Evaluations and Lessons Learned from Our Grantmaking

The California Wellness Foundation
THE VIOLENCE PREVENTION INITIATIVE:
Accomplishments, Challenges and Lessons Learned

By Nicole J. Jones. and Sandra J. Martínez

TABLE OF CONTENTS

1 The Violence Prevention Initiative
2 VPI Structure/Goals/Activities
3
Policy Program
4
Leadership Program
5
Community Action Grants Program
6
Research Program

Accomplishments, Challenges and Lessons Learned

7 Management of the Initiative
8
Policy Program
9
Leadership Program
10
Community Action Grants Program
11 Research Program
12 Management of the Initiative
13
Conclusion

This report highlights the accomplishments, challenges and lessons learned from TCWF's Violence Prevention Initiative (VPI or Initiative) during the period 1992-2003.

When the Board of Directors of The California Wellness Foundation (TCWF) decided that violence prevention would be the first grantmaking program of the newly established Foundation, violence in the United States had reached epidemic proportions. The juvenile arrest rate for homicide more than doubled between 1984 and 1993 (Hawkins et al., 1998). In those years, homicide was a leading cause of death of all young people under 24 years of age, and disproportionately impacted youth of color. During this same period, the murder rate was reaching epidemic portions among young men. In 1991, murders peaked when nearly 25,000 Americans were killed, and California led the nation with close to 4,000 homicides. The impact was felt most profoundly in low-income communities of color, where there was a prevailing sense of insecurity, fear and malaise that resulted from the devastating toll of violence.

Shortly after the Foundation was established, a convening of a group of experts, six focus groups of clinicians, and community residents was held to prioritize health issues amenable to prevention in California. Six white papers were commissioned and presented to the Board of Directors. One of the papers, authored by staff at the Trauma Foundation, was on the issue of violence prevention. The Board decided to make violence prevention the focus of the Foundation’s first initiative to improve the health and well-being of Californians. Strategies and interventions that had been utilized by public health practitioners to reduce death from disease and unintentional injury were to be modified and adapted to help prevent violence in California. Because youth were disproportionately represented both as perpetrators and victims of violence, the Foundation focused its efforts on young people between the ages of 12 and 24, and the overall goal of the Violence Prevention Initiative was to reduce violence against youth in California. In October 1992, the Board of Directors authorized the VPI, a grantmaking program of $60 million over 10 years. Recognizing the complexity and depth of the issue, a comprehensive, multifaceted grantmaking program was designed.

Eight other California foundations, the James Irvine Foundation, Sierra Health Foundation, Alliance Healthcare Foundation, San Francisco Foundation, S.H. Cowell Foundation, David and Lucile Packard Foundation, Crail-Johnson Foundation and The California Endowment, provided an additional $10 million for the implementation of the VPI.

 

The Violence Prevention Initiative was innovative in that it approached violence from a public health perspective and took into consideration the concomitant forces that increase risk in communities, such as lack of access to jobs, poor educational systems, lack of health care and affordable housing, racism and discrimination. Prior approaches from the fields of criminal justice and medicine tended to focus on violence after the fact. The VPI framework, addressing “root causes,” provided an opportunity to prevent violence from occurring in the first place, with an emphasis on reducing access to handguns to reduce the lethality of the violence. TCWF was the first major health foundation to approach the issue of violence in this way; the Foundation’s decision proved to be a groundbreaking moment in the field of violence prevention and in philanthropy.

There were four interactive components in the VPI: the Policy Program, Community Action Grants (CAG) Program, Leadership Program, and the Research Program. While conceptually distinct, these components were seen as essentially interdependent and interactive to obtain the greatest impact. At the direction of the Board, staff assumed responsibility for the overall coordination of the VPI. All components were initially funded through a competitive Request For Proposal (RFP) process.

At the midpoint of the Initiative, staff made an assessment and reached the following conclusions and decisions: All of the components remained intact with the exception of the research program; only nine of the original Community Action sites continued as grantees; and more funding was allocated for technical assistance for the original sites in the Community Action Grants Program. Additionally, the Policy Program was refocused on two policy goals: policies reducing firearm injury, and increasing funding for comprehensive violence prevention programs highlighting promising programs and strategies.

 

The research base in public health strongly suggested that while a balance of activities is necessary, policy change is a key factor in promoting public health goals. Publications by the Centers for Disease Control (CDC) and California’s Injury Control Program indicated the importance of policy development and implementation related to firearms, alcohol and drugs. Policy change to allocate additional resources for effective violence prevention programs was also needed. The VPI Policy Program was made up of three components: the Pacific Center for Violence Prevention (Pacific Center), the public education campaigns, and policy (formerly called supplemental policy) grantees. TCWF established the VPI Policy Program with the following goals and objectives.

Policy Goal I: Work to shift society’s definition of youth violence from a law enforcement perspective to include a public health perspective that addresses societal and environmental influences contributing to youth violence. Objectives were to: 1) educate and inform policymakers and opinion leaders about the need to shift the distribution of public resources from a focus on incarceration only, toward a focus that includes prevention programs that foster the health education and employment of youth; and 2) educate the media about the need to change news practices regarding the portrayal of youth and violent behavior.

Policy Goal II: Advocate for public policies that reduce the access to alcohol and other drugs, which contribute to youth violence. Objectives were to: 1) educate policymakers and opinion leaders about the economic cost of alcohol and other drugs and their association with youth violence; and 2) educate policymakers and opinion leaders about the need to increase the enforcement of underage drinking laws by the California Department of Alcohol Beverage Control.

Policy Goal III: Advocate for public policies to reduce firearm injury and death among youth. Objectives were to: 1) educate policymakers and opinion leaders about the need to formulate state policies to reduce the availability of, and access to, handguns by youth; 2) encourage and engage communities and local jurisdictions to enact policies and regulations to prevent firearm injuries; and 3) educate policymakers and opinion leaders about the economic cost of firearm injury to youth.

To ensure that all components of the VPI had the opportunity to be integrated into the Initiative’s Policy Program and to ensure that the goals and objectives of that program were accomplished, the Foundation awarded a grant to the Trauma Foundation of San Francisco General Hospital to establish the Pacific Center for Violence Prevention (Pacific Center). The Pacific Center was to offer media advocacy and public policy advocacy training to all individuals and organizations associated with the Initiative. The intent was to create a statewide network of social activists, connected by an electronic communication system that would inform policymakers and opinion leaders in California about programs and policies to prevent violence.

Because violence in television programming and in feature films was strongly associated with violent behavior, an Entertainment Industry Project was funded. The Foundation provided a grant to Mediascope for the purpose of working collaboratively with the entertainment industry to develop policies regarding the portrayals of violence; to develop and produce reports on current industry practices; and to design a curriculum for film schools that would balance freedom of expression with social responsibility.

The Foundation awarded grants to Martin & Glantz, LLC, and i.e. communications, LLC, to develop, implement and evaluate several multimedia public education campaigns with goals of reducing the availability of, and access to, handguns and of increasing resources for youth violence prevention programs. Based on the results of market research, the audience for campaign messages was divided into two sectors: the general public, with emphasis on specific geographic and demographic targets, and policymakers/opinion leaders. To effectively communicate with these two audiences, comprehensive multifaceted campaigns were designed that not only utilized substantial paid media, but also educated public opinion leaders and decisionmakers and actively invited the participation of organizations associated with the VPI.

The mass media/general public component of the public education campaigns consisted of three primary strategies: 1) paid advertising in target markets; 2) statewide PSA (public service announcement) placements; and 3) statewide earned media. The second major component of the public education campaigns centered around the opinion leader activities. The opinion leader program complemented the paid media by providing more in-depth information on the public health model, a rationale to reduce access to firearms among California’s youth, and a rationale to increase resources for prevention programs. Opinion leaders were defined as those individuals who would most likely be called upon to make public statements and/or policy decisions on the issue of youth and gun violence in California. The opinion leader component of the campaigns also considered three key strategies focused around “communities of influence”: 1) database and direct mail communications program; 2) policymaker education; and 3) teleconferences.

TCWF also funded 12 additional policy grants in an effort to provide funding across a variety of policy programs to contribute to the discourse and development of state and local youth violence prevention policy. The work of these grantees complemented and enhanced the efforts of the Pacific Center and the public education campaigns to educate policymakers, opinion leaders and the general public about the need to increase both public and private investment in comprehensive violence prevention programs for youth and firearms policy.

Accomplishments, Challenges and Lessons Learned. The following section presents a description of staff assessment of the overarching accomplishments, challenges and lessons learned from the various programs of the Initiative.

 

Prior to the VPI, research and publications on the issue of violence prevention by the CDC and the California Injury Control Program indicated a need to develop leadership in the field. Recommendations called for the nurturing of strong grassroots leaders with the ability to address the root causes and consequences of violence in communities. The CDC also recommended the development of postgraduate programs to attract new people to the field of injury control and violence prevention and stressed the need to make particular efforts to recruit women and people of color for these types of programs. In recognition of these recommendations, the Foundation established a Leadership Program within the VPI. The VPI Leadership Program had three components: 1) Community Leaders Fellowship Program; 2) the California Peace Prize; and 3) Academic Fellowships.

The Community Leaders Fellowship Program was designed to provide financial support and recognition to individuals who had effectively organized community efforts in violence prevention. The goal of the fellowship was to empower communities by recognizing leadership in violence prevention. The objectives were to: 1) provide fellowship awards to 100 community leaders to acknowledge and support their work; and 2) identify and provide mentoring to 200 youth leaders in local communities.

Fellows were selected through a rigorous confidential nomination and selection process. The individuals that were selected represented different target populations, strategies and beliefs about the antecedents of violence. They were charismatic, energetic, determined and hardworking. Many had received some recognition for their work within their respective communities, but often times, awards and certificates stop short of meeting other needs such as training and educational opportunities, apprenticeships and networking for funding. The Fellowship Program provided these leaders with a chance to develop new skills as well as the financial resources to help apply these new skills. Over time, the fellowship evolved to meet the changing needs of different cohorts of Fellows and was managed both internally by staff and externally by grantees.

The goal of the California Peace Prize was to establish an annual award that would publicly recognize and acknowledge outstanding violence prevention efforts of individuals in local communities throughout California. Each year, TCWF provided cash awards of $25,000 to three leaders whose efforts have reduced violence and helped promote peace, and addressed root causes of violence. The Foundation also intended the award to draw attention to the issue of violence and prevention efforts to policymakers and opinion leaders. The selection process was similar to that of the community fellows program, with a confidential nomination and selection process with final approval by the Board.

The goal of the Academic Fellowships was to increase the number and diversity of health professionals who were trained in and committed to violence prevention. The fellowships were to support professional training of 60 individuals who represented ethnic minorities and women. Grants were made to eight organizations in California that provided fellowships based on a multidisciplinary public health approach. Postgraduate students in trauma surgery, psychiatry, psychology and public health were trained in epidemiology, advocacy and policy with the hope that this would foster a professional commitment to the prevention of violence.

 

The goal of the Community Action Grants (CAG) Program was to provide resources and technical assistance to communities to decrease youth violence through community health promotion programs. The objectives of CAG were to: 1) identify successful methods for delivering youth violence interventions at the community level; 2) determine if multifaceted community programs can reduce rates of violent behavior, injury and death associated with youth violence; and 3) build the capacity of local community agencies and organizations to intervene successfully in the youth violence problem. The Community Action Grants Program strongly encouraged representative decisionmaking from a segment of the population that is not often called upon to be active participants in the social services and policy planning process, namely young people.

The Foundation provided Community Action Planning Grants for 18 communities in California. Priority for funding was given to organizations that could demonstrate the following: 1) visible, broad-based collaborative community effort; 2) culturally appropriate services and linguistic capabilities to meet community needs; 3) a project plan that had the greatest likelihood of furthering the goals and objectives of the VPI; 4) institutionalized process by which program participants or clients were integrated into organized decision-making – particularly youth involvement in the site visit; 5) staff and board that accurately reflect the community the organization serves; 6) experience working in networks or coalitions; 7) experience in community organizing and planning for community action; 8) commitment to and/or experience in working with adolescents and/or young adults; and 9) a cost-efficient approach to the budgeting of the requested funds. All 18 Community Action Projects (CAPs) successfully completed their planning year and were awarded four-year operational grants.

Grants were awarded to community collaboratives that included youth most at risk to pursue action at the local level through a multitiered strategy that combined direct services, policy, media advocacy and community mobilization. Funded sites were encouraged, but not required, to participate in the policy activities of the Pacific Center and the VPI public education campaigns. The CAG Program was modeled after the CDC approach of creating a collaborative response to violence. As such, several grants were awarded to larger multi-service organizations that were cornerstone agencies in the community and could undertake the work of building a coalition and provide the infrastructure for the development of the programs. Grants were also awarded to grassroots community-based organizations including some new entities with little organizational structure.

In June 1998, after a competitive RFP process, seven CAPs were not selected to continue as VPI grantees. These grantees were awarded one-year “bridge” grants to help organizations transition to alternative sources of funding or phase out program activities. Each of these bridge grantees continued to provide violence prevention work at some level – several sites continued smaller scale projects and others incorporated efforts with other activities.

Nine of the original sites were awarded continuation grants to support and institutionalize efforts. By the final year of the Initiative, eight of the originally funded CAPs remained with the VPI; however, many had changed over the course of the Initiative. The evolution and development of the CAPs over the 10 years varied, and four of the remaining eight CAPs, were not the originally funded organizations.

In 2000, the Board also approved the Promising Practices grantmaking component of the Community Action Grants Program to extend the Initiative’s reach and access to Foundation resources to support other viable and competitive community-based programs. The Promising Practices component was structured to support a variety of ongoing programs including: comprehensive youth programs, community service and volunteerism; mentoring and rites-of-passage programs; mediation and conflict resolution programs; school-linked youth services; and teen courts/alternative sentencing programs. Twelve grants were made to organizations throughout the state for this grantmaking program.

 

The scientific literature contained findings of research that supported the goals and objectives of the VPI. However, to address unanswered and emerging questions relevant to informing public policy, an ongoing research program was needed. The Foundation awarded 15 research grants in an effort to inform each of the three aforementioned VPI policy goals.

Research grants were funded at: California State University, Fresno; Charles Drew University of Medicine and Science; The Marin Institute for the Prevention of Alcohol and Other Drug Problems; Prevention Research Center; Rand Corporation; Tomás Rivera Policy Institute; University of California, Davis; University of California, Los Angeles; University of California, Riverside; University of California, Santa Barbara; and the University of Southern California.

 

TCWF staff had the responsibility of managing the overall Initiative. This included the day-to-day management of grants, as well as overseeing the planning of the annual conference for grantees and convenings of the VPI advisory committee. Staff was also responsible for monitoring the evaluations of the Initiative.

The annual conference provided an opportunity for grantees to develop and strengthen skills, share lessons and promote collaboration between and across organizations and components of the Initiative. The annual conference was a yearly opportunity for the Foundation to facilitate purposeful interaction among the components of the VPI to help strengthen the overall impact of the Initiative.

The role of the Advisory Committee was to provide technical assistance, guidance and advice to TCWF about the goals, strategies and activities of the VPI, with a particular focus on the policy programs of the Initiative. The Advisory Committee was convened twice yearly throughout the course of the VPI.

The evaluation of the VPI included an evaluation completed at the midpoint by Stanford University, Rand Corporation, and Johns Hopkins Injury Prevention Center. The evaluation was designed to provide timely information to the staff and Board to assist in decisions over changes within the VPI, as well as to measure the effectiveness of the interventions utilized by grantees. The evaluation was designed to not only determine the effectiveness of each Initiative component, but also to develop an understanding of how the components interacted and reinforced each other. The evaluation reports from the first five years provided useful data and valuable insights; however, the evaluation failed to adequately capture the "stories" of the VPI and the grantees. To complement the evaluation results from the first five years, TCWF awarded five grants intended to document the more qualitative aspects of the Community Action Grants Program, the Leadership Program and the Policy Program, as well as an objective history of the overall Initiative. In addition, a grant was made to produce a video that captured the experience of VPI grantees.

Although staff were not the technical assistance (TA) providers, staff at the Foundation were charged with identifying grantees able to assess the needs of grantees in the CAG Program and managing the delivery of TA to grantees. Technical assistance was designed to build the capacity of individuals and organizations involved in the VPI.

TCWF staff had the responsibility of managing the overall Initiative. This included the day-to-day management of grants, as well as overseeing the planning of the annual conference for grantees and convenings of the VPI advisory committee. Staff was also responsible for monitoring the evaluations of the Initiative.

The annual conference provided an opportunity for grantees to develop and strengthen skills, share lessons and promote collaboration between and across organizations and components of the Initiative. The annual conference was a yearly opportunity for the Foundation to facilitate purposeful interaction among the components of the VPI to help strengthen the overall impact of the Initiative.

The role of the Advisory Committee was to provide technical assistance, guidance and advice to TCWF about the goals, strategies and activities of the VPI, with a particular focus on the policy programs of the Initiative. The Advisory Committee was convened twice yearly throughout the course of the VPI.

The evaluation of the VPI included an evaluation completed at the midpoint by Stanford University, Rand Corporation, and Johns Hopkins Injury Prevention Center. The evaluation was designed to provide timely information to the staff and Board to assist in decisions over changes within the VPI, as well as to measure the effectiveness of the interventions utilized by grantees. The evaluation was designed to not only determine the effectiveness of each Initiative component, but also to develop an understanding of how the components interacted and reinforced each other. The evaluation reports from the first five years provided useful data and valuable insights; however, the evaluation failed to adequately capture the "stories" of the VPI and the grantees. To complement the evaluation results from the first five years, TCWF awarded five grants intended to document the more qualitative aspects of the Community Action Grants Program, the Leadership Program and the Policy Program, as well as an objective history of the overall Initiative. In addition, a grant was made to produce a video that captured the experience of VPI grantees.

Although staff were not the technical assistance (TA) providers, staff at the Foundation were charged with identifying grantees able to assess the needs of grantees in the CAG Program and managing the delivery of TA to grantees. Technical assistance was designed to build the capacity of individuals and organizations involved in the VPI.

 

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TCWF's Violence Prevention Initiative has been significant in impacting the landscape of violence prevention in California and the nation. Beyond the funding provided through the Initiative, VPI was a catalyst for connecting an eclectic mix of violence prevention experts from throughout the state of California.

With the advantage of hindsight, we now know much more than we did 10 years ago. Despite all of the challenges and lessons learned, the Violence Prevention Initiative has been a great grantmaking experiment. It was the first major grantmaking program in the nation that addressed violence as a public health issue, and significant accomplishments have been directly and indirectly attributable to the VPI grantees. During the course of the Initiative, rates of violence were reduced in many communities throughout California, and the public health language of prevention with respect to violence against youth has become more recognized and accepted. In the early 1990s, when California faced a multiple-billion-dollar budget deficit, there was little hope for increasing resources to address the issue of violence against youth. Yet, the funding and political climate have been impacted over the past decade. The state budget for violence prevention funding has increased exponentially from $8 million in FY 1992-93 to $370 million in FY 2002-03; legislation regulating firearms are more numerous; thousands of young people have directly benefited; and hundreds of lives have been saved from programs funded by the VPI. But the work is not complete. Ten years later, California is again facing a massive budget deficit, and some communities are facing escalating rates of violence. This gives credence to the importance and necessity of TCWF’s continued support of both grassroots-level violence prevention efforts, as well as organizations working to educate policymakers and opinion leaders.