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June 2020

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Readiness Workshop

READINESS
A 100% COMMUNITY WORKSHOP

UNDERSTANDING 20 KEY CONCEPTS GUIDING THE 100% COMMUNITY INITIATIVE

WELCOME TO 100% READINESS

We have designed a radically simple plan to address one of the most complicated challenges facing all fifty states in the USA: ensuring that 100% of state residents have access to the ten vital services for surviving and thriving. It all starts with getting on the same page with a shared language. The Readiness Workshop is designed to explore the 20 key concepts guiding the initiative.

Thank you for joining the 100% Community — a book, a course, an initiative and most importantly, a movement to make everyone’s health and safety a priority.

Onward and upward!

Onward and upward!

Katherine and Dom
Katherine Ortega Courtney, PhD and Dominic Cappello
Course developers and authors

Onward and upward!

Onward and upward!

Katherine and Dom
Katherine Ortega Courtney, PhD and Dominic Cappello
Course developers and authors

GETTING STARTED

TEAM MEMBERS: If you are part of a 100% Community county team, you have an opportunity to discuss with your team members your experience with the Readiness Workshop.. We recommend organizing your time so that you have a schedule to meet up collectively with co-community organizers and action team members to share your insights gained from the workshop and website.

INDIVIDUALS: If you are not yet involved in a 100% New Mexico initiative, this Readiness Workshop provides an overview of key concepts guiding the initiative, and the complexities of ensuring that your county makes the ten vital services for surviving and thriving accessible to all residents. 

READING THAT SETS YOU UP TO SUCCEED

The following books are the textbooks for the 100% Community course. You will find references to the twenty key concepts throughout all the publications.

100% Community Book

100% Community: Ensuring 10 Vital Services for Surviving and Thriving

by Katherine Ortega Courtney, PhD and Dominic Cappello, 2019
100% Community Book

100% Community: Ensuring 10 Vital Services for Surviving and Thriving

by Katherine Ortega Courtney, PhD and Dominic Cappello, 2019
Anna, Age Eight Book

Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment

by Katherine Ortega Courtney, PhD and Dominic Cappello, 2017
Anna, Age Eight Book

Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment

by Katherine Ortega Courtney, PhD and Dominic Cappello, 2017
Adaptive Leadership Book

The Practice of Adaptive Leadership

Ronald Heifetz, Alexander Grashow and Marty Linkey, 2007
Adaptive Leadership Book

The Practice of Adaptive Leadership

Ronald Heifetz, Alexander Grashow and Marty Linkey, 2007

WHY THESE TWENTY CONCEPTS?

In order to begin to grasp the components of our course and the 100% New Mexico initiative, let us share why you need to understand twenty concepts that are the foundation of the work. If we, collectively, are going to take on a project with the magnitude of 100% Community, we need to get on the same page and be diligent about our comprehensive approach.

Think of it this way, imagine your new house is being built on a foundation of twenty large wooden beams. You cannot afford to have one break. It’s the same way with the following twenty concepts, each one plays a critical role in the building a local 100% New Mexico initiative.

20 CONCEPTS

WHAT’S THE “WHAT, WHY, WHO AND HOW” OF THE BOOK, COURSE AND INITIATIVE?

Part 1: Understanding What Challenges Await Us
Concept 1: Social Adversity
Concept 2: Five Services for Surviving
Concept 3: Five Services for Thriving
Concept 4: Social Determinants of Health
Concept 5: Historical Disparities and Historical Trauma
Concept 6: Adverse Childhood Experiences (ACEs)

Part 2: Frameworks Guide Us as We Address Challenges
Concept 7: Our County Model and Focus for the Initiative
Concept 8: Continuous Quality Improvement (Cqi)
Concept 9: Collective Impact
Concept 10: Adaptive Leadership

Part 3: Tools in the Toolbox as We Move Forward
Concept 11: Readiness and Capacity Assessment
Concept 12: Working in Alignment
Concept 13: The 100% Community Survey
Concept 14: Logic Model
Concept 15: Evidence-Informed Strategies
Concept 16: Technology

Part 4: Partnerships and You
Concept 17: Partnerships
Concept 18: Public and Private Sector Partnerships
Concept 19: Roles, Responsibilities and Rewards
Concept 20: Self-Care

Let's Begin

NEXT

Part 1

Understanding What Challenges Await Us

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Part 4: Partnerships and You

READINESS WORKSHOP
PART FOUR
Partnerships and You

The success of any large scale initiative or social change movement comes down to people working together to achieve shared goals. Healthy relationships are at the core of the work, and these include those working within the 100% New Mexico initiative and with our partners in the public and private sectors.

Concept 17: Partnerships

To get anything of substance accomplished, we must build relationships and partnerships with the leaders and stakeholders on the state, county, city levels, including schools, higher education, nongovernmental organizations and foundations.

DISCUSSION QUESTIONS

  1. Describe the elected officials and other stakeholders you may need buy-in from to support your projects
  2. Describe how you create an “elevator pitch” to start a dialogue about funding and support from potential partners

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

We require partnerships and 100% collaboration in each county to survive and thrive. Heroes unite to defeat the hydras.

To get anything of significance accomplished, we must build relationships and partnerships with the leaders and stakeholders working in government on the county and city levels…

STEP 3: Read

100% Community Book

100% Community: Part 4, Chapters 11-28

You can connect with powerful allies at all levels of government and business. But, you may also encounter those who fear change and loss…

Concept 18: Public-Private Sector Partnerships

The 100% New Mexico initiative will be developing and launching innovations and projects, many of them requiring public-private sector partnerships. Business professionals and entrepreneurs often think very differently about projects and the value of getting to measurable results. In the private sector, if results are not achieved, businesses cease to exist. This is not always true for the public sector. Most public sectors projects require the engagement of people from the private sector.

DISCUSSION QUESTIONS

  1. Describe how the public sector and private sector can support projects
  2. Describe how the values of those working in each sector might be different

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

If the public sector can date the private sector, I see a beautiful relationship and our chances of survival greatly increased.

The 100% New Mexico initiative will be developing and launching innovations and projects focused on ensuring ten vital services for surviving and thriving…

STEP 3: Read

100% Community Book

100% Community: Chapter 27

The chamber of commerce and private sector must be full partners in ensuring surviving and thriving services…

Concept 19: Roles, Responsibilities and Rewards

The 100% New Mexico initiative is a countywide process, working like a machine with many moving parts. The initiative is guided by a radically simple idea and hypothesis: if county leaders and stakeholders ensure that the ten vital services for surviving and thriving are accessible to 100% of county residents, the health, safety, education and job readiness increase while long-standing challenges such as health disparities, substance misuses, childhood trauma, hunger, home insecurity and lack of a livelihood decrease. The initiative is a first-of-its-kind countywide program with the capacity to help all residents transition through pandemics and economic disruptions. At its heart, the initiative works because the people working within it are committed to respectful partnerships.

DISCUSSION QUESTIONS

  1. Describe the hypothesis guiding the initiative
  2. Describe why this initiative is needed
  3. How does this initiative impact social adversity and ACEs
  4. How is this initiative informed by research focused on the social determinants of health?
  5. Describe why leaders would not support the initiative
  6. Describe why leaders would support the initiative

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

The 100% New Mexico initiative is based on one question and answer. What percentage of people should be able to access vital services for surviving and thriving?

100% Community is a book, an initiative and a movement. It is promoting one radically simple idea that can be summed up in one question and answer…

STEP 3: Read

100% Community Book

100% Community: Appendices

Your vital toolkit for getting started…

Concept 20: Self-Care

We don’t underestimate the importance of self-care while a local champion works on the 100% New Mexico initiative or any community work. The initiative is long-term work, requiring that all participants prioritize their health as they develop local projects and interact with both heroic leaders and obstructionists.

DISCUSSION QUESTIONS

  1. Describe self-care and why it matters, related to involvement in the initiative
  2. Describe opportunities for self-care

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

Join the evolution and revolution. Self-care required.

Never underestimate the importance of the relationship you have with yourself. We focus on the role of self-care while working…

STEP 3: Read

100% Community Book

100% Community: Chapter 39

Imagining yourself and your community at 100%…

RETURN

Part 3

Tools in the Toolbox as We Move Forward

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Part 3: Tools in the Toolbox as We Move Forward

READINESS WORKSHOP
PART THREE
TOOLS IN THE TOOLBOX AS WE MOVE FORWARD

You have many tools in your toolbox, which are the components of our initiative. Think of the 100% New Mexico initiative as a problem-solving machine focused on all the communities within your county’s border, with many moving parts and all working in sync to empower all initiative participants and residents.

Concept 11: Readiness and Capacity Assessment

Each county engaged with the 100% New Mexico initiative will be doing a Readiness and Capacity Assessment, assessing to what degree local leaders and stakeholders are committed to improving the ten services for surviving and thriving.

DISCUSSION QUESTIONS

  1. Describe signs that your county is ready for change
  2. Describe signs that your county is not ready for change
  3. How do you determine if leaders are blocking a project or innovation because of apathy, envy or fear?
  4. What options exist for those counties where leaders block innovation and problem-solving as it relates to ensuring ten vital services for surviving and thriving?

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Listen

STEP 3: Consider

article

A readiness and capacity assessment can tell you where the heroes and hydras are.

In the era of pandemics and economic disruptions, our best line of defense is ensuring that all county residents have access to the ten vital services for surviving and thriving…

STEP 4: Read

100% Community Book

100% Community: Chapter 9

100% Community is not tinkering around the edges: we are redesigning county and city systems to serve 100% of residents…

Concept 12: Working in Alignment

All our work with the 100% New Mexico initiative is designed to be working in alignment with existing local efforts. These may be groups working within county government, city government, task forces, coalitions or nongovernmental organizations. Action teams working in a particular sector (like food security) should identify all the leaders working on problem-solving in their sector within the county’s borders. This will also include state agencies whose work impacts a county’s services. We seek to be in alignment with other data-driven, result focused entities.

DISCUSSION QUESTIONS

  1. What does it mean for county, city and state service providers to be working in alignment?
  2. Describe the benefits of working in alignment with an agency and across a county
  3. When does working in alignment with an organization or entity become challenging
  4. How can software and technology increase alignment among county service providers and promote transparency in the process?

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Listen

STEP 3: Consider

article

Why work in alignment? Because we don’t have the luxury to waste time and resources.

Let’s first talk about pie. Scarcity mentality refers to people seeing life as one pie. Just one. And there won’t be another one…

STEP 4: Read

100% Community Book

100% Community: Chapter 37

Turn 100 competing local projects into one county campaign…

Concept 13: The 100% Community Survey

The 100% Community survey will measure to what degree your county’s residents have access to the ten vital services for surviving and thriving because you will be asking them during the survey process, “Do you need any of the ten vital services, to what degree can you access services and if you face challenges, what are they?” With this data, the 100% Community action teams can analyze the challenges in order to begin making plans to address them.

DISCUSSION QUESTIONS

  1. Describe the 100% Community survey
  2. Describe the benefits of the survey
  3. Describe how action teams use survey results, including why residents can’t access services, to guide projects to fix gaps in services
  4. Describe what other information, in addition to the 100% Community survey results, the initiative action teams might require to get a clearer picture of all the challenges facing residents in all the communities within a county’s borders

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

How can we possibly know if county residents have access to vital services for surviving and thriving? We ask them.

In the era of pandemics and economic disruptions, our community services that support our surviving and thriving may be struggling…

STEP 3: Read

100% Community Book

100% Community: Chapter 6 and Appendix A

If we want 100% to get to vital services, we need answers to some important questions. Then the real work begins…

Concept 14: Logic Model

One key planning tool we use to design our projects is called a logic model, a one-page visual representation of a plan to guide a project that includes the project’s goal, purpose, inputs, activities, outputs and outcomes.

DISCUSSION QUESTIONS

  1. Describe a logic model and why it is used
  2. Why, in designing a logic model, does a team match the activities up with the outcomes?
  3. What are the benefits of having measurable activities described on a logic model, with an evaluation process to track progress?
  4. When choosing activities and outcomes, how do you match them with the needs identified in the 100% Community survey—where challenges to access were identified?

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

Why plan and use a logic model for project development? It helps us science the sh-t out of urgently needed solutions.

Imagine you determine, amid a pandemic, that increasing access to health care could be done quite efficiently by turning your public school into a fully-resourced…

STEP 3: Read

100% Community Book

100% Community: Chapter 38 and Appendix J

How your action teams and entire initiative can follow a tested planning process to give you the best opportunity for success…

Concept 15: Evidence-informed Strategies

As we seek to improve the quality of family and community services and their accessibility, we will research evidence-informed strategies. We will find that many of our local challenges have already been tested and evaluated in other localities, meaning we don’t need to reinvent wheels.

DISCUSSION QUESTIONS

  1. Describe what evidence-informed strategy means
  2. How does one find research to identify evidence-informed policies, programs or practice?
  3. What is the difference between a commonly used practice with no research behind it and an “evidence-informed”?

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

We can design evidence-informed strategies to increase vital services. We just ignore the opinions of the hydras.

As we seek to improve the quality of family services and their accessibility, we will research evidence-informed strategies. We will find that many of the solutions to our local challenges…

STEP 3: Read

100% Community Book

100% Community: Part 4, Chapters 40-50

Why “10@100%”? Why these 10 service areas? And why reach 100% of residents?

Concept 16: Technology

Technology has a large role in the 100% New Mexico initiative and projects designed to increase access to the ten vital services for surviving and thriving, as well as improving how governmental and nongovernmental organizations are run. Technology will be a part of each of the 100% Community innovations and projects.

DISCUSSION QUESTIONS

  1. Describe the role of technology in the 100% New Mexico initiative
  2. Describe the digital divide in your county and how it impacts residents
  3. Describe how technology could improve delivery of services in your service sector

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

Drive-thru virus testing along with that latte? How pandemics give technology a chance to transform the public sector (and retire hydras)

In our rush to connect everyone on the planet, we forgot to encourage people to use technology to make our societies fairer…

STEP 3: Read

100% Community Book

100% Community: Chapter 36

How to harness the power of the latest tech to reach people and project goals while avoiding distracting and disempowering clutter…

RETURN

Part 2

Frameworks Guide Us as We Address Challenges

NEXT

Part 4

Partnerships and You

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Part 2: Frameworks Guide Us as We Address Challenges

READINESS WORKSHOP
PART TWO
Frameworks Guide Us as We Address Challenges

The mission of 100% New Mexico initiative is to empower local champions to create the services to ensure the ten vital services for surviving and thriving. The initiative is guided by three frameworks/models, designed to be implemented on a countywide scale.

Concept 7: Our County Model and Focus for the Initiative

The 100% New Mexico initiative is a county-based collective impact project. This means that it focuses on ensuring ten vital services within all cities, towns and communities within a county’s borders. This leads us to the framework we use to take on such a monumental task across ten sectors. We chose the county model for some very pragmatic, economic and political reasons. One reason is that it allows for the development of sustainable funding streams to support the initiative, including the “1% for 100% funding formula,” in which 1% of a county and city governments’ budget is earmarked for 100% Community activities.

On a countywide scale, we can do the following:

  1. Assessment: identify service gaps in the county and why they exist
  2. Planning: research solutions; create public-private sector partnership to fix gaps in all communities within a county’s borders 
  3. Action: collaborate and  innovate with technology, to ensure ten services meet the needs of 100%, including creating the businesses and jobs of the future
  4. Evaluation: track all projects and what county residents report access to, and user-friendliness of, ten vital services

DISCUSSION QUESTIONS

  1. Describe the benefits of an initiative working within a county’s borders
  2. Describe how the agencies that deliver the ten vital services align services and communicate across a county
  3. Describe the “1% for 100%”  funding formula that involves county government and all the cities within the county’s borders
  4. Describe how to identify the budgets of county and city government
  5. Describe the various elected officials within a county’s borders who may impact local budgets and priorities

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

The three-headed-hydra wants you to spend your time watching national and global crises, not engaged in a result-focused countywide project.

We have to make a choice. Do we become fixated on global disasters-of-the-day and frustrated with the actions of emotionally-challenged leaders in Washington, DC or focus all our energy on fixing problems…

STEP 3: Read

100% Community Book

100% Community: Introduction in segment “Thinking Global, Fixing Local”

Our world is one where our phones, tablets, laptops and desktops all scream for attention, asking us to save humans around the world…

Concept 8: Continuous Quality Improvement (CQI)

We are a data-driven process guided by the 8) continuous quality improvement framework that includes four phases: assessing, planning, acting and evaluating.

DISCUSSION QUESTIONS

  1. Define CQI
  2. Describe one industry that used CQI to increase efficiency
  3. Describe the four phases of CQI
  4. Describe why using a framework like CQI is better and more productive than no framework guiding a project
  5. Describe what role data have in the four phases of CQI
  6. Describe why there might be push-back from governmental and nongovernmental organizations to using CQI?

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

The continuous quality improvement process sets your projects up for success. Or you can follow the whims of three-headed hydras.

CQI is my most favored model for quality improvement when working in the public sector with the goal of getting to results…

STEP 3: Read

100% Community Book

100% Community: Chapter 29

Who needs data when you have 3 million dollars burning a hole in your pocket…

Concept 9: Collective Impact

The 100% New Mexico initiative is following the collective impact model with the following components: a shared vision, goals, use of data, use of communications strategy, interrelated activities and solid economic base.

DISCUSSION QUESTIONS

  1. Describe the Collective Impact model
  2. Describe the benefits of using collective impact
  3. List key elements of Collective Impact
  4. Describe why there might be push back from governmental and nongovernmental organizations and community groups to using Collective Impact?

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

Today’s unprecedented challenges require a vision of hope, not apathy, envy and fear. The collective impact framework can guide us.

A shared vision is required for any successful social movement — and the 100% New Mexico initiative, designed to ensure ten vital services for surviving and thriving…

STEP 3: Read

100% Community Book

100% Community: Chapter 31

A shared vision is required for any successful social movement — and 100% Community is as much a movement as it is a mobilizing strategy…

Concept 10: Adaptive Leadership

One invaluable concept and field of study to understand when working with the 100% New Mexico initiative is called Adaptive Leadership, a way of solving challenges described in the book The Practice of Adaptive Leadership: Tools and Tactics for Changing Your Organization and the World by Heifetz, Grashow and Linsky. The book describes how there are two types of challenges as work to improve organizations and communities called technical challenges and adaptive challenges. This is a way of thinking about identifying and solving complex and political challenges that will be part of the work of the 100% New Mexico initiative. Technical challenges, described briefly, have an agreed upon path to follow for problem-solving. Adaptive challenges have no agreed upon path forward and you’re in uncharted waters. The authors warn, with good reason, that change agents don’t want to confuse a technical challenge with an adaptive one.

DISCUSSION QUESTIONS

  1. Describe the practice of Adaptive Leadership
  2. Describe a technical challenge, an adaptive challenge and the difference between them
  3. Describe a potential technical challenge you may face in your sector as you develop a project
  4. Describe a potential adaptive challenge you may face in your sector as you develop a project
  5. Describe what “getting on the balcony” means as it relates to problem-solving
  6. Describe the benefits of using adaptive leadership and consequences of not using it

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

What’s the difference between a technical challenge and an adaptive challenge? (Hint: The adaptive challenge has three heads)

This era of pandemics and economic disruptions brings out the best and worst in people. If you told someone that…

STEP 3: Read

100% Community Book

100% Community: Chapter 30

Loss versus change is a concept that is fundamental to our work with 100% Community, but you really, really need to read yet another book to fully understand…

RETURN

Part 1

Understanding What Challenges Await Us

NEXT

Part 3

Tools in the Toolbox as We Move Forward

boy-yellow-wall12x6

Part 1: Understanding What Challenges Await Us

READINESS WORKSHOP
PART ONE
UNDERSTANDING WHAT CHALLENGES AWAIT US

The first concepts represent the “what,” meaning what challenges do our county residents face Instead of one challenge, there are many that collide in a variety of ways. Some challenges for the 100% New Mexico initiative to address appear inside the home while others greet people as they step outside their front door.

Concept 1: Social Adversity

Social adversity are the challenges a person, of any age,  faces when they step out their front door. These challenges are rooted in access to the ten vital services for surviving and thriving. Lack of access and reasons for disparities are a focus as we discuss social adversity. 

DISCUSSION QUESTIONS

  1. Describe examples of social adversity facing residents 
  2. Summarize hypothesis guiding course and initiative, related to social adversity
  3. Describe root causes of social adversity
  4. Describe various forms of poverty, noting distinction between situational and others forms
  5. Describe how local leaders, either by action or inaction, allow social adversity to exist

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

Three headed-headed hydras create the social adversity that can crush us.

Most of us have hit some walls in our lifetime. Pandemics and economic disruptions are two more to drive around or climb. While we can say that a force of nature is responsible for some challenges…

STEP 3: Read

100% Community Book

100% Community: Chapter 3

How the hypotheses guiding us were designed to get us to measurable and meaningful goals.

Concept 2: Five Services for Surviving

“Five surviving services,” coined in the book 100% Community as the five services for surviving, are medical care, mental health care, food security programs, housing security programs and transportation. These are the services that none of us can do without, as they provide the foundation for health, safety, resilience and clarity of mind.

DISCUSSION QUESTIONS

  1. Describe the five services coined “the five services for surviving”
  2. Describe the types of local organizations who deliver the services for surviving
  3. Describe how local leaders, either by action or inaction, impact access to each of the five services for surviving

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

Why would a three-headed hydra oppose anyone’s access to five services for surviving? Reasons!

Survivor is described as a television show that places a group of strangers in an isolated location, where they must provide food, fire, and shelter for themselves…

STEP 3: Read

100% Community Book

100% Community: Part 4: Chapters 41-45

How every community can provide the ten vital services to empower all residents…

Concept 3: Five Services for Thriving

Five thriving services, coined in the book 100% Community as the five services for thriving,  which are parent supports, early childhood learning programs, fully-resourced community schools with health centers, youth mentors and job training aligned with future job markets.

Without access to the survival services there is no way we can dream of thriving. Each one of the ten local services in your county have their own histories, research and political relationships associated with them. The reason these two concepts — surviving and thriving services are key to understanding our initiative, is that without such services people struggle.

This has been illustrated the most effectively through Maslow’s Hierarchy of Needs. We will revisit the importance of ensuring vital services throughout the course. Fundamentally, with Maslow, people must have their basic needs met before anything else. Education, enlightenment and actualization are entirely possible for all of us, but only if we have stable shelter, food and the basics.

Without basic services, a wide variety of challenges emerge that include substance misuse, mental health challenges, poor school achievement, lack of job readiness, and adverse childhood experiences (ACES) which include various forms of child abuse and neglect that can lead to trauma and poor health outcomes.

DISCUSSION QUESTIONS

  1. Describe the five services coined “the five services for thriving”
  2. Describe the types of local organizations who deliver the services for thriving
  3. Describe how local leaders, either by action or inaction, impact access to each of the five services for thriving

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

Five services for thriving? “Yes,” says the three-headed hydra, “but only if you deserve them.”

In my world of community health, we describe the five services for thriving as: parent supports, early childhood learning programs, fully-resourced community schools, youth mentors and job training…

STEP 3: Read

100% Community Book

100% Community: Part 5: Chapters 46-50

With collaboration between our city, county and school leadership, every city and town can create a robust system of support…

Concept 4: Social Determinants of Health

The social determinants of health is a field of study that explores how a person’s community environment can impact their physical and emotional health and opportunities with learning, work and wealth. The social determinants of health are the services and technology people have access to in order to improve their lives.

DISCUSSION QUESTIONS

  1. Describe the social determinants of health
  2. Describe the types of services that could be considered components of the social determinants of health
  3. Describe how technology might be considered a component of the social determinants of health
  4. Describe which local government agencies can or could monitor the social determinants of health
  5. Describe how local leaders, either by action or inaction, impact the social determinants of health in all the communities within your county’s borders

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

What are the social determinants of health? The three-headed hydras would prefer you not ask.

If you have a spare weekend, explore all the definitions of health. Searching the definition of health, about 2,230,000,000 results appear in 0.52 seconds…

STEP 3: Read

100% Community Book

100% Community: Chapter 3

How the hypotheses guiding us were designed to get us to measurable and meaningful goals…

Concept 5: Historical Disparities and Historical Trauma

Historical disparities and historical trauma are fields of study documenting centuries of social injustice and all the “-isms” (such as racism) you’re familiar with to describe the unfair treatment of people. When we talk about community environments and who does or doesn’t have easy access to vital services, we will be talking about how one’s zip code can determine to a large degree one’s destiny. Disparities based on geographic location is something written about in Anna, Age Eight: “Chapter 7: Why your zip code should not determine your destiny.” Historical Trauma is written about in 100% Community and details why each 100% New Mexico initiative has a Task Force on Historical Trauma and Historical Resilience. We explore how challenging it can be to address and discuss these concepts.

DISCUSSION QUESTIONS

  1. Describe historical disparities
  2. Describe historical trauma
  3. Describe how historical trauma impacts people in your region
  4. List the causes of historical trauma
  5. Describe challenges and opportunities discussing historical trauma in a public setting 
  6. Describe how local leaders, either by action or inaction, impact the capacity of people to address historical disparities and historical trauma

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

People who endure historical disparities and historical trauma now face a new pandemic and economic free fall. How do we help?

How might we begin to define historical disparities and historical trauma? Carefully and thoughtfully. What is provided is a very…

STEP 3: Read

100% Community Book

100% Community: Chapter 33

Our action team on historical disparities and trauma can create an ongoing dialogue about history to right wrongs and ensure health disparities and injustices are addressed…

Concept 6: Adverse Childhood Experiences (ACEs)

This concept focuses on the complex world of adverse childhood experiences (ACEs). This is a field of study that came into public awareness in 1998 with the publication of the ACEs Study by Drs. Felitti and Andra, working in collaboration with the US Centers for Disease Control. ACEs are ten forms of abuse and neglect that children endure in their homes, controlled by parents and other adults. ACEs can lead to being in a state of fight or flight 24/7. ACEs and the trauma that may result from ten forms of abuse and neglect does not necessarily end in childhood. ACEs may impact an adult’s physical and emotional health, capacity to learn, ability to be job ready and keep a job, and be a caring parent. During a public health crisis or economic disruption, people with high ACEs scores may feel especially insecure and destabilized.

DISCUSSION QUESTIONS

  1. Describe ten adverse childhood experiences (ACEs)
  2. Describe consequences of ACEs and trauma on physical and emotional health
  3. Describe consequences of ACEs and trauma on students and learning
  4. Describe consequences of ACEs and trauma on a person’s capacity to parent and how ACEs-related behaviors can be passed down generation to generation
  5. Describe consequences of ACEs and trauma on job readiness and workplace performance
  6. Describe the physical and emotional response to trauma (which might include ‘flight or fight” response)
  7. Describe what “trauma-informed” means and how it is does or does not impact rates of ACEs and services for prevention and treatment
  8. Describe how leaders in government allow, by action or inaction, allow the community environments (including lack of vital services) that allow ACEs to exist

GETTING ANSWERS AND INSIGHTS

STEP 1: Watch

STEP 2: Consider

article

The “fight or flight” response protects us from a bear in the woods. The response isn’t meant to be on 24/7 through childhood. It’s time we all understood adverse childhood experiences.

Before we talk about adverse childhood experiences (ACEs), let’s talk about you in the forest with a giant bear. If you found…

STEP 3: Read

100% Community Book

100% Community: Chapter 7

When the pandemic hit, all we could focus on was the immediate threat. We now ask, “What are our kids doing?”

RETURN

Readiness Intro

Understanding 20 Key Concepts Guiding the 100% Community Initiative

NEXT

Part 2

Frameworks Guide Us as We Address Challenges

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