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Community Engagement Models:   A Broad-brush Rural Congregational  Health Initiative National Organization of the  State Offices of Rural Health Reverend Andrea Lomboy August 5, 2010
The Congregational Health ReSource, LLC (CHR) is a Judeo-Christian company and ministry devoted to improving health awareness from the perspective of “body, soul (mind, will, and emotions), and spirit” from a BIBLICAL approach.   “ Our desire is to bring together the promise of medicine with the power of faith to lessen the gap between the secular and the sacred, increasing synergies and infusing the potential to build healthier communities.”
Definition ,[object Object],[object Object],[object Object]
Introduction ,[object Object],www -  Health and Welfare Ministries General Board of Global Ministries The United Methodist Church New York, New York
“ The particular faith that motivates each of us can promote a greater good for all of us. Instead of driving us apart, our varied beliefs can bring us together to feed the hungry and comfort the afflicted; to make peace where there is strife and rebuild what has broken; to lift up those who have fallen on hard times.” www www.nationalserviceresources.org/links/guidance-faith-based-and-community-organizations-partnering-federal-government-pdf  www.nationalserviceresources.org –  President Barack Obama www.flu.gov/professional/community/cfboguidance.html Office of Faith-based  & Neighborhood Partnerships
Religion, Spirituality  & Public Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Public Health System
Using a Systems Approach to Address the Need Align Community Sectors to Promote Health “Swiss Cheese Model” Adapted   James T. Reason BMJ  2000;320:768-770 We must align our organizations, people and resources, or we we will NEVER maximize or obtain the desired outcome for community/public health.  If the gaps in each organization align, many will fall through the holes!
 
 
This concept is a collaborative effort by A. Lomboy (CHR) and S. Triggs, (VDH OMHPHP)
Purpose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The purpose of the congregational health assessments is to advance the congregational approach to health by:
268,240   documented   congregations with 176,477,348 adherents in a US population of over 300M *The data in these reports come from the Religious Congregations and Membership Study which is collected by the Association of Statisticians of American Religious Bodies (www.asarb.org).  They collect these data by asking denominations to submit counts at the county level of congregations and membership.  Some denominations choose not to participate while others simply do not have the data required to participate.  The latter is the case with most African-American denominations. **Estimated total including non-reporting congregations.
Congregations Virginia Statistics for Congregations and Memberships T he Association of Religion Data Archives,  www.thearda.com Members
These statistics are only for reporting churches. 46 Churches in Essex County *Please note the discrepancy. This indicates that there are  MORE congregations than  even documented.
Selection Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surveys ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
46  churches total:  8 - Civic 16 - Clergy 3 - Education 5 - Government 6 - Medical * 38  Completed Surveys  30  churches total:  2 - Civic 6 - Clergy 0 - Education 0 - Government 2 - Medical 10  Completed Surveys  24  churches total:  2 - Civic 9 - Clergy 0 - Education  3 - Government 7 - Medical 23  Completed Surveys  Luray, Page Woodstock, Shenandoah Bath Essex Final Survey Findings 30  churches total:  7 - Civic 9 – Clergy 5 – Education 2 – Government 7 - Medical  *30  Completed Surveys
Non-Clergy Findings Sampled secular organizations said that they could provide the following resources to local churches: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Assistance
Clergy Findings Every  Clergy survey completed indicated that they  “believed there is a connection between physical, emotional, and spiritual health.”   The clergy also overwhelmingly felt that “religious institutions should play a role in helping its congregations be physically healthy.” Nearly 80% of those who felt that way said it was,  “appropriate to offer health education and health services to their congregations.” Based on this response, the clergy were asked if they felt their congregations would use a “combination of both spiritual and medical resources to maintain and improve their health.”  The same 80%  “ felt that they would use the resources.” Despite these findings, just over 10% said they have an active health ministry.  *For the purposes of the survey, an “active” health ministry was defined as, “A ministry of a faith-based organization that provides health care services and/or health educational classes more than once a year.”
Clergy Findings The following list are ways in which the various congregations currently support the health of its members: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clergy Findings Top  health concerns that “your” congregation is facing: These concerns are not surprising and are consistent with  major causes of death in Virginia. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rural Congregations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations & Next Steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
By leveraging the strength of the faith community as a force multiplier in public health, community capacity can be significantly increased extending its reach, impact and value. How can the State Office of Rural Health contribute to this effort?  Rev. Andrea Lomboy [email_address] Cell:  703/581-4323

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Final lomboy nosorh congregational health presentation

  • 1. Community Engagement Models:   A Broad-brush Rural Congregational Health Initiative National Organization of the State Offices of Rural Health Reverend Andrea Lomboy August 5, 2010
  • 2. The Congregational Health ReSource, LLC (CHR) is a Judeo-Christian company and ministry devoted to improving health awareness from the perspective of “body, soul (mind, will, and emotions), and spirit” from a BIBLICAL approach. “ Our desire is to bring together the promise of medicine with the power of faith to lessen the gap between the secular and the sacred, increasing synergies and infusing the potential to build healthier communities.”
  • 3.
  • 4.
  • 5. “ The particular faith that motivates each of us can promote a greater good for all of us. Instead of driving us apart, our varied beliefs can bring us together to feed the hungry and comfort the afflicted; to make peace where there is strife and rebuild what has broken; to lift up those who have fallen on hard times.” www www.nationalserviceresources.org/links/guidance-faith-based-and-community-organizations-partnering-federal-government-pdf www.nationalserviceresources.org – President Barack Obama www.flu.gov/professional/community/cfboguidance.html Office of Faith-based & Neighborhood Partnerships
  • 6.
  • 7.
  • 9. Using a Systems Approach to Address the Need Align Community Sectors to Promote Health “Swiss Cheese Model” Adapted James T. Reason BMJ 2000;320:768-770 We must align our organizations, people and resources, or we we will NEVER maximize or obtain the desired outcome for community/public health. If the gaps in each organization align, many will fall through the holes!
  • 10.  
  • 11.  
  • 12. This concept is a collaborative effort by A. Lomboy (CHR) and S. Triggs, (VDH OMHPHP)
  • 13.
  • 14. 268,240 documented congregations with 176,477,348 adherents in a US population of over 300M *The data in these reports come from the Religious Congregations and Membership Study which is collected by the Association of Statisticians of American Religious Bodies (www.asarb.org). They collect these data by asking denominations to submit counts at the county level of congregations and membership. Some denominations choose not to participate while others simply do not have the data required to participate. The latter is the case with most African-American denominations. **Estimated total including non-reporting congregations.
  • 15. Congregations Virginia Statistics for Congregations and Memberships T he Association of Religion Data Archives, www.thearda.com Members
  • 16. These statistics are only for reporting churches. 46 Churches in Essex County *Please note the discrepancy. This indicates that there are MORE congregations than even documented.
  • 17.
  • 18.
  • 19.
  • 20. 46 churches total: 8 - Civic 16 - Clergy 3 - Education 5 - Government 6 - Medical * 38 Completed Surveys 30 churches total: 2 - Civic 6 - Clergy 0 - Education 0 - Government 2 - Medical 10 Completed Surveys 24 churches total: 2 - Civic 9 - Clergy 0 - Education 3 - Government 7 - Medical 23 Completed Surveys Luray, Page Woodstock, Shenandoah Bath Essex Final Survey Findings 30 churches total: 7 - Civic 9 – Clergy 5 – Education 2 – Government 7 - Medical *30 Completed Surveys
  • 21.
  • 22.
  • 23. Clergy Findings Every Clergy survey completed indicated that they “believed there is a connection between physical, emotional, and spiritual health.” The clergy also overwhelmingly felt that “religious institutions should play a role in helping its congregations be physically healthy.” Nearly 80% of those who felt that way said it was, “appropriate to offer health education and health services to their congregations.” Based on this response, the clergy were asked if they felt their congregations would use a “combination of both spiritual and medical resources to maintain and improve their health.” The same 80% “ felt that they would use the resources.” Despite these findings, just over 10% said they have an active health ministry. *For the purposes of the survey, an “active” health ministry was defined as, “A ministry of a faith-based organization that provides health care services and/or health educational classes more than once a year.”
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30. By leveraging the strength of the faith community as a force multiplier in public health, community capacity can be significantly increased extending its reach, impact and value. How can the State Office of Rural Health contribute to this effort? Rev. Andrea Lomboy [email_address] Cell: 703/581-4323

Editor's Notes

  1. Mission Statement and emphasis given to the fact that this is a Judeo-Christian effort, and my area as a Subject Matter Expert in this particular area.
  2. Basic definition—although this is NOT a new concept, it has not yet been fully defined since it is an emerging field.
  3. President Obama in the new administration supports this effort and renamed it The Center for Faith-Based and Neighborhood Partnerships. Current materials now available.
  4. Note QUICK facts.
  5. The Original Swiss Cheese Model is a systems approach showing how they can be aligned. If there is a failing in one or more systems, there are “gaps” in the system. One or more gap can cause an overall system plan to fail. However, if all of the parts “sectors of the community” align, we can maximize the potential to increase overall health of a community (whether or not the sectors are health driven).
  6. This is an illustration of a TYPICAL rural community. Notice the mouse who represents the Swiss Cheese Model. 5 sectors of the community (health, faith, civic, medical, government) Notice the silos and the individual colors representing different sectors of the community.
  7. If we were to take the silos, and more identify points of common interest and mission, and merge them for the common goal of increasing overall health—and take it from an AERIAL view, which is God’s perspective (and the churches), it could potentially look like the next slide.
  8. This is a puzzle Venn Diagram—notice that it appears as a stained glass window. The window has 2 purposes to see in and to see out. If both the church and the community call upon the strength of their congregations and the power behind it, together we can leverage people, resources and knowledge to attain our goal. Notice that cycle wheel indicates the 10 essentials of public health services. If we cognitively utilize these tools in our efforts. We can challenge ourselves to think and respond differently.
  9. Given this understanding of congregational health, the VDH OMHPHP and the SORH invested in a Congregational Health Assessment Pilot to understand the health needs of the community with input from each sector of the community. How can we move forward in the second stage of the pilot with Best Practices once the results were in?
  10. This slide demonstrates the STRENGTH of the church. US has over 268k congregations with over 176M adherents. I WILL DEMONSTRATE HOW THIS NUMBER IS FAR FROM BEING AN ACCURATE COUNT.
  11. Taking it down from the US level to Virginia, there are nearly 7.8k congregations with over 2.9 ADJUSTED – shows ~3.8M members.
  12. Drilling down further to the county level, we see that Essex County had listed 20 churches. I personally identified 46 churches. Over half of the churches in Essex do NOT report their adherents. Some denominations choose not to participate while others simply do not have the data required to participate. The latter is the case with most African-American denominations. ~267 documented congregations with ~177M adherents in a US population of over 300M. IMAGINE THE TRUE NUMBERS!
  13. Selection process