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. Author manuscript; available in PMC: 2019 Oct 1.
Published in final edited form as: Health Educ Behav. 2019 Apr 13;46(1 Suppl):100S–109S. doi: 10.1177/1090198119838833

Table 4.

Summary of Four CEJ Principles in SRW and CC Community Coalitions and the SCALE Design

SCALE Design CC SRW
CEJ Principle 1: Explicitly address structural inequity and racism. SCALE communities must work to advance equity in order to be part of the initiative. In-person meetings included sessions on racism and tools for coalitions to begin conversations on racism in their coalitions. Tips and motivation from peers in other communities on advancing this topic. Understand root cause of poor health as structural — grinding poverty, lack of access, generational trauma of forced relocation of Seneca Tribe; work includes addressing health inequities through multiple interventions. Drive to improve health for women experiencing homelessness; understand root causes of homelessness as structural inequity; Focused on advancing coalition’s understanding of racism, and facilitation skills to have meaningful discussions about racism.
CEJ Principle 3: Build resident leadership and power. As a SCALE requirement, participating community coalitions had to include people with lived experience of the inequities being addressed (i.e., community champions). Coalition was founded and built by government institutions and predominantly white individuals from institutions. Made steps forward in inviting people from underrepresented groups in to the coalition. Worked to build leadership of women experiencing homelessness and experienced challenges in balancing women’s individual advocacy for their personal needs with larger coalition topics.
CEJ Principle 4: Focus on policy and systems change. Multipronged approach to building leadership, relationship building skills, and improvement capacity aimed to build foundational skills in community transformation. Started with their own workplaces to test and implement workplace policies that advance health; worked to improve accessibility of county buildings for people with disabilities. Food systems change; set goal to develop best practices in health care for women experiencing homelessness and train other providers.
CEJ Principle 6: Build facilitating structures. SCALE provided tools to support coalition teams, including meeting agenda templates, and team roles. SCALE acted as a neutral convener to bring in new partners and specified deliverables with deadlines that engaged multiple parties to move toward a shared aim (e.g., action labs). Tools to allow all to see themselves in the work, like driver diagrams and reviewing bright spots in the community, and the action lab to engage partners. One individual owned facilitation, agendas, follow-up; subcommittee structure allowed focused topic-based work; utilized scale tools to engage many partners by building relationships and working toward shared aims. Meeting facilitation led by a new leader who focused on her leadership development in this capacity; She focused on leading with the heart tools/techniques and strong meeting facilitation to keep coalition members engaged.