August 26, 2015
Community Partnerships Part II: Revitalizing Your
Coalition
From the
Division of Community Health
Webinar Series
Webinar Description
In Part II of this two-part series, presenters will
share strategies for managing established
community coalitions and how coalitions can
address health equity. Presenters will share ideas
on how to overcome language barriers across
sectors, how to sustain buy-in, how to effectively
share results with key stakeholders, and how to
engage vulnerable populations. Presenters will
discuss strategies to increase participation and
effectiveness of your coalition, including assessing
alignment of purpose and membership.
Presenters will also share effective management
steps that support sustainable coalitions.
Community Partnerships Part II: Revitalizing Your Coalition
2
Learning Objectives
By the end of this webinar, participants are
expected to be able to:
• Describe how coalitions can engage
vulnerable populations, including native
populations, to help address health disparities.
• List at least three strategies to increase
participation among coalition members.
• Identify two tools that coalitions can use to
help assess alignment of purpose and
membership.
Community Partnerships Part II: Revitalizing Your Coalition
3
Judith Bell
PolicyLink
Judith Belll is the president at PolicyLink where she has been since
its founding in 1999. Under her central leadership, PolicyLink has
developed into a national voice for access and opportunity for all
people — particularly low-income people and communities of color.
Bell oversees efforts to develop and promote an array of equitable
policies. She was pivotal to the creation of the federal Promise
Neighborhoods program and the development of the Promise
Neighborhoods Institute at PolicyLink, an independent, nonprofit
resource for communities engaged with the federal Promise
Neighborhoods program. In addition, she has led PolicyLink efforts to
improve access to healthy food at the local, state and federal levels
including work with the Obama administration and Congress to
launch a national Healthy Food Financing Initiative. She also leads
PolicyLink efforts with the Convergence Partnership, a collaboration
of eight major foundations and healthcare institutions focused on
achieving healthy people in healthy places. She continues to engage
in efforts to advance equity at the national, state, and local levels and
is also a regular speaker, trainer, and media voice on these issues.
Community Partnerships Part II: Revitalizing Your Coalition
4
Marita Jones
Healthy Native Communities Partnership
Marita Jones is the Executive Director with the non-profit
organization, Healthy Native Communities Partnership, Inc
(HNCP). Their work with community is to help communities to
realize their own vision of wellness. They do this by recognizing
and building upon community connectedness, cultivating the
strengths that regenerate and heal Tribal communities, by
uncovering and nurturing the talents and leadership of
community members, and by working together to develop
effective strategies to tackle the problems and issues that
threaten community. The wisdom is already there, the work is to
remember the strength of our Native communities.
Marita has been honored to work with communities throughout
Indian country and across multiple cultures through her work in
Leadership and Community Health Education and Health
Promotion. She holds a Master of Public Health degree from
Loma Linda University, CA.
Community Partnerships Part II: Revitalizing Your Coalition
5
Shelley Frazier
Healthy Native Communities Partnership
Shelley Frazier coordinates and is involved
with a wide variety of activities aimed at
building and strengthening healthy families /
communities and partner with many other
community health promotion efforts from the
local to the national level. Shelley is a faculty
member with the Healthy Native Communities
Fellowship. She is also a Digital Storytelling
trainer and facilitator. Shelley has been
training individuals in Digital Storytelling since
2009 and has been a group methods facilitator
for 20 years.
Community Partnerships Part II: Revitalizing Your Coalition
6
Selfa Saucedo
Ventura County Public Health (VCPH)
Selfa Saucedo grew up in Ventura and has lived and worked in
Ventura County for her entire Public Health career. She has her
Master’s in Public Health Degree (MPH) from UCLA’s School of Public
Health. Upon graduating from UCLA, she worked with a local FQHC,
Clinicas Del Camino Real as a health educator, providing health
promotion and education to low income farmworker population. She
has worked for the Ventura County Public Health Department for the
past 21 years and is currently the manager for VCPH Health
Education unit which includes chronic disease prevention programs
like Tobacco Education and Prevention, Early Detection and
Screening, Nutrition Education, Tobacco Policy and the Kaiser
Permanente Heal Zone Initiative.
Currently, she is working with county leadership to engage and
mobilize county departments in the implementation of Health in All
Policies in the both the County Strategic Plan and County General
Plan as well as in everyday county business. Selfa believes that
engaging both decision makers and the community is necessary to
create change and improve health.
Community Partnerships Part II: Revitalizing Your Coalition
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Nancy Maxson
Partnership for a Healthy Ventura County
A graduate of Chico State University and
California Lutheran University, Nancy has
been a high school health teacher,
Assistant Principal and Continuation High
School principal. Today, she is in her 11th
year as Coordinator of Health Services
Programs for Ventura Unified School
District. Nancy has been an active member
of the Partnership for a Healthy Ventura
County for the past 11 years serving as the
K-12 committee chair and Partnership
Chairperson. She is a strong proponent for
health advocacy and believes that it is
always better to be a part of the solution
instead of complaining about a problem.
Community Partnerships Part II: Revitalizing Your Coalition
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DCH Webinar Series Disclaimer
This webinar is supported in part by Contract No. GS-23F9777H (200-2011-F-42017). The findings and conclusions in
this webinar are those of the authors and do not necessarily
represent the views or official position of the U.S.
Department of Health and Human Services or the Centers for
Disease Control and Prevention (CDC). In accordance with
U.S. law, no federal funds provided by CDC were permitted
to be used by community grantees for lobbying or to
influence, directly or indirectly, specific pieces of pending or
proposed legislation at the federal, state, or local levels.
Links to non-federal organizations found in this presentation
are provided solely as a service. These links do not
constitute an endorsement of these organizations or their
programs by CDC or the federal government, and none
should be inferred. CDC is not responsible for the content of
the individual organization web pages found at these links.
Community Partnerships Part II: Revitalizing Your Coalition
9
Community Partnerships Part II:
Revitalizing Your Coalition
August 26, 2015
Judith Bell, President
PolicyLink
PolicyLink is a national research and action institute
advancing economic and social equity by
Lifting Up What Works. ®
Today’s presentation will cover:
• Brief overview of coalitions
• How to revitalize your coalition and keep members
engaged an focused on reaching shared results
• Importance of community engagement and diverse
leadership
Coalitions: Pathway to Results
• If you can do it on your own, it’s probably not
worth doing
• Results that matter: achieving change at a scale
that is commensurate with the problem/challenge
Choose the “Right” Goal
• Meaningful
• Is your goal big enough to matter?
• Is this consistent with your mission and
goals?
• Is this something others are concerned
about?
Illustration:
Sam Brown, explodingdog
14
The “Life Cycle” of Coalitions And The “Convener's”
Changing Role
Tennyson, Ros. 2005. The Brokering Guide. The International Business
Leaders Forum (IBLF). 60.
Coalition building and
maintenance
• Commit to results
• Commit to relationships
• Provide fluid and flexible leadership– coach, assist,
lead
• Track results using evidence-based indicators
Phase 1
• Scoping/Convening: identify results and indicators
of progress
• Build relationships
• Identify partners
Language Conflicts
Results Framework
How we measure our impacts
Quality
Effect
Effort
Quantity
How much
did we do?
How well
did we do it?
# policymakers briefed
on housing crisis; #
research papers
defining the problem
Decrease in cost per unit
of housing
Is anyone
better off?
Decrease in #
households
paying >50% of
income on rent
% decrease in
households paying
>50% of income on
rent
Data Dashboard
http://resultsscorecard.com/
Results Scorecard
Results Scorecard (cont.)
http://resultsscorecard.com/
Results Scorecard (cont.)
http://resultsscorecard.com/
Phase 2: Managing and
Maintaining
Care and Feeding of your coalition:
• Stakeholder Mapping
• Communications
• Good governance
Engagement and Leadership
• Efforts to achieve healthy communities
will not be successful without substantial
community engagement
• Meaningful community engagement
requires participation in governance and
decision making
• Community Based Participatory
Approach (CBPA)
Community Based Participatory Approach
…is a collaborative process that equitably
involves all partners and recognizes the
unique strengths that each brings.
Community based participatory approaches
aim to combine knowledge and action for
social change to improve community health.
- Adapted from the Kellogg Community Health Scholars Program 2001
Implicit Bias
Refers to the attitudes or stereotypes that affect our
understanding, actions, and decisions in an
unconscious manner. These biases, which encompass
both favorable and unfavorable assessments, are
activated involuntarily and without an individual’s
awareness or intentional control.
--The Kirwan Institute for the Study of Race and Ethnicity
Take an implicit bias test: https://implicit.harvard.edu/implicit/takeatest.html
Phase 3: Reviewing and Revising
• Monitoring
• Reviewing
• Revising
Considerations
• Build community capacity to engage through
leadership development and technical training
• Prioritize community knowledge and concerns
• Target resources to support engagement
• Facilitate mutual learning
Phase 4:
• Closing? Need closure
• Re-negotiate
• Sustain
Understanding and Navigating
Conflict
Moore, The Mediation Process: Practical Strategies for Resolving Conflict; 2nd edition, 1996, pp. 60-61
Additional Resources
• Alliance for Boys and Men of Color
http://www.allianceforbmoc.org/
• Cultural Humility
http://melanietervalon.com/resources/
• Implicit Bias
http://www.centerforsocialinclusion.org/csis-guide-on-implicit-bias/
http://clintonschool.uasys.edu/wp-content/uploads/2012/07/ClintonSchool-Compendium-2013-locked.pdf
• DCH Health Equity Guide
http://www.cdc.gov/nccdphp/dch/health-equity-guide/
• PolicyLink
www.policylink.org; www.equity2015.org
Thank You!
Judith Bell
President, PolicyLink
Join us at Equity Summit 2015 in Los Angeles, CA October 27-29
www.Equity2015.org
Reclaiming a Proud
Tradition of Wellness
The Leaders we need are already here,
The Wisdom we need is present in our communities
Our Core Beliefs
• Community Wisdom – the
answers we seek are already
present in our communities
• Cultural knowledge is the
foundation of successful
programs and interventions
• The leaders we need are
already here
• Health is created at the level
of families and communities
Building Capacity in
Native Communities
HNCP’s FOUR PROGRAMS & SERVICES
1. Just Move It (JMI)
A North American campaign to promote and
support physical activity for Indigenous
communities
2. Native Wellness Resource Network
brings people together to share‘what works’ for
wellness in Native communities and develop
regional support networks
3. Health Communications
Supporting wellness through digital storytelling &
social marketing
4. Healthy Native Communities
Fellowship (HNCF)
Develops and supports teams of community
change agents for wellness
Consultation, Training &
Capacity Building
for Native communities in:
•
•
•
•
•
community engagement,
leadership development,
network support,
health communications &
wellness planning
Building Capacity in
Native Communities
• Coalition Pitfalls & Challenges
• Circles of Influence: Partners
with a Role to Play
All coalitions face pitfalls and challenges. Anticipating them
and planning for them proactively is a characteristic of
successful coalitions.
Coalition Pitfalls and Challenges:
 Failing To Engage Citizens
 Accepting Weak Leadership
 Distrusting Citizen Participation
 Losing One’s Balance
 Keeping Too Much Control
 Letting the Flame Die
 Protecting Too Much Territory
 Lacking Sufficient Faith
 Avoiding Meaningful Action
Open-Ended Response
• What does your coalition do to nurture and
take care of its members?
• How does your coalition celebrate its
accomplishments?
Please enter your response in the questions pane.
Poll Question
Has your coalition experienced any of
these pitfalls or challenges?
•
Failing To Engage Citizens
•
Distrusting Citizen Participation
•
Keeping Too Much Control
•
Protecting Too Much Territory
Key skills, guidelines, and processes
Coalition Pitfalls and
Challenges:
that can help to deal with these challenges
Engaging Community Members
Failing To Engage
Citizens
• Learn about local groups and associations
• Suggest giving the coalition a try (a small
commitment)
• Develop contacts and relationships with these
groups
• Provide an incentive (e.g. status, small
• Keep on the lookout for potential new recruits
stipend, recognition)
• Offer a range of ways people can help
• Make personal contacts with prospective
members
Distrusting Citizen
Participation
Building Participation
• Hold meetings at convenient times and locations • Make sure all have an equal voice
• Provide time for informal interaction
• Hire coalition staff from within the community
• Allow time for trust to develop
• Include processes for people to share their
goals, expectations and feelings
Keeping Too Much
Control
Giving Up Control
• Solicit and encourage ideas and issues from
everyone
• Listen to and validate those ideas and issues
• Provide specific processes and shared ground
rules
Protecting Too Much
Territory
Giving Up Territory
• Be aware of past history and territorial issues
• Find ways to cooperate that don’t involve
territory
• Openly acknowledge that territorial concerns
may exist
• Be persistent and patient around these issues
• Understand current territorial definitions and
• Keep coalition members focused on the
perceptions
greater good
• Respect members’ self-interest and need to hold
on to some “territory” of their own
• Believe in your members’ abilities
• Accept that mistakes may occur
• Consider that disagreements can be healthy
• Don’t feel that you have to do everything
Poll Question
Has your coalition experienced any of
these pitfalls or challenges?
• Avoiding Meaningful Action
• Accepting Weak Leadership
• Losing One’s Balance
• Letting the Flame Die
• Lacking Sufficient Faith
Coalition Pitfalls
Key skills, guidelines, and processes
and Challenges:
that can help to deal with these challenges
Avoiding
Taking Meaningful Action
Meaningful Action • Discuss and clarify the overall goals of the coalition • Give members advance notice of decisions
• Create a coalition plan based on thee goals
that need to be made
• Include clear objectives with actions and timelines • Follow-up on decisions made and actions
• Agree on small, feasible, easily-recognized actions – needing to be taken
“early wins”
• When needed, discuss in a meeting why
decision making and action seem to be difficult
Accepting Weak
Leadership
Exerting Your Leadership
• Make sure your leadership reflects the whole
coalition
• Clarify leadership and work expectations with
coalition members
• Make sure that taking some responsibility is part of
the membership expectations
Losing One’s
Balance
Balancing Your Life
• Find a balance that works for you personally
• Review that balance from time to time
• Set aside personal time and days for yourself
Letting the Flame
Die
Keeping the Flame Alive
• Plan future directions together with coalition
members
• Move at a pace consistent with member needs
• Develop new leadership for the next cycle
Lacking Sufficient Keeping the Faith
Faith
• Faith is found in many places
• We can’t tell you how or where to find it. It is a
personal matter
• Find those members most willing to accept
responsibility
• Delegate responsibility within agreed upon
areas
• Follow up on responsibility delegated
• Offer leadership training for prospective new
leaders
• Lead a healthy lifestyle, making time for rest
and exercise
• Maintain interests beyond the coalition
• Find supportive people you can talk to when
needed
• Take on achievable activities, building a track
record of success
• Reward members for accomplishments
• Build in some celebration and fun times for the
coalition
• But faith in the coalition and in its success is
essential
Circle of Influence:
Partners with a Role to Play
Example: We want to live in a
community that is safe and healthy.
Our learnings about how to engage vulnerable
populations, including Native populations, to
help address health disparities
• LISTEN first: approach based on respect
• Engage in DIALOGUE: take the time to
understand the historical context and
their unique culture
• Begin where the community wants to
begin: choose your ACTION – find
something in common to work on
together to build relationships and trust
• REFLECT: Take the time to check in
about how the relationship is going – use
participatory and inclusive approaches
for keeping track
Resources for Identifying
Native Communities in Your Area
• National Indian Health Board www.nihb.org
• National Congress of American Indians
www.ncai.org
o Lists all tribes across the United States with
contact info www.ncai.org/tribal-directory
• Indian Health Service (IHS) www.ihs.gov
o Divided into 12 geographic areas
o Lists contacts, IHS hospitals, clinics, and
Public Law 93-638 clinics and health centers
• Email us! (see next slide)
Tina Tso, Administrator
[email protected]
(505) 368-7429
Marita Jones, MPH, Executive Director
[email protected]
Shelley M. Frazier, MPH, Facilitator
[email protected]
Community Partnerships Part II:
Revitalizing Your Coalition
Partnership for a Healthy Ventura County
Ventura County, California
Nancy Maxson and Selfa Saucedo, MPH
August 26, 2015
Welcome to
Ventura County
Nestled between Santa Barbara
and Los Angeles, Ventura County
has a diverse geography ranging
from agricultural fields to coastal
plains to predominant mountainous
regions.
Its large agricultural sector
attracts thousands of farm and
migrant workers and their families.
County Population
842,967
 Population
Projections 2014-2060
60.0%
50.0%
White 47%
Hispanic 42%
40.0%
Asian 7%
30.0%
Black and African
American 2%
20.0%
American Indian or
Alaskan Native 2%
10.0%
0.0%
Ten cities: Camarillo,
Fillmore, Moorpark, Ojai,
Oxnard, Port Hueneme, Santa
Paula, Simi Valley, Thousand
Oaks, Ventura plus
unincorporated areas.
Hispan
White
ic
2014 47.0%
2060 36.6%
42.1%
48.7%
Black
1.6%
1.5%
Ameri
can
Indian
0.3%
0.2%
Asian
Other
6.7%
8.6%
2.4%
4.4%
Poverty Status
Poverty Status by City for Total Population and
Children Under 18 years, 2013
40.0%
35.0%
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
Vent
Port Sant Simi Thou
Cam Fillm Moo
Oxna
Vent ura
Ojai
Huen a Valle sand
arillo ore rpark
rd
ura Coun
eme Paula y Oaks
ty
Population in Poverty 5.8% 20.7% 7.2% 11.5%16.7%17.5%19.4% 6.6% 6.8% 10.7%11.1%
Children in Poverty 8.3% 36.5% 9.4% 20.0%24.6%25.2%24.3% 8.5% 7.1% 13.8%16.0%
Overweight and Obesity among Children
by City
Partnership for a Healthy Ventura County
VISION:
Ventura County leads the way to a Healthy
California
MISSION:
To promote community activities, policies,
environmental changes that foster healthy eating
and regular physical activity to counter obesity
and its related chronic diseases.
FOCUS: Healthy Eating and Active Living
Overview
• Monthly meetings with a quarterly forum
• Average monthly attendance 25-40
• Small businesses, education, health care, public and
private agencies, city governments, communitybased organizations (CBOs), fitness and health
businesses
Comprised of 5 committees:
Healthy at School, Healthy in the Neighborhood,
Healthy in Healthcare, Healthy in the Home, Healthy
at Work
Each committee develops their own S.M.A.R.T.
objectives annually
Backbone Support
• Ventura County Public Health:
Facilities, data, technical assistance, grant
participation, clerical and administrative support
• First 5 Ventura County:
Website management, website and domain hosting
• Partner members provide outreach
• State and non-profit organizations provide
subject matter experts/speakers
Community Health Needs Assessment:
Informing the work of the Partnership
• Primary Focus: Healthy Eating and Active Living
(HEAL) to prevent obesity and related chronic
diseases.
• Other identified needs include Breastfeeding, Oral
Health, Mental Health and Tobacco Free Living, all
of which have existing coalitions in Ventura County
• Partnership decision to stay the course and focus on
Healthy Eating Active Living
Increasing Communication Effectiveness
through Social Media
Building a common language
• Understand how their organization fits in to the
overall vision and mission of the PHVC
• Level the playing field
• Enable members to understand the language of
public health
• Community Health Needs Assessment (CHNA)
presentations and updates provide a
foundation
• Define Emerging Health Needs
Engagement and Effectiveness
• Partners are encouraged to engage with the
committee that best fits their personal and
professional focus
• Committee work is aligned with member’s
scope of work to leverage resources.
• Ongoing discussion about possible Coalitionwide initiatives that align with partner
agency and organization missions such as
Rethink Your Drink and Garden Enhanced
Nutrition Education (GENE)
Benefits of Joining the Coalition
•
•
•
•
•
Networking
Collective Impact
Collaboration
Leverage and streamline resources
Focused on specific issues
Action Steps
•
•
•
•
Participatory Decision Making
Quarterly forums
Elevator speech
Committee based work groupsS.M.A.R.T. objectives
Lessons learned
•
•
•
•
•
Ebb and flow
Partner Buy in
Check in often
Paralysis by Analysis
Financial resources are important
Links to resources:
 www.healthyventuracounty.org
 www.healthmattersinvc.org
 http://www.ahigherlevel.com/healtheliving/school
districts.php?action=view&schooldistrict=venturaus
d
Contact Information
Selfa Saucedo – [email protected]
Health Education Manager
Ventura County Public Health Dept.
(805) 677-5231
Nancy Maxson – [email protected]
Coordinator, Health & Prevention Programs
Ventura Unified School District
(805) 641-5000 ext. 1135