After years of hard work by a dedicated and growing coalition co-led by Stacy Carruth of the Regional Center, the MBTA has agreed to take alcohol ads off trains and buses beginning July 1st! This success represents the dedication and the involvement of a wide range of young people, professionals and concerned citizens who recognize that it makes good public health sense and good financial sense to limit the exposure of young people to alcohol advertisements. While there is still a bill being considered that would ban alcohol ads on all state-owned property, the T’s recent announcement accomplishes a large component of what the SAFE-MA coalition had hoped to achieve. This is a victory for our youth and for public health in Massachusetts. For more information about the MBTA’s decision and about the tactics that the SAFE-MA coalition used to reach this historic day, see an article from Tuesday’s Boston Globe http://articles.boston.com/2012-01-24/yourtown/30660001_1_alcohol-ads-transit-agency-ad-revenue#.TyASGgxOd-U.email. Congratulations to all the members of SAFE-MA and to those of you who called the MBTA or called your legislators to help make this happen.
On Friday, September 16, 2011, around seventy individuals (including myself) participated in the Walk in my Shoes (WIMS) healthcare access simulation at Brandeis University in Waltham, MA. The event, developed by Community Catalyst, hosted by the Listen and Learn Project and funded by the Blue Cross Blue Shield Foundation of Massachusetts, aimed to open the eyes of those that participated to the everyday, and often seemingly insurmountable, challenges that face uninsured and underserved families trying to access and navigate the U.S. healthcare system.
The WIMS simulation is broken down into two hour-long segments: The first hour consists of a live-action role play in which all participants are assigned “roles” with a given set of characteristics that affect their access to health care. These include health concerns, employment status, insurance coverage (or lack thereof), race/ethnicity, immigration status and other relevant characteristics. Participants then attempt to obtain health services either as an individual or as a member of a family by visiting “stations” representing local hospitals, doctors’/dental offices, government offices, health insurance agencies, pharmacies, etc. “Staff” at each station use real applications, eligibility guidelines, and current policies to determine who gets or does not get services. The second hour of the simulation features a facilitated discussion to help participants discuss their experiences and emotional reactions, connect these with facts about health system gaps, and consider initiatives to improve community health access.
The simulation truly provides an opportunity for insight and reflection from a powerful collective experience. My ‘role’ was as a 57 year old African American man with severe back pain, and my wife in the simulation suffered from diabetes. By the standards of the simulation, my wife and I were very privileged: we were small business owners with a decent income, a reliable car and we spoke English as our primary language. We did not have health insurance at the beginning of the simulation and our challenge was to obtain it and then to seek out the medical care we both needed. By the end of the simulation, my wife had not been able to see a doctor or to obtain a prescription for her diabetes medication due to inefficiencies and “red-tape” in the system, despite all of our advantages. The experience of participating in WIMS had a profound and unexpected impact on me. I found myself experiencing feelings of actual fear: fear that my wife would not get the care she needed, fear that I would lose my job and what little resources I had. Those emotions stayed with me long after the simulation ended.
During the discussion that followed, I heard my feelings of fear and frustration echoed by other participants that, in their roles, struggled with acute illnesses, medical emergencies, economic distress and language and transportation barriers. As a group, we then brainstormed purposefully about the gaps we witnessed in the healthcare system in our simulation as well as those that exist in Waltham and across the state and country. We also identified ways in which we each could strive to improve the system in our daily work, including streamlining interagency communication and educating patients about available support services.
WIMS is an opportunity for those of us that work in health care, community health practice and other related sectors to experience first-hand just how difficult it can be to obtain medical services in the hopes that the experience will energize us to work collaboratively across agencies and sectors to improve our health care system. The experience has already brought a richer context and understanding to my work as a Community Health Specialist, and has renewed my commitment to addressing the gaps in our health care system while simultaneously promoting the power of prevention.
WIMS is a service of Community Catalyst, a national nonprofit organization that builds consumer and community participation in the U.S. health system to secure quality, affordable health care for all. If you would be interested in learning more about the Walk in my Shoes project, a more detailed description can be found online at http://www.communitycatalyst.org/doc_store/publications/walk_in_my_shoes_description.pdf or by contacting Emily Bhargava, Director of the Metrowest RCHC at ebhargava@healthier-communities.org.

Sustainability seems to be on the agenda for many local coalitions. In fact, funders have long been asking for groups to include sustainability plans when they apply for funding.
The Merriam Webster dictionary defines sustainable as: 1: capable of being sustained 2 a: of, relating to, or being a method of harvesting or using a resource so that the resource is not depleted or permanently damaged.
People have lots of different definitions of what sustainability means to them. The Webster definition of sustainable is interesting because it speaks to “using a resource so that the resource is not depleted.” In fact, for many people, when they think of sustainability they think solely of funding, which DOES get depleted. Unless you’re very lucky, you can count on your funding ending at some point in time. Which brings us to a definition of sustainability from the Sustainability Toolkit, put out by the Center for Civic Partnerships (by the way, we have this available in our library):
“The continuation of community health and quality of life benefits over time.”
We like this definition because it puts the emphasis on the ultimate goal – community health and quality of life benefits. Using the principles from the Sustainability Toolkit, we have worked with groups in creating sustainability plans. There are several key steps:
1. Create a shared understanding of sustainability.
It’s critical to articulate this from the beginning because people may approach the process with very different definitions. If the entire group defines sustainability solely as funding, your process is going look very different from the steps we have listed below.
2. Explore the current work of your group (create a list).
3. Choose criteria for determining what to continue.
For example, criteria might include: there has been a measureable impact in community health because of this work, we have the resources to do this, etc.
4. Decide what to continue
Here you apply the criteria that you’ve selected in step 3, and actually rate each activity based on it (you can use a simple 1-5 scale, with 1 being doesn’t meet the criteria at all, and 5 being meets the criteria). Rating all your activities this way doesn’t necessarily determine what you will continue but it certainly gives you a sense of what your priorities might be.
5. Apply PEARS activity for things you want to continue
PEARS stands for: P – pass it on, E – Earn, A – Ask (e.g. fundraising), R – redevelop, S – share.
P: Pass it on – Find a “happy home” for your program elsewhere
E: Earn – Generate revenue through selling products or services; combine with job training
A: Ask – Request funds from institutional donors or from individuals
R: Redevelop – Reconfigure program elements internally; redistributes costs and leverage new support with updated services
S: Share – Share costs/responsibilities with other organizational partners.
We encourage you to check out the Sustainability Toolkit if you are interested in learning more about this process, or applying the tools and ideas to work with your group. Also, the Metrowest Regional Center will be hosting a state-wide conference call on the topic of sustainability on January 20th, 2010 from 11:00-noon, with a brown bag lunch follow-up discussion at our office in Central Sq. Cambridge for those who will be in the area. See the Calendar Section of our website for details and registration information.
Happy planning!

The Regional Center hosts a brown bag lunch this Friday, December 17th as part of our center's training calendar.
Let's take a break from the terms cultural competency, cultural awareness and cultural humility and have an honest conversation about what happens each day in our work and what we can do to make every person feel human, cared for, welcomed and respected. We will use lay language to think together about ways to make our agencies, programs and offices safe, welcoming and healthy. Join us for this brown bag conversation where we'll explore challenges and identify opportunities together.
You will leave this training with tips and tricks to make your own meetings and programs more inclusive, as well as strategies you can incorporate in your own work or your own organization to move your own cultural humility efforts forward.
Please bring your own lunch, the Regional Center will provide tea and snacks.
**Register by emailing rchctrainings@healthier-communities.org your name, organization and contact details or by calling 617.441.0700 and asking to register for the Cultural Competency training.**

About a year ago, we hosted a training by Cynthia Bargar of Development Consulting Services, called “Finding Foundations that Fit and Engaging them in Lasting Relationships.” It was well received, and the following are some notes from the training that might be of interest to those of you looking to build relationships with foundations that might support your work.
Identifying foundations to fund your work:
• When identifying foundations, look at annual reports and organizations similar to yours to see who is funding them.
• Go to meet the grant-makers events, meetings at your local community foundation; look at your board of directors and everyone you know to see who they know on a board of a foundation; look at directories, and websites of foundations.
• When researching foundations, look at their funding guidelines; follow their website and see what they’ll fund.
Answering the question “Do we qualify?” Does the foundation:
• Make grants in our geographic area?
• Make grants that are approximately the size we need?
• Fund the type of support that we need: capital, operating, program/project, matching/challenge, capacity building?
• Have a program area that addresses the issues we address?
Think like a detective, and find out everything you can before you approach them. Develop and keep in relationship with them. You need to have someone you can trust to maintain this relationship – ideally a mid to senior level person. Find opportunities to call with smart questions. Try to get in with a smaller grant and then work your way in from there.
And if they fund you, thank them on your website!
Below is a list of resources. The Foundation Center is a great resource, as is the Associated Grantsmakers of Massachusetts. Some functions on the website are free, others require a subscription. Let us know if you’d like to hear more about these resources (the RCHC has a subscription to both).
Associated Grantmakers of Massachusetts
Association of Fundraising Professionals
Have you noticed the trend in television advertisements that instead of sending people to their own product website, the web address they give is for facebook "slash" their product? People are spending ever more time online and it has become a primary means of interaction with others. This interaction via the internet (as opposed to just static web pages) is termed "social media" and there are so many ways to use this feature to help us accomplish our goals.
The CDC has recently released a Toolkit for using all of these different types of media. There are the familiar ones like blogs, facebook, and twitter but also tools like widgets and RSS feeds. I found the following chart summarizing a variety of these tools quite useful.
I think this nicely shows that there are many options, but we should consider both the cost in terms of money and time and the degree of interaction we need to accomplish what we set out. I think this is also a good reminder that facebook isn't always the best place (or the only place) to have your message.
For more information on all of these social media tools, view the complete CDC toolkit.
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Last August a law was passed that strengthens the Massachusetts state-wide prescription monitoring program; the changes will go into effect on January 1, 2011 and are being piloted now. Massachusetts has one of the highest drug overdose death rates in the country and the rates have been on the rise in recent years. The Prescription Monitoring Program (PMP) is one of many efforts to stem this epidemic which has touched communities across the state. The PMP will collect prescribing and dispensing information on Schedule II-V drugs and will be used to identify prescribing and dispensing trends. This will help to address “doctor shopping” which is when individuals see multiple providers and pharmacies to access medications. Providers who enroll in the PMP will be able to review the prescription histories of patients on line, and receive unsolicited reports from the PMP on patients who meet established program criteria. Only authorized providers will be able to request and receive program reports and reports will include only the information the provider is authorized to receive. There are severe penalties for misuse of the program. The changes in the program include: change of information collected from schedule II only to Schedules II-V; requires customer ID for all schedules (II-V) (pharmacists will need to ask every customer for identification); requires reporting of out of state mail order pharmacies; increases reporting from pharmacies from monthly to weekly (in an effort to make the information more up-to-date and useful); clarifies requirements for solicited provider reports, and other changes. Learn more at: www.mass.gov/dph/dcp
The Arlington Advocate published an article on January 6th 2012 discussing heroin and other opioid use in Arlington and the surrounding areas. The article discusses current rates of fatal and non-fatal overdoses across the state as well as different treatment options available for individuals dealing with opioid addiction. It also describes the state's Narcan pilot program that is currently being implemented in several communities (including Quincy and Cambrige in the Metrowest region) Emily Bhargava, Director of the Metrowest Regional Center for Healthy Comminities, is quoted in this article. Click here to read the article!
An important component of community health practice is the ability to communicate clearly, confidently and effectively in a variety of different professional situations. Our work calls upon us to participate in and facilitate meetings, to engage participants during community forums and focus groups, and to present our campaigns and their outcomes to funders, colleagues and the general public. We are in constant contact with a smorgasbord of stakeholders, many of whom we are trying to engage and inspire, or perhaps persuade and mobilize into action. In preparation for these interactions, we likely spend considerable time and energy preparing our content –the story we aim to tell– and how to present it. But, how much time do we spend preparing the way we present ourselves?
Effective presenters are able to translate their knowledge of and enthusiasm for their subject matter to their audience. They are engaging and exude a natural confidence in front of a group. This is not always easy or even possible for some of us who may feel less comfortable in the spot light. A helpful trick to consider is that it is completely possible to communicate confidence to your audience, even if you might not feel it at a given moment. Confident presenters possess a variety of attributes and characteristics that can be emulated by even the most bashful among us.
Confident presenters stand with good posture and move around their space with controlled, natural movements. They use hand gestures when appropriate to add emphasis to their points and maintain eye contact with their audience. Often, these presenters seem to be speaking conversationally and refer to their notes or slides only minimally, if at all. This may be because they are so familiar with their material and rehearsed in their presentation that it appears that they are speaking off the top of their heads. For many, thorough preparation is the key to mitigating any nerves or self-consciousness that can accompany presenting to groups. Confident presenters appear comfortable in front of their audiences; their demeanors are open and friendly (remember to smile!), and they speak at a natural pace.
It is entirely possible to practice and master these behaviors, much as you would practice the content of your presentation. Similarly, knowing and being aware of the body language and behaviors –the” tells” of an unconfident speaker- will help you spot them (and minimize them) in your own style. Some of these tells include moving one’s hands and body too quickly, not making eye contact, covering your face with your hands, playing with your hair, tapping your podium or lectern, slouching or standing too stiffly and relying too heavily on your notes.
There are many resources available on the internet that further highlight the indicators of confidence in presentations, and the RCHC library also has excellent materials relating to public speaking, meeting facilitation, and crafting impactful presentations. Come by and check them out!
Please check out our new video example of a one-on-one as a community organizing tool you can use to recruit new members to help you achieve change in your community. To go along with the video, here are some pointers. Special thanks to Nick Martel of Weymouth Educational Telecommunications Corporation (WETC) and Lyn Frano of the Weymouth Youth Coalition Substance Abuse Prevention Team for their help in creating the video. Please contact the Regional Center if you would like more information.
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I wanted to share this simple recipe with everyone, it's quick, healthy and delicious!
INGREDIENTS
12 ounces Tuna, drained and flaked
1 cup Artichoke Hearts, chopped
1 cup Green Olives
1/3 cup reduced fat mayonnaise
2 teaspoons Lemon Juice
1.5 teaspoons Oregano, chopped. Use fresh oregano it makes all the difference in the flavor and freshness
4 each Boston Lettuce, rinsed and dried
2 each Tomatoes, sliced into 8 slices
METHOD
Combine all the ingredients except the lettuce and tomatoes. Mix well.
Place two lettuce leaves on each of the two plates. On one side of the
lettuce place to slices of tomatoes. Using an ice cream scoop, place two
rounds of the tuna mixture on top of the lettuce leaves.
To make it even healthier, substitute non-fat Greek yogurt for the mayonnaise. Yum-O!
Makes several nice size lunches and the salad last for a couple of days. This recipe is good for two people for dinner or 4 for a small salad before an entree. Double the recipe if you want to make this a complete dinner for 4.
In partnership with Trust for America's Health, the Massachusetts Public Health Association, and the Northeast Center's Prevention Institute, the Massachusetts Healthy Communities System is sponsoring the following webinar on August 3rd....
Join us for an opportunity to learn from state and national experts about the local prevention implications and funding opportunities created by the Affordable Care Act, the National Prevention Strategy, and the proposed Massachusetts Prevention Trust.
Webinar Presenters
Sue Pechilio Polis, Outreach Manager
Rebecca Salay, Director of Government Relations
Trust for America's Health
Valerie Bassett, Executive Director
Massachusetts Public Health Association
Laura Richter, Legislative Aide
Office of Representative Jason Lewis
Massachusetts State Legislature
The tides of how the public views health care and prevention are changing. The majority of the general population places a high priority on prevention. Unfortunately, this sentiment gets lost in the debates on Beacon and Capitol Hill, leaving many public health and prevention practitioners feeling uncertain and confused by what health care reform really means for us at the local level. This 60-minute webinar will focus on the local implications of the Affordable Care Act, the National Prevention Strategy, and the proposed Massachusetts Prevention Trust.
For More Information and to Register, please CLICK HERE.
Tell the Regional Center What Trainings You'd Like to Attend this Year
The Regional Center for Healthy Communities (Metrowest) would like your input on what trainings we should offer in the coming year. Each year we conduct this training needs assessment, review the results as a staff, consult with our advisory board, and release a training calendar full of wonderful (usually free) trainings for the rest of the year. Let us know what what training topics you'd like to see by clicking on the following link and completing our survey.
Click here to complete the survey.
We will collect responses until August 8.
Thank you!
As the summer continues and the heat rises, we have been very busy in the resource library. We are currently working to enhance our online catalog records to make it easier for our patrons to find the materials that they and their communities need. By cross-referencing all of our materials into the various subjects that they may fall into, we hope that the online experience will be more rewarding and productive. We are always making changes and improvements to our materials and the library space in general, so come on in and see all the new changes, including a comfortable reclining chair
Here are some of the most recent additions to our library collection.

Holding Ground: The Rebirth of Dudley Street "In 1985, African-American, Latino, Cape Verdean, and European-American residents in Roxbury, MA united to revitalize their community. The Dudley Street Neighborhood Initiative went on to gain national recognition as residents fought to close down illegal dumps, gain unprecedented control of land from City Hall and create a comprehensive plan to rebuild the fabric of their community. Through the voices of committed residents, activists and city officials, this moving documentary shows how a Boston neighborhood was able to create and carry out its own agenda for change."-Product Description.

Waiting for Superman. "From the Academy Award-winning Director of An Inconvenient Truth comes the groundbreaking feature film that provides an engaging and inspiring look at public education in the United States. Waiting For “Superman” has helped launch a movement to achieve a real and lasting change through the compelling stories of five unforgettable students such as Emily, a Silicon Valley eighth-grader who is afraid of being labeled as unfit for college and Francisco, a Bronx first-grader whose mom will do anything to give him a shot at a better life. Waiting For “Superman” will leave a lasting and powerful impression that you will want to share with your friends and family."-Product Description.
Games are a great way to get a group move involved in a particular topic. Thanks to the feedback and success stories of our library patrons we have added more games to our Bingo line up.
Another series that has received a lot of attention is from The Bureau for At-Risk Youth. We now have 4 DVD's from their Drop-Out Prevention Program.
If you've not visited our resource library lately you are missing out on some great materials to use and share with your communities, youth groups, or classrooms.
Stop in for a visit. We're open 9:00a.m to 5:00p.m. Monday through Friday.