From Response to Resilience - North Sound ACH

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From Response to Resilience: How will we advance equitable well-being together? North South ACH Partner Convening August 2020

Transcript of From Response to Resilience - North Sound ACH

From Response to Resilience: How will we advance equitable well-being together?

North South ACH Partner Convening August 2020

We begin by acknowledging, with humility, that the land where we are today is the territory of the People of the Salish Sea.

Their presence is imbued in the waterways, shorelines, valleys and mountains of the traditional homelands of the Coast Salish People.

Since Time Immemorial...

Land Acknowledgement

Visit https://native-land.ca/ to learn more about the Indigenous land where you live, work, and play.

Working Agreements

● Honor Time: Start/end on Time● Turn on video camera to be present in the (Zoom) room● Share “air time” and please mute when not speaking● Join the chat conversation● Test new ideas and take risks● Be rigorous on ideas and gentle on people● Meet your needs

ReflectionA Brave and Startling Truth

We, this people, on this wayward, floating body

Created on this earth, of this earth

Have the power to fashion for this earth

A climate where every man and every woman

Can live freely without sanctimonious piety

Without crippling fear

Maya Angelou

Our Time Together

https://northsoundach.org/partner-learning-sessions-convening/

August 5 -6

From Response to Resilience: How will we advance equitable

well-being together?

July 29

The Power of Story: Tools for Narrative

Change

July 23

Dialogues for Action: Facilitator Training with

All-America City Finalists

July 13

Healing and Hope: Targeted Universalism as a Strategy for Transformative

Change

August 5 - 6 Goals

● Connection

● Exploration

● Action

Day One

● Where are we now?

● What are we learning?

● Where are we heading?

Session One: Where are we now?

Session Two: What are we learning?

Contradictions

● Family time

● Thinking about future

● Awareness, solidarity around equity

● Isolated from family

● Stuck in moment

● Growing gaps

Discussion Questions

● What are you learning in this moment?

● Is there a story that speaks to the contradictions you are experiencing? How are you experiencing these contradictions?

● Are there any contradictions you would add?

Please do not leave your assigned breakout rooms.

Break (10 mins)

Session Three: Where are we heading?

North Sound ACH 3.0

XPlane Image?

Thank you!

Day Two: Moving to Action August 6

1:00 pm - 3:30 pmhttps://northsoundach.org/partner-learning-sessions-convening/

From Response to Resilience: How will we advance equitable well-being together?

North South ACH Partner Convening August 2020

Michael M VendiolaEducation Director

Swinomish Education Department

Swinomish Indian Tribal Community

Welcome

Visit https://native-land.ca/ to learn more about the Indigenous land where you live, work, and play.

Day Two

● What will it take to advance equitable well-being? (National Springboard)

● How will we advance equitable well-being? (North Sound Springboard)

Session One: What will it take to advance equitable well-being?

An Evolving Work: Summer 2020

Thriving TogetherA Springboard for Equitable Recovery & Resilience

in Communities Across America

http://www.Thriving.US

Springboard Objectives

● Create a useful Springboard to inform NGO, community, and federal planning related to long term community recovery and resilience.

● Strengthen the network of community-based organizations and nongovernmental organizations advancing equitable well-being.

100+ voices… 61 contributing authors

52 orgs or networks

21 interviews

15 deep dive papers

4 community dialogues 19 production partners 5 editors

Early Contributors

Selected network leaders, with past and future connections

I have an inherent belief that the more we take care of the people in our community, the better our economy and our society will be.

Liz BaxterNorth Sound Accountable Community of Health

When we remember that we need to gather ourselves in the spirit of the moment and the spirit of our ancestors, the spirit of all living things, and in the spirit of Mother Earth—then I think we have a real foundation for change.

Darrell Hillaire Children of the Setting Sun Productions

15 Chapters

3 Chapters

A Case Designed to Build Public Will for Equitable System Change

1 unifying -- and measurable -- goal7 vital conditions3 paths to renewalAll rooted in legacies, past and future

15 Chapters

15 Chapters

Pivotal Moves

Decisive actions that could change the course of community life 120+

Boost Community WealthInfuse capital to CDFIs to expand entrepreneurial ventures and build capacity with entrepreneurs of color

Disrupt Traditional Office Visits & Patterns of Overuse Pay for virtual care and improve the experience; analyze patterns of delay and avoidance to better define necessary and unnecessary services

Organize Local Recovery and Resilience Accountability CouncilsAssure local coordination over the direction, actions, and accountabilities of federal, state, philanthropy, and business partners

Support Housing Stability Prevent a flood of evictions with rent and mortgage forgiveness

3 Chapters

Persistent, courageous work to renew legacies of well-being and justiceTrend Benders 36+

● Civic Life: Invest through targeted universalism (universal goals with resources targeted to those excluded and left furthest behind)

● Economic Life: Redefine progress and shared prosperity, with more meaningful benchmarks than stock prices or GDP

● Social, Emotional, Spiritual Life: Nurture the leading causes of life: connection, coherence, agency, inter-generativity, hope

Legacy Questions

Well Being In the Nation (WIN) Network

www.fsg.org/publications/water_of_systems_change

Springing forward using the Springboard● Narrative change - Engage our community over the next several

months in the recommendations of the Springboard● Measurement cooperative - Beginning a process to apply a racial

justice lens to our nation’s measures of community health and well-being● Stories and Dialogues and Policies and Investments - Hosting

conversations in community about economic inclusion and an equitable economy; Delphi process to identify key strategies to advance equitable economy that includes the Springboard recommendations

● WIN with Business - Briefs for business leaders to advance racial justice and the vital conditions, including mental health

● Pacesetters - Launching a community of practice to advance racial justice

Cantril’s ladder: People reported well-being

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• Two simple questions• Administered 2.7 million

times, highly validated• Relates to morbidity,

mortality, cost• Useful for risk

stratification• Works across sectors• Recommended by OECD• Recommended by

National Academies as a Leading indicator for Healthy People 2030

AgeSex

Race/EthnicityEducationZip code

Veteran status

Life evaluation

% people thriving% people struggling% people suffering

Overall life eval index: %thriving - % suffering

www.winmeasures.org

% OF PEOPLE WITH MENTAL HEALTH AND ADDICTIONS IN DELAWARE WHO HAVE HOPE

Internal data, DSAMH and WE in the World. All rights reserved.

N = 448

Internal data, DSAMH and WE in the World. All rights reserved.

CONTRIBUTORS TO POOR WELL-BEING IN PEOPLE WITH MENTAL HEALTH AND ADDICTIONS IN DELAWARE POST-COVID-19

n = 456 n = 454n = 430

Quick facts:- From mid-March-May 2020:

- 15,862 recorded encountersWell-being assessment completed: 8423- *There are limitations to drawing

definitive conclusions on the relationship between change in scores overtime, DSAMH is doing further analysis to determine if the observed relationship is statistically accurate

REDUCING SUFFERING, IMPROVING THRIVING

Distributed leadership and shared power in each other’s movements and through movements led by others who are advancing well-being and equity.

Indigenous Health Indicators

http://www.swinomish-nsn.gov/ihi/

How can we ensure our actions are informed by these frameworks, data and tools?

1. Understand the Complexity

● Data is everything. Need for disaggregated data, frequent updates and forecasting to predict

trends. NS, need better segmentation to reflect tribal other community characteristics.

● Hyper-local visibility. Community impacts and response vary widely depending on location. Need

to see differences in order to tailor response.

● Respect individual experience. Ultimately, numbers are people. Urgency and impact can be

increased with focus on individuals.

2. Coordinate and Collaborate

● Coordinate and align. Multiple organizations/stakeholders already have existing expertise which

can be brought to bear.

● Plan for scenarios. Strategies created today need to account for what the need will be in 6-12

months.

● Recognize basic needs come first. Addressing higher-order barriers requires that basic needs are

covered.

● Make big impact by focusing locally. Community-based solutions will be more responsive and

faster than large federal programs.

3. Action: communicate, iterate, scale

● Share information. Building momentum and engagement requires telling the story of how things

are changing. Mix metrics with case-studies. Success and failures

● Evaluate every 6 months. This crisis is moving fast, so changes to strategy need to happen in

months, not years.

● Expand the coalition. As the situation stabilizes, seek opportunities to increase outreach/services

by including new partners.

Ongoing/Monthly

Disaster ‘Event’Assess Impact/Needs

Identify Resources/Assets

Coordinate Response

Evaluate & Measure Change

Specific Recovery Plans

Collaborative Initiatives

Implementation Plans

Unique Data Challenges for the North Sound● Tribal communities face dual challenges; lack of state data sovereignty and delay of federal

dollars to support engagement/reporting.

● Poverty may be the most import indicator of significant impacts, but is rarely

disaggregated. 70% of WA population is non-hispanic white, however impacts amongst

white population a very unevenly distributed. .

● Historic data silos and barriers to data sharing will make it challenging to get and combine

data necessary for holistic frameworks like the Seven Vital Conditions.

● Semi-urban, small communities, and tribal communities face systemic data collection

challenges. Understanding local characteristics in NS communities will take longer than

King County, others.

Needs assessments must be done differently● Most organizations need to quantify community/population needs in some form in the next 12

months.

● Needs assessments must be an ongoing process, rather than a one time report.

● Use high-level analysis frameworks, like the Seven Vital Conditions for Community Health and

Well-being, to combine immediate crisis metrics with perspective on structural barriers.

● Community level scenario modeling for social determinants. Expand COVID capacities to social

determinants.

● Improved data sharing, especially around ‘leading’ indicators which are more sensitive to

weekly/monthly changes.

North Sound’s Data Strategy

Training and Technical Assistance

● Use cases● Best-practices● Communications

strategies● Webinars

Data and Resources

● COVID Impact Models● Community Impact Data● Equity analysis/tools

Community Collaboration

● Data Community for Change

● Stakeholder convenings● Needs Assessment

Process

Data Community for Change Initiative

The aim of this initiative is to bring together data minds from across the North Sound region, novice to expert, to rethink and improve upon how we use data and information to drive change.

Break (10 mins)

Session Two: How will we advance equitable well-being?

Discussion Questions

1. What is a past legacy (norm, action, decision) we have inherited that’s a barrier to our equitable well-being? OR What is a new legacy we hope to pass to future generations?

2. What are a few pivotal moves that will help community members most impacted by COVID to recover with greater well-being (not just to the status quo)?

3. What are the keys to ensuring North Sound ACH partners are able to successfully work together to ensure all people and all places are thriving?

Breakout Groups

Logistics

● 5 - 7 people

● 25 minutes

● Record your ideas in the Google document

Practice

● Listening for what’s true for others

● Sharing what’s true for you

● Discovering what we share in common

Session Three: What are our next steps?

XPlane Image?

Indigenous Led Youth of Color Learning Journey

First Virtual Convening Tentatively Hold October 22-23The overall goal for this conference would be to not only inform the youth of the opportunities their communities offer, but to get their attention and get them active and involved in the community.

● Afternoon sessions on October 22 - 23● Ages (13 - 25)

Please contact North Sound ACH team with any questions or recommendations: [email protected].

COVID Response & Recovery

Please contact North Sound ACH team with any questions or recommendations: [email protected].

North Sound ACH Efforts:

● Expanding Testing● Mask Distribution● Care Coordination● Education ● Outreach● Communications & Messaging

Targeted Universalism

Upcoming Webinars/Zoom dialogues

● Needs Assessments & Vital Conditions - August 13, 10:00 - 11:00 am● COVID Impacts on Communities - August 13, 11:00 am and weekly

thereafter● Tribal Learning Series● Data Community for Change Initiative - August 20, 10:00 - 11:00 am● MCOs with Partners working on Care Coordination● People of Color Conversations

Please contact North Sound ACH team with any questions or recommendations: [email protected].

On the horizon● Partner contract changes to include specific expectations around

addressing racism, equity, wellbeing, belonging.● Invitation for October 26 to hear john. a. powell speak at a statewide

learning symposium about how the Health Care Authority can address racism and advance equity.

● Feedback on future strategic direction (survey, open office hours TBD)● Launch of Resource Exchange and Learning Communities● Coordinating Needs Assessments

Please contact North Sound ACH team with any questions or recommendations: [email protected].

Next Steps

● Synthesize ideas from Google document

● Explore options for Springboarding

● Implement Resource Exchange recommendations

Thank you!

Please view session recordings and resources at: https://northsoundach.org/partner-learning-sessions-convening/

Questions or concerns? Contact: North Sound ACH Team ([email protected])