Presentation shared at Linking Healthy Communities - Building from Within - Toronto, Nov. 1-2, 2011. Focus on the strength of assets based initiatives and collective impact / strength of effective collaboration and co-ordinated effort.
18. Community Engagement
Collaborative leadership
Local community strengths
Multi generational engagement
Multi sector engagement
Multi sector investment in ‘Healthy Community’
19. What does a Healthy Community Mean for You?
Accessible opportunities to be more active and healthy
Decreased isolation and increased engagement with your community
Support seniors as role models
Value Seniors as strong contributors to our communities
20. We have to work together in new ways to
create opportunity and to solve problems.
No one gets anything done without many
groups of people collaborating
co-operating
working together.
- Bill Clinton
21.
22.
23.
24.
25.
26.
27.
28. Co-ordinated& Collaborative Approach
Support and link existing networks, org’ns, projects
Link to existing mandates
Contribute to community action projects
Share an understanding of Social Determinants of Health
Communication Strategy
Co-ordinate goals
29. The futility of isolated initiatives
Society / Political System
Education (Early
Health Care System Childhood / School
Aged)
Community Health Home
30.
31.
32.
33.
34. Sustainable Healthy Community Model
Healthy Policy Development
Community action projects
Social determinants of health
Education & promotion
Investment in community health
Positive shift in health statistics and our quality of life
35. We must become the change we
wish to see in our community
- Gandhi (Adapted)
36. What works is co-operation . . . If you want
to be a transformational leader you’ve got
to figure out how to make it profoundly
interesting to co-operate.
- Bill Clinton
37.
38. Assets Based Approach
Community strengths
Community champions
Enhance local successes
Promote local environment
40. Community Action
Active Transportation
Healthy Active Community Charter
Community Gardens – inter generational
Community Use of Schools – Heart Wise
Trails – co-ordinated& linked
Youth Engagement & Support
Political Engagement – Council buy in
County wide support of the Healthy Community Partnership
Introduction – Hats – KidActive – mandate – healthy children, healthy communities and healthy environmentHere representing our work in Renfrew County – Building Healthy Community - HCPCollective impact is far greater in collaborationIntentions for the gathering: Explore the principles behind successful, community-led change; Learn more about engaging people, organizations and decision-makers; Understand how to use evaluation to deepen our impact and improve the stories we tell; Develop skills to uncover the abundance of assets in our communities, even during thesetimes of declining public resources; Build on the experiences and wisdom of each other.Uncovering and building on the strength of community assets and leadersThis highly interactive session will give participants an opportunity to: share challenges and successeslearn about asset-based community development and collaborative leadershiphear what the Healthy Community Partnership in Renfrew County is doing to engage community members, share leadership and support collaborative action.Two main themes will be explored:how to use asset-based approaches to uncover and unleash the power of community leadershiphow “convening” organizations can shift from centralized leadership and decision-making to collaborative community leadership
Our goal is to improve our communities’ health, well being and increase our collective quality of life
We focus on the value of local strengths, accessible spaces, existing initiatives and partnerships and our combined expertiseCore conceptsRequire context or qualifiers
Our goal is to improve our communities’ health, well being and increase our collective impact on overall quality of life
Our goal is to improve our communities’ health, well being and increase our collective impact to improve overall quality of life
What is our story in Renfrew County?History & Investment in OurAssetsCall to Action took place in Oct. 2008 in response to the Renfrew County community heath report released by the Champlain LHINFocus was on the development of a multi sector network to address health through increased physical activity opportunities for prevention / rehab Based on the fact that 25% of chronic disease / illness is preventable and 25% is partially preventableFocus on accessible environments – built & natural environments – they were both accessible and a rich resource / asset that was available in every communityEG - trailswalking in the halls – a locally grown program – Get WITH It – using school hallways to promote fall / winter / spring season walking – addresses social isolation, safe spaces to walk, increase physical activity.History of investment in walking in the halls programs – Heart Wise – building on non traditional partnerships and the strength of collaborative. Heart Wise – also an investment of MoHP – builds on the strength of our local assets and increases community use of schools. Goal – to have an indoor walking Heart Wise program in every school across the region.Through the support of the Ministry of Health Promotion and Sport, we have widened our scope and developed a broader look at how we can collectively improve the health of our communities.Our County is vast (the largest in Renfrew County) and is filled with rich local strengths and strong championsWe valued what already existed and needed to understand the reality of our Picture of Health and a common vision, we can collectively improve our statistics, overall well being and quality of lifeCollectively, we developed the ‘Building Healthy Community’ – Community Picture document (copies will be circulated) and are working to improve the health, well being and quality of life of all participants
We find ourselves here – with a strong common goal, growing engagement and lots of passion / impetusOur process was intuitive – community engagement / collective impact. Research, best practices and John Ott has anchored that intuition with fact and dataSo – how has the HCP project increased our collaborative efforts, provided an opportunity to focus on our collective impact and in turn work towards a shift in our health stats, health equity and quality of life for all.KEY piece - Non traditional partnership development (and trust in that collaboration) – high level decision makers / non traditional sectors / grassroots org’n & passion (Chief, Paramedic Service, Heart Institute – Heart Wise, KidActive – small NFP)Start here:Bill Clinton was recently talking about some of the most formidable problems facing the world today – poverty, the environment, health, economic instability. He said that to begin to solve these problems, “it starts with acknowledging that this is the most interdependent age in human history. One thing no one can change is our growing interdependence," he continued, " in a world of nets instead of brick walls, what happens in one place can affect another." In a world of interdependence, we have to work together in new, innovative ways to create opportunity and to solve problems. No one gets anything done without many groups of people collaborating, working together, co-operating. No one can do anything meaningful on their own in this interdependent world.One challenge with the collaboration imperative he cited is that collaboration isn’t always as exciting as the thrill of competition or the headlines that conflict can create. “What works is co-operation, he said however, “and if you want to be a transformational leader you’ve got to figure out how to make it profoundly interesting to co-operate.”Overview – Background – Partnership – non traditional – EG: Paramedic Service, Heart Institute (Heart Wise), KidActiveCollective Impact Concept:Common agenda Shared measurement systems Mutually reinforcing activities Continuous communication Backbone support organizationsBuilding Healthy Community is a collaborative project of the Healthy Community PartnershipInitially funded by the Ontario Ministry of Health Promotion and Sport
Being unique, large, (low tax base), isolated – had to be innovative and resilient.We have done a gap analysis and charted our understanding of our community assets and challenges in order to know where to focus our workUnderstand strengths & needsEnhance what we have - – focus on the strength of an asset to fill a gapFill in gaps – collectively & on the same page
What are our data points? Our facts?With the support of organizations across Renfrew County and the Champlain district, we collected statistics and data to understand our health as it relates to OntarioHighlight the relevant ones as it pertains to your audienceBUT – KEY – get on the same page about what determines our health ?Reference Andrew Pipe – first call to action in 2008
Ischemic HD / Cerebrovascular - Causes of death per 100,000
BUT - We know what determines our health – in our 2008 Call to Action – Dr. Pipe clearly states – our postal code determines our healthBUT – What is the story around those data points – this is both the story and the data points of our realityWhat does this say about our communities - it speaks to multiple sectors – or it shouldKNOWING OUR FACTS – WHAT IS OUR STORY?The story provided us with a collective goal – common groundWe needed a common goal / shared objective – a VISION
This was the story being told by the mediaOur call to Action is simple. – Critical need to address our health statisticsImprove overall quality of life and environments in which we work, live, playBuild on our assets, strengths, unique character and demographicsTake 45 and slowly engage them in the bigger picture and why it is important to them.
This is our visionA healthy community – here are a few indicators – no poverty, less pressure on our paramedic service, more beds available in our hospitals more seniors able to live in the comforts of their home longer, children walking and biking to school, parks and green spaces in every neighbourhood, paved shoulders, decreased demand on our social services, adequate and affordable housing, people of all ages walking on our roads and trailsTo advance the work of the funded, non funded, traditional and non traditional community partnerships Our goal is to build on our work to date through specific and measurable goals improve the overall health and well being of everyoneHow do we get there . . . FINDING SHARED LANGUAGEThe value of understanding what speaks to individual or organizational goals and still remains consistent with our common goal
In order to be effective, we shift emphasis (not focus) to speak to the goals of partners, circumstances and projectsBut central to what we are doing and why you are here are the health issues that we are faced with todayThose goals, objectives, principles can shift without losing our vision
From a cultural perspective it looks like thisFrom a youth perspective it looks like this
From a health equity perspective it could look like this
Aware of language and the need to adapt, but not deviate from our common goalNext step and ongoing process is engagement – Community engagement
Key Piece to Change – ownership & engagementHow do we focus on these priority areas and improve the health of our communities. It takes a collaborative effort.The Healthy Community Partnership believes in the following principles which contribute to building healthier communitiesLocal Community Strengths – “Who are we speaking to” Include seniors as volunteers Include youth Rich cultural heritage (knowledge to be shared by our senior population) Your input as valued members of our communities.BUY INAlign with other mandates – give EG – Paramedic Service – unsustainable demand for service – Community Paramedic Program – with focus on prevention and accessible rehab – a need
Provide a voice. LISTENUnderstand what it means to everyone – the scallop principle
Mr. Clinton was talking about some of the most formidable problems facing the world today – poverty, global warming and of economic instability. He said that to begin to solve these problems, “it starts with acknowledging that this is the most interdependent age in human history. One thing no one can change is our growing interdependence," he continued, " in a world of nets instead of brick walls, what happens in one place can affect another." In a world of interdependence he maintained, we have to work together in new ways to create opportunity and to solve problems. No one gets anything done without many groups of people collaborating, working together, co-operating. No one can do anything meaningful on their own in this interdependent world. He pointed to some amazing advances in science and technology that have happened very recently -- all through collaboration among the global scientific community.We embarked on our HCP project – meeting deliverables meant including the 6 (we made 7) priority areas – which enabled us to speak to sectors that we did not have at the table through PAN.
47% of our population is defined as inactivePhysical Activity contributes directly to improved quality of life, overall sense of well being, decreased blood pressure, increased energy levelsEG: Walking is a perfect activity for prevention and rehabilitation of health issues: URL - www.physicalactivitynetwork.caBenefits of Walking Your Way to Better HealthWalking is safe, free and right outside the back doorMakes you feels goodGives you more energyCan reduce stress and help you sleep betterCan keep your heart strong and reduce your blood pressureHelps to maintain a healthy weightWalking is the Perfect Activity for YouAlmost anyone can do itYou can do it anywhere and anytimeIt is free and requires no special equipmentYou can start slowly and build up gentlyIt provides a great opportunity to socialize and meet new peopleWaking Opportunities in the CountyHeart Wise - Indoor Walking Programs / Get W.I.T.H. ItWalk in the halls of your local high school or community centreBuilt on the success of Renfrew County grown, StepsCount - Get W.I.T.H. It Safe, warm and open to people of all ages and abilitiesCommunity access defib (AED) units at each walking siteClick here for more information on sites and Heart Wise programWalking TrailsContact your local municipality for local trails in your areaLink to Valley Explore for Renfrew County walking trails
County wide work to develop anActive Transportation StrategyBenefits & FocusCreate age friendly communities that increase accessibility for walking & biking for all agesPedestrian friendly communities support safe spaces for physical activity and daily needsCommunities where seniors are able to live at home longer and connect with their community include safe walkable infrastructure where food and other necessities are nearby
Contributing to Safe CommunitiesSafety checks in home and around communitiesPedestrian / age friendly communities support increased community engagement
Local, affordable heathy food is nearby and accessible to everyone
Support to communities to prevent use and decrease use of tobacco
Support to communities to prevent use and decrease use of substancesUnderstand and community the underlying causes - SDOH
Contribute to spaces in the community that are age friendly and promote social connectionsDecrease isolationIncrease opportunities for mental health supportDecrease stigma of mental healthYouth and Mental Health – inclusion / acceptance- Suicide rates
This is how we are approaching change to our communities
Need for collaborationBlow bubbles . . . . . Chaotic scramble vs. focused effort – big bang !Each represents a ‘silo’ footprint’Merging our footprints makes the greatest impactCollaboratively, we are a ‘Stronger Force’, as opposed to individually lightly treading on the issuesWe acknowledge the value that seniors bring to our communities – “as leaders, volunteers, sources of cultural, historical and practical knowledge, role models”WE KNOW THAT WE NEED A COMMON GOAL – A VISION
The common goal remains the sameThe picture in the centre can change with individual / org’n perspective.
HOW DO WE SUSTAIN AND CREATE A MODEL THAT LIVES BEYOND WHO IS AT THE TABLE AND ‘CURRENT FUNDING’The Healthy Community model will link your health and opportunities for a higher quality of life with accessible programsHealth is built into multi sector policies and planningChange has to happen from the grassroots down and system up (supported by a system of collaboration) – see model on slide 37INTEGRATION – building a different model for health that is not the Health Care System with a focus on hospital / Dr. spending, but on community health, prevention, wholistic perspective
Leave on examples of moving concepts forward and the value of parallel action – action does not happen at the end of ‘governance, policy dev’t’BUT – a continuum is criticalIn Renfrew County – what is the reality & what change do we want to see ?
Make collaboration interesting –in everyone’s interest
Grassroots passion / action is supported by gov’t / private / publicsectorKEY – cross sector communication and investment
THIS IS A CRITICAL PATHACTION IS NECESSARY – NO DOCUMENT ON A SHELF
Some of our Community Action projects taking place
By design, FIT brings together non-traditional partners to collaborate and build on local strengths, accessible spaces, existing initiatives and combined expertise. Funded by the Ontario Ministry of Health Promotion and Sport, this pilot project is designed to get families and children physically active in the outdoors more often. FIT trails will provide enriched outdoor experiences, encouraging guided and self-guided users to embrace physical activity while exploring one’s natural and cultural heritage.Examples are just a few of true engagement and collaborative leadership / impact
It is the strength of engagement that provides sustainabilityCommunity engagement provides ownership and a strong sense of efficacy
Supported by:Ministry of Health Promotion and Sport – no staffingOntario Trillium Foundation – partial staffing