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.

MichiganPOWER

to THRIVE

August 2015 GatheringAnd 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)

MichiganPOWER

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.

Ezekiel Genesee 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 LiskeGAMALIEL of Michigan

Charles Wilson, Washtenaw County Public Health

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 BlossMichigan Public Health Institute

Johnnie TurnageMOSES

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

ConfrontingRoot 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:

SafeAffordableHousing

SocialConnection

& Safety

QualityEducation

Job Security

LivingWage

Access toTransporta-

tion

Availabilityof Food

Dennis Raphael, Social Determinants of Health; Toronto: Scholars Press, 2004

Primary Prevention: A Social Justice Framework

Changing the QuestionsInstead 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 QuestionsInstead 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 QuestionsInstead 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 QuestionsInstead 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?

SafeAffordableHousing

SocialConnection

& Safety

QualityEducation

Job Security

LivingWage

Access toTransporta-

tion

Availabilityof 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 ImbalanceLABOR

MARKETS

GLOBALIZATION&

DEREGULATIONHOUSINGPOLICY

EDUCATIONSYSTEMS

TAXPOLICY

Social Determinants of Health

Disparity in the Distribution of Disease, Illness, and Wellbeing

InstitutionalRacism

Class OppressionGender

Discriminationand Exploitation

SOCIAL NETWORKS

SOCIALSAFETY

NET

SafeAffordableHousing

SocialConnection

& Safety

QualityEducation

Job Security

LivingWage

Transportation Availabilityof 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 EvansHealthy Start, Spectrum Health (Grand RapidsCharles WilsonWashtenaw 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.

TensionsPublicHealth

CommunityOrganizers

Afternoon Reflections

Renée CanadyMichigan Public Health Institute

Sister Cheryl LiskeGAMALIEL of Michigan

Wrap-Up

Sister Cheryl LiskeGAMALIEL OF Michigan

MichiganPOWER

to THRIVE

August 2015 GatheringAnd Issue Convention

August 20 & 21, 2015

SAVE THE DATES: WeROC Public Event: November 15, 3:00 – 4:30

ObjectivesContinue 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: ProcessEight 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

MichiganPOWER

to THRIVE

August 2015 GatheringAnd 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