1. WELCOME

2. Objectives why MAPP is a long-term, system-wide paradigm shift in public health practice; who to involve; the benefits of the process; the phases of MAPP; how to build a successful process; the time and resources it takes to implement MAPP; and where to find MAPP resources. By the end of this training, participants will be able to describe:

3. MAPP is: A community-wide strategic planning tool for improving public health. A method to help communities prioritize public health issues, identify resources for addressing them, and take action.

4. MAPP provides… a framework, guidance, structure, and best practices… for developing healthy communities.

6. MAPP Overview

7. Paradigm Shift MAPP is a journey, not a destination. MAPP is a shift in how we think about public health activities and planning with our communities. MAPP is a complete, long- term, system-wide PARADIGM SHIFT.

8. The MAPP Paradigm Shift

9. Three Keys to MAPP Strategic Planning Community Driven Process Focus on the Local Public Health System

10. What Does a Community-Driven Process Look Like? There is a critical difference between going through the empty ritual of participation and having the real power needed to affect the outcome of the process. (Sherry Arnstein, 1969: A Ladder of Citizen Participation, pg. 1)

11. A Ladder of Citizen Participation Manipulation Informing Consultation Partnership Delegated Power Citizen Control Placation Therapy Degrees of Citizen Power Degrees of Tokenism Degrees of Non-Participation

12. Schools Dentists EMS Law Enforcement Corrections Faith Instit. NGOs Labs HCP Tribal Health City Planners Transit Fire Civic GroupsEmployers Drug Treatment Elected Officials Mental HealthCHCsPublic Health Dept Parks and Rec Public Health System Nursing Homes Neighborhood Orgs. Home Health

13. Bringing Local Initiatives Together

14. Benefits of MAPP Increases visibility of public health. Creates advocates for public health. Creates a healthy community and better quality of life. Anticipates and manages change. Creates a stronger public health infrastructure. Builds stronger partnerships. Builds public health leadership.

15. Resource Strategies Gave team leaders tools they needed to leverage resources Started projects, and the money followed Partnered with the business community Community Ownership Focused on the system throughout the process Used neutral, outside facilitators Connected activities/strategies with existing partner organization work or reoriented work to support strategic issues Leadership Support Ensured engagement of partners in implementing the action plan Ensured commitment to outcomes and system- wide accountability Keys to Action: Lessons Learned by MAPP Communities Challenges communities faced: Lack of resources Partners assumed LHD would implement Loss of momentum

16. Tools Webcasts Stories from the Field Clearinghouse Guidance Documents

17. And One More Thing... 1.Give MAPP time and space to work 2.Be creative in identifying resources 3.Tools exist to help you, use them!

18. NACCHO Staff Contacts Julia Joh Elligers Program Manager jjoh@naccho.org (202) 507-4234 Lisa Jacobs Program Associate ljacobs@naccho.org (202) 507-4233