, only involving law enforcement as a last resort.

In a rapidly gentrifying Mexico City neighborhood, two artists refurbished an icon and set up an altar for Santa Mari La Juaricua, a saint to protect residents from eviction. The saint raises awareness and acts as a reminder about housing issues and the icon has been taken up by the residents and has been used in processions and protests.

In Mancos, Colorado, the school board voted “no” to arming school staff in the traditionally Western town. Across the United States, the question of arming teachers is being brought up as a response to the increase in school shootings. The policy is highly contested, with some saying it provides students with a feeling of safety, but others saying the risks associated are too high. For the Mancos community, such a vote is a surprise given the town’s gun-friendly history, but is explained by the increase in new residents.

Crime-tracking mobile apps give millions of Brazilians crowdsourced data on urban violence, alerting people to dangerous places and filling gaps in government data on shootings, robberies, and other risks. But apps such as Fogo Cruzado (“Crossfire”) and Onde Tem Tiroteio (“Where There's a Shooting”) offer statistically crude glimpses of crime, distorted by media and racial biases that one expert blames for myths about the risks people actually face.

Seven teen suicides in one county over a two-year span prompted residents whose lives were touched by suicide to form DeFeet, an educational and advocacy group devoted to the message that suicide is preventable. Thanks in part to its trainings, public speakers, support groups, public education campaigns, and advocacy for gun safety, local schools now screen all students for suicide risk starting in middle school. A local health clinic now screens all patients and credits DeFeet, named for its annual 5K memorial walk, with creating "an environment where we are not as afraid to talk about suicide."

The Kansas City Streetcar provides fare-free transportation for residents, which helps to get them downtown and promote more economic development. The fare-free streetcar also makes transit more equitable by removing barriers for low-income passengers and improving mobility for people with disabilities.