The scholarship of engagement: Knowing which hat to wear and when to cock it

1. The scholarship of engagement: Knowing which hat to wear and when to cock it Lucille Webb Strengthening The Black Family, Inc. Eugenia Eng University of North Carolina at Chapel Hill 3rd Annual Meeting The Community-Engaged Scholarship for Health Collaborative February 23, 2007

2. Roots of STBF-UNC Partnership Kellogg Health Scholars Operation 27610 (Wake Med) STBF Raleigh Lucille Richmond, VA Kellogg CBPHI 1991 NC A& T Greensboro, NC MAN For Health (CDC) Wake Health Dept. Project SELF (KBR Trust) Wake AHEC Professor In the ‘Hood UNC Chapel Hill, NC School of Public Health Project SELF 2 for You (NCHW Trust) SPH Promotion Policy & IRB Geni Jacksonville, FL

3. Overview • Define the “hats” worn by our STBF-UNC Partners to engage in the scholarship of eliminating health disparities among African American communities in North Carolina. • Share tools that the STBF-UNC Partnership has developed to anticipate when to “cock one’s hat” and embrace the necessary conflict of community engagement. • Discuss lessons learned about challenges that are necessary for achieving equity in partnership.

4. Proven track record of staying “at the Table” long enough to learn How the community/system works How to make the community/system work Sending appropriate representatives “to the Table” Not too junior Can respect each person’s right to disagree and speak honestly Anticipate and accommodate necessary conflict Different pathways for achieving the same goal Time and resources to work on the relationship are constant Hats to Wear to The Table

5. Eliminate demeaning language, such as Those People Agree on terms for holding each other accountable for Being present and actively representing their partner organizations Tangible products that build the capacity of each partner to move forward Assume that important terms, such as community and health disparities, are not defined and used by each partner in the same way as you do. When to Cock Your Hat at The Table

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

7. CBPH Consortium Principles of Collaboration Significant community involvement and commitment of volunteer community leaders and groups. Identification of specific communities. Commitment to improving health status in these communities regardless of the availability of funding. Participation of the official public health department with the support of the local board of health. Identification of academic partner(s) in the project capable of having a positive impact on public health training and/or minority recruitment into health careers. Identification of a policy-making unit in the county capable of promoting institutionalization of demonstrated change. Tools of Engaged Scholarship

8. CBPH Consortium By-Laws Name Mission Statement and Goal Mission Goal Strategy Principles of Collaboration Consortium Membership Composition Coalition Membership Steering Committee Membership Representation Participation Responsibilities Tools of Engaged Scholarship

9. Officers Officers Election and Terms Vacancies Duties Committees Appointments Standing Committees Executive Committee Membership and By-Laws Committee Nominating Committee Communications and Publication Committee Special Committees Meetings Frequency Special Meetings Quorums Tools ofEngaged Scholarship

10. IRB Ethics Training and Certificationfor Non-Traditional Investigators

11. Role of Lead Author Criteria for Authorship Individuals whose original ideas were critical to the implementation of the related project component, who are well-suited to offer suggestions for documenting the related project experience, or both. Individuals who may have less experience writing for publication or presenting at formal conferences will qualify as co-authors if, either individually with the lead author or with the entire working group, they: Are involved with conceptual discussions about the work or interpretation of findings Review and make comments on at least one draft of the presentation or paper; and Review the final version and give approval. Publications & Dissemination Guidelines

12. Authorship Order Acknowledgments Publication Proposal Approval and Review Process Two-page proposal submitted to P & D Committee for recommendation Forwarded to full Advisory Council for approval Final drafts submitted to P & D Committee to review for accuracy Fast Track Approval Process Publications and Dissemination Committee Co-Chairs and Members Publications & Dissemination Guidelines

13. 3 Major Elements Determine the Criteria for Faculty Appointment, Promotion, and Tenure at UNC School of Public Health Research, or the creation of new knowledge pertinent to public health Teaching, or the dissemination of knowledge to students, health professionals, and the public Practice, or the advancement of the innovative application of knowledge (and the evaluation of the impact of this application) to enhance the health of the public Promotion & Tenurein Engaged Scholarship

14. Promotion & Tenurein Engaged Scholarship For 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.

15. Criteria for demonstrating Excellence in Public Health Practice Quality of Practice, 18 criteria Innovation, 3 criteria Responsiveness and Collaboration, 4 criteria SupportStructures, 3 criteria www.sph.unc.edu/images/stories/faculty_staff/faculty_staff/documents/appointment_promotion.pdf Promotion & Tenurein Engaged Scholarship

16. Acknowledge that each partner brings not only different worldviews, skill sets, and access to resources, but also different pathways for achieving the same goal. Ensure reciprocal accountability, Assume nothing, listen, expect to accommodate conflict Send people to The Table, who have high tolerance for ambiguity and people who “talk back,” and are open to co-learning Time and resources required to work on the relationship are constant, with the rewards being those of an enduring commitment to stay in the partnership. Lessons Learned

17. Thank you