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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
6
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	

STEP
Developing Effective Coalitions
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	

STEP
Developing Effective Coalitions
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
Collaboration Multiplier
through an
invited meeting
through a
training
through a
conference
STEP
Developing Effective Coalitions
4Convene the coalition...
STEP
Developing Effective Coalitions
4Convene 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	

STEP
Developing Effective Coalitions
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?	

STEP
Developing Effective Coalitions
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 CoalitionsSTEP
7
Make improvements through evaluation.	

u  Ask for feedback	

u  Evaluate the effectiveness 
of specific activities	

STEP
Developing Effective Coalitions
8
u  Know when it is time to
dissolve, disband, or
change the structure of
the coalition	

Photocredit:EmilyBarney
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
Collaboration Multiplier
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
mmunity
elopment
Faith-based
Planning Depa
School
Promotores
unity Health
ducation
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
VPPH
UA
City Council CC
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
VP
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
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
PHVP UA+
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
VP
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
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
PLAYERSAPPROACHES
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
EducationPublic 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
EPH
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
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
Expertise:
• Impact of inactivity environments on
health
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, 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
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
Expertise:
• Impact of inactivity environments on
health
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, 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
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Health 3.0 Leadership Conference: Building and Maintaining Multi-Sector Partnerships with Sana Chehimi

  • 1. 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
  • 2. 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
  • 4. 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
  • 6. 6
  • 7.
  • 8. 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.”
  • 9. Coalitions are a tool for achieving a broad range of goals.
  • 10. Coalitions are a tool for effectively and sustainably achieving a broad range of goals.
  • 11. 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
  • 12. 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
  • 13. Recruit the right people. STEP Developing Effective Coalitions 2
  • 14. 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 STEP Developing Effective Coalitions 2
  • 15. 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
  • 16. Coalition Members Wear 2 Hats Photo credit: Martin Ujlaki
  • 17.
  • 18. Set preliminary objectives and activities. u Propose a variety of activities to meet members’ needs and skills u Identify short-term successes STEP Developing Effective Coalitions 3
  • 19. Influencing Policy Legislation Changing Organizational Practices Fostering Coalitions Networks Educating Providers Promoting Community Education The Spectrum of Prevention Strengthening Individual Knowledge Skills
  • 20. 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
  • 21. through an invited meeting through a training through a conference STEP Developing Effective Coalitions 4Convene the coalition...
  • 22. STEP Developing Effective Coalitions 4Convene the coalition... through an invited meeting through a training through a conference ü 
  • 23. 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 STEP Developing Effective Coalitions 5
  • 24. 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? STEP Developing Effective Coalitions 6
  • 26. How long and how frequent should coalitions meet?
  • 30. 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 CoalitionsSTEP 7
  • 31. Make improvements through evaluation. u  Ask for feedback u  Evaluate the effectiveness of specific activities STEP Developing Effective Coalitions 8 u  Know when it is time to dissolve, disband, or change the structure of the coalition Photocredit:EmilyBarney
  • 32. 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. ”
  • 34. “The conflict between organizations with seemingly common goals.” --Peck and Hague TURF
  • 36. ¿  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?
  • 37. What turf challenges have you faced before, or might arise in your coalition?
  • 38. 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
  • 39. 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
  • 40. 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.
  • 41. 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
  • 42. 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
  • 43. 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
  • 44. 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
  • 45. 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.
  • 46. 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
  • 47. 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 ”
  • 49. 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
  • 50. Addressing the Intersection: Preventing Violence and Promoting Healthy Eating and Active Living Healthy Eating Physical Activity Safety Preventing Violence
  • 51. Preventing violence through urban farming Denver, CO
  • 52. Collaboration Multiplier Approach Information Gathering Collaboration Multiplier Analysis 1 2
  • 53. Public Health Urban Agriculture Violence Prevention City Council Parks Recreation Youth mmunity elopment Faith-based Planning Depa School Promotores unity Health ducation Goal: Preventing violence through urban farming
  • 54. 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.
  • 56. 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
  • 58. 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
  • 59. 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 VPPH UA
  • 60. City Council CC 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 VP 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 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
  • 61. 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
  • 62. 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
  • 63. Joint Strategies/Activities •  Establish Urban Farm and Farmer’s Market •  Connect Youth and Community Residents to Training and Employment Opportunities PH VP UA ++ + CC PHVP UA+
  • 64. 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 VP 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 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
  • 65. POLICY CONCERNS PROBLEM DEFINITION DESIRED OUTCOMES DATA FUNDING SOURCES TRAINING AUDIENCES MAJOR PRIORITY ISSUES PLAYERSAPPROACHES TRAINING EMPHASIS NETWORKS PARTNERS FUNDED MANDATES Elements of Collaboration Multiplier can be modified depending on coalition needs…
  • 66. 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
  • 67. 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
  • 68. 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:
  • 69. Promote Joint Use of Recreational Facilities
  • 70. Who are some key partners?
  • 71. Public Health Faith Education Business Joint Use: Increase use of schools / facilities for recreation during non-school hours
  • 73. 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
  • 75. 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
  • 77. 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
  • 79. 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
  • 80. 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
  • 81. + Local Business EducationPublic 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 EPH 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
  • 82. Local Business LB Education E Shared Outcomes Partner Strengths Joint Strategies Public Health PH Faith F 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 Expertise: • Impact of inactivity environments on health 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, 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
  • 83. 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
  • 84. Local Business LB Education E Shared Outcomes Partner Strengths Joint Strategies Public Health PH Faith F 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 Expertise: • Impact of inactivity environments on health 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, 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
  • 85. 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
  • 87.
  • 91. 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/
  • 92.
  • 93. 221 Oak Street Oakland, CA 94607 Tel: (510) 444-7738 Sign up for our media alerts: http://www.preventioninstitute.org/alerts www.preventioninstitute.org Follow us on: