Michigan POWER to THRIVE August 2015 Gathering And Issue Convention August 20 & 21, 2015 SAVE THE DATES: WeROC Public Event: November 15, 3:00 – 4:30

Welcome Morning Reflections Charles Wilson, Washtenaw County Public Health Jamie Forbes, The Ezekiel Project, Saginaw

Orientation Objectives Set the stage for today’s and tomorrow’s work. Demonstrate the connection between one’s personal values and the change we want to see in the world. Explain (in a BASIC way) how local health departments are adopting a social justice framework. Explore emerging tensions in bringing the two disciplines (community organizing and public health) into deep relationship. Explain (in a BASIC way) tools and practices of community organizing.

“As public health professionals, we need a new kind of practice where public health practitioners understand that creating health equity requires us to be in deep relationship with people who understand and are willing to create and build power. Powerlessness is making us sick.” Dr. Tony Iton, the California Endowment, (former Health Officer, Alameda County, CA)

C.O. P.H. C.O. P.H. Shared Problem Shared Process POWER Data --Empirical --Experiential Relationships (leveraged) Narrative Portals (organizational access) Possible Shared Problems: Safe affordable rental housing Infant Mortality Root causes of obesity: green space, safety, zoning, transportation POWER Possible Shared Process: Build a community of trust; a coalition dedicated to building power As we bring people in, they will tell us what the issues in the community are.

C.O. P.H. C.O. P.H. Shared Self-Interest Dissonant Process POWER Data --Empirical --Experiential Relationships (leveraged) Narrative Portals (organizational access) Shared Interests: Enfranchisement of target groups Health as defined by residents Social determinants of health (education, employment, transportation, housing, etc.) Cut issues from community’s lived experience of SDOH. Dissonance & Tension: Facilitation vs. Activism Engagement vs. Agitation Personal Values in Conflict with Organizational “Role”/Bureaucracy In specific Issues Creative Tension & Resolution

Michigan POWER to THRIVE Monthly Conference calls. Relationship- building, cross training. Milestones June 2014: Second Gathering. Announced focus on “Health in All Policies.” August / September 2014: Half-day work summits (HIAP; expanding boundaries) November 2013: First Gathering of seven health departments and GAMALIEL affiliates: Launch Network. October 2014: Five-state Healthy Heartlands convening. June 2015: GAMALIEL Summit on Race and Power. June 2015: Half day work summit: When are going to ACT???? Raising of America screenings

Kalamazoo Co. H.D. ISAAC Kent Co. H.D. Various Partners ACTION of G. Lansing Saginaw Co. H.D. EzekielGenesee Co. H.D. Various Partners Detroit/Wayne Co. H.A. MOSES Washtenaw Co. P.H. WeROC Predatory Lending Early Childhood Development Access to Health Care Transportation Mass Incarceration/ Deportation Water Living Wage Health in All Policies Health Equity Alliance JONAH Ingham Co. H.D. Paid Sick Leave

Community Organizing 101 Sister Cheryl Liske GAMALIEL of Michigan Charles Wilson, Washtenaw County Public Health

One-to-Ones (1:1) “A natural but uncommon conversation with someone you want to know better; specifically their values, vision, life, motivations, self-interest.” Build a public relationship Objectives Uncover self-interest Provide clarity for the person being interviewed Obtain information

One-to-Ones (1:1) Curiosity Requirements Courage Clarity on your own self-interest: Why do you want to be in relationship with this person? “A natural but uncommon conversation with someone you want to know better; specifically their values, vision, life, motivations, self-interest.”

One-to-Ones (1:1) Take notes afterward; keep for future reference Nuts and Bolts 30 – 60 minutes Scheduled in Advance Face to face Ask respectful but probing questions What a 1:1 is NOT: Needs assessment, survey, chit chat, psychoanalysis, sales pitch. “A natural but uncommon conversation with someone you want to know better; specifically their values, vision, life, motivations, self-interest.”

Thoughts About Power One story about a time when you felt very powerful, or thriving One story about a time when you felt powerless, or that you life was dying

Public Health and Social Justice Doak Bloss Michigan Public Health Institute Johnnie Turnage MOSES

What are we talking about?

Primary Prevention: A Social Justice Framework Primary Prevention The prevention of diseases and conditions before their biological onset. Conventional Interpretation Preventing Environmental Exposures Improving Resistance To Disease Education to Reduce Risky Behaviors e.g. Food & Water Safety… … Immunizations… …Smoking cessation Social Justice Interpretation Attending to the Social Determinants of Health Confronting Root Causes Explicitly

Social Determinants of Health The economic and social conditions that influence the health of individuals and communities. They include, but are not limited to: Safe Affordable Housing Social Connection & Safety Quality Education Job Security Living Wage Access to Transporta- tion Availability of Food Dennis Raphael, Social Determinants of Health; Toronto: Scholars Press, 2004 Primary Prevention: A Social Justice Framework

Changing the Questions Instead of only asking: Why do people smoke? Perhaps we should also ask: What social conditions and economic policies predispose people to the stress that encourages smoking?

Changing the Questions Instead of only asking: Who lacks health care coverage and why? Perhaps we should also ask: What policy changes would redistribute health care resources more equitably in our community?

Changing the Questions Instead of only asking: How do we connect isolated individuals to social supports? Perhaps we should also ask: What institutional policies and practices maintain rather than reverse people’s isolation from social supports?

Changing the Questions Instead of only asking: How can we create more green space, bike paths, and farmer’s markets in vulnerable neighborhoods? Perhaps we should also ask: What policies and practices by government and commerce discourage access to transportation, recreational resources, and nutritious food in neighborhoods where health is poorest?

Safe Affordable Housing Social Connection & Safety Quality Education Job Security Living Wage Access to Transporta- tion Availability of Food However, If we reduce disparities at the level of Social Determinants of Health, will we be reducing health inequity?

Root Causes Power and Wealth Imbalance LABOR MARKETS GLOBALIZATION & DEREGULATION HOUSING POLICY EDUCATION SYSTEMS TAX POLICY Social Determinants of Health Disparity in the Distribution of Disease, Illness, and Wellbeing Institutional Racism Class Oppression Gender Discrimination and Exploitation SOCIAL NETWORKS SOCIAL SAFETY NET Safe Affordable Housing Social Connection & Safety Quality Education Job Security Living Wage Transportation Availability of Food Psychosocial Stress / Unhealthy Behaviors Adapted from R. Hofrichter, Tackling Health Inequities Through Public Health Practice.

4 Levels of Oppression and Change Personal Interpersonal Institutional Cultural Feelings, beliefs, values Actions, behaviors, language Rules, policies, procedures Collective ideas about what is normal, true, right, beautiful

Emerging Tensions Denise Evans Healthy Start, Spectrum Health (Grand Rapids Charles Wilson Washtenaw County Public Health

“Issues” vs. deep structural change... Exposing and replacing dominant narratives t that hurt people. Restrictive assumptions about what public health employees can and can’t do… i.e. “too political.” Identifying an issue we can all get behind, across counties and across the two disciplines. Differing norms between the two disciplines regarding concepts like power, self-interest, agitation, etc. Tensions Public Health Community Organizers

Afternoon Reflections Renée Canady Michigan Public Health Institute Sister Cheryl Liske GAMALIEL of Michigan

Wrap-Up Sister Cheryl Liske GAMALIEL OF Michigan

Michigan POWER to THRIVE August 2015 Gathering And Issue Convention August 20 & 21, 2015 SAVE THE DATES: WeROC Public Event: November 15, 3:00 – 4:30

Objectives Continue to build an understanding of complementary disciplines of public health and community organizing. Present and consider potential issues to build a collective campaign around. Begin to develop these potential campaigns and organize work teams to further research and develop them, aiming for a public announcement on November 15 in Ypsilanti. Coordinate the use of the documentary series The Raising of America in support of the campaign(s). Select Issue(s) around which to build campaigns.

Issues Convention: Process Eight Issues “Everybody wins but not the same prize” After the presentations: Facilitated Dialogue how we can best focus our power on issues that will change the conditions that create inequity in Michigan. Each presenter will make a 10-minute presentation showing why it would be a worthy and important focus for MPTT. Voting with your feet / negotiation.

Closing Remarks Evaluation of the Day

Michigan POWER to THRIVE August 2015 Gathering And Issue Convention August 20 & 21, 2015 SAVE THE DATES: WeROC Public Event: November 15, 3:00 – 4:30

Welcome Morning Reflections Matt Friedrichs, MOSES Johnnie Turnage, MOSES

Power Analysis Sister Cheryl Liske, GAMALIEL of Michigan

Power Analysis Breakouts Report Out

Cutting an Issue Matt Friedrichs, MOSES Sister Cheryl Liske, GAMALIEL of Michigan

Issue Cutting Breakouts Report Out

Brainstorming The Raising