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Social Determinants of Health

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Social Determinants of Health <[log in to unmask]>
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Sarena Seifer <[log in to unmask]>
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Tue, 2 Aug 2005 09:56:28 -0700
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Dear Linda,

Thank you for your insightful observations - I hope you and others 
on this list will also share your perspectives on CBPR on the CBPR 
listserv at https://mailman1.u.washington.edu/mailman/listinfo/cbpr

Also, I hope you'll plan to participate in Community-Campus Partnerships 
for Health's next conference, the whole focus of which is "Walking the 
Talk: Achieving the Promise of Authentic Partnerships" The conference 
will be delving into the questions and issues you raise below about power 
and community participation: "With the remarkable expansion of interest 
and investment in community-campus partnerships, we believe the time is 
right to take a critical look at these partnerships in all of their 
iterations and ask (and answer) key questions about where we are now, 
where we are going and where we need to be.

*How do we fully realize authentic partnerships between communities and 
higher educational institutions?
*How do we balance power and share resources among partners?
*How do we build community and campus capacity to engage each other as 
partners?
*How do we create healthier communities through partnerships?
*What are the barriers and challenges getting in our way?
*How do we overcome these, individually and collectively?
*How do we translate "principles" and "best practices" into widespread, 
expected practice?"

The conference website is at
http://depts.washington.edu/ccph/conf-overview.html.  Workshop and poster 
proposals are due on October 7; the conference is May 31-June 3, 2006 in 
Minneapolis, MN USA.

Thanks again,

Sarena
Community-Campus Partnerships for Health
www.ccph.info


On Tue, 2 Aug 2005, Linda Green wrote:

>> Announcing the publication of Methods in Community-Based Participatory
>> Research
>> for Health Edited by Barbara A. Israel DrPH, Eugenia Eng DrPH, Amy J.
>> Schulz
>> PhD, Edith A. Parker DrPH
>>
>> Written by distinguished experts
>
> Let's just flag the phrase 'distinguished experts'  for a moment
> in light of the claims being made about equal partnerships below.
> With the respect due those who have developed CBPR and are
> promoting it so that community based organizations can get into
> line with the requirements of new evidentiary regimes (including
> program and outcomes evaluation), I noticed that the principles
> and practices that inform community based participatory research
> are essentially those of community psychology. Given that, I wonder
> about the strength of the argument that CBPR is truly community
> based? I find it very difficult given my exposure to the practices
> of knowledge production in the field of psychology to see the field
> as capable of leading anything truly grassroots. When I inquired of
> those online recently about the history of usage of the term citizen
> engagement, someone (forgive me for forgetting for the moment
> who that was) responded with a  comparison with the participatory
> approach that is credited to Paolo Freire. However, I want to point
> out that from my point of view, it is a significant political leap from
> CBPR to the work of Freire. This was an extremely generous
> comparison I think.
>
> For those who weren't aware of the origins of CBPR in community
> psychology, take a look at the book  Community Psychology: Linking
> Individuals and communities. Dalton, J.H. (2001). Stamford, Conn.
> Wadsworth Publishing.
>
>> in the field, this book shows how researchers,
>> practitioners, and community partners can work together to establish and
>> maintain equitable partnerships
>
> why are we so sure these are equitable partnerships? I think
> that assertion may need some reality testing. My experience is
> you don't have to dig very deep to hear how this isn't quite a fit
> on the community side of these partnerships. I suspect we need to
> have a closer look at how the role and power of universities and
> academics in knowledge production are being reasserted and
> redefined by the machinery of evidence based policy making.
>
>> using a community-based participatory research
>> (CBPR) approach to increase knowledge and improve health and well-being
>> of the
>> communities involved. What distinguishes CBPR from other approaches to
>> research
>> is the active engagement of all partners in the process. This book
>> provides a
>> comprehensive and thorough presentation of CBPR study designs, specific
>> data
>> collection and analysis methods, and innovative partnership structures
>> and
>> process methods. This book informs students, practitioners, researchers,
>> and
>> community members about methods and applications needed to conduct CBPR
>> in the
>> widest range of research areas?including social determinants of health,
>> health
>> disparities, health promotion, community interventions, disease
>> management,
>> health services, and environmental health.
>
> just a few observations. Linda
>>
>
> ____________________________
> Linda Green, OISE/UT
> Counselling for Community Settings
> [log in to unmask]
>
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