health 3.0 leadership conference: building and maintaining multi-sector partnerships with sana...

Sana Chehimi Program Director Health 3.0: Transforming Community Health and Care Delivery Berkeley, CA 05/31/2013

Building and Maintaining Effective Multi-Sector Partnerships

@preventioninst

http://www.facebook.com/PreventionInstitute.org

Developing Effective Coalitions: The 8-Step Process

1. Analyze program objectives, determine whether to form a coalition

2. Recruit the right people

3. Devise preliminary objectives and activities

4. Convene the coalition

5. Anticipate necessary resources

6. Develop a successful structure

7. Maintain coalition vitality

8. Improve through evaluation

The Tension

of Turf

Collaborator 4

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 3

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 1

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 2

Expertise:

Desired Outcomes:

Key Strategies:

Shared Outcomes

Partner Strengths

Joint Strategies

Collaboration Multiplier

Picture a Coalition

Coalitions may be... u Time intensive

u Frustrating

u Inefficient

u Poorly utilized “Another meeting? I'd like to attend but I have real work to do.”

“This coalition used to be worthwhile, but now it is a waste of time.”

Coalitions are a tool for achieving a broad range

of goals.

Coalitions are a tool for effectively and

sustainably achieving a broad range of goals.

Developing Effective Coalitions: The 8-Step Process

1. Analyze program objectives, determine whether to form a coalition

2. Recruit the right people

3. Devise preliminary objectives and activities

4. Convene the coalition

5. Anticipate necessary resources

6. Develop a successful structure

7. Maintain coalition vitality

8. Improve through evaluation

Analyze your objectives and goals and determine whether to form a coalition.

u Clarify current ��objectives

u Examine ��approaches ��which might ��be effective

u Assess current community��strengths and needs

Developing Effective Coalitions

1

Photo credit: Healthy City

STEP

Recruit the right people.

STEP Developing Effective Coalitions

2

Recruit the right people. u Identify people working on the issue u Consider who has influence u Determine who will ��

be supportive u Identify who may put ��

obstacles in your path u Consider how many ��

people should be ��involved


2

Equity Matters

u More than just placeholders n Simply inserting a person of color or a person

from a low-income community into the process is not enough

u Diverse and divergent perspectives n Engage in how perspectives differ and how those

differences may influence decisions and solutions

u Buy-in for change n  Including community members can strengthen the

process and support

Coalition Members Wear

2 Hats

Photo credit: Martin Ujlaki

Set preliminary objectives and activities.

u Propose a variety of activities to meet members’ needs and skills

u Identify short-term successes


3

Influencing Policy & Legislation

Changing Organizational Practices

Fostering Coalitions & Networks

Educating Providers Promoting Community Education

The Spectrum of Prevention

Strengthening Individual Knowledge & Skills

Collaborator 4

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 3

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 1

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 2

Expertise:

Desired Outcomes:

Key Strategies:

Shared Outcomes

Partner Strengths

Joint Strategies


through an invited meeting

through a training

through a conference


4 Convene the coalition...


4 Convene the coalition...

through an invited meeting

through a training

through a conference

ü 

Anticipate the necessary resources. u Clerical u Meeting planning, preparation ��

and facilitation u Membership recruitment, ��

orientation and encouragement u Research and data collection u Participation in activities ��

and projects


5

Devise a successful coalition structure. u Should coalition be ad hoc or ongoing? u How long and frequent should meetings be? u Should agencies officially join the coalition? u How will decisions be made? u How will agendas be ��

structured? u How much will members ��

realistically participate ��between meetings?


6

Avoid Burnout…

How long and how frequent should coalitions meet?

Photo credit: dnnya

How should decisions be made?

Photo credit: dnnya

Maintain the coalition’s vitality. u Difficulties generally arise due to:

n  poor group dynamics

n  inadequate membership ��participation

n  ineffective coalition activities

n  external changes which ��affect the coalition’s mission

Developing Effective Coalitions STEP

7

Make improvements through evaluation. u Ask for feedback u Evaluate the effectiveness ��

of specific activities


8 u Know when it is time to

dissolve, disband, or change the structure of the coalition

Phot

o cr

edit:

Em

ily B

arne

y

Recognize Unintended Successes

-- Cherie R. Brown

“C oalition organizers should avoid getting so caught up in any one effort as ��

to view it as ‘make or break.’

Every effort prepares for greater and ��more sustained efforts in the future. ”

The Tension

of Turf

“The conflict between organizations with seemingly

common goals.”

--Peck and Hague

TURF

Why Do Turf Issues Arise?

¿  Coalitions tend to be made up of passionate members

¿  Non-coalition related issues ¿  Conflicting agendas ¿  Previous bad relations ¿  Control over the coalition ��

(identity, ideology, & strategy) ¿  Who gets recognition and resources

Why Do Turf Issues Arise?

What turf challenges have you faced before, or might

arise in your coalition?

u Acknowledge potential turf issues

u Shape collective identity

u Secure funding

u Remind participants ��of the big picture

How to Manage Turf: Tips for Coalition Leaders

Photo credit: Tord Sollie

Types of Turf Battles

¿ Member vs. member: often unrelated to joint work

¿ Members vs. intersectoral effort: members compete for the same pool of resources as the coalition

¿ Members vs. leadership: leadership may acquire resources at the expense of individual members

Tools and Tips

u  Acknowledge potential turf issues – have honest conversations about the history of relationships between organizations.

u  Talk details – openly discuss why each participant/organization is at the table.

u  Shape collective identify – build a common focus and commitment among members.

u  Make fair decisions – decisions should be discussed and represent majority support.

Tools and Tips

u  Seek funding, if appropriate, for coordination – external funding can help alleviate internal pressure for resources.

u  Reward partners and celebrate successes – Acknowledge success along the way so that partners see that they are achieving the desired goals.

Tools and Tips

u  Build bridges – trust, respect, and amicability are key to the success.

u  Remind participants of the big picture – key members, such as youth or faith leaders, can help reunify the group and remind it of common goals.

Tools and Tips

u  Make struggles overt – if turf issues arise, members need to admit they exist to quickly resolve issues.

u  Encourage flexibility – this helps cooperation and success.

Tools and Tips

Building Trust

u Trust is about predicting behaviors.

u Building trust is a cyclical process.

u Start with “low-hanging fruit” but do not lose sight of long-term goals.

u Interagency trust can often serve in the absence of a formal agreement.

Collaborator 4

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 3

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 1

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 2

Expertise:

Desired Outcomes:

Key Strategies:

Shared Outcomes

Partner Strengths

Joint Strategies


he determinants of health are beyond the capacity of any one

practitioner or discipline to manage… We must collaborate to

survive, as disciplines and as professionals attempting to help our communities and each other.

–Mitchel and Crittenden, Washington Public Health Fall 2000

“T

”

A good solution solves multiple problems.

Prevention Institute

Benefits to Multi-Field Collaboration

u Diverse expertise and resources

u Access to broader networks

u Access to funding opportunities and other resources

u Fosters sustainability

Addressing the Intersection: Preventing Violence and Promoting

Healthy Eating and Active Living

Healthy Eating & Physical Activity

Safety &

Preventing Violence

Preventing violence through urban farming

Denver, CO

Collaboration Multiplier Approach

Information Gathering Collaboration Multiplier Analysis

1 2

Public Health

Urban Agriculture

Violence Prevention

City Council

Parks & Recreation

Youth

Community Development

Faith-based Orgs

Planning Department

School

Promotores Community Health

Education

Goal: Preventing violence through urban farming

Expertise Assets Desired Outcomes Strategies

Urban Ag.

City Council

n Policies that promote health and safety in the

district

n Help leverage funds for long-term

sustainability

n Knowledge on urban food system infrastructure and

implementation

n Long-term partnerships to achieve

sustainable food systems

n Create mechanisms for

residents to access fresh, affordable

healthy foods

Violence Prev.

n Expertise in youth violence prevention

and intervention

n Decreased gang violence and increased positive opportunities

for at-risk youth

n Build youth leadership and

connect youth to training and employment opportunities

Public Health

n Experience in population-based interventions and collection of data

on chronic disease and injury rates

n Unification of collaborative efforts to address violence and

chronic disease

n Facilitate system and policy changes

that link healthy eating active living

with violence prevention efforts

Phase I: Information Gathering

n Knowledge and ability to influence

local policy decisions

n Strong community infrastructure for communication,

involvement, outreach and education.

n Experienced in street (community)

organizing

n Established and trusted partner

within the community that can

provide data and staff resources.

n Ability to influence the

allocation of City resources for programs and

services.

Urban Agriculture

Expertise:

Desired Outcomes:

Key Strategies:

UA

Urban Agriculture

Expertise:

•  Knowledge on urban food system infrastructure and implementation

Desired Outcomes:

•  Long-term partnerships to achieve sustainable food systems

Key Strategies:

•  Create mechanisms for residents to access fresh, affordable healthy foods

UA

Violence Prevention

Expertise:

Desired Outcomes:

Key Strategies:

VP

Violence Prevention

Expertise:

•  Expertise in youth violence prevention and intervention

Desired Outcomes:

•  Decreased gang violence and increased positive opportunities for at-risk youth

Key Strategies:

•  Build youth leadership and connect youth to training and employment opportunities

VP

Collaboration Multiplier: Improving Safety and Increasing Access to Healthy Food

+ City Council Expertise:

•  Knowledge and ability to influence local policy decisions

Desired Outcomes:

• Policies that promote health and safety in the district

Key Strategies:

• Help leverage funds for long-term sustainability

Violence Prevention Expertise:

• Expertise in youth violence prevention and intervention

Desired Outcomes:

• Decreased gang violence and increased positive opportunities for at-risk youth

Key Strategies:

• Build youth leadership and connect youth to training and employment opportunities

Public Health Expertise:

• Experience in population-based interventions and collection of data on chronic disease and

injury rates

Desired Outcomes:

• Unification of collaborative efforts to address violence and chronic disease

Key Strategies:

• Facilitate system and policy changes that link healthy eating active living with violence

prevention efforts

Urban Agriculture Expertise:

• Knowledge on urban food system infrastructure and implementation

Desired Outcomes:

• Long-term partnerships to achieve sustainable food systems

Key Strategies:

• Create mechanisms for residents to access fresh, affordable healthy foods

CC

VP PH

UA

City Council CC

Expertise:

•  Knowledge and ability to influence local policy decisions

Desired Outcomes:


Key Strategies:


Violence Prevention

VP

Expertise:


Desired Outcomes:

• Decreased gang violence and increased positive opportunities for

at-risk youth

Key Strategies:

• Build youth leadership and connect youth to training and employment

opportunities

Shared Outcomes

Partner Strengths

Joint Strategies/Activities

Public Health PH

Expertise:

• Experience in population-based interventions and collection of data on chronic disease and injury rates

Desired Outcomes:

• Unification of collaborative efforts to address violence and chronic disease

Key Strategies:

• Facilitate system and policy changes that link healthy eating active living

with violence prevention efforts

Urban Agriculture Expertise:

• Knowledge on urban food system infrastructure and implementation

Desired Outcomes:

• Long-term partnerships to achieve sustainable food systems

Key Strategies:

• Create mechanisms for residents to access fresh, affordable healthy

foods

UA

Shared Outcomes

•  Strong partnerships among partner organizations and community members

•  Safe community gathering space: Urban farm

•  Employment for youth and adults

•  Increased access to healthy foods

•  Institutional systems and local policies to promote health and safety

PH VP UA + + + CC

Partner Strengths

•  Established trust and respect in community

•  Experience in community engagement and training

•  In-kind support

•  Linked to broader city-wide initiatives

PH

VP

UA

CC

Joint Strategies/Activities

•  Establish Urban Farm and Farmer’s Market

•  Connect Youth and Community Residents to Training and Employment

Opportunities

PH VP UA + + + CC

PH VP UA +

City Council Expertise:

•  Knowledge and ability to influence local policy

decisions

Desired Outcomes:


Key Strategies:


Violence Prevention VP

Expertise:


Desired Outcomes:

• Decreased gang violence and increased positive

opportunities for at-risk youth

Key Strategies:

• Build youth leadership and connect youth to training and

employment opportunities

Public Health PH

Expertise:

• Experience in population-based interventions and collection of data on chronic disease and injury rates

Desired Outcomes:

• Unification of collaborative efforts to address violence and

chronic disease

Key Strategies:

• Facilitate system and policy changes that link healthy eating

active living with violence prevention efforts

Urban Agriculture

Expertise/:

• Knowledge on urban food system infrastructure and

implementation

Desired Outcomes:

• Long-term partnerships to achieve sustainable food

systems

Key Strategies:

• Create mechanisms for residents to access fresh, affordable healthy foods

Shared Outcomes •  Strong partnerships among partner organizations and community members

•  Safe community gathering space: Urban farm

•  Employment for youth and adults •  Increased access to healthy foods

•  Institutional systems and local policies to promote health and safety

Partner Strengths •  Established trust and respect in community

•  Local policy maker involvement and support

•  Experience in community engagement and training

•  Content expertise •  In-kind support

•  Linked to broader city-wide initiatives

Joint Strategies/Activities •  Establish urban farm and farmer’s market

•  Build youth capacity to understand goal and advocate for environmental and policy

changes •  Build capacity of leaders

•  Cultivate relationships and partnerships •  Connect youth and community residents to

training and employment opportunities

UA CC

POLICY CONCERNS

PROBLEM DEFINITION

DESIRED OUTCOMES

DATA

FUNDING SOURCES

TRAINING AUDIENCES

MAJOR PRIORITY ISSUES PLAYERS APPROACHES

TRAINING EMPHASIS

NETWORKS & PARTNERS

FUNDED MANDATES

Elements of Collaboration Multiplier can be modified depending on coalition needs…

IMPORTANCE: Why is this issue important to your field?

ORGANIZATIONAL GOALS: What are your organization’s goals related to this issue?

EXPERTISE: What unique expertise does your field bring to the collaborative?

ASSETS/STRENGTHS: What resources (skills, training, funding) can you bring to the table?

KEY STRATEGIES: What key strategies/activities are you implementing that are relevant to this issue?

Categories

DESIRED OUTCOMES: What specific results/outcomes are you seeking as a result of this collaboration? What does success look like to you?

DATA: What data do you collect, and how?

PARTNERSHIP: Which partners/participants can you bring to the table to enhance outcomes?

ORGANIZATIONAL BENEFIT: How does your organization benefit from participating in this collaborative?

Categories

Collaborator 4

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 3

Expertise:

Key Strategies:

Collaborator 1

Expertise:

Desired Outcomes:

Key Strategies:

Collaborator 2

Expertise:

Desired Outcomes:

Key Strategies:

Shared Outcomes

Partner Strengths

Joint Strategies

Phase II:

Collaboration Multiplier Analysis

Desired Outcomes:

Promote Joint Use of Recreational Facilities

Who are some key partners?

Public Health

Faith

Education

Business

Joint Use: Increase use of schools / facilities for recreation during non-school hours

Education

Expertise:

Desired Outcomes:

Key Strategies:

E

Education

Expertise:

•  Experience working with afterschool providers •  Understanding of capacity of school facilities

Desired Outcomes:

•  Equitable access to PA opportunities •  Improved behavior and academic

achievement •  Community ownership of public facilities

Key Strategies:

•  Open facilities during non-school hours •  Address liability issues for community usage •  Engage partners to increase programming

and recreation opportunities

E

Public Health

Expertise:

Desired Outcomes:

Key Strategies:

PH

Public Health

Expertise:

•  Impact of inactivity environments on health

Desired Outcomes:

•  Equitable access to PA opportunities to prevent chronic diseases

•  Improved health behavior surveys, score cards

Key Strategies:

•  Broker deals with a health perspective

•  Foster partnerships across sectors

•  Document the process

PH

Faith

Expertise:

Desired Outcomes:

Key Strategies:

F

Faith

Expertise:

•  Strong ability to train and cultivate leaders and congregation

Desired Outcomes:

•  Community connection & cohesion •  Services with community relevance

•  Improved community health outcomes

Key Strategies:

•  Open facilities •  Outreach to congregation to build momentum and

support

F

Local Business

Expertise:

Desired Outcomes:

Key Strategies:

LB

Local Business

Expertise:

Desired Outcomes:

Key Strategies:

LB Expertise:

•  Understanding community needs from a business perspective

•  Impact of safety on patronage of businesses

Desired Outcomes:

•  Increased safety in surrounding areas •  Increased patron traffic due to usage

Key Strategies:

•  Provide funding or sponsorship •  Promote joint use to community members •  Advocate to elected officials on joint use

issues

Expertise Assets Desired Outcomes Strategies

Education

Local Business

n Financial opportunity to support programming or recreation n Presence in

community n Connection with other partners and sectors

n Increased safety in surrounding areas

n Increased patron traffic due to usage

n Provide funding or sponsorship n

Promote to community members n Advocate to elected officials on

joint use issue

Experience working with afterschool

providers and have understanding of the

capacity of school facilities

n Public facilities n Access to students and parents n Partnership

with institution

n Equitable access to PA opportunities n Improved

behavior and academic achievement n

Community ownership

n Open facilities during non-school hours n Address liability issues n Engage partners

Faith Strong ability to

cultivate leaders and congregation

n Facilities access to congregation (families) n Trust of residents

n Community cohesion n Services with community

relevance n Improved health outcomes

n Open facilities n Outreach to build

momentum and support

Public Health

Impact of inactivity environments on

health and are experts on promising

strategies to increase PA

n Prevention and Wellness dollars n local health data n convening

and faciliatating

n Equitable access to PA opportunities to prevent

chronic diseases n Improved health behavior

surveys, score cards

n Broker deals with a health lens n

Foster partnerships n Document the

process

Phase I: Information Gathering

Understanding community needs from a business perspective

and impact of safety on patronage of

businesses

+ Local Business

Education Public Health

Desired Outcomes: • Equitable access to PA opportunities to prevent

chronic diseases • Improved health behavior surveys, score cards

Key Strategies: • Broker deals with a health perspective

• Foster partnerships across sectors • Document the process

Faith Expertise:

• Strong ability to train and cultivate leaders and congregation

Desired Outcomes: • Community connection & cohesion • Services with community relevance

• Improved community health outcomes

Key Strategies: • Open facilities

• Outreach to congregation to build momentum and support

LB

E PH

F

Expertise: • Impact of inactivity environments on health

Expertise: • Experience working with afterschool providers • Understanding of capacity of school facilities

Desired Outcomes: • Equitable access to PA opportunities

• Improved behavior and academic achievement • Community ownership of public facilities

Key Strategies: • Open facilities during non-school hours

• Address liability issues for community usage • Engage partners to increase programming and

recreation opportunities

Expertise: •  Understanding community needs from a

business perspective • Impact of safety on patronage of businesses

Desired Outcomes: • Increased safety in surrounding areas • Increased patron traffic due to usage

Key Strategies: • Provide funding or sponsorship

• Promote to joint use to community members • Advocate to elected officials on joint use issues

Local Business LB

Education E Shared Outcomes

Partner Strengths

Joint Strategies

Public Health PH

Faith F


to prevent chronic diseases • Improved health behavior surveys,

score cards



Expertise: • Impact of inactivity environments on

health

Expertise: • Strong ability to train and cultivate

leaders and congregation




• Outreach to congregation, building momentum and support

Expertise: • Experience working with children &

youth and conducting fitness assessments

Desired Outcomes: • Equitable access to PA opportunities • Improved behavior and academic

achievement • Community ownership of public

facilities

Key Strategies: • Open facilities during non-school hrs

• Address liability issues • Engage partners

Expertise: • Understanding community needs

from a business perspective • Impact of safety on patronage of

businesses

Desired Outcomes: • Increased safety in surrounding

areas • Increased patron traffic due to usage

Key Strategies: • Promote joint use to community

members • Advocate to elected officials on joint

use issues

Joint Strategies

• Open facilities during non-school hours

• Support outreach efforts to community members and residents

• Engage new partners to support broader stewardship

E F +

PH E F + + + LB

F + LB

Local Business LB

Education E Shared Outcomes

Partner Strengths

Joint Strategies

Public Health PH

Faith F


to prevent chronic diseases • Improved health behavior surveys,

score cards



Expertise: • Impact of inactivity environments on

health

Expertise: • Strong ability to train and cultivate

leaders and congregation




• Outreach to congregation, building momentum and support

Expertise: • Experience working with children &

youth and conducting fitness assessments

Desired Outcomes: • Equitable access to PA opportunities • Improved behavior and academic

achievement • Community ownership of public

facilities

Key Strategies: • Open facilities during non-school hrs

• Address liability issues • Engage partners

Expertise: •  Understanding community needs

from a business perspective • Impact of safety on patronage of

businesses

Desired Outcomes: • Increased safety in surrounding

areas • Increased patron traffic due to usage

Key Strategies: • Provide funding or sponsorship

• Promote to community members • Provide public support around issue

to elected officials

•  Safe places for play and recreation

•  Safe community gathering spaces

•  Improved health outcomes for children and families

•  Community ownership of public resources

•  Subject matter expertise and credibility

•  Community trust and established history in community

•  Connections to a variety of institutions, organizations and

sectors

•  Open facilities during non-school hours

•  Support outreach efforts to community members and residents

•  Engage new partners to support broader stewardship

Next Steps After Completion of Collaboration Multiplier

u Tailor your messages to engage different fields in achieving your goals

u  Identify additional partners, outreach, and learn how they fit into the matrix

u Build and strengthen the coalition

u Develop a comprehensive strategic approach

www.preventioninstitute.org Photo credit: Emily Barney

TOOLS

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Communities Taking Action

ENACT Environmental Nutrition & Activity Community Tool

Promising Practices in Nutrition and Physical Activity

Catalogues promising policies in nutrition and activity at the local level

Local Policy Database

http://preventioninstitute.org/sa/policies/

221 Oak Street Oakland, CA 94607 Tel: (510) 444-7738

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