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Journal of Urban Health

, Volume 80, Issue 1, pp 14–47 | Cite as

Broadening participation in community problem solving: A multidisciplinary model to support collaborative practice and research

  • Roz D. Lasker
  • Elisa S. Weiss
Special Feature: Community Partnerships

Abstract

Over the last 40 years, thousands of communities—in the United States and internationally—have been working to broaden the involvement of people and organizations in addressing community-level problems related to health and other areas. Yet, in spite of, this experience, many communities are having substantial difficulty achieving their collaborative objective, and many funders of community partnerships and participation initiatives are looking for ways to get more out of their investment. One of the reasons we are in this predicament is that the practitioners and researchers who are interested in community collaboration come from a variety of contexts, initiatives, and academic disciplines, and few of them have integrated their work with experiences or literatures beyond their own domain. In this article, we seek to overcome some of this fragmentation of effort by presenting a multidisciplinary model that lays out the pathways by which broadly participatory processes lead to more effective community problem solving and to improvements in community health. The model, which builds on a broad array of practical experience as well as conceptual and empirical work in multiple fields, is an outgrowth of a joint-learning work group that was organized to support nine communities in the Turning Point initiative. Following a detailed explication of the model, the article focuses on the implications of the model for research, practice, and policy. It describes how the model can help researchers answer the fundamental effectiveness and “how-to” questions related to community collaboration. In addition, the article explores differences between the model and current practice, suggesting strategies that can help the participants in, and funders of, community collaborations strengthen their efforts.

Keywords

Civic problem solving Collaboration Community engagement Empowerment Partnership effectiveness Social ties Synergy 

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References

  1. 1.
    Box RC.Citizen Governance: Leading American Communities into the 21st Century. Thousand Oaks, CA: Sage Publications; 1998.Google Scholar
  2. 2.
    King CS, Stivers C.Government Is Us: Public Administration in an Anti-government Era. Thousand Oaks, CA: Sage Publications; 1998.Google Scholar
  3. 3.
    Denhardt RB, Denhardt JV. The new public service: serving rather than steering.Public Adm Rev. 2000;60:549–559.CrossRefGoogle Scholar
  4. 4.
    McGinnis JM, Foege WH. Actual causes of death in the United States.JAMA. 1993; 270:2207–2212.CrossRefPubMedGoogle Scholar
  5. 5.
    Goodman RM, Wandersman A. FORECAST: a formative approach to evaluating community coalitions and community-based initiatives.J Community Psychol. 1994;CSAP Special Issue:6–25.Google Scholar
  6. 6.
    Butterfoss FD, Goodman RM, Wandersman A. Community coalitions for prevention and health promotion: factors predicting satisfaction, participation, and planning.Health Educ Q. 1996;23:65–79.PubMedGoogle Scholar
  7. 7.
    Lasker RD, Committee on Medicine and Public Health.Medicine and Public Health: the Power of Collaboration. Chicago, IL: Health Administration Press; 1997.Google Scholar
  8. 8.
    Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health.Annu Rev Public Health. 1998;19:173–202.CrossRefPubMedGoogle Scholar
  9. 9.
    Mitchell SM, Shortell SM. The governance and management of effective community health partnerships: a typology for research, policy and practice.Milbank Q. 2000;78:241–289.CrossRefPubMedGoogle Scholar
  10. 10.
    Gray B.Collaborating: Finding Common Ground for Multiparty Problems. 1st ed. San Francisco, CA: Jossey-Bass; 1989.Google Scholar
  11. 11.
    Mattesich PW, Monsey BR.Collaboration: What Makes It Work? St. Paul, MN: Amherst H. Wilder Foundation; 1992.Google Scholar
  12. 12.
    Zuckerman HS, Kaluzny AD, Ricketts TC. Alliances in health care: what we know, what we think we know, and what we should know.Health Care Manage Rev. 1994; 20:54–64.Google Scholar
  13. 13.
    Richardson WC, Allegrante JP. Shaping the future of health through global partnerships. In: Koop CF, Pearson CE, Schwarz MR, eds.Critical Issues in Global Health. San Francisco, CA: Jossey-Bass; 2000:375–383.Google Scholar
  14. 14.
    Bazzoli GJ, Stein R, Alexander JA, Conrad DA, Sofaer A, Shortell S. Public-private collaboration in health and human service delivery: evidence from community partnerships.Milbank Q. 1997;75:533–561.CrossRefPubMedGoogle Scholar
  15. 15.
    Fawcett SB, Lewis RK, Paine-Andrews A, et al. Evaluating community coalitions for prevention of substance abuse: the case of Project Freedom.Health Educ Behav. 1997; 24:812–828.PubMedGoogle Scholar
  16. 16.
    Bruce TA, McKane SU, eds.Community-Based Public Health: a Partnership Model. Washington, DC: American Public Health Association; 2000.Google Scholar
  17. 17.
    Kreuter MW, Lezin NA, Young LA, Evaluating community-based collaborative mechanisms: implications for practitioners.Health Promotion Pract. 2000;1:49–63.CrossRefGoogle Scholar
  18. 18.
    Galea S, Factor SH, Bonner S, et al. Collaboration among community members, local health service providers, and researchers in an urban research center in Harlem, New York.Public Health Rep. 2001;116:530–539.PubMedGoogle Scholar
  19. 19.
    Chaskin RJ.Lessons Learned From the Implementation of the Neighborbood and Family Initiative: a Summary of Findings. Chicago, IL: Chapin Hall Center for Children; 2001.Google Scholar
  20. 20.
    Wandersman A, Goodman RM, Butterfoss RD. Understanding coalitions and how they operate. In: Minkler M, ed.Community Organizing and Community Building for Health. New Brunswick, NJ: Rutgers University Press; 1997:261–277.Google Scholar
  21. 21.
    Okubo D, Weidman K. Engaging the community in core public health functions.Natl Civ Rev. 2000;89:309–325.CrossRefGoogle Scholar
  22. 22.
    Swain D. Linking civic engagement and community improvement: a practitioner perspective on the communities movement.Natl Civ Rev. 2001;90:319–334.CrossRefGoogle Scholar
  23. 23.
    Robertson A, Minkler M. New health promotion movement: a critical examination.Health Educ Q. 1994;21:295–312.PubMedGoogle Scholar
  24. 24.
    Kegler MC, Twiss JM, Look V. Assessing community change at multiple levels: the genesis of an evaluation framework for the California Healthy Cities Project.Health Educ Behav. 2000;27:760–779.PubMedGoogle Scholar
  25. 25.
    Roussos ST, Fawcett SB. A review of collaborative partnerships as a strategy for improving community health.Annu Rev Public Health. 2000;21:369–402.CrossRefPubMedGoogle Scholar
  26. 26.
    Shortell SM, Zukoski AP, Alexander JA, et al. Evaluating Partnerships for community health improvement: tracking the footprints.J Health Polit Policy Law. 2002;27:49–91.CrossRefPubMedGoogle Scholar
  27. 27.
    Kenney DS.Arguing About Consensus: Examining the Case Against Western Watershed Initiatives and Other Collaborative Groups Active in Natural Resources Management. Boulder CO: Natural Resources Law Center; 2000.Google Scholar
  28. 28.
    Norris T. Civic gemstones: the emergent communities movement.Natl Civ Rev. 2001; 90:307–318.CrossRefGoogle Scholar
  29. 29.
    Aspen Institute Roundtable on Comprehensive Community Initiatives for Children and Families.Voices From the Field: Learning From the Early Work of Comprebensive Community Initiatives. Washington, DC: The Aspen Institute; 1997.Google Scholar
  30. 30.
    Bruner C, Greenberg M, Guy C, Little M, Schorr L, Weiss H.Funding What Works: Exploring the Role of Research on Effective Programs and Practices in Government Decision-Making. Des Moines, IA: National Center for Service Integration; 2001.Google Scholar
  31. 31.
    MacFarlane S, Racelis M, Muli-Musiime F. Public health in developing countries.Lancet. 2000;356:841–46.CrossRefPubMedGoogle Scholar
  32. 32.
    Kesler JT, O'Connor D. The American communities movement.Natl Civ Rev. 2001; 90:295–306.CrossRefGoogle Scholar
  33. 33.
    Chang H.Drawing Strength From Diversity: Effective Services for Children, Youth, and Families. Oakland, CA: California Tomorrow; 1994.Google Scholar
  34. 34.
    Chrislip DD. American renewal: reconnecting citizens with public life.Natl Civ Rev. 1994;83:26–31.Google Scholar
  35. 35.
    Thomson K, Berry JM, Portney KE.Kernels of Democracy. Boston, MA: Lincoln Filene Center at Tufts University; 1994.Google Scholar
  36. 36.
    Chaskin RJ, Garg S.The Issue of Governance in Neighborhood-Based Initiatives. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 1997.Google Scholar
  37. 37.
    Center for the Study of Social Policy.Creating a Community Agenda: How Governance Partnerships Can Improve Results for Children, Youth, and Families. Washington, DC: Center for the Study of Social Policy; 1998.Google Scholar
  38. 38.
    National Civec League.The Civic Index: Measuring Your Community's Civic Health. 2nd ed. Denver, CO: National Civic League; 1999.Google Scholar
  39. 39.
    Bruner C.Social Services Systems Reform in Poor Neighborhoods: What We Know and What We Need to Find Out. Des Moines, IA: National Center for Service Integration; 2000.Google Scholar
  40. 40.
    Fung A. Accountable autonomy: toward empowered deliberation in Chicago schools and policing.Polit Soc. 2001;29(1):73–103.Google Scholar
  41. 41.
    Kato L, Riccio J.Bullding New Partnerships for Employment: Collaboration Among Agencies and Public Housing Residents in the JOBS-PLUS Demonstration. New York: Manpower Demonstration Research Corporation; 2001.Google Scholar
  42. 42.
    Baxter RJ.What Turning Point Tells Us: Implications for National Policy. Battle Creek, MI: The W. K. Kellogg Foundation; 2001.Google Scholar
  43. 43.
    Center for the Advancement of Collaborative Strategies in Health.Turning Point Community Health Governance Workgroup: Creating Community-Driven Structures to Advance Community Health. New York, NY: The New York Academy of Medicine; 2001.Google Scholar
  44. 44.
    Nicola RM, Berkowitz B, Lafronza V. A turning point for public health.J Public Health Manag Pract. 2002;8:4–7.Google Scholar
  45. 45.
    Sabol B. Innovations in collaboration for the public's health through the Turning Point Initiative: the W. K. Kellogg Foundation Perspective.J Public Health Manag Pract. 2002;8:6–12.PubMedGoogle Scholar
  46. 46.
    World Health Organization. A discussion document on the concept and principles of health promotion.Health Promotion. 1986;1:73–78.Google Scholar
  47. 47.
    Potapchuk WR, Crocker JP, Schechter WH. The transformative power of governance.Natl Civ Rev. 1999;88:217–247.CrossRefGoogle Scholar
  48. 48.
    Eisen A. Survey of neighborhood-based, comprehensive community empowerment initiatives.Health Educ Q. 1994;21:235–252.PubMedGoogle Scholar
  49. 49.
    Israel BA, Checkoway B, Schulz A, Zimmerman M. Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control.Health Educ Q. 1994;21:149–170.PubMedGoogle Scholar
  50. 50.
    Wilcox R, Knapp A. Building communities that create health.Public Health Rep. 2000;115:139–143.CrossRefPubMedGoogle Scholar
  51. 51.
    Clark NM, Baker EA, Chawla A, Maru M. Sustaining collaborative problem solving: strategies from a study in six Asian countries.Health Educ Res. 1993;8:385–402.PubMedGoogle Scholar
  52. 52.
    Dearing JW, Larson SR, Randall LM, Pope RS. Local reinvention of the CDC HIV prevention community planning initiative.J Community Health. 1998;23:113–126.CrossRefPubMedGoogle Scholar
  53. 53.
    Wallis A, Crocker JP. Schechter B. Social capital and community building: part one.Natl Civ Rev. 1998;87:253–71.CrossRefGoogle Scholar
  54. 54.
    Cottrell CS. The competent community. In: Kaplan BH, Wilson RN, Leighton AH, eds.Futher Explorations in Social Psychiatry. New York, NY: Basic Books; 1976:195–209.Google Scholar
  55. 55.
    O'Connor D, Gates CT. Toward a healthy democracy.Public Health Rep. 2000;115:157–160.CrossRefPubMedGoogle Scholar
  56. 56.
    Heaney CA, Israel BA. Social networks and social support. In: Glanz K, Lewis FM, Rimer BK, eds.Health Behavior and Health Education. 3rd ed. San Francisco, CA: Jossey-Bass; 2002:185–209.Google Scholar
  57. 57.
    Berry JM, Portney KE, Thomson K.The Rebirth of Urban Democracy. Washington, DC: The Brookings Institution; 1993.Google Scholar
  58. 58.
    Chrislip DD.The Collaborative Leadership Fieldbook. San Francisco, CA: Jossey-Bass; 2002.Google Scholar
  59. 59.
    Chrislip DD. Collaboration: the new leadership.Healthc Forum J. 1995;38(6):20–26.PubMedGoogle Scholar
  60. 60.
    Miller H. Reasoning together: any chance? Paper presented at: Annual Meeting of the Public Administration Theory Network; June 21–23, 2000; University of Leiden, The Netherlands.Google Scholar
  61. 61.
    McKnight JL. Health and empowerment.Can J Public Health. 1985;76:37–38.PubMedGoogle Scholar
  62. 62.
    Putnam RD.Bowling Alone. New York, NY: Simon and Schuster; 2000.Google Scholar
  63. 63.
    Macinko J, Starfield B. The utility of social capital in research on health determinants.Milbank Q. 2001;79:387–427.CrossRefPubMedGoogle Scholar
  64. 64.
    Blackwell AG, Colmenar R. Community-building: from local wisdom to public policy.Public Health Rep. 2000;115:161–166.CrossRefPubMedGoogle Scholar
  65. 65.
    McKnight JL, Kretzmann JP.Mapping Community Capacity. Evanston, IL: Center for Urban Affairs and Policy Research, Northwestern University; 1992.Google Scholar
  66. 66.
    Thomas J.Public Participation in Public Decisions. San Francisco, CA: Jossey-Bass; 1995.Google Scholar
  67. 67.
    Chaskin RJ, Peters C.Decision Making and Action at the Neighborhood Level: an Exploration of Mechanisms and Processes. Chicago, IL: Chapin Hall Center for Children; 2000.Google Scholar
  68. 68.
    Rissel C. Empowerment: the holy grail of health promotion?Health Promot Int. 1994; 9:39–47.Google Scholar
  69. 69.
    Freire P.Education for Critical Consciousness. New York, NY: Seabury Press; 1973.Google Scholar
  70. 70.
    Wallerstein N. Powerlessness, empowerment, and health: implications for health promotion programs.Am J Health Promot. 1992;6:197–205.PubMedGoogle Scholar
  71. 71.
    Zimmerman MA. Psychological empowerment: issues and illustrations.Am J Community Psychol. 1995;23:581–599.PubMedGoogle Scholar
  72. 72.
    Cornell Empowerment Group. Empowerment and family support.Networking Bull. 1989;1:1–23.Google Scholar
  73. 73.
    Minkler M, Wallerstein N. Improving health through community organization and community building. In: Glanz K, Lewis FM, Rimer BK, eds.Health Behavior and Health Education: Theory, Research, and Practice. 2nd ed. San Francisco, CA: Jossey-Bass; 1997:241–269.Google Scholar
  74. 74.
    Rousseau JJ.The Social Contract (1762), Harmondsworth, UK: Penguin; 1968.Google Scholar
  75. 75.
    Barber B.Strong Democracy: Participatory Politics for a New Age. Berkeley and Los Angeles, CA: University of California Press; 1984.Google Scholar
  76. 76.
    Morone J.The Democratic Wish: Popular Participation and the Limits of American Government. New York, NY: Basic Books; 1990.Google Scholar
  77. 77.
    Schulz R. Aging and control. In: Garber J, Seligman M, eds.Human Helplessness: Theory and Applications. New York, NY: Academic Press: 1980;261–277.Google Scholar
  78. 78.
    Rodin J. Aging and health: effects of the sense of control.Science. 1986;233:1271–1276.PubMedGoogle Scholar
  79. 79.
    Karasek R, Baker D, Marxer F, Ahlbom A, Theorell T. Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men.Am J Public Health. 1981;71:694–705.PubMedCrossRefGoogle Scholar
  80. 80.
    Alfredsson L, Karasek R, Theorell T. Myocardial infarction risk and psychological work environment: an analysis of the male Swedish working force.Soc Sci Med. 1982; 16:463–476.CrossRefPubMedGoogle Scholar
  81. 81.
    Heller K. The return to community.Am J Community Psychol. 1989;17:1–15.CrossRefPubMedGoogle Scholar
  82. 82.
    Zimmerman MA. Empowerment theory. In: Rappaport J, Seidman E, eds.Handbook of Community Psychology. New York, NY: Kluwer Academic/Plenum Publishers; 2000:43–63.Google Scholar
  83. 83.
    Putnam RD, Leonardi R, Nanetti R.Making Democracy Work: Civic Traditions in Modern Italy. Princeton, NJ: Princeton University Press; 1993.Google Scholar
  84. 84.
    Minkler M. Building supportive ties and sense of community among the inner-city elderly: the Tenderloin senior outreach project.Health Educ Q. 1985;12:303–314.PubMedGoogle Scholar
  85. 85.
    Eng E, Parker E. Measuring community competence in the Mississippi delta: the interface between program evaluation and empowerment.Health Educ Q. 1994;21:199–220.PubMedGoogle Scholar
  86. 86.
    Durkheim E.Stuicide[1897]. New York, NY: The Free Press; 1951.Google Scholar
  87. 87.
    House JS, Landis KR, Umberson D. Social relationships and health. In: Conrad P, Kerns R, eds.The Sociology of Health and Illness: Critical Perspectives. 3rd ed. New York, NY: St. Martins Press; 1990:85–94.Google Scholar
  88. 88.
    House JS, Kahn RL. Measures and concepts of social support. In: Cohen S, Syme SL, eds.Social Support and Health. Orlando, FL: Academic Press; 1985:83–108.Google Scholar
  89. 89.
    Israel BA, Rounds KA. Social networks and social support: a synthesis for health educators.Adv Health Educ Promot. 1987;2:311–351.Google Scholar
  90. 90.
    Turner RJ, Turner JB. Social integration and support. In: Aneshensel CS, Phelan JC, eds.Handbook of the Sociology of Mental Health. New York, NY: Plenum Publishers; 1999:301–319.Google Scholar
  91. 91.
    Berkman LF. The role of social relations in health promotion.Psychosom Med. 1995; 57:245–254.PubMedGoogle Scholar
  92. 92.
    Thoits PA. Stress, coping, and social support processes: where are we? What next?J Health Soc Behav. 1995;Spec No: 53-79.Google Scholar
  93. 93.
    Berkman LF. Assessing the physical health effects of social networks and social support.Annu Rev Public Health. 1984;5:413–432.CrossRefPubMedGoogle Scholar
  94. 94.
    Lin N, Ye X, Ensel WM. Social support and depressed mood: a structural analysis.J Health Soc Behav. 1999;40:344–359.CrossRefPubMedGoogle Scholar
  95. 95.
    Lasker RD, Weiss ES, Miller R. Partnership synergy: a practical framework for studying and strengthening the collaborative advantage.Milbank Q. 2001;79:179–206.CrossRefPubMedGoogle Scholar
  96. 96.
    Fried BJ, Rundall TG. Mahaging groups and teams. In: Shortell SM, Kaluzny AD, eds.Health Care Management: Organization, Design, and Behavior. 1994;137–163.Google Scholar
  97. 97.
    Shannon VJ. Partnerships: the foundation for future success.Can J Nurs Adm. 1998; 11:61–76.PubMedGoogle Scholar
  98. 98.
    Taylor-Powell E, Rossing B, Geran J.Evaluating Collaboratives: Reaching the Potential. Madison, WI: University of Wisconsin-Extension, Cooperative Extension; 1998.Google Scholar
  99. 99.
    Lasker RD, Weiss ES. Creating partnership synergy: the critical role of community stakeholders.J Health Hum Serv Adm. In press.Google Scholar
  100. 100.
    Farmer JD.The Language of Public Administration. Tuscaloosa, AL: University of Alabama Press; 1995.Google Scholar
  101. 101.
    McSwite OC.Legitimacy in Public Administration. Thousand Oaks, CA: Sage Publications; 1997.Google Scholar
  102. 102.
    Jewiss J, Hasazi S.Advancing Community Well-Being: a Developmental Perspective of Two Community Partnerships in Vermont. Burlington, VT: University of Vermont; 1999.Google Scholar
  103. 103.
    Silka L. Paradoxes of partnerships: reflections on university-community collaborations. In: Kleniewski N, ed.Research in Politics and Society. Greenwich, CT: JAI Press; 1999: 7:335–359.Google Scholar
  104. 104.
    Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Committee on Community Engagement.Principles of Community Engagement. Atlanta, GA: Centers for Disease Control and Prevention, Public Health Practice Program Office; 1997.Google Scholar
  105. 105.
    Weiss ES, Anderson R, Lasker RD. Making the most of collaboration: exploring the relationship between partnership synergy and partnership functioning.Health Educ Behav. 2002;29:683–698.CrossRefPubMedGoogle Scholar
  106. 106.
    Hollar D. Challenges of community engagement: conversations with people in low income communities in Mississippi. Paper presented at: National Conference of the American Society for Public Administration; Newark, NJ; March 10–13, 2001.Google Scholar
  107. 107.
    Kingsley GT, McNeely JB, Gibson JO.Community Building Coming of Age. Washington, DC: The Urban Institute; 1999.Google Scholar
  108. 108.
    Reich R.The Power of Public Ideas. Cambridge, MA: Harvard University Press; 1988.Google Scholar
  109. 109.
    Mansbridge J. Public spirit in political systems. In: Aaron H, ed.Values and Public Policy. Washington, DC: Brookings Institution; 1994:146–172.Google Scholar
  110. 110.
    Kesler JT. Healthy communities and civil discourse: a leadership opportunity for public health professionals.Public Health Rep. 2000;115:238–242.CrossRefPubMedGoogle Scholar
  111. 111.
    Miles-Polka B. Investiment-based business plans for human service delivery: a new model takes shape in Des Moines, lowa.Natl Civ Rev. 2001;90:335–346.CrossRefGoogle Scholar
  112. 112.
    Chrislip DD, Larson CE.Collaborative Leadership. San Francisco, CA: Jossey-Bass; 1994.Google Scholar
  113. 113.
    Alter C, Hage J.Organizations Working Together. Newbury Park, CA: Sage Publications; 1993.Google Scholar
  114. 114.
    McKinney MM, Morrissey JP, Kaluzny AD. Interorganization l exchanges as performance markers in a community cancer network.Health Serv Res. 1993;28:518–539.Google Scholar
  115. 115.
    Weiner BJ, Alexander JA. The challenges of govering public-arivate communityGoogle Scholar
  116. 116.
    Winer M, Ray K.Collaboration Handbook: Creating, Sustaining, and Enjoying the Journey. Saint Paul, MN: Amherst H. Wilder Foundation; 1994.Google Scholar
  117. 117.
    Huxham C. Collaboration and collaborative advantage. In: Huxham C, ed.Creating Collaborative Advantage. London, England: Sage Publications; 1996:1–18.Google Scholar
  118. 118.
    Wandersman A, Florin PF, Meier R. Who participates, who does not and why? An analysis of voluntary neighborhood associations in the United States and Israel.Sociol Forum. 1987;2:534–555.CrossRefGoogle Scholar
  119. 119.
    Chinman MJ, Anderson CM, Imm PS, Wandersman A, Goodman RM. The perceptions of costs and benefits of high active groups versus low active groups in community coalitions at different stages in coalition development.J Community Psychol. 1996;24: 263–274.CrossRefGoogle Scholar
  120. 120.
    Goodman RM, Speers MA, McLeroy K, et al. Identifying and defining the dimensions of community capacity to provide a basis for measurement.Health Educ Behav. 1998; 25:258–278.PubMedGoogle Scholar
  121. 121.
    Minkler M, Thompson M, Bell J, Rose K. Contribution of community involvement to organizational-level empowerment: the federal Healthy Start experience.Health Educ Behav. 2001;28:783–807.PubMedGoogle Scholar
  122. 122.
    Heitzmann CA, Kaplan RM. Assessment of methods for measuring social support.Health Psychol. 1998;79:75–109.Google Scholar
  123. 123.
    Barrera A. Social support research in community psychology. In: Rappaport J, Seidman E, edsHandbook of Community Psychology. New York, NY: Kluwer Academic/Plenum Publishers; 2000:215–245.Google Scholar
  124. 124.
    Gambone MA. Challenges of measurement on community change initiatives. In: Fulbright-Anderson K, Kubish AC, Connell JP, edsNew Approaches to Evaluating Community Initiatives: Theory, Measurement, and Analysis. Washington, DC: Aspen Institute; 1999.Google Scholar
  125. 125.
    Sigmond RM. Back to the future: partnerships and coordination for community health.Front Health Serv Manage. 1995;11:5–36.PubMedGoogle Scholar
  126. 126.
    Simon BL. Rethinking empowerment.J Progressive Hum Serv. 1990;1:27–39.CrossRefGoogle Scholar
  127. 127.
    Arnstein SR. A ladder of citizen participation.J Am Inst Planners. 1969;35:216–224.Google Scholar

Copyright information

© The New York Academy of Medicine 2003

Authors and Affiliations

  1. 1.Center for the Advancement of Collaborative Strategies in Health, Division of Public HealthThe New York Academy of MedicineNew York

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