The scholarship of The scholarship of engagement: engagement:

Knowing which hat to wearKnowing which hat to wear and when to cock it and when to cock it

Lucille WebbLucille Webb

Strengthening The Black Family, Inc.Strengthening The Black Family, Inc.

Eugenia EngEugenia Eng

University of North Carolina at Chapel HillUniversity of North Carolina at Chapel Hill

33rdrd Annual Meeting Annual Meeting

The Community-Engaged Scholarship for Health The Community-Engaged Scholarship for Health CollaborativeCollaborative

February 23, 2007February 23, 2007

Roots of Roots of STBF-UNC PartnershipSTBF-UNC Partnership

LucilleRichmond, VA

GeniJacksonville, FL

NC A& TGreensboro, NC

UNCChapel Hill, NC

STBFRaleigh

Wake HealthDept.

School ofPublicHealth

KelloggCBPHI1991

Operation27610

(Wake Med)

MANFor Health

(CDC)

ProjectSELF

(KBR Trust)Professor

In the ‘Hood

Project SELF2 for You

(NCHW Trust)

SPH Promotion

Policy & IRB

WakeAHEC

KelloggHealth

Scholars

OverviewOverview

Define the “hats” worn by our STBF-UNC Define the “hats” worn by our STBF-UNC Partners to engage in the scholarship of Partners to engage in the scholarship of eliminating health disparities among African eliminating health disparities among African American communities in North Carolina.American communities in North Carolina.

Share tools that the STBF-UNC Partnership has Share tools that the STBF-UNC Partnership has developed to anticipate when to “cock one’s developed to anticipate when to “cock one’s hat” and embrace the hat” and embrace the necessary conflictnecessary conflict of of community engagement.community engagement.

Discuss lessons learned about challenges that Discuss lessons learned about challenges that are necessary for achieving equity in are necessary for achieving equity in partnership.partnership.

Hats to Wear to The Hats to Wear to The TableTable Proven track record of staying “at the Table” Proven track record of staying “at the Table”

long enough to learnlong enough to learn– How the community/system worksHow the community/system works– How to make the community/system workHow to make the community/system work

Sending appropriate representatives “to the Sending appropriate representatives “to the Table”Table”– Not too juniorNot too junior– Can respect each person’s right to disagree and speak Can respect each person’s right to disagree and speak

honestlyhonestly

Anticipate and accommodate necessary conflictAnticipate and accommodate necessary conflict– Different pathways for achieving the same goalDifferent pathways for achieving the same goal– Time and resources to work on the relationship are Time and resources to work on the relationship are

constantconstant

When to Cock Your Hat When to Cock Your Hat

at The Tableat The Table Eliminate demeaning language, such as Eliminate demeaning language, such as Those Those

PeoplePeople

Agree on terms for holding each other accountable Agree on terms for holding each other accountable forfor– Being present and actively representing their Being present and actively representing their

partner organizationspartner organizations

– Tangible products that build the capacity of each Tangible products that build the capacity of each partner to move forwardpartner to move forward

Assume that important terms, such as Assume that important terms, such as communitycommunity and and health disparitieshealth disparities, are , are notnot defined and used by defined and used by each partner in the same way as you do.each partner in the same way as you do.

We define health We define health disparities as…disparities as…

inequities in disease and well-being that come from inequities in disease and well-being that come from discrimination and unequal access to society’s discrimination and unequal access to society’s benefits, such as quality education, good jobs, benefits, such as quality education, good jobs, decent and affordable housing, safe neighborhoods decent and affordable housing, safe neighborhoods and environments, nutritious foods, and healthcare. and environments, nutritious foods, and healthcare. These inequities result in disproportionately higher These inequities result in disproportionately higher rates of death, disease, and disability and have rates of death, disease, and disability and have adverse consequences on the physical, mental, adverse consequences on the physical, mental, spiritual and social well-being of population groups spiritual and social well-being of population groups who, historically and currently, do not experience who, historically and currently, do not experience equivalent social advantage. These groups include, equivalent social advantage. These groups include, for example, African Americans, American Indians, for example, African Americans, American Indians, Hispanics/Latinos, Asian Americans, Hawaiians and Hispanics/Latinos, Asian Americans, Hawaiians and Pacific Islanders, people with disabilities, Pacific Islanders, people with disabilities, Lesbian/Gay/Bisexual/Transgender/Queer persons, Lesbian/Gay/Bisexual/Transgender/Queer persons, and people with lower incomes. and people with lower incomes.

Tools of Tools of Engaged ScholarshipEngaged ScholarshipCBPH Consortium Principles of CollaborationCBPH Consortium Principles of Collaboration1)1) Significant community involvement and commitment of volunteer Significant community involvement and commitment of volunteer

community leaders and groups.community leaders and groups.

2)2) Identification of specific communities.Identification of specific communities.

3)3) Commitment to improving health status in these communities Commitment to improving health status in these communities regardless of the availability of funding.regardless of the availability of funding.

4)4) Participation of the official public health department with the support Participation of the official public health department with the support of the local board of health.of the local board of health.

5)5) Identification of academic partner(s) in the project capable of having Identification of academic partner(s) in the project capable of having a positive impact on public health training and/or minority a positive impact on public health training and/or minority recruitment into health careers.recruitment into health careers.

6)6) Identification of a policy-making unit in the county capable of Identification of a policy-making unit in the county capable of promoting institutionalization of demonstrated change.promoting institutionalization of demonstrated change.

Tools of Tools of Engaged ScholarshipEngaged ScholarshipCBPH Consortium By-LawsCBPH Consortium By-LawsI.I. NameNameII.II. Mission Statement and GoalMission Statement and Goal

1.1. MissionMission2.2. GoalGoal3.3. StrategyStrategy

III.III. Principles of CollaborationPrinciples of CollaborationIV.IV. Consortium MembershipConsortium Membership

1.1. CompositionComposition2.2. Coalition MembershipCoalition Membership

V.V. Steering CommitteeSteering Committee1.1. MembershipMembership2.2. RepresentationRepresentation3.3. ParticipationParticipation4.4. ResponsibilitiesResponsibilities

Tools ofTools ofEngaged ScholarshipEngaged ScholarshipVI.VI. OfficersOfficers

1.1. OfficersOfficers2.2. Election and TermsElection and Terms3.3. VacanciesVacancies4.4. DutiesDuties

VII.VII. CommitteesCommittees1.1. AppointmentsAppointments2.2. Standing CommitteesStanding Committees

a.a. Executive CommitteeExecutive Committeeb.b. Membership and By-Laws CommitteeMembership and By-Laws Committeec.c. Nominating CommitteeNominating Committeed.d. Communications and Publication CommitteeCommunications and Publication Committeee.e. Special CommitteesSpecial Committees

VIII.VIII. MeetingsMeetings1.1. FrequencyFrequency2.2. Special MeetingsSpecial Meetings3.3. QuorumsQuorums

IRB Ethics Training and IRB Ethics Training and CertificationCertificationfor Non-Traditional for Non-Traditional InvestigatorsInvestigators

Publications & Publications & Dissemination Dissemination GuidelinesGuidelines Role of Lead AuthorRole of Lead Author

Criteria for AuthorshipCriteria for Authorship– Individuals whose original ideas were critical to the implementation Individuals whose original ideas were critical to the implementation

of the related project component, who are well-suited to offer of the related project component, who are well-suited to offer suggestions for documenting the related project experience, or both.suggestions for documenting the related project experience, or both.

– Individuals who may have less experience writing for publication or Individuals who may have less experience writing for publication or presenting at formal conferences will qualify as co-authors if, either presenting at formal conferences will qualify as co-authors if, either individually with the lead author or with the entire working group, individually with the lead author or with the entire working group, they:they:

Are involved with conceptual discussions about the work or Are involved with conceptual discussions about the work or interpretation of findingsinterpretation of findings

Review and make comments on at least one draft of the Review and make comments on at least one draft of the presentation or paper; andpresentation or paper; and

Review the final version and give approval.Review the final version and give approval.

Publications & Publications & Dissemination Dissemination GuidelinesGuidelines Authorship OrderAuthorship Order

AcknowledgmentsAcknowledgments

Publication Proposal Approval and Review Publication Proposal Approval and Review ProcessProcess– Two-page proposal submitted to P & D Committee Two-page proposal submitted to P & D Committee

for recommendationfor recommendation– Forwarded to full Advisory Council for approvalForwarded to full Advisory Council for approval– Final drafts submitted to P & D Committee to review Final drafts submitted to P & D Committee to review

for accuracyfor accuracy

Fast Track Approval ProcessFast Track Approval Process

Publications and Dissemination Committee Co-Publications and Dissemination Committee Co-Chairs and MembersChairs and Members

Promotion & TenurePromotion & Tenurein Engaged in Engaged ScholarshipScholarship3 Major Elements Determine the Criteria for 3 Major Elements Determine the Criteria for

Faculty Appointment, Promotion, and Tenure at Faculty Appointment, Promotion, and Tenure at UNC School of Public Health UNC School of Public Health

Research, or the creation of new knowledge Research, or the creation of new knowledge pertinent to public healthpertinent to public health

Teaching, or the dissemination of knowledge to Teaching, or the dissemination of knowledge to students, health professionals, and the publicstudents, health professionals, and the public

Practice, or the advancement of the innovative Practice, or the advancement of the innovative application of knowledge (and the evaluation of application of knowledge (and the evaluation of the impact of this application) to enhance the the impact of this application) to enhance the health of the publichealth of the public

Promotion & TenurePromotion & Tenurein Engaged in Engaged ScholarshipScholarshipFor promotion and tenure on the basis of public health practice, innovative application of knowledge must be deemed to be “scholarly.” That is, the practice must be shown to have affected not only a given policy, community, agency or program, but it must also be shown that the practice has in some way contributed to advancing the state-of-the-art of public health practice itself. Evidence of accomplishment in application of knowledge should be provided for one or more major projects. As rank increases, it is expected that both the quantity and quality of practice will also increase.

Promotion & TenurePromotion & Tenurein Engaged in Engaged ScholarshipScholarship Criteria for demonstrating Excellence in Criteria for demonstrating Excellence in

Public Health PracticePublic Health Practice– Quality of Practice, 18 criteriaQuality of Practice, 18 criteria

– Innovation, 3 criteriaInnovation, 3 criteria

– Responsiveness and Collaboration, 4 criteriaResponsiveness and Collaboration, 4 criteria

– SupportSupport Structures, 3 criteriaStructures, 3 criteria

www.sph.unc.edu/images/stories/faculty_staff/faculty_staff/documents/appointment_promotion.pdf

Lessons LearnedLessons Learned

Acknowledge that each partner brings not only Acknowledge that each partner brings not only different worldviews, skill sets, and access to different worldviews, skill sets, and access to resources, but also different pathways for achieving resources, but also different pathways for achieving the same goal.the same goal.

Ensure reciprocal accountability, Ensure reciprocal accountability, – Assume nothing, listen, expect to accommodate Assume nothing, listen, expect to accommodate

conflictconflict– Send people to The Table, who have high Send people to The Table, who have high

tolerance for ambiguity and people who “talk tolerance for ambiguity and people who “talk back,” and are open to co-learningback,” and are open to co-learning

Time and resources required to work on the Time and resources required to work on the relationship are constant, with the rewards being relationship are constant, with the rewards being those of an enduring commitment to stay in the those of an enduring commitment to stay in the partnership.partnership.

Thank youThank you