WELCOME

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:

MAPP is:

• A community-wide strategic planning process for improving public health.

• A method to help communities prioritize public health issues, identify resources for addressing them, and take action.

MAPP provides…

• a framework,• guidance,• structure, and • best practices…

for developing healthy communities.

MAPP Overview

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.

The MAPP Paradigm Shift

Three Keys to MAPP

• Strategic Planning

• Community Driven Process

• Focus on the Local Public Health System

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)

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

Schools

Dentists

EMSLaw Enforcement

Corrections

Faith Instit.

NGOs

Labs

HCP

Tribal Health

City Planners

Transit

Fire

Civic Groups Employers

Drug Treatment

Elected Officials

Mental Health

CHCs

Public Health Dept

Parks and Rec

Public Health System

Nursing Homes

NeighborhoodOrgs.

Home Health

Bringing Local Initiatives Together

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.

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

Tools

• Webcasts

• Stories from the Field

• Clearinghouse

• Guidance Documents

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!

NACCHO Staff Contacts Julia Joh Elligers, MPHProgram Manager, NACCHOjjoh@naccho.org(202) 507-4234

Mary Kate Allee, MPHSenior Analyst, NACCHOmallee@naccho.org(202) 507-4190

Alexandra HartProgram Assistant, NACCHOahart@naccho.org(202) 507-4214