Week Three Discussion Board (CLO 2, 4, 6; PLO 3, 6)

First, watch BOTH the Building Healthier Communities(Boston REACH Coalition video) https://cdnapisec.kaltura.com/index.php/extwidget/preview/partner_id/1700302/uiconf_id/33601422/entry_id/0_yx33wzyd/embed/dynamic

the Testimony to the Labor Health and Human Services Committee videos (Dr. Randy) https://cdnapisec.kaltura.com/index.php/extwidget/preview/partner_id/1700302/uiconf_id/33601422/entry_id/0_widrxjey/embed/dynamic

Boston REACH Coalition video:

1. Describe and explain two coalition concepts you learned and saw reinforced in the Boston REACH Coalition video.
. Use chapter 12  in the text to aid in identifying coalition concepts (review the bold subsections of the chapter, such as, community organizing, development of coalitions, steps for building effective coalitions, etc..) 
2. Additionally, describe the contributions of health disparities to morbidity (disease, illness) and mortality among the communities and groups of focus in the video.
. What contributes to these disparities?
. How can Boston REACH possibly improve these issues and why?

Testimony to the Labor Health and Human Services Video:

3. Describe and explain two advocacy concepts you learned and saw reinforced by watching Dr. Randy Paush’s testimony to the Labor Health and Human Services board. 
4. Use chapter 13 in your text to aid in identifying advocacy concepts (review the bold subsections of the chapter, such as, advocacy, lobbying and grassroots activities; steps for advocating legislation, etc…).
5. How can voluntary policies, local ordinances, state law and federal law (all considered system factors) affect health outcomes in target populations? Describe and support your response.

Sources: 

· In addition to the text and videos, you are required to use at least TWO additional sources from government reports, peer-reviewed journal articles, additional textbooks.
· Use your OWN WORDS (e.g., do not cut and paste from a government report or article). 
·  Paraphrase (use your own words) to report the information.
· Include APA formatted in-text citations to identify your sources AND include full APA formatted references for your sources at the end of your post.

Building and Sustaining Coalitions
Health Promotion Strategies & Tactics
National University
* Bensley, R.J., & Brookins-Fisher, J. (2009). Community health education methods. Third edition. Boston: Jones and Bartlett Publishers, Inc.

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Chapter 12 Learning Objectives
1. Explain and discuss steps for building coalitions.

2. Discuss and summarize tips and techniques for managing and sustaining coalitions.

3. Identify strategies to overcome challenges to coalition success.
Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Building and Sustaining Coalitions
Definition

A group of individuals representing diverse organizations, factions, or constituencies within the community who work together to achieve a common goal (Feighery & Rogers, 1990)
Main focus of a coalition group:
Analyze the problem
Identify and implement solutions
Create social change

Building and Sustaining Coalitions
Functions of a Coalition
Planning
Advocating
Delivering services
Promoting public awareness
Promoting risk reduction
Conducting professional education
Networking
Building partnerships
Creating community change

Serves as an effective organizational or community level health promotion method

Building and Sustaining Coalitions
Benefits of coalitions

Gain community support and concern for an issue

Serves as a forum to affect community change through exchange of knowledge, ideas & strategies

Prevents reinvention of “wheel”

Building and Sustaining Coalitions
Benefits of coalitions

Maximizes power of individuals and groups

Improve trust and communication among agencies

SD Asthma Coalition

Building and Sustaining Coalitions

Building and Sustaining Coalitions

Building and Sustaining Coalitions
Characteristics of Successful Coalitions

Continuity of coalition staff, especially coordinator

Ownership of problem

Community leader support

Active involvement of community volunteer agencies

Building and Sustaining Coalitions
Characteristics of Successful Coalitions

High level of trust and reciprocity among members

Benefits of membership outweigh costs

Building and Sustaining Coalitions
Characteristics of Successful Coalitions
Development of strategic plan rather than project-by-project

Active involvement in developing goals, objectives, and strategies

Consensus is reached on issues vs. voting

Productive meetings

Large problems broken into smaller pieces

Building and Sustaining Coalitions
Characteristics of Successful Coalitions

Task/work groups design and implement strategies

Rules and procedures are formalized

Local media are involved

Activities are evaluated

Building and Sustaining Coalitions
Steps for Building Effective Coalitions

Analyze a problem or issue to focus on

Create awareness of the issue

Conduct initial coalition planning and recruitment
Develop resources and funding

Create coalition infrastructure – Bylaws & workgroup

Using Media Advocacy to Influence Policy
Health Promotion Strategies & Tactics
National University
* Bensley, R.J., & Brookins-Fisher, J. (2009). Community health education methods. Third edition. Boston: Jones and Bartlett Publishers, Inc.

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Chapter 14 Learning Objectives
1. Identify and explain steps for developing effective media advocacy.

2. Explain a health education media strategy.

3. Develop a media message strategy.

4. Discuss tips and techniques for successful media advocacy.

5. Identify strategies to overcome challenges in media advocacy.
Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Policy

The primary tool available to the public for influencing social conditions and environments

Defines the structure and set rules in which society lives

Improving social conditions and physical environments is done via:
Policy development
Policy advocacy

Success in policy advocacy = paying attention to the news
Using Media Advocacy to Influence Policy
Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Steps for Developing Effective Media
Advocacy Campaigns

Organize an approach to communications

Develop overall strategy
Ultimate goal of the campaign
Media Advocacy
Message Strategy
Access Strategy

Using Media Advocacy to Influence Policy
Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Develop overall strategy:

Clarify, articulate, justify the desired change.
Ask: “What changes will improve the public’s health?”
What is problem or issue?
What is a solution or policy- the desired outcome?
Who has the power to make the necessary change?
Who must be mobilized to apply pressure?
Using Media Advocacy to Influence Policy

Develop overall strategy:

What is problem or issue?
Public health is problem oriented
Health departments, social service agencies and CBOs can endlessly discuss health issues
Advocates have to isolate the piece of the large public health problem and address it specifically
Alcohol use = ~100,000 deaths/year
Focus how alcohol creates problems on college campuses
Using Media Advocacy to Influence Policy

Develop overall strategy:

What is a solution or policy- the desired outcome?
Advocates need to identify a clear solution
One that can make a difference in the outcomes
Alcohol on campus
Eliminate happy hour price specials encouraging quick consumption of large quantities of alcohol
Advocates often work on one “most important” part of the problem at a time
Using Media Advocacy to Influence Policy

Develop overall strategy:

Who has the power to make the necessary change?
What person, group, organization, or body has the power?
Using media advocacy the focus shifts from the one with the problem to a different target dependent upon the stage of development
Legislator/other elected official
Regulatory agency
Small business owner
Corporate officer

Primary target for alcohol d

Using Advocacy to Impact Policy
Health Promotion Strategies & Tactics
National University
* Bensley, R.J., & Brookins-Fisher, J. (2009). Community health education methods. Third edition. Boston: Jones and Bartlett Publishers, Inc.

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“When you speak directly to your elected officials or testify at a public hearing, sharing your personal experiences can have a tremendous impact. If you do not speak out about what makes good public health policy, legislators will either assume either that no one cares about the program, so funding can be cut, or that no changes are needed”. (Bensley & Brookins-Fisher, 2009, p. 333)

Chapter 13 Learning Objectives
1. Explain and describe steps for advocating legislation.

2. Summarize and evaluate tips and techniques for successful legislative advocacy.

3. Identify successful strategies for overcoming challenges in advocating for legislation.
Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Using Advocacy to Impact Policy

Legislative advocacy

The contact made with a policymaker or legislator

To discuss a social or economic problem

On behalf of a particular group/population

As long as no specific bill number is mentioned

Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Direct Lobbying

Communication about a specific legislation with a legislator

Communication about a specific position on legislation
Can ask a legislator to support or veto a specific bill

Using Advocacy to Impact Policy
Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Grassroots Lobbying

A group/organization appeals to the general public

Asks them to take action or influence specific legislation

A letter to parents of children at Capri Elementary asking them to call or write their congressperson to support a bill or increase funding for a new school program

Using Advocacy to Impact Policy
Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Steps for Advocating Legislation

Advocacy for different policy types dictates what audience level this method reaches (or is appropriate for)

Voluntary policy
Typically implemented without government direction
E.g. encouraging restaurants to go smoke-free
Would be considered an organizational/institutional level method

Local Ordinance/regulations
Enacted by a town, city or county government
Such as city/county ban on flavored tobacco products
San Diego County recently approved Ordinance # 10647: Ban of flavored tobacco products: https://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/phs/MCFHS/TCRP/FAQ%20Tobacco%20Ordinance_Device%20and%20Flavor%20Ban_.pdf
This would be considered a community level method

Using Advocacy to Impact Policy
Information Source: ©2008 Jones and Bartlett Publishers, LLC (www.jbpub.com)

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Using Advocacy to Impact Policy
Information Source: ©2008 Jones




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