A PRIMER
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Community engagement is an expression that has been forward-thinking as a useful approach for improving people's health and as a means of enabling a population to proactively be the stewards of their lives - and thereby improve their own health. The process of engaging communities poses multiple challenges and unti
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Book preview
A PRIMER - Dr. Gary L Kesling
A PRIMER:
COMMUNITIES IN COLLABORATIVE
CONVERSATIONS
Relationships…Possibilities… Transformation
Primer: Communities in Collaborative Conversations
Copyright © 2022 by Dr. G.L Kesling
All rights reserved. No part of this book may be reproduced or used in any manner without written permission of the copyright owner except for the use of quotations in a book review.
Thank you for buying an authorized edition of this book and for complying with copyright laws by not reproducing, scanning, or distributing any part of it in any form without permission. You are supporting writers and their hard work by doing this.
ISBN: 979-8-218-07115-8
ISBN: 978-1-0879-8267-0
First Edition: Month, 2022
Table of Contents
Acknowledgements
Biography
Introduction
Community Engagement
Paradigm Change
Connectedness and Social Capital
Culture, economy, governance and infrastructure: integrating four realms
Understanding the Significance of Community
Community engagement
Communities in Collaborative Conversations
What CnCs Looks Like
APPLICATIONS
What Does It Mean?
1. Community of Knowledge
2. Arrangement for the Conversation
3. Setting Genuine Expectation
4. Attributes of the Conversation Facilitator
5. Reflective Listeners
6. Conversationalists Ground Rules
7. Responsibilities of the Scribe
Appendix
A. Open ended exploration
B. Navigating a Community Narrative
Community Narrative
C. Selecting a location for Community Conversation
References
Additional Resources
Acknowledgements
Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.
Margaret Mead (1901-1978)
Biography
Dr. Kesling is a health care executive, academician, and clinician with over four decades of experience across a broad range of organizations in both the public and private sector working with local, state and federal agencies. Half of those years in collaborating, promoting and nurturing in academic environments serving as a faculty at academic health science centers’ Schools of Medicine, Nursing and Health Professions.
Dr. Kesling is the founder and CEO of Catalyst Consulting, providing population behavioral health consultations.
Introduction
Everyone deserves the opportunity to live a healthy life, regardless of where they live. It might be said that a person’s census-track code number has greater influence on their long-term health than their genetic code. The poor health inequities in communities are exhibited by such conditions, such as income levels, discrimination, housing stability, access to nutritious food, neighborhood safety, public education, economic opportunity, and more.
Social factors, both contextual (e.g., poverty, housing, education) and interpersonal (e.g., marginalization, social support, stigma) are important contributors to health outcomes for all people. Understanding how these factors influence health, both individually and in combination, can lead to the development and implementation of microcommunity resiliency.
Decades of research on the human stress response, both experimental and observational in method, have produced a wealth of knowledge that is directly relevant to understanding the human capacity to adapt to a wide variety of stressful events and situations. Beyond the individual, resilience can be approached at the level of communities, cities, regions or nations. Resilience at this scale concerns not only the population affected, but also, the environment in which their resilience is tested. The significance of this concept is that people are not the primary focus for resilient outcomes, but are instead, part of a wider system of interdependent factors. Community cohesion, neighborhood social capital and integration can be highlighted as key features of resilient places, while reduced social capital and cohesion can be seen as sources of vulnerability
This primer will increase the awareness, knowledge, and understanding of issues related to behavioral, psychological, and structural factors that contribute to understanding population health and health inequities. Conceptual issues, key to working towards achieving health equity to reduce health disparities