Taking action when everything is on fire

Whew, it's been a couple weeks, hasn't it?

Public health is being further threatened than it already was in every direction - halting of foreign aid work; an attempted coup in the form of a spending freeze; an anti-vaccine skeptic nominated to lead the nation's health agency; the list - sadly - goes on.

And the opposition to these threats? It's been weak, slow, and completely insufficient. I don't mean opposition as in people ranting about and posting about and discussing these problems. I mean opposition as in actually taking action.

And why is that? I think there are two key issues here:

1. Actually taking action isn't a central part of enough our organizations’, agencies’, and coalitions’ (not to mention politicians') ethos, frameworks, and plans. Speeches and reports and "awareness raising" and "information sharing" are not ACTION. And here’s the thing - nothing changes until we act.
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2. We aren't organized!! And it's not entirely our fault. Our civic infrastructure has been ravaged by everything from land use policy (which prevents the kind of community building we need to foster the trust, conversation, and connection that is foundational to organizing) to restrictions on 501c3 lobbying (while leaving corporate lobbying, political influence, and in a word, corruption, unchecked) to the decimation of local news (which is needed to hold local policymakers and others accountable, foster community action, and more) to the weakening of community, labor, and other organizations that could actually put weight behind advocacy demands and see them to fruition.
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So we can call our congresspeople or join protests, but without actual, meaningful, and long-term organizing, we're not going to be nearly effective enough.

I've been giving both the action and organizing points above a lot of thought, even before the chaos of the last couple weeks.
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On the action front, PoP Health will be offering a FREE live class for community coalitions sometime this Spring, all about why every community health coalition needs a strong action plan - and the process they need to get there. Community-rooted work is more important than ever right now, and with a strong planning process, your coalitions can deepen your impact and build community power.
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On the organizing front, we've got some wheels in motion, but it's early yet - stay tuned for more details, and please reach out if you have ideas to share or want to be involved. Also please drop me a note if you've seen examples of or are involved in taking organized action against the current threats to public health.

As Grant Ennis notes in his book Dark PR, historical protests that led to meaningful policy change did not involve “individuals brandishing banners stating scattered goals” but rather “organized citizens focused on political action” with banners that “listed their demands and the names of the groups they represented.”

And as I heard in a conversation about the role of democracy in population health yesterday, protests and other forms are direction are a component of organizing, but they are the not the entirety of organizing. There's a lot more to organizing effectively - stay tuned for the next Community Threads newsletter for more on that.

Everything that's happening right now is a LOT, but I still have hope we can find ways to come together to not just act in opposition, but to proactively put forth different - and more compelling - narratives, values, and ways of shaping our policies and our communities.

We can do this.

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Why we must ACT in 2025

I opened the new year inviting you to join PoP Health at the intersection of hope and action to transform health in our communities.

Earlier this month, we dove into the idea of hope.

Today, we’re focused on ACTION.

I’m all about capturing data to understand community needs - but does it sometimes feel like all we’re doing is defining (and redefining) the problem, listing challenges and barriers, and adding proof points that the problem exists?

I think sometimes we get paralyzed thinking we need more - more information, more resources, more time - instead of figuring out how to ACT in the here and now, with what we have.

I heard a great example of this at a workshop this past Fall, from an organization called Beyond Housing in St. Louis. Their CEO shared the simple framework they use to guide their work: Ask, Align, Act. “We ask for the community’s input to identify priorities, align resources, and act toward fulfilling a common vision.”

It sounds SO simple. Yet, many organizations and agencies aren’t doing this.

Part of that, of course, is because it isn’t actually simple to identify priorities or align resources, much less act. There are so many complexities and challenges, and I don’t want to diminish those.

Yet, that’s only part of the story. Many organizations and agencies aren’t even trying to act, at least not in a meaningful way.

I think the first step towards taking meaningful action is doing what Beyond Housing has done - make ACTION a central component of your organization’s ethos, framework, plan.

The results can be impressive. Just check out what Beyond Housing has done - https://beyondhousing.org/about/our-work/.

Here’s the thing - nothing changes until we act.

We also can’t learn what works - and perhaps more importantly, what doesn’t work - until we act.

It’s in this spirit of taking action that we here at PoP Health will be offering a FREE live class for community coalitions this Spring, all about why every community health coalition needs an action plan - and the process they need to get there. Stay tuned for more details!

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Why we must HOPE in 2025

How is the start of your year?

I hope it is off to a great start, but I know too that many across the country are experiencing hard times just weeks into the new year.

Regardless of where on the spectrum your year so far falls, I stand by what I shared last week: I believe wholeheartedly that it is at the intersection of hope and action that we can work together to transform health in our communities. So in this issue and the next, I’d like to break down each of those concepts.

Today, we’re focused on HOPE.

Especially as we’re coming up on inauguration, following an election that demonstrated just how polarized communities across our country are, holding on to hope feels even more important - and yet, even harder - than before.

But hope we must.

Like many others, I found much hope in Rebecca Slonit’s words post election.

I encourage you to read her brief post in its entirety, but here are three pieces that stood out to me:

"You are not giving up, and neither am I. The fact that we cannot save everything does not mean we cannot save anything and everything we can save is worth saving."

"People kept the faith in the dictatorships of South America in the 1970s and 1980s, in the East Bloc countries and the USSR, women are protesting right now in Iran and people there are writing poetry. There is no alternative to persevering, and that does not require you to feel good."

"Take care of yourself and remember that taking care of something else is an important part of taking care of yourself, because you are interwoven with the ten trillion things in this single garment of destiny that has been stained and torn, but is still being woven and mended and washed."

Within her words, there are three important lessons about hope:

• Hope does not mean we hold onto an unfounded belief that we can save everything - but it does mean embracing the reality that we can save SOME things and those things are worth saving.

• Hope does not mean you feel good. I think we conflate feeling hopeful with feeling good in the moment, right now. It’s possible to have hope even when you’re feeling heartbroken, even when you’re feeling furious, even when you’re feeling deflated, even when you’re feeling skeptical. In fact, it is especially important to hold on to hope when you’re feeling these other emotions.

• We hope because we - all of us, our lives, our dreams, our destinies - are connected and while the threads that connect us are “stained and torn”, they are also perpetually being “woven and mended and washed”.

So thank you, for weaving and mending and washing these Community Threads with us. Let’s keep at it.

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A New Year's wish + invitation

Thank you for being a part of our Community Threads family! Having this space to share with you all and reading your emails about what you’ve gleaned from these newsletters have meant the world to me this past year.

So as we close the chapter on 2024 and enter 2025, I wanted to share with you a new year’s wish + invitation:

We recognize 2025 is a new year with significant challenges - some old, some new. And we believe wholeheartedly that it is at the intersection of hope and action that we can work together to transform health in our communities.

In that spirit, here at PoP Health, we’ll be launching two new projects in 2025 - action planning workshops and technical assistance packages for community health coalitions + an initiative focused on putting political and economic power back in the hands of communities.

We’ll share with you along the way right here in our Community Threads newsletters. Please keep those replies coming - I love hearing from you!

In the meantime, as we find new ways to take action together, I remain ever grateful to you - thank you for reading.

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The story matters more than the words

Howdy,

Did that "howdy" make you double take? Hi, hello, hey, yoo-hoo, yo, howdy - so many possible one-word greetings. Don't they each make you feel a little bit different?

I love words. As an avid reader, a writer, and just a human in this world, I love words.

And I do think they matter. As our little greeting exercise shows, words do evoke feelings, and they communicate all kinds of things (the mood you're in, how well you know the person you're talking to, how formal the context is, and so on and so forth).

BUT I don’t think words matter as much as policy or practice. It goes back to the old saying, actions speak louder than words.

If you’ve seen the conversation around whether to use the term unhoused or homeless or persons experiencing homelessness - I always come out of it thinking: 1) ask the people themselves (Folks have. The vast majority of them continue to prefer the term homeless.) and 2) WHO CARES if you aren’t DOING something about it?

As usual, McSweeney’s sarcasm captures it better than I can - “Our City’s New Initiative Will End Homelessness by Calling It Something Else”. Changing our words doesn’t mean we’re changing our actions - in fact, changing words often distracts from the fact that we’re not changing our actions. Much of the time, changing our words is a whole lot of virtue signaling and not much else.

When it comes to community health and well-being, changing actions - changing policy and practice - is what matters. That requires changing minds. And that, in turn, requires a compelling story.

This is where public health - and movements to advance public health - have fallen very, very short.

We should be FAR more obsessed with shaping the narrative than with word choice. As I’ve said before, we need to tell more stories (it's why PoP Health hosts a "Story Space" at the annual community health event we co-organize, sharing stories with kids about our minds, emotions, and connections to others).

But it's not just our kids who need stories. Our communities do too.

How do we tell compelling stories that place the blame on the system and not the individual? How do we tell powerful stories that make the case for prevention instead of after-the-fact treatment? How do we tell stories that build community and bring more people under our tent, instead of further alienating those we need to persuade?

THIS is what we should be obsessing about.

Words can evoke emotions, but stories are what change minds.

I find the work of organizations like Frameworks Institute and Hollywood, Health, and Society to be quite compelling on this front.

In my little corner of the world, I’ve tried to shape a story around our approach to health and am currently working on shaping a story around the impact of corporate power on our health and environment and what we can do about it.

How are you shaping stories in your work and in your communities? Or, if you aren’t yet, how might you want to moving forward? Drop me a line and let me know!

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Movements need weavers and warriors

What a week.

In the last issue of Community Threads, I spoke about how voting isn’t enough - that we need to organize movements. That remains true regardless of who wins an election or which political party is in power.

We need to come together - in a highly organized, long-term, consistent way - to make collective demands for concrete changes. We need movements.

And movements need both weavers and warriors.

Weavers that bring separate threads together to create a collective fabric - that bring organizations and individuals together for a common purpose, that build stronger connections, that persuade more people to join together, that reach across aisles, that take collective action.

Warriors that fight for the changes they want to see - that go up against power, that resist what they know is not right, that protest against injustice.

I’ve always considered myself a weaver - everything from the name of this newsletter (Community Threads) to PoP Health’s logo (which emphasizes interconnectedness) go back to the ideas of working together for collective impact. It’s why I love working with community coalitions and collaboratives.

And yet, I find myself venturing more into warrior territory these days. PoP Health has a new initiative coming down the pike (in Spring 2025) that’s focused on putting political and economic power back in the hands of communities, as opposed to corporate interests. And it has me fired up.

It makes me wonder if those of us who have both weavers and warriors in us - and those spaces where weavers and warriors can come together - could be valuable to the work of organizing movements.

Because a few things are clear.

A lot of weaving in the community health space has involved admiring the problem, as opposed to solving it. A lot of weaving has focused so much on achieving consensus with everyone (even the corporate interests that are working against public health goals) that the end results have been weak and watered down actions.

On the flip side, a lot of warriors in the community health space have failed to widen their tent and expand their coalition. A lot of warriors have failed to coordinate and coalesce around concrete demands in consistent, sustained ways.

Movements need weavers and warriors (and those who see both in themselves). Who are you? A weaver, a warrior, both? And has your answer changed over time, like mine? Drop me a line and let me know!

Ultimately, successful movements need weavers that build agreement and collective, sustained action around the concrete demands of warriors.

As I said last time, history shows us it’s possible. Let’s get to work.

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Why voting isn’t enough

With election day fast approaching, I’ve been thinking a lot about voting. 

At an event I was at a few weeks ago, someone brought up the distinction between technocratic strategies and democratic strategies - that technocratic strategies focus on policy (which is necessary, but not sufficient, to transform health in our communities) while democratic strategies focus on politics (which is all about POWER). 

We can’t transform health in our communities without democratic strategies that center power.  And as Frederick Douglas said, “Power concedes nothing without a demand.” If we don’t demand change, power concedes nothing, and we’re left where we started. 

And up until recently, I thought about voting as one of the only ways I personally could demand change. 

Yes, I could call my legislators or sign a petition or join a protest, but those things never seemed all that effective to me. 

And I finally figured out why. 

I just finished the book Dark PR, by Grant Ennis (highly recommend, and you’ll be hearing more about it from me!), and he lays out both why “just voting” isn’t enough and why other political actions in the modern day “fall flat”. 

Ennis talks about “just voting” as a “harmful narrative”. 

“If we are deceived into believing that citizenship begins and ends with voting, we risk losing sight of the fact that a healthy democracy requires citizen association and political action in addition to voter participation. Democratic participation involves starting, actively organizing, and participating in citizen groups that continuously demand change. Democracy is in danger if we fail to understand that it requires much more than ‘just voting’.” 

And the citizen association piece is the key to why the political actions I had available to me (call my legislators, sign a petition, join a protest, and so on) always seemed ineffective. 

Ennis writes, “Citizens ‘just protest’ at the expense of meaningful citizen organizing and targeted political action.” It’s not that protests are always ineffective, but if we are mobilizing without organizing, if we are mobilizing without concrete and substantial demands, then we are engaging in “aggregate individual behavior” as opposed to a true collective movement. 

He contrasts how historical protests that led to meaningful policy change did not involve “individuals brandishing banners stating scattered goals” but rather “organized citizens focused on political action” with banners that “listed their demands and the names of the groups they represented.” 

Don’t get me wrong, I remain a proud voter, and think everyone eligible should absolutely vote in every election. And that changes are needed to make it easier to vote. 

But it’s not enough. 

And neither are individually calling our legislators or showing up to a one-off protest. 

We need to organize movements.  We need to make it so we call our legislators and sign petitions and join protests in ways that ARE effective because they are organized, collective demands for concrete changes that are long-term and consistent. History shows us it’s possible. 

More on movements soon. In the meantime, let’s vote! 

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The difference between cynicism and skepticism

Are you a pessimist or an optimist?

I’m optimistic (almost to a fault, my family would tell you).

But…I’m also pretty skeptical. Whether it’s someone trying to sell me on a business idea or life insurance package or supplements or pretty much anything - they’ll be met with a lot of questions and not-particularly-well-hidden skepticism (I’ve got no poker face, y’all - something I share with my daughter).

Doesn’t it seem somewhat counterintuitive to be both optimistic and skeptical? If you’re optimistic and believe the best in people, shouldn’t you also believe in the ideas people are putting forward? 

Well, in an issue of Well from the New York Times last month, they quoted the director of the Stanford Social Neuroscience Lab, Jamil Zaki, making a distinction between cynicism and skepticism, and it was a real “light bulb moment” for me - 

“Cynicism…is a lack of faith in people, while skepticism is a lack of faith in our assumptions.” 

Ding, ding, ding! When I read this, I immediately thought, YES, this is exactly it. I believe in people (ok, not every single person, but generally speaking, I believe most people have good intentions and are trying their best). But I reject many of the assumptions that underlie our society. 

Dr. Zaki suggests that a cynical worldview - believing people are “generally selfish, greedy and dishonest” - can make you feel safer and smarter, but can also have a negative impact on your health and lead to beliefs that are untrue. He “encourages readers to become “hopeful skeptics” who think critically about societal problems while recognizing how kind and generous others really are.” 

And this, I think, is at the heart of public health and the work of coalitions in pursuit of transformational change to the health and well-being of their communities. 

We should be highly skeptical of the assumptions that underlie our current policies and systems. 

But we should not lose our faith in people, or our faith in the idea that people can come together to change our policies and systems for the better. 

What do you think? Does this resonate for you? Are you a cynic or a skeptic or both or neither? And how do you think cynicism and skepticism “show up” in our work?

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The most important question to ask yourself when action planning

🍁Happy Fall🍁 

It’s the season of sweaters and apple picking and pumpkin spice. 

And my personal favorite - the changing colors of the leaves. There is this incredible tree in our neighborhood, visible from our front door, that turns brilliant shades of yellow and orange and red over the course of the transition from summer to fall. The very top of the tree has just started to change color. 

Over the course of the next several weeks, the entire tree will gradually change color until it’s brilliantly aflame, and then the leaves will start to fall, until eventually the tree is left bare. It’s a transition I love watching. 

One of the amazing things about Fall colors - every leaf is unique. The shape, the shades, the imperfections. They’re each adding unique value and, ultimately, when we look at the tree as a whole, creating a sum that’s greater than its parts. 

This is exactly how I want us to think of our coalitions and their membership. 

And it leads to what I think is the single most important question to ask yourself during coalition action planning - 

What’s our unique value add? 

What do we collectively bring to the table that other organizations/agencies/actors in our community don’t? 

What can we do that others are not doing and cannot do? 

What gap can we fill?

Grounding your action planning in this question about unique value add is vital. 

I’ve been working with two very different coalitions recently, and in both, we’ve intentionally rooted action planning efforts in this question. 

There is a school mental health coalition where we’ve articulated this unique value add as the three prongs of our mission statement - and that mission statement is now driving our action planning, both for the coalition as a whole, as well as for specific pilot projects. 

There is a rural health coalition where we’ve honed in on mobile care as a key focus area. We’re still in the process of articulating our unique value add, but we’re centering that as the key goal of our initial information gathering with mobile care providers in the region. We’re aiming to understand their experiences, challenges, and opportunities, and get their direct input about where our coalition can add unique value to what’s already happening in the community. Is it as a convener? As an advocate? As a data gathering and sharing entity? As something else? To be determined, but the answer(s) will drive our action planning, and ensure that whatever we end up doing is actually valuable and not duplicative or counterproductive to existing efforts. 

Along with the question of what our unique value add is as a coalition, a couple important bonus questions to consider: 

• What can we create that’s greater than the sum of its parts? The whole point of a coalition is to bring together multiple entities for collective action - so what can we create by working together that’s more than what we could accomplish simply working in parallel?

• What is each organization and individual’s unique role within the coalition? The key to recruitment and retention of coalition members is ensuring they have clear roles and responsibilities that they are uniquely suited for. 

So, as we commence this Fall season, I invite you to explore or revisit the question of what your unique value add is - as an individual, as an organization, and as a coalition. Send me your thoughts!

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"The art of gathering" and the importance of grounding people in their purpose

Have you facilitated a meeting before? Or hosted a party?

What runs through your mind when you’re planning a gathering?

Are you a “chill host” (hint: Priya Parker, in her book, “The Art of Gathering”, suggests you shouldn’t be!)?

Source: https://www.priyaparker.com/book-art-of-gathering

Do you ask yourself why you’re gathering people (and then why again and again, until you drill down to something meaningful) and use your answer to shape your event (hint: This will help you host a meaningful, memorable gathering!).

I was invited to speak at a Comprehensive School Mental Health State Policy Academy in Charlotte, North Carolina last month. At the start of one of the days, in small groups, the meeting facilitator had us answer what I think might be the most powerful icebreaker question I’ve been asked - “Who do you dedicate your learning here today to?”

The answers from the members of our small group were vulnerable, beautiful, and heartfelt - from stories of loss to children going off to college to reflections on one’s community. It was an invitation to not just think about our school mental health work and the impact it could have, but to ground ourselves in what this work means to us.

My answer surprised even me - as I thought about school mental health and who I’d want to dedicate my learning to, my thoughts gravitated to the people closest to me who had the least amount of support for their mental health as children - my parents.

This opening question is a powerful example of a point Priya Parker underscores in her book - don’t open with logistics. Get to those eventually, but they are a buzzkill as an opener. Instead, think about the deepest “why” of why this gathering is taking place and use that to plan a powerful opening. (Note: This goes for endings too, don’t end with thank yous! Get those in along the way, but to close, get people back to the core “why” of the gathering and inspire them to make a change - however small - as a result.)

Speaking of thought-provoking openers - while I was in Charlotte for this meeting, I wandered through the city and checked out the amazing public art sprinkled throughout, and this sculpture at the entrance to a park really caught my fancy, so I had to take a quick picture. What a way to invite people to think about their time in this outdoor gathering space.

“Life is an Open Book” by Brad Spencer in The Green, Charlotte, North Carolina

Every time we come together with others, whatever shape or form that takes, however casual or formal, we have an opportunity to elevate that gathering - from something mundane to something extraordinary. Take your shot. And shoot me a note to tell me all about it!

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