Shifting from a programmatic to a more holistic approach: Backbone organizations and partners with local context have a broader commitment to the community and have a longer-term time horizon to build trust and make progress in the community and the partnership. [...] I hope the stories and models I highlight can help inform this convergence of physical and human capital solutions at the place-based level to improve the health and well-being for the adults and children who live in the nation’s historically underserved communities. [...] Leaders of the Unity Council (Oakland, CA) met weekly with partners to align and coordinate given the needs of the community and the new roles and resources the Unity Council was helping to distribute. [...] Local CBOs and partnerships with a strong, well-functioning backbone entity can lead the convergence of physical and human capital solutions at the place-based level to improve health and well-being for the adults and children who live in the nation’s historically underserved communities. [...] I hope these stories and models can help inform the dialogue on place-based work and the importance of connecting across sectors to improve the health and well-being of children, families, and communities across the country.
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Table of Contents
- Acknowledgements & Thanks 4
- Executive Summary 5
- Introduction 7
- Motivation 7
- Core research questions 7
- Methodology 7
- Background and context 8
- Social determinants of health 8
- Notable efforts addressing social determinants of health and health equity 9
- Activity by other CBOs 10
- Critical role of backbone organizations 12
- The importance of backbone entities 12
- Funding to support backbones 13
- Federal funding 13
- State and local funding 14
- Nonprofit funding 14
- Successful practices of partnerships that further health equity 14
- Managing tensions 15
- Shifting from a programmatic to a more holistic approach 16
- Leveraging physical assets and on-the-ground social services 18
- Building on a history of local collaboration 19
- Embracing ongoing change 20
- Implications for funders and policymakers 21
- Federal, state, and local governments 21
- Health insurers and health systems 22
- Philanthropies 22
- Future research questions 22
- Continuous improvement for the partnership and backbone organizations 22
- Innovative practices 23
- Promise Neighborhoods 23
- Conclusion 24
- References 25
- Interviewees 29
- Appendix 30
