2011: Building a healthy future Regional Workshop Building and - PowerPoint PPT Presentation

2011: Building a healthy future Regional Workshop Building and Sustaining Effective Community Coalitions June 7, 2011

8 Steps to Building & Sustaining Effective Coalitions Cook Children’s Health Care System Regional Workshop Ft. Worth, TX June 2011 Frances D. Butterfoss, PhD Yorktown, Virginia

Joint Efforts – A word by any other name... • Network • Consortium • Federation • Partnership • Advisory Committee • Coalition • Aliiance • Coalition Group of individuals representing diverse organizations or constituencies who agree to work together to achieve common goals (Feighery & Rogers, 1990)

Gr Gras asstips tips – traditional leaders & groups in power ts – indigenous, emerging community Gr Gras assro roots leaders & groups

Benefits of Coalitions

Strength in Numbers

Strength in Relationships

Strength in Diversity

Strength in Resources

Challenges of Coalitions YouTube - EDS, an HP Company 'Cat Herders' • Ri Risk sk los losing au ing auton tonomy omy, , co compe mpeti titi tive ed e edge ge, , co contr ntrol ol • Confli Conflict ct over er go goals als & me & metho thods ds • Ex Expe pend nd sc scar arce ce reso esour urce ces (t s (time, $ ime, $, , sta status, tus, da data) ta) • Delays Delays in s in solving olving pr prob oblems lems

Community Coalition Action Theory (CCAT) Butterfoss & Kegler, 2009 Processes Collaborative Synergy Assessment & Planning Member Engagement Leadership Implementation Lead Agency/ Coalition & of Strategies Convener Membership Staffing Group Pooled Community Change Resources Outcomes Structures Health/ Community Social Capacity Outcomes Formation Maintenance Institutionalization

Research Study Policy & Health Related Outcomes Local ordinance banning smoking Adams 2000; Pubic Health Reports March - June 2000, 115; California Smoke-Free Cities (CSFC) Visits to health offices were significantly Splett et al 2006; Journal of School lower in intervention schools Health , 76 (6); Minneapolis Public Schools Asthma Initiative Conversion of NYC’s bus fleet to clean diesel Vasquez et al 2006; Journal of and installation of permanent air monitors in Urban Health: Bulletin of the New Harlem & other “hot spots” by EPA York Academy of Medicine , 83 (118) Standardized asthma action plan & Butterfoss et al 2006; Health authorization for medication endorsed Promotion Practice , Supplement by 7 school districts Vol 7 (2) Findley et al 2009 ; Health Coalition of 23 organizations helped 1000 CHWs incorporate immunization promotion Promotion Practice, Supplement Vol into programs & raised 4:3:1:3:3 rates for 19- 10(2) 35 moth olds from 80% -97% from 2003-07

Eight Eight Steps Steps to to Sustain Sustain Coalitions Coalitions

STEP 1 Clarify or Reaffirm Vision & Mission

Start with rapid SWOT Analysis • Strengths - internal factors that allow coalition to take advantage of opportunities or reduce barriers • Weaknesses - internal factors or challenges that prevent coalition from taking advantage of opportunities or reducing barriers • Opportunities - external factors that allow coalition to take action, build membership, or improve community • Threats - external factors that hinder goal attainment, sustaining momentum, or long-term survival

Vision Statement • Shared by members & easily communicated • Broad enough to include diverse viewpoints • Inspiring & uplifting ________________ County will be a community that supports the health of all of its children

Mission Statement • Describes in 1 sentence what group is going to do • Outcome-oriented: Explains outcomes coalition is working to achieve • Inclusive: Doesn’t limit sectors or strategies that may be involved in projects Engaging the community to improve children’s health in ______________ County

Slogan • Phrase se used to brand coalition ion or market it to public • Short & “catchy” Healthy Children, Healthy Families!

STEP 2 Community Ownership Re Re-enga engage ge community ity partners s to: • Defi fine ne issues es • Identify ify solutio tions ns & strategies ies Develop elop tools/r s/reso esources es to impleme ement nt & evalu luat ate e strategie gies •

To engage your community . . . • Plan summit to educate county residents about child health issues • Hold county forum for residents to educate coalition about community issues • Have community group take coalition leadership on windshield tour • Present assessment findings & draft Community Action Plan (CAP) to county groups & business leaders • Hold legislative breakfast for key county leaders & local legislators to inform your advocacy agenda

STEP 3 Solidify Coalition Infrastructure & Processes

Coalitions Must Work on 2 Levels Inward Work Outward Work Processes that build, nurture Task-oriented behaviors t0 & maintain coalition achieve coalition goals

In essence, you must fly the plane, while you build it ... YouTube - EDS "Airplane"

Alliance Organizational Chart Grantee: Suburban Cook County Department of Public Health ALLIANCE Le Lead ader ership ship Tea eam Work Work Wor ork k Work Work Group Group Group Group Group

Coalition Structures  Vision, n, Mission ion & G Goals St Statements nts  Rol oles & R Respo pons nsibili bilities ties  Org rganizatio nizational nal Chart  St Steeri ring ng or E r Executive utive Committ ttees  Work rk Grou roups ps & T Task Grou roups ps  Bylaws ws & G Guide delines nes  Meet etings ngs  Docume ments nts (agenda, da, minutes, s, ros rosters)  Com ommunication nication cha hanne nnels

Processes • Decision-making • Problem-solving/Conflict resolution • Orientation & Training • Planning & Resource Allocation • Evaluation

STEP 4 Recruit & Retain an Active, Diverse Membership

Member Roles & Responsibilities  Provid vide e strategic gic input for identif ified ied priority ty area  Attend d coalition ion meetings gs on a regular basis is  Collabo laborate rate to promote joint or shared d activitie ities  Provid vide e leadersh rship ip to coalitio tion n and its wo work groups  Assist sist in implement ementing ing activities ities & s state plan  Recruit uit new w member ers  Serve e as a resource e for developin loping g initiatives atives  Disse ssemin minate ate inf nform rmation/res ation/resourc ources es about t pre revention ntion activit vities ies to own wn netwo work k & o organiza ization tion  Identify ify resource rces s to support rt coalition ion goals & objectives ives  Advoc ocate ate

Member Commitment Card I, ______________________ hereby commit to providing the following resources to AHAC to assist in creating a healthier suburban Cook County. Resources In-kind Cash Time Other Signature: ____________________________ Date: ____________________________

Partnership Member Sectors  Labor & Employment ment (Business) iness)  Profess essiona ional/ l/Tr Trad ade e Assoc ociatio iations ns  Advoc ocacy acy & S & Special l In Inte tere rest st (Pare rent nts s & F & Families) lies)  Law w Enforcement ment  Community munity-based ased Organiza ization tions s (CBOs) s)  Medical/Health/Insu al/Health/Insurers rers  Media  Academic emic/Ed /Educ ucation ation  Go Gover ernment/Leg nment/Legislat islativ ive  Religio ligious/ us/Fa Faith ith-based based  Youth th Organizat izations ions

Why Members Leave . . . • Bored Don’t feel included or respected • • Disagree/conflict with others • Unclear roles or duties

Improve Member Retention • Cre reate te po positive social l interac ractions tions • Pro rovide ide visibi bility, ity, cre redi dit & de decision on-makin aking g inf nfluenc nce • Pro rovide ide access ss to inform rmation/res ation/resourc urces s • Make ke pa part rtnershi rship p effici cient nt & ef effectiv tive e • Pro rovide ide ori rientation/training; tion/training; link new w membe bers rs to veterans rans • Pro rovide ide vari ried, d, fulfilling illing op oppo port rtuni nities ties to pa o part rtici icipate pate • App ppre reciate ciate need d to vary ry involveme ment nt over ti r time Butte terfoss, foss, 2007; 7; Sofaer er, 2001

STEP 5 Develop Coalition Leaders

Competent Coalition Leaders  Cre reate te clear r & s share red d vision  Build ld cohesion & c commun unity ity pa part rticip cipati ation  Increase members’ satisfaction & engagement  Increas rease efficie ienc ncy & t task ori rientation ation  Cre reate te effective tive pr progra rams ms  Cha hang nge com ommunity unity & s systems s