developing community research partnerships: entrée skills

Winter 2010 Developing Community Research Partnerships

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Developing Community Research Partnerships: Entrée Skills

Ellen Goldstein, MARoberto A. Vargas, MPH

Community Engagement ProgramUCSF Clinical & Translational Science Institute (CTSI)

Considerations and strategies for community research partnerships


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Overview Who are “Community Partners” Rules of Engagement Entrée Tasks


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Types of Community Partners Clinics CBOs/ NGOs Community leaders/ advocates Patients Community institutions (i.e. school district) Departments of Public Health Integrated Health Delivery Systems (i.e.

Kaiser, V.A.) Policymakers

Roberto Vargas

we need more slides to build on this, unless we decide to just talk about it using this a guide


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Indentifying Partners

They are good at what they do

They know the issues

They want to partner with you


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RAVEG Rules of Community Engagement

1. Approach partnership with

humility

2. Show your commitment

3. Structure mutual benefit

4. Negotiate role clarity

Roberto Vargas

We have too much on 1, not much on 2-5


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1. What are “cultural competence” and “cultural humility?


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Cultural CompetenceA culturally competent system of care acknowledges and incorporates--at all levels--the importance of culture, the assessment of cross-cultural relations, vigilance towards the dynamics that result from cultural differences, the

expansion of cultural knowledge and the adaptation of services to meet

culturally unique needs.


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Humility Defined humility noun Lack of vanity or self-importance:

humbleness, lowliness, meekness, modesty.


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Tervalon on Cultural Humility:


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Why Be Humble? How might a researcher benefit by

having cultural humility? More accurate understanding of the

situation or problem Asking the right questions, making

the right interpretations. Collecting the right data.

-- OR NOT--


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2. Ensuring Mutual BenefitCommunities, especially underserved communities, are often

subjects of research that doesn’t benefit them.

“I have given you my blood, my semen, my saliva and my urine.

I have spent hours with you answering intimate question about my sex life, my

drug use, my health and my partners and friends.

In return, I ask that you simply tell me what you learned.”

-Hank Wilson, Activist, San Francisco1947-2008


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Mutual Benefit Dissemination of findings Review their protocols, grant

proposal, data set Conduct training Bring resources (funding,

personnel, students, literature) Participate in advocacy Make sure it works for YOU!


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3. Role Clarity Who are we separately? Who are we together? How will we agree to proceed?


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Support for Role Clarity Principles of Partnership MOU Subcontract Facilitation Many conversations… revisited

often


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4. It’s all about Trust

Build a real relationship before starting the project

Recognize mutual interdependence


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Cultural Gap Between University and CommunityElmer Freeman, CCHERS (on web)

University disrespect of community

Theoretical perspective

Education mission Intellectual rhetoric Analytical frame Stagnant culture

Community distrust of university

Practical orientation Service mission Concrete action Political arena Dynamic

environment


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Cross-Cultural Communication Disciplines not avoiding collaboration because

they’re evil, but partially because these are different cultures

Expect differences, work with them

Expect culture shock

Recognize distrust, power imbalance

Different languages, timeline, training, info needs/ resources, how information is disseminated


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Cultural humility actions Do your homework Active listening Bring an offering Be willing to share


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Trust-building actions Clarify roles Spend regular face time Establish relationships with all

relevant people Budget fairly Redress power imbalance


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Bring your whole self

…humor, compassion, bad hair days, talent, concerns,

motivations, personal story, homemade cookies…


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Take Home Points Approach potential community

partners with questions, curiosity and humility

Trust-building is essential to success

Structures support clear roles Benefit is mutual


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Linkage facilitators

CTSI Community Engagement Programhttp://ctsi.ucsf.edu/about/programs/ce206-4048

Office of University Community Partnership

[email protected]


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Homework Reflect: What are your

assumptions about the community in which you are working?

What are their challenges and strengths? What has been your experience with them?

Develop an entrée plan. Who will you contact? How? What’s your opening?

developing community research partnerships: entrée skills

Documents

cultural humility

cultural differences

right data

projectrecognize mutual

mutual benefitcommunities

role claritywho

right questions

right interpretations