Cure Violence — Chicago
University of Illinois at Chicago / Chicago Department of Public Health · Chicago, USA · 2000
Summary
Cure Violence treats gun violence as a contagious disease, using credible messengers to interrupt transmission before shootings cascade. The Chicago evaluation found meaningful reductions in several communities but not all, and the quasi-experimental design limits causal claims. Subsequent evaluations in Baltimore, Philadelphia, and internationally have produced mixed results. The program is notable for reconceptualizing violence prevention entirely—from criminal justice to public health—and for demonstrating that people with direct experience of violence can be effective interveners. The evidence base is promising but not definitive, making Cure Violence a model case for how to evaluate complex community interventions.
Research question
"Does a public health approach to violence—using outreach workers to interrupt conflicts and change norms—reduce shootings?"
Methodology
Intervention
Trained outreach workers (credible messengers, often with prior criminal records) intervene in conflicts before they escalate; community norm-change activities
Assignment
Quasi-experimental (matched comparison neighborhoods)
Sample size
Seven Chicago communities (treatment and matched controls)
Primary outcome
Shootings; homicides; shooting trends relative to comparison areas
Effect estimate
Shooting reductions of 16–28% in treated communities; statistically significant in 4 of 7 sites; homicide trends improved relative to controls
Decision
Program expanded nationally and internationally; subsequent RCTs in Trinidad and Tobago found positive results; design adopted in 50+ cities globally
Result
Mixed
Shooting reductions of 16–28% in treated communities; statistically significant in 4 of 7 sites; homicide trends improved relative to controls
Evidence strength
Moderate
Quasi-experimental design; causal interpretation requires care.
Replication status
Partially replicated
Institution
University of Illinois at Chicago / Chicago Department of Public Health
Location
Chicago, USA
Year
2000
Policy area
Public Safety
Mechanism
Community engagement