Alameda County Building Blocks Collaborative December 2010 Planning Retreat 12/10/10 Agenda Overview Time Topic 8:20 Gather and Get Grounded 8:40 Welcome and Announcements 8:45 Agenda Review, Introductions, Check-in 9:20 Planning Framework and Definitions – Building on the Existing Foundation 9:50 BBC Desired Outcomes –Social Conditions we are Working Toward 11:00 Break and Energizing Exercise 11:20 BBC Strategies – Collaborative Action 12:30 Lunch, Gallery Walk and Drumming 1:30 BBC Strategies – Collaborative Action (2) 2:45 Break and Energizing Exercise 3:00 Organizing for Collaborative Success – Agreements and Governance 3:45 BBC Goals – 5-year Collaborative Intentions 4:45 Summary, Next Steps, Closing Introductions and Check-In • 45 seconds each • Moving counter-clockwise, person to the speaker’s right will have a watch to time the 45 seconds • Timer politely note when time is up; pass watch to the right and begin own introduction and check-in. Name and Organization Share one experience, person or value that inspired you to engage in your current work Useful Practices for Productive Deliberations • Listen for understanding. • Share your line of reasoning & inquire into that of others. • Defer judgment; cultivate curiosity. When you disagree, get curious. • Be willing to shift perspectives. • When you speak, be concise and avoid repeating. • Misery is optional. Building on the Existing Foundation… PLANNING FRAMEWORK AND DEFINITIONS Foundational Statements and Concepts BBC Statement of Purpose: Recognizing overt disparities in health, wealth, and education that limit the ability of Alameda County children to all realize their potential, together we will ensure a sustainable multi-sector commitment to improved overall well-being for communities and the people who live in them, from the earliest stage and throughout all stages of life. Key Concepts: Early Programming: Exposures during critical periods early in life, including in utero, may determine the functioning of systems in the body and resulting health and disease later in life Cumulative Pathways: chronic stress creates wear and tear on your body’s adaptive systems, leading to decline in health and function over time. Foundational Statements I. Bill of Rights All children in Alameda County have a right to be born healthy and to: be believed in; live, play and grow in a clean, safe place; receive a quality education; be loved by a caring adult; eat healthy food; explore nature; enjoy economic opportunity and financial security; access health care that promotes wellbeing; be free from discrimination and violence; be included and valued by a supportive community III BBC Strategies: The actions BBC will take to achieve the desired Outcomes. Taken together, the Strategies communicate the most important actions for creating changes in skills, knowledge, attitudes, behaviors and conditions that are needed in to achieve BBC Outcomes. BBC Strategies cut across Sectors and may cut across Life Stages. IV. 5-Year BBC Goals: Statements of what BBC intends to accomplish over the next 5 years. It is likely that BBC will have Goals related to its Outcomes and Strategies AND Goals related to its organization and governance. II. Desired Outcomes: Specific conditions of wellbeing for the population of Alameda County. V. Performance Measures: How much? How well? Have conditions changed to make people better off? The Social Conditions We Are Working Toward… BBC DESIRED OUTCOMES Desired Outcomes – Working Framework What are the Social Conditions we are working toward so that the BBC Bill of Rights is realized? Physical and Economic Environment ALL LIFE STAGES Prenatal Birth - 5 Years Old Childhood Adolescence Early Adulthood Adulthood Community Education Health Care Desired Social Conditions (BBC Outcomes) Across All Life StagesInitial Language What are the Social Conditions we are working toward so that the BBC Bill of Rights is realized? Physical and Economic Community Education Health Care Environment safe home communities free health insurance environments from discrimination access to quality ACROSS ALL LIFE clear air, clean comprehensive water and STAGES recognition of the health care natural beauty value of each (physical, mental, All Alameda economic security human being dental) County residents have the benefit access to fresh of…. and healthy foods in local communities Desired Social Conditions (BBC Outcomes) for Prenatal Women and Families– Initial Language What are the Social Conditions we are working toward so that the BBC Bill of Rights is realized? Physical and Economic Community Education Health Care Environment ACROSS ALL LIFE STAGES All Alameda County residents have the benefit of…. Prenatal All Pregnant women and families have the benefit of… safe home environments clear air, clean water and natural beauty communities free from discrimination health insurance access to quality comprehensive health care (physical, mental, dental) recognition of the value of each human being economic security access to fresh and healthy foods in local communities supportive education institutions early and appropriate prenatal care Desired Social Conditions (BBC Outcomes) for Birth to 5– Initial Language What are the Social Conditions we are working toward so that the BBC Bill of Rights is realized? Physical and Economic Community Education Health Care Environment ACROSS ALL LIFE STAGES All Alameda County residents have the benefit of…. safe home environments clear air, clean water and natural beauty economic security communities free from discrimination recognition of the value of each human being health insurance access to quality comprehensive health care (physical, mental, dental) access to fresh and healthy foods in local communities stimulating home networks of Birth - 5 Years Old environments responsible, All infants and loving caregivers young children have the benefit of…. quality pre-school up to date education immunizations nutritious food at home and in childcare settings Desired Social Conditions (BBC Outcomes) for Childhood – Initial Language What are the Social Conditions we are working toward so that the BBC Bill of Rights is realized? Physical and Economic Community Education Health Care Environment ACROSS ALL LIFE STAGES All Alameda County residents have the benefit of…. safe home environments clear air, clean water and natural beauty communities free from discrimination health insurance access to quality comprehensive health care (physical, mental, dental) recognition of the value of each human being economic security access to fresh and healthy foods in local communities neighborhoods that are economically thriving Childhood All children have the benefit of… safe, green healthy places to play culturally vibrant communities grade-level literacy skills by 3rd grade regular well-child check ups healthy body image nutritious food at home and in school settings Desired Social Conditions (BBC Outcomes) for Adolescents – Initial Language What are the Social Conditions we are working toward so that the BBC Bill of Rights is realized? Physical and Economic Community Education Health Care Environment ACROSS ALL LIFE STAGES All Alameda County residents have the benefit of…. Adolescence All adolescents have the benefit of … safe home environments clear air, clean water and natural beauty economic security communities free from discrimination health insurance access to quality comprehensive health care (physical, mental, dental) recognition of the value of each human being access to fresh and healthy foods in local communities access to youth jobs, internships and/or entrepreneurship opportunities culturally vibrant communities safe places to be together community voice and participation opportunities college/work/life readiness @ HS graduation support for postsecondary education healthy body image healthy relationships access to adolescent friendly physicians Desired Social Conditions (BBC Outcomes) for Young Adults – Initial Language What are the Social Conditions we are working toward so that the BBC Bill of Rights is realized? Physical and Economic Community Education Health Care Environment safe home environments ACROSS ALL LIFE STAGES clear air, clean water and natural beauty economic security All Alameda County residents have the benefit of…. education on financial literacy job opportunities with room for growth Early Adulthood All young adults have the benefit of… wealth building opportunities leadership development opportunities communities free from discrimination health insurance access to quality comprehensive health care (physical, mental, dental) recognition of the value of each human being access to fresh and healthy foods in local communities affordable housing opportunities for post-secondary education healthy relationships Desired Social Conditions (BBC Outcomes) for Adults - Initial Language What are the Social Conditions we are working toward so that the BBC Bill of Rights is realized? Physical and Economic Community Education Health Care Environment ACROSS ALL LIFE STAGES All Alameda County residents have the benefit of…. Adulthood All adults have the benefit of… safe home environments clear air, clean water and natural beauty economic security communities free from discrimination health insurance access to quality comprehensive health care (physical, mental, dental) recognition of the value of each human being access to fresh and healthy foods in local communities community support for locally owned business opportunities for regular physical activity social support access to continuing education support for reintegration from government support to pursue institutions educational opportunities healthy relationships Process for Refining and Further Developing Outcomes Work in groups at your tables; each table will be assigned a life stage to consider and work on… 1. Discuss the “initial language” • Does it reflect an essential social condition? • What refinements (if any) should be made to the language that is already there? 2. Are there any additional essential social conditions relevant to your assigned life stage that BBC should be working toward in order to realize the Bill of Rights? 3. Capture the group’s thinking as recommended edits to the initial language. In each case, the Outcome should be a phrase that completes the sentence All (children, adults, etc…) have the benefit of (social condition)_ BREAK AND ENERGIZING EXERCISE Collaborative Action BBC STRATEGIES I. Bill of Rights All children in Alameda County have a right to be born healthy and to: be believed in; live, play and grow in a clean, safe place; receive a quality education; be loved by a caring adult; eat healthy food; explore nature; enjoy economic opportunity and financial security; access health care that promotes wellbeing; be free from discrimination and violence; be included and valued by a supportive community III BBC Strategies: The actions BBC will take to achieve the desired Outcomes. Taken together, the Strategies communicate the most important actions for creating changes in skills, knowledge, attitudes, behaviors and conditions that are needed in to achieve BBC Outcomes. BBC Strategies cut across Sectors and may cut across Life Stages. IV. 5-Year BBC Goals: Statements of what BBC intends to accomplish over the next 5 years. It is likely that BBC will have Goals related to its Outcomes and Strategies AND Goals related to its organization and governance. II. Desired Outcomes: Specific conditions of wellbeing for the population of Alameda County. V. Performance Measures: How much? How well? Have conditions changed to make people better off? BBC Strategies – Taking Action to Create New Social Conditions BBC Strategies are: multi-sector, integrated, collaborative actions to change the social conditions for the residents of Alameda County. They are distinct from, but supported by the specific service strategies of individual BBC partners. Each BBC Strategy is evidence-based, multilayered and may move Alameda County toward multiple BBC Outcomes Articulating BBC Strategies Framework Strategy Focus/Name Policy Influence and Advocacy Evidence Base – What do you already know or need to find out? Community and Individual Engagement Program/Practice Integrated, Collaborative, Multi-Sector Social Conditions that change as a result (BBC Outcomes) Articulating BBC Strategies – Initial Example #1 BBC Outcomes Trees and Green Spaces clear air, clean water and natural beauty Policy Influence and Advocacy: Incentives for urban tree planting Park development stimulating home environments Limitations on removal of trees for development Research on impact of trees, green spaces, nature, gather resident perspectives, etc.. safe, green healthy places to play Community Engagement Program/Practice Tree-planting “festival” Trees available for planting Annual or Bi-Annual tree and green space care events Community College curriculum and training for tree and green space maintenance Resident teams to care for, harvest, prune, etc.. the trees that are planted Education on planting, caring for, harvesting Integrated, Collaborative, Multi-Sector grade-level literacy skills by 3rd grade access to fresh and healthy foods in local communities Articulating BBC Strategies – Initial Example #2 Early Literacy Policy Influence and Advocacy: Promote and advocate for preschool-for-all policies Research on impact of early and preliteracy support, proven approaches, and community perspectives Advocate for expanded public library resources BBC Outcomes stimulating home environments quality preschool education Community Engagement Community reading programs Children’s book-swaps Community forums on the importance of talking and reading to children Program/Practice Adult literacy programs for parents Parent and childcare provider education, training and resources for supporting early literacy Volunteer efforts to support literacy in the schools Integrated, Collaborative, Multi-Sector grade-level literacy skills by 3rd grade Articulating BBC Strategies – Initial Example #3 BBC Outcomes Locally owned business development Policy Influence and Advocacy: Tax and licensing policies to create incentives for local and small businesses Economic development policies to support small and local businesses Research locally owned businesses and entrepreneurship access to youth jobs, internships and/or entrepreneurship opportunities education on financial literacy community support for locally owned business Program/Practice Curriculum on starting and managing a small business Community Engagement Community forums to identify needed or desired businesses Technical assistance for small business start-up Group purchasing program for local businesses Teen job and internship opportunities at local businesses Integrated, Collaborative, Multi-Sector neighborhoods that are economically thriving culturally vibrant communities Strategy Development Worksheets • Strategy Focus • Evidence Base • Policy/Advocacy Actions • Community Engagement Actions • Program or Practice Development Actions • Sectors Involved in Implementing the Strategy • Current BBC Assets Related to the Strategy Process for Refining and Further Developing BBC Strategies 1. Each table group should develop up to 3 strategies 2. Decide if you want to work with the examples and/or develop different strategies 3. Capture the group’s thinking on the work sheets provided. Complete one work sheet for each strategy – please write neatly so that everyone can read your work sheet 4. Start by defining the social condition(s) you want to create (the BBC Outcome(s)) 5. Develop a strategy that is a) Multi-Sector b) Integrated c) Collaborative LUNCH • Please POST YOUR STRATEGY WORKSHEETS in the “strategy gallery” • Enjoy your lunch and a walk • Enjoy meeting the new baby!!! • Return after 45 minutes to take a gallery walk and read the strategies that have been posted on the wall Agenda Overview Time Topic 8:20 Gather and Get Grounded (Drumming) 8:40 Welcome and Announcements 8:45 Agenda Review, Introductions, Check-in 9:20 Planning Framework and Definitions – Building on the Existing Foundation 9:50 BBC Desired Outcomes –Social Conditions we are Working Toward 11:00 Break and Energizing Exercise 11:20 BBC Strategies – Collaborative Action 12:30 Lunch, Gallery Walk and Drumming 1:30 BBC Strategies – Collaborative Action (2) 2:45 Break and Energizing Exercise 3:00 Organizing for Collaborative Success – Agreements and Governance 3:45 BBC Goals – 5-year Collaborative Intentions 4:45 Summary, Next Steps, Closing Collaborative Action BBC STRATEGIES PART 2 Process for Determining Which Strategies to Pursue • Review Strategies (Gallery Walk) • Define criteria for choosing among them • Consider individual top 3 and rationale – relate to criteria • Ask for top 3 from two or three people and then work from there to consensus • This will be an iterative process – I will be asking for clear rationale and asking each of you to listen carefully from a place of inquiry. Potential Criteria • Consistent with concept of early programming • Consistent with concept of cumulative pathways • Relatively short time-frame for observable change in social conditions • Leverages assets that already exist in BBC • Emphasizes integration and collaboration • Multi-Sector • Strategy focuses “up-stream” • Relationship to Kresge project • Other? BREAK AND ENERGIZING EXERCISE Assuring a Successful Collaborative COLLABORATIVE AGREEMENTS AND GOVERNANCE Collaborating for Change A collaborative approach to creating change requires partner organizations to: 1. 2. 3. 4. 5. 6. 7. Share information openly Align individual agency policies and priorities with the goals of the larger group Coordinate services to support multi-sector and multiple life-stage strategies Share resources and make compromises to further the outcomes of the collaborative Resolve interagency and interpersonal conflicts through trust-based interactions Participate regularly and honestly in planning and decision-making meetings Act in ways that honor the intentions, judgment and contributions of the other collaborative partners BBC Partner Agreements Commitment to the shared outcomes, strategies and goals Participation Responsibility for engagement BBC Organization and Roles ACDPH Staffing Steering Committee BBC Committees BBC Membership Decision-making MUTUAL TRUST: ASSURED RELIANCE ON THE CHARACTER, ABILITY, STRENGTH AND TRUTH OF ONE ANOTHER Inquiry Process • What has sustained BBC thus far? • What aspects of BBC governance or organization are working well? • What agreements – explicit or implicit – have we been observing? • What opportunities do we have to build on our successes and further solidify the collaborative? Collaborative Agreement – Possible Components • Commitment to Statement of Purpose, Bill of Rights, Outcomes and Strategies • Commitment to participate • Committees • BBC meetings and retreats • Governance • Commitment to publicly support the work of BBC and to advocate for organizational support of the collaborative, its goals and strategies • Commitment to transparency regarding organizational conflicts, funding, programs • Commitment to decision-making process and to public support for decisions made by the collaborative Organization and Roles • Staff • Committees • Current • New/Different based on Strategies • Clarity of purpose and decision-making authority • Governance • Participation • Decision-making • Communication • Membership in BBC 5-year Accomplishments BBC 2011-2015 COLLABORATIVE GOALS BBC Goals: In 5 Years….. What will we have accomplished together? • Policy influence and advocacy • Community engagement • Practice and program • Which partners will have played a leadership role? • Which partners will have been directly engaged in each strategy? • What additional resources/expertise will we have engaged? Process for Developing BBC Goals • Identify the Strategy on which you wish to work • Break into groups by Strategy and complete the worksheet • Share thinking with the full group • Consider refinements offered by others • Are there other organizational Goals that should be set? SUMMARY, NEXT STEPS AND CLOSING