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Communities Working in Partnership: Building Capacity for Policy Change Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD Detroit Community-Academic Urban Research Center Renee Bayer, MHSA Community Health Scholars Program Community Based Public Health Conference Flint, MI April 3, 2012 With acknowledgement to The Skillman Foundation, the University of Michigan, PolicyLink, the Community Health Scholars Program, and our colleagues in the Detroit Community-Academic Urban Research Center
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Page 1: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Communities Working in Partnership: Building Capacity for Policy Change

Sonya Grant-White, MSWDetroit Community-Academic Urban Research Center

Kent Key, MPHFlint Odyssey House Health Awareness Center

Chris Coombe, MPH PHDDetroit Community-Academic Urban Research Center

Renee Bayer, MHSACommunity Health Scholars Program

Community Based Public Health ConferenceFlint, MI April 3, 2012

With acknowledgement to The Skillman Foundation, the University of Michigan, PolicyLink, the Community Health Scholars Program, and our colleagues in the Detroit Community-Academic Urban Research Center

Page 2: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Agenda

Why Build Community Capacity for Policy

Change?

NWP to CWP: Adapting a local neighborhood

training to other communities

Programs or Policies?

Putting it in Action in Flint & Genesee County

Q & A, Lessons Learned

Page 3: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Why Build Community Capacity for Policy Change?

Policy change can have widespread and lasting impact on health for those most impacted by inequities.

Community participation is essential!

Communities most affected-including youth-need opportunities to gain policy advocacy skills.

Most policy training is aimed at professionals, and focuses on “big P policies.”

Community-academic partnerships can facilitate building community capacity to engage in policy advocacy.

Page 4: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Detroit Community-Academic Urban Research Center (URC)

Partner Organizations:Community Health and Social Services Center, Inc., (CHASS)Communities In SchoolsDetroit Department of Health and Wellness PromotionDetroit Hispanic Development CorporationDetroiters Working for Environmental JusticeFriends of ParksideHenry Ford Health SystemLatino Family ServicesNeighborhood Service OrganizationRebuilding Communities, Inc./Warren-Conner Development CoalitionUniversity of Michigan Schools of Public Health, Nursing & Social Work

Page 5: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Neighborhoods Working in Partnership: Building Capacity for Policy Change

Program Goals and Objectives:

1. To strengthen policy advocacy skills among neighborhood residents within Detroit

2. To extend voices within the policy-making arena

3. To have an impact on policies aimed at creating healthy neighborhoods

Page 6: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Neighborhoods Working in Partnership: for Detroit Residents

Train-the-Trainers:Series of 3 Workshops

by PolicyLink

• 15 NWP Trainers• URC partners• Other community leaders

Training of Neighborhood Residents:

Series of 4 Workshops

1-3 in each local neighborhood 4th citywide

• 228 participants• Youth and Adults

Ongoing Support to Participants

Page 7: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Policy Training Components

Program or Policy?

Power Mapping

Choosing Strategies for Policy Change

Policy Advocacy Campaign

Talking with Policymakers

Communicating for Policy Change

Page 8: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

NWP Curriculum is effective because participants…

Address real and relevant issues Gain knowledge and then apply it Reflect on their experiences Learn with and from each other

Page 9: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

NWP Curriculum DevelopmentPartnership Approach

CBPR Principles guided the process, including:

Build on community strengths and resources Promote collaborative, equitable partnership Foster co-learning and capacity building Focus on multiple determinants of health Promote long-term engagement

Page 10: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

NWP Participants

228 people participated in the initial workshop series

63% Female, 37% Male

Youth and Adults 48% Under 18 years old 52% 18 years or older

NWP has trained an additional 250 people from neighborhoods, organizations, schools

Page 11: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Evaluation Results

94% I found the training useful.

86% I will be able to use

what I learned to bring about

change in my neighborhood.

87% Because of what I learned, I plan to do more work to change policies.

Page 12: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.
Page 13: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Communities Working in Partnership: Training-of-Trainers

NWPCurriculum & materials,

Trainers & Staff+

CHSP Cross-site Planning Committee

=Redesign into training-

of-trainers

CWPTraining-of-Trainers:

At each of 3 sites

NWP Trainer - Staff TeamsCHSP Site Planning Committee

• 2 day intensive training • Adapted to each local community• 88 participants

(2/3 community)

$5,000 Mini-grant to each site for new trainers to adapt and conduct a training for local community members

Page 14: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

CWP Results

99% I found the training useful.

99% Working with others I can change policies that affect my community

89% I intend to work with others for policy change.

Page 15: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

CWP: Moving to Local Action

CWP trainers conducted workshops in their own community.

Training components incorporated into initiatives, campaigns, conferences, planning meetings.

Adapted into a youth advocacy program by a Kellogg Health Scholar.

Page 16: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

What is Policy?Going from Community Issues to

Policy Solutions

Page 17: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

What do we mean by “Policy?”

Page 18: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Programs Policies

Page 19: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

PolicyA policy is a plan or a course of action that

helps guide decisions

Policies are the guidelines that our governments, organizations, institutions use to respond to issues and situations

Policies can take different forms:Rules, procedures, regulations, codesWritten or unwrittenOfficial or unofficialNational, state, city, organization, family

Page 20: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Approaches to Solving Community IssuesPrograms, ActivitiesAddresses small piece

of problem Day-to-day issues Meets an immediate

need Changes individuals

Short term change

Policy SolutionsAddresses entire

problem Big picture issues Moves us toward

broader goals Changes institutions

and communitiesLasting change

Page 21: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

CommunitiesTaking Action!

Programs or Policies?

Small Group Activity

Page 22: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Action Areas:Community Development & Transformation – Our community provides a safe and healthy environment that ensures the economic and social well-being of all its residents and their families.

Youth Advancement - All youth have opportunities to engage in positive school, work, and recreational experiences that promote their future success.

Page 23: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

What did you find out?

Page 24: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Types of Policies

RegulationsLaws CodesZoningBallot InitiativesRecallsAdministrative Rules

ResolutionsBudgetsExecutive ordersTaxationEnforcementEligibility StandardsCourt Decisions & Court Orders

Page 25: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Policy Change is One Step on the Road to Improved Communities

Page 26: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Communities Working in Partnership:Taking action locally to impact

Social Determinants of Health in Flint and Genesee County

 

Page 27: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Community-Based Organization Partners (CBOP)Lead partners: Flint Neighborhood Roundtable, Flint Odyssey House Inc., Genesee County Community Action Resource Department, Mid Michigan District Women’s Missionary Society

Genesee County Health Department

University of Michigan School of Public Health: Community Health Scholars Program, Michigan Prevention Research Center, Office of Public Health Practice

CWP Flint/Genesee Co. Training Partners

Page 28: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Flint/Genesee Co. CWP Train-the-trainersTwo-day train-the-trainers

conducted in May 2010. 22 community-academic

leaders completed the train-the-trainers.

A case study presented by the SMART Coalition to illustrate a successful local example of policy change

Page 29: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Policy Advocacy Workshop Adapted the training to a 1-

day workshopInvited a broad representation

from local groups/coalitions 24 participants completed

workshopSubset of topics from the

original training: policy vs. program, power-mapping and advocacy strategies.

CWP materials were adapted for local relevance.

Page 30: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Follow-up activities :A policy panel of local officials – 50 attendeesA Powermapping training at the invitation of the

Neighborhood Roundtable – 40 attendeesBoth activities were taped and shown on community

access TV

Page 31: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Flint/Genesee Co. CWP Lessons Learned

Flint/Genesee Co. CWP contributes to on-going work and new policy efforts.increased efficacy to create policy change;broad participation in subsequent policy activities; and catalyzed policy change in education (e.g. electing a

CBOP member to the Flint school board and changing nutrition/physical activity policies in Clio schools).

Page 32: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Next steps

to conduct additional workshops by invitation and

collective advocacy for changes in social determinants of health

Page 33: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Summary

Page 34: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Facilitating Factors

Curriculum adaptable to multiple audiences and communities

“Iterative”—evolving

Diverse trainers with diverse expertise

Widespread enthusiasm and desire for this training!!

Page 35: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Having a strong partnership in place, and a diverse set of partners is invaluable.

Both academic and community partners benefit from policy advocacy training.

Evaluate and make changes as you go along.

CWP: Lessons Learned

Page 36: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Detroit URC www.detroiturc.org

For more information about workshops and activities in Flint/Genesee County: Suzanne Cupal, Genesee County Health Department,

(810) 768-7970, [email protected]

Arlene Sparks, Genesee County Community Action and Resource Department, [email protected]

PolicyLink www.policylink.org

Resources

Page 37: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Questions, Comments?

Page 38: Sonya Grant-White, MSW Detroit Community-Academic Urban Research Center Kent Key, MPH Flint Odyssey House Health Awareness Center Chris Coombe, MPH PHD.

Communities Working in Partnership for Policy Change!

“[The most important thing about the training is] knowing that I have power that will positively impact

my neighborhood and that now I know how to use it.”


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