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Defining CVI: A Critical Review of Current Conceptualizations and Their Implications for Policy, Research and Practice
Open accessAbstract
Community Violence Intervention (CVI) operates at the critical intersection of public health and public safety, offering a community-driven approach to reducing violence while addressing its root causes. Grounded in principles of harm reduction, trauma-informed care, and social determinants of health, CVI reframes violence as a public health crisis rather than solely a criminal justice issue. Despite its promise and demonstrated impact, the field of CVI faces challenges that reflect broader gaps in public health policy. A lack of standardized definitions and measurement frameworks has led to fragmented policies, inconsistent funding, and difficulties in scaling evidence-informed approaches. These issues mirror struggles seen in other public health initiatives, where misalignment between research, practice, and policy weakens long-term sustainability. Without a clearly communicated conceptualization, CVI programs risk being co-opted into enforcement-driven models that dilute their public health foundation. This policy insight explores the challenges with definitional and measurement inconsistencies across the field of CVI and what they reveal about broader public health policy challenges. The authors argue that the field must adopt a unified framework that thoughtfully reflects its historical foundations, prioritizes practitioner expertise, and employs evaluation methods that fully capture its impact. By positioning CVI as a pillar of both public health and public safety, policymakers can move beyond reactionary approaches to violence and invest in long-term, community-driven strategies that promote safety and healing.
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“In particular, evidence of sustained impacts on gun crime during a multiyear period is sparse.24,25,26,27,28”
From The Peacemaker Fellowship and Urban Gun Violence in Richmond, California (2026) · cites this paper as [24]
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References 9 · Cited by 5
Research works printed but not linked: 13
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Metadata
- Authors
- Costa, J., Adrianzén McGrath, S., & Carrillo, P.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Northwestern University, Evanston, IL, USA
- Giffords Center for Violence Intervention, San Francisco, CA, USA
- Corresponding author
- Costa, Jordan
- ORCID
- Costa, Jordan
- Venue
- INQUIRY: The Journal of Health Care Organization, Provision, and Financing
- Publisher
- SAGE Publications
- Published
- 2025-05
- Volume
- 62
- Pages
- 469580251366146-469580251366146
- ISSN
- 0046-9580 (ISSN-L)
- 1945-7243
- PMC
- PMC12357064
- OpenAlex
- W4413139763
- Cited by
- 5
- References
- 9
- Citations by year
- 2026: 4 · 2025: 1
- FWCI
- 8.65
- Type
- journal article
- Language
- en
- Update notices
- correction (2026-06-24)
- Open access
- gold
- doi.org
- Licence
- Locations
- INQUIRY The Journal of Health Care Organization Provision and Financing (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
- Keywords
- community violence intervention, conceptualization of violence, harm reduction, trauma-informed care, social determinants of health, public health policy, measurement framework, public safety
- MeSH terms
- Health Policy, Humans, Public Health, Violence, Social Determinants of Health
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- The paper
- Costa, J., Adrianzén McGrath, S., & Carrillo, P. (2025). Defining CVI: A Critical Review of Current Conceptualizations and Their Implications for Policy, Research and Practice. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. https://doi.org/10.1177/00469580251366146