Policy Advocacy: A Practitioners Guide Vic Colman and Robbi Kay - - PowerPoint PPT Presentation

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Policy Advocacy: A Practitioners Guide Vic Colman and Robbi Kay - - PowerPoint PPT Presentation

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Policy Advocacy: A Practitioners Guide Vic Colman and Robbi Kay Norman May 2013 Learning Objectives Advancing a specific policy development framework as a workable roadmap Understand the power of policy, systems and environmental

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Vic Colman and Robbi Kay Norman May 2013

Policy Advocacy:

A Practitioner’s Guide

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Learning Objectives

  • Advancing a specific policy development framework

as a workable roadmap

  • Understand the power of policy, systems and

environmental change in moving public health agendas

  • Strengthen knowledge and skills in surfacing and

prioritizing policy strategies

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KEY DEFINITIONS

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“PSE”: POLICY

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“PSE”: SYSTEMS CHANGE

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“PSE”: ENVIRONMENTAL PREVENTION

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Media Legislative Regulatory Executive Judicial Consumer

TYPES OF ADVOCACY

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PSE – RATIONALE

“BEYOND BROCHURES”

Activity (Program) Focus PSE Focus One -time Ongoing Intended to learn behavior change Intended to change behavior Supports individuals Influence environments that support individuals Ongoing operational cost One-time cost Non-Sustaining Sustainable

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PSE – RATIONALE

“BEYOND BROCHURES”

TOPIC AREA ACTIVITIES/PROGRAM PSE COMPONENT

Employee Health & Productivity Wellness Fair Nutritional Standards Changed Behavior Reach Cost Sustainability

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“BEYOND BROCHURES” Exercise

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PSE – RATIONALE

MAXIMAL IMPACT

  • Research tells us that comprehensive approaches

to health problems are most successful

  • Broader reach -- PSE strategies have the ability to

reach entire populations and reduce collective risk

  • PSE approaches can be cost-effective and easier to

sustain

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POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE THEORY TO PRACTICE

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You Are Here!

If we are together nothing is impossible. If we are divided all will fail. Winston Churchill

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Community Wheel

Pop Quiz KNOW YOUR COMMUNITY

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The Power of Community Influencers

Each encounter with any influencer is an opportunity to:

  • market your PSE goals
  • expand or defend critical funding streams
  • Build initial steps to achieve greater public support of

your efforts (includes positive media)

Ultimately, positive contact with community

influencers can establish yourself and your partners as valuable resources for any health issue.

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Are you or your team considered a “player” in influential circles?

Do you receive requests to speak at events, endorse

initiatives, get invited to brainstorm ideas with policy makers?

Community Influencer: Ask Yourself? How would you assess which health policy groups are “players” in influential circles?

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  • Clarity of role(s)
  • Leadership
  • Ability to locate, persuade &

utilize influential champions

  • Wide & diverse community

involvement

  • Meeting community needs

and expectations

  • Diversified funding
  • Solid infrastructure
  • Stakeholder engagement
  • Adaptability

PARTNERSHIPS AND COLLABORATION: Ensuring Coalition Health

Key Variables

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PARTNERSHIPS AND COLLABORATION: CREATING EFFECTIVE STRUCTURES

  • Cooperation/communication (network):

Share information.

  • Coordination:

Some effort made to develop joint endeavors.

  • Collaboration/Integration:

Development of common agenda (program, policy).

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Do coalitions that you are part of have a clear understanding of their role in policy and systems change? Do individual members on the coalitions understand their specific roles in policy and systems change?

Partnerships and Collaboration: Ask Yourself?

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You Are Here!

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IDENTIFYING AN ISSUE:

 Is there a problem?  Identify and define the issue  Is the data compelling?

  • What kind of data?
  • Is it local?
  • Are there health disparities?

 What would happen if nothing was done?

Question: What is worse than ready, fire, aim?

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YOU ARE HERE!

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DETERMINE PSE OPTIONS: WHAT SHOULD BE DONE?

Making the list of potential change options for action  Use of evidence-based information

  • Best Practices - proven research findings
  • Promising Approaches - some research basis
  • Innovative Ideas - brand new approach

(untested)

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DETERMINE PSE OPTIONS: WHAT SHOULD BE DONE?

 Identify Level of Change Needed

  • Federal
  • State
  • Local
  • Institutional
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Policy TYPES

 Choose The Type of PSE Strategy –Official Policies –Procedures & Protocols –Advisory Statements –Voluntary Efforts –Budget

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CHOOSE PSE TYPE

Official Policies -- Laws Laws" or "statutes" are adopted by legislative and compiled into "codes." Subdivisions might be known as "titles", "chapters", and "sections." Laws take precedence over every

  • ther type of policy and are subject to the full weight of

enforcement via the criminal or civil justice systems. Enacted by a legislative body at any level of government or private entity leadership.

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CHOOSE PSE TYPE

Official Policies – Rules "Rules", "regulations", "administrative orders", "certification requirements", "licensure requirements", and similar terms usually refer to policies that are adopted by administrative bodies (local or state boards or departments.) They carry the force of “law” within the education system.

Remember: Rules can always be trumped by ordinance or legislation.

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CHOOSE PSE TYPE

Procedures & Protocols Procedures and protocols provide formal direction as to how a policy will be implemented and typically establish relationships and responsibilities for all those impacted by the

  • policy. The procedures and protocols provide a framework for

accountability and enforcement.

Remember: Procedures and Protocols can always be trumped by

  • rdinance or legislation.
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CHOOSE PSE TYPE

Advisory Statements: May include guidelines, resolutions, position statements, non- regulatory guidance, and legal advisories that provide recommendations, express opinions, provide evidence, and/or clarification on implementing policies and programs. They can originate from state legislatures, state or local boards

  • f education, national organizations, state education agencies,
  • r other entities. Ultimately, such guidelines are intended to

result in a code of correct conduct or adoption of best practice.

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CHOOSE PSE TYPE

Voluntary Efforts: These can emerge a few different ways:

  • 1. Proponents may feel that stronger types of policy

(like ordinances and laws) are unlikely to pass so a voluntary approach is used first. This can lead to stronger efforts down the road.

  • 2. Voluntary approaches can also emerge out of

negotiation when stronger policy efforts are first attempted.

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CHOOSE PSE TYPE

Budget: The development of budgets (for programs and agencies) is another form of policy but can be overlooked as a place to develop strategy and advocacy. Budget development is not a mechanistic process but rather a process that involves decision makers engaged in prioritizing resources that can be influenced both internally and externally.

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FINAL LIST OF STRATEGIES NEED TO BE … ACTION STATEMENTS

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YOU ARE HERE!

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REVIEW FEASIBILITY VARIABLES: Can It Be Done?

 Political Feasibility

  • political and economic climate

 Program Feasibility

  • operational questions, including complexity and

measurability

 Social Feasibility

  • community connection; unintended consequences
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Feasibility: The Power of Local Policy Development

  • Compliance and enforcement efforts are more

accountable to local advocates

  • Local advocates more easily reflect community-specific

standards and norms

  • Vested industry interests are generally less effective at

the local level

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Feasibility: The Power of Local Policy Development

  • Finding the right “toe-hold” in the organization
  • Connecting to the overall strategic plan
  • Framing: Looking for the argument that can

connect more broadly

  • Determining advocacy opportunities
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REVIEW FEASIBILITY VARIABLES:

Can It Be Done?

Unintended Consequences  Positive: DARE example  Negative:

  • Fetal Alcohol Syndrome FAS) Warning Labels

(alcohol)

  • Regulating on Advertising and Marketing

(soda pop, tobacco, alcohol)

  • Taxes (soda pop, tobacco and alcohol)
  • Restricting Retail Availability (i.e., fast food
  • utlets)
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GROUP EXERCISE: Working in the PSE Framework

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  • Policy approaches are a legitimate part of

the business of public health

  • Effective policy development is more than

just jumping to your favorite solution

  • Solutions need to be action-oriented, rather

than large policy objectives Understanding the PSE Development Framework: Key Take-Home Thoughts for Stages 2-4

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UPCOMING WEB TRAININGS: A SNEAK PREVIEW?

  • Coalition Health and Sustainability
  • Policy Advocacy: Developing an Advocacy Plan
  • Communications and Persuasion
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Tha hank nk y you!

360.878.2543 vicsolutions@comcast.net 360.556.4630 robbisolutions@comcast.net