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Creating a Life Course Community System

Creating a Life Course Community System. MCAH Programs within a Broader Context. Overview `. What does a successful life course community system look like? How do we connect all the dots? What’s needed to make this happen? Examples from the field Discussion – What works? What’s difficult?.

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Creating a Life Course Community System

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  1. Creating a Life Course Community System MCAH Programs within a Broader Context Malin & Fine: MCAH Action Education Day

  2. Overview ` • What does a successful life course community system look like? • How do we connect all the dots? What’s needed to make this happen? • Examples from the field • Discussion – What works? What’s difficult? Malin & Fine: MCAH Action Education Day

  3. How can the Life Course Perspective Shape Our Work? • Transform the way we view MCAH programs and services • Facilitate shared planning across multiple sectors • Expand our circle of agencies with which to partner • Help us to do less with more in these tight budget times. Malin & Fine: MCAH Action Education Day

  4. Characteristics of Projects Operating from a Life Course Perspective • Go beyond individual programs • Focus on system change and integration • Focus on changing physical, social, economic and policy environments • Take a whole woman, whole child, whole family, whole community approach – to effect change across the population Malin & Fine: MCAH Action Education Day

  5. Where Do We Start? • Initiatives or projects that are rooted in the life course perspective can take different forms • Integrating new approaches/content to traditional services • Coordinating and streamlining existing services • Making alliances with “non-traditional” partners to transform communities so that women, children and families can thrive • We are all at different stages of life course implementation Malin & Fine: MCAH Action Education Day

  6. Framing the Problem What questions are we asking? How do these questions define the problem? How does the definition of the problem define the solution?

  7. Flipping the Question Why do people smoke? What social conditions and economic policies predispose people to the stress that encourages smoking? Doak Bloss, Ingham County Health Department

  8. Alameda County Public Health Department • Building Blocks Collaborative (BBC) • Started as Perinatal Systems Re-design • Morphed into an external community collaborative with a broader purpose • Connected to an internal Life Course System Design Committee (LSDC) • Implications for the ACPHD MPCAH program • Changes/additions to existing programs (home visitors, assessment tools, staff involvement in collaboratives) • “Food to Families” – Kresge grant • Response to State’s RSI for Home Visiting monies Malin & Fine: MCAH Action Education Day

  9. Flipping the Question/Solution We need to teach people how to eat more healthful meals. What policies and practices by government, commerce, and corporations led to the decline of food stores in West Oakland?

  10. Alameda County First 5 Every Child Counts (ECC) • Children’s SART (Screening, Assessment, Referral and Treatment) • Universal screening and messages for all children and families • Prevention/promotion • Early identification • Core Components – Help Me Grow (HMG) • Centralized telephone access point • Child healthcare provider outreach • Community provider outreach and networking • Data collection and analysis Malin & Fine: MCAH Action Education Day

  11. Opportunities to link HMG to Home Visiting • Home visitors refer families directly to HMG • Home visitors obtain referrals for families via HMG • HMG refers children/families to HV programs • Home visitors participate in HMG networking breakfasts • HMG outstations care coordinators at HV programs such as Early Head Start, care coordinators use HMG data system, participate in same activities as on-site coordinators Malin & Fine: MCAH Action Education Day

  12. Connecting All the Dots Malin & Fine: MCAH Action Education Day

  13. Connecting Services within a Life Course Community System – What’s needed? • Efficient and effective two-way linkages between services and systems of care. • Develop a common language/framework • Shared planning – across sectors, across disciplines • Shared set of outcomes – shared accountability for results • Shared data, monitoring and analytic capacity • Be at the table for broader community change Malin & Fine: MCAH Action Education Day

  14. Panel Presentation Examples of: • Shared referrals and linkages? • Common languages/frameworks? • Shared planning? • Shared outcomes/data collection and analysis? • Participation in broader community change? Malin & Fine: MCAH Action Education Day

  15. Questions for Discussion • What kind of life-course influenced strategies most appeal to you and/or would be most realistic to implement in your LHJ? • Where are you in developing or implementing this work in your LHJ? What’s worked? What’s been challenging? • What have been your biggest realizations about this work to date? Malin & Fine: MCAH Action Education Day

  16. Creating a Life Course Community System Kiko Malin, MPCAH Director Alameda County Public Health Department Christina.malin@acgov.org (510) 208-5979 Amy Fine Health Policy/Program Consultant Washington, DC 202-966-6361 afinehome@aol.com Malin & Fine: MCAH Action Education Day

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