priority setting, selection processes, collaboration and ... · beeeee meeeeeeee aeeeeeeeeeee s...
TRANSCRIPT
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Priority Setting, Selection Processes, Collaboration and
Accountability: From a Community Perspective
Tom Wolff Ph.D.Tom Wolff & Associates
Amherst MA.
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What are collaborative solutions?
• Doing together that which we cannot do alone
• A collaboration is a group of individuals and/or organizations with a common interest who agree to work together toward a common goal.
» From S.Fawcett et.al
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The Power of Collaborative Solutions: Key Principles
1. Engage a broad spectrum of the community– Especially those most directly affected– Celebrate racial and cultural diversity
2. Encourage true collaboration as the form of exchange
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The Continuum of Collaboration
Definitions:• Networking Exchanging information
for mutual benefit.• Coordination Exchanging information
and modifying activities for mutual benefit.• Cooperation Exchanging information,
modifying activities, and sharing resourcesfor mutual benefit and to achieve a common purpose.
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The Continuum of Collaboration-cont.
• Collaboration Exchanging information, modifying activities, sharing resources, and enhancing the capacity of another for mutual benefit and to achieve a common purpose by sharing risks, resources, responsibilities, and rewards.
– From Arthur Himmelman
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Collaborative Solutions cont.
3. Practice democracy– Promote active citizenship and
empowerment4. Employ an ecological approach that
emphasizes individual in his/her setting.– Build on community strengths and assets
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Neighborhood Needs Map
DomesticViolence
Alcoholism
AIDS
Dropouts
Abandonment
Homelessness
Child Abuse
Pollution
Rat BitesDrug Abuse
Welfare Dependency
Boarded-up Buildings
Unemployment
GangsIlliteracy
Lead Poisoning
Mental Illness
Teenage Pregnancy
Broken families
Truancy
Crime
Slum Housing
Slum
Hou
sing
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Neighborhood Assets Map
Capital Improvement Expenditures
Police
Vacant Bldgs., Land, etc.
Social Service Agencies
Welfare Expenditures
Energy/Waste Resources
Home-Based Enterprise
Gifts of Labeled People
ParksPersonal Income
Associations of Business
Citizens Associations
Religious Organizations
Individual Businesses
Individual Capacities
Cultural Organizations
Fire Depts.
Public Schools
Higher Education Institutions
Hospitals
Libraries
Public Information
Publ
ic In
form
atio
n
Primary Building Blocks: Assets and capacities located inside the neighborhood, largely under neighborhood control
Secondary Building Blocks: Assets located within the community, but largely controlled by outsiders.
Potential Building Blocks: Resources originating outside the neighborhood, controlled by outsiders.
From John McKnight
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Types of community assessment questions
• Traditional:• What are your needs?• How can we (providers) meet those
needs?• Asset-based assessment questions:• What are your community’s strengths?• How can you contribute to helping us find
a solution?
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Collaborative solutions cont.
5. Take action– Address issues of social change and
power– Build on a common vision
6. Engage your spirituality as your compass for social change
Align the goal and the process– “Be the change that you wish to create in
the world.” (M. Gandhi)
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Factors Affecting a Coalition’s Capacity to Create Change
• Having a clear vision and mission• Action planning for community and systems
change• Developing and supporting leadership• Documentation and ongoing feedback on
programs• Technical assistance and support• Securing financial resources for the work• Making outcomes matter
– From Roussus and Fawcett
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Barriers• Turf and Competition• Bad history• Failure to Act • Lack of a Common Vision• Failure to provide and create collaborative
leadership• Minimal organizational structure• Costs outweigh the benefits• Not engaging self-interest
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Priority Setting
Your Approach Matters:
Community Engagement does not end at the Assessment
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Agency-Based and Community-Based Approaches
Issues Agency-Based Community-Based
• Approach Weakness/Deficit Strength/Asset
• Definition of Problem
By Agencies, Government
By Local Community
• Role of Professional
Central to Decision Making
Resource to Community Problem Solving
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Agency-Based and Community-Based Approaches
Issues Agency-Based Community-Based
• Primary decisionmakers
Agencies, Gov’t
Community
• Community’s Potential for ownership
Low Hi
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Degrees of Involvement – Ladder of Participation
Community initiated – shared decision making with agenciesCommunity initiated and directed– agencies support
Agency initiated – shared decision makingConsulted and informed
Assigned rolesTokenism
DecorationManipulation
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How do we engage the community?
GO OUT INTO THE COMMUNITY!- Door to door visits – one on one visits- Community Meetings – public forums and
listening sessions- House meetings- Street outreach and tabling- Focus Groups- Photovoice
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Four Ways to Commit Resources to Increase Community Engagement
Mini grants
Leadership development
Community outreach workers
Community organizers
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Building Trust
Accommodating the members
Being inclusive
Sharing governance and decision making
Providing safe space
Honoring diversity of
membership
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What happens when we don’t involve the community?
• We create programs that no one wants. i.e. Youth Centers that youth avoid
• We trap ourselves into always doing ”for” and can never get to doing “with”
• The community never owns the issue• We fail to respond to the diversity and
culture of our communities
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Summary of Community Engagement - Rules for Success
• Embrace the value and benefits of community engagement
• Go out into the community – door to door visits etc.
• Recruit from those most affected in the informal sector
• Share decision making• Work to retain those you recruit
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residents to come together to define aproblem, to define the solutions, and thenenter into a dialogue with us – not theother way around. You better figure out
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A Health Equity Framework
Racism
Transportation
Food Access
SocioeconomicStatus
Environmental Exposure
Health Behaviors
Access to Health Services
Housing
Public Safety
Health Outcomes
Employment
Social Capital
Education
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Healthy youth have/are…
• High Quality Education That Helps Them Achieve Their Dreams
• Meaningful Living Wage Jobs
• Safe and Connected Community Environment
• High Quality and Affordable Housing
• Engaged in High Quality and Comprehensive Health Care
• High Quality Food Access and an Environment that Promotes Physical Activity
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Current Focus Determined by Priority Setting with Youth:
Youth Employment • Job Development• Communications• Job Training
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March and Rally February 2010
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Youth Report 2009
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“Be optimistic, it feels better.”
-Dalai Lama
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Web Resources• Tee Weeee e Aeeeeeeeee eeeeeeeeeeeeeeee
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• Boston Public Health Commissionwww.bphc.org/healthequity (under Resources: Tools)
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