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4 Learning About Spread and Scale from Other Sectors
Pages 29-38

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From page 29...
... Panelist Linda Kaufman, the national movement manager for Community Solutions' Zero: 2016 campaign to end homelessness, shared lessons learned from the spread and scale of the 100,000 Homes Campaign to reduce homelessness. Ogonnaya Dotson-Newman, the director of environmental health for West Harlem Environmental Action, Inc.
From page 30...
... (Brief background information on the case examples, including how speakers understand spread and scale in the context of their own work, was submitted by the panelists prior to the workshop and is available in Appendix C.) 100,000 HOMES AND ZERO: 2016 "I believe housing is health care," Kaufman said, and "we cannot do health care without housing."1 During its 4-year 100,000 Homes Campaign, Community Solutions worked with 182 communities around the country to house more than 100,000 vulnerable and chronically homeless individuals and families by July 2014.
From page 31...
... This early evidence of disproportionate exposures found that three out of five Black and Hispanic Americans lived in communities with one or more uncontrolled waste sites; that race was the single most important variable (more than income or property value) determining proximity to toxic waste sites; and that the percentage of the local population that was of color increased proportional to commercial waste sites.
From page 32...
... WE ACT for Environmental Justice is a northern Manhattan c ­ ommunity-based organization whose mission is to build healthy communities by ensuring that people of color and low income people participate meaningfully in the creation of sound and fair environmental health and protection policies and practices, Dotson-Newman said. 3 WE ACT is involved in the training and empowerment of people in the northern Manhattan area and in advocacy at the city, state, and national levels.
From page 33...
... CRITICAL TIME INTERVENTION CTI is an individual-level, time-limited care coordination model that mobilizes support for vulnerable persons during periods of transition. Herman explained that the work actually began in the 1990s in the Fort Washington Armory in upper Manhattan, which at the time was serving as a large shelter for homeless men.
From page 34...
... In 2014, with support from the Silberman School of Social Work at Hunter College, the Center for the Advancement of CTI was launched to support the dissemination of CTI and to promote collaboration among trainers, providers, researchers, advocacy groups, and policy makers.4 In closing, Herman reiterated his concern about the dissemination of evidence-based interventions in social services and health care, including the sustainability of dissemination efforts. While there have been suggestions of linking with commercial enterprises, Herman said he felt that these types of models are not of commercial interest from a profit perspective.
From page 35...
... Environmental justice organizations and public health researchers have been working in collaboration to influence the reform of state chemical policies and then to use those as leverage to get the U.S. Environmental Protection Agency and other organizations to take action and also to hold industry accountable.
From page 36...
... In many cases, especially in social services, the support for developing a thoughtful, effective business model or infrastructure to support the spread of an innovation does not exist, Herman said. There are individual charismatic leaders who have been successful in pulling together resources to support the spread of programs, but there is a gap in the infrastructure that is used to bring innovations to the community to improve health outcomes.
From page 37...
... In one case, the National Institute of Environmental Health Sciences provided strategic funding and support for community–academic partnerships to develop ways to translate science into practical actions (e.g., asthma home management programs)


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