(Robert K. Ross, M.D. is President and CEO of The California Endowment. Yesterday he shared three aha moments from the Endowment’s first two years of work in its Building Healthy Communities plan.)
Okay, at times I step back and look at the BHC initiative and wonder—could we have made it more complicated? 14 sites. Multiple grantees in each site. A core set of multiple health issues. Multiple state-level grantees. And the expectation that the parts will add up to something greater and catalyze a convergence that builds more power and leads to greater impact.
But then again, supporting an agenda for social and community change does require multiple strategies, operating in alignment: the use of data, message framing and story-telling; innovative models; a variety of influential messengers; convening and facilitating champions; “grassroots and treetops” and coordination; meaningful community engagement. Power-building requires multiple, aligned investments.
Our Top Ten Lessons for Philanthropy
Finally, I want to share some lessons with partners in philanthropy regarding planning and implementing a community-change initiative. As we engaged in the planning process of BHC, we tried in earnest to stick by a key aphorism, one I learned from colleague and mentor Ralph Smith at the Annie E. Casey Foundation: make new mistakes.
The track record of community change work by philanthropy is not a work of art. Tapping into the wisdom of institutions such as the Aspen Institute, the Annie E. Casey Foundation, the Hewlett Foundation, the Skillman Foundation, the Marguerite Casey Foundation, and the Northwest Area Foundation, we incorporated the lessons of success and struggle from our colleagues in the field. Learning from these and other colleagues, we were able to avoid hitting major rocks as our BHC ship sailed out of harbor. So, we learned the following:
Community engagement in planning processes will be simultaneously exhilarating and messy.
1. Take time to plan, and plan to take the time. We embarked on a 9 month community engagement process in the 14 BHC sites, and we ended up taking 12-15 months. Nobody died, and nobody got fired. Community engagement in planning processes will be simultaneously exhilarating and messy. If it is going too smoothly and too well, then something may be terribly wrong – like the possibility that a foundation is not receiving candid, meaningful input from local leaders. If it is bumpy and messy and getting to consensus, and clarity is taking much longer than originally planned, it may very well mean that you are gaining the trust of leaders to raise thorny, difficult issues. As a general rule, we just took the time that was needed for local leaders to develop their local BHC plans, and we did not pit BHC sites against one another to race by the foundation’s clock. Community leaders want a compass more than they want a clock.
2. Don’t lead with the money. The issue of whether to announce “how much” the dollar commitment is in a foundation initiative is a tricky path. On the one hand, a major dollar-commitment announcement by a foundation can provide excitement, anticipation, and mobilize civic and community support. On the other hand, “leading with the money” can instigate all manner of posturing, control issues, manipulation, and political grantsmanship among potential grantees. We decided to quietly announce the breadth and scope of our commitment -- $1 Billion over a ten-year period in local and statewide policy funding – but veered away from formally announcing precise budget commitments in each site. In other words, we wanted to send a message that our commitment was serious without leading the conversations with grant dollar puppetry.
3. Date logic models, but get married to learning. There is no doubt that engaging in the disciplined exercise of how you think – and how community leaders believe – positive change and results will happen is a sound practice. But it is also important to recognize that community change and positive results in the context of complex social and political systems often defy tidy, linear models. If you want to get married, it is wiser to commit to the process of active, dynamic, real-time learning. We provided logic model training for leaders in the 14 BHC sites, with varying levels of effectiveness across the sites; we have been clear, however that learning is not optional, either for grantees or our own program staff.
4. Be transparent about desired results. There are written and unwritten axioms about the need for philanthropy to be completely community driven in community-change work. Our experience is that this thinking is a truism without being entirely true. For starters, our foundation is legally chartered as a health foundation, and although we employ a broad definition of the word “health”, there are limitations and constraints about what we can and cannot fund. This issue led to some considerable tensions within the foundation (at the board and staff level), as well as with grantees and stakeholders, about prioritized community needs that were outside the scope of our health mission. The most obvious and recurrent tension-generating themes, in the context of a pervasive economic recession, were issues of economic development, job creation, and mortgage foreclosure across the sites. The battles over if and how we should enter “the space” of economic development as a health foundation were intense and emotional. We ultimately landed on a framework (utilizing mission-investing in our investment portfolio) for how to move forward without “mission drift”, and have been communicating our approach to our own program staff and stakeholders, but it has not been easy. But the worst of all worlds would have been to promise community leaders a course of action that we would either abandon or renege upon later on. We decided to stick to our mission and results (the right move, however discomforting for foundation-community relations).
5. Be dogmatic about the results, but flexible about the strategies. The work of community change is noble, but funders cannot afford to fall in love with the process of the work at the expense of meaningful results and impact. Once community leaders and funders agree on a set of outcomes, objectives, or results, these must represent the “true north” on the compass. In the BHC planning and early implementation, we gave community leaders and organizations in the BHC planning process a blank slate on strategies, but insisted on being results driven and logic-model supported. The good news is that across our 14 BHC sites, there is community and resident ownership about the priorities and the strategies to achieve healthier community environments for young people. While these strategies vary, we are seeing growing convergence as the sites engage and learn from one another.
6. Listening is a form of leadership. Irish poet David Whyte underscores the importance of “leadership through conversation.” We have been quite intentional about active listening at all stages of the planning and implementation, and being mindful of closing the feedback loop with community leaders and grantees. We utilized a fairly simple “what we said, what they said, what we heard, what we’ll do” format. At the conclusion of the one-year planning process, our past Board Chair (Tessie Guillermo) and I co-authored and co-videotaped messages to the 14 sites summarizing the key themes and priorities we heard from community leaders in the sites, and what to expect in support from our foundation in the months ahead. We have now begun to bring site leaders together twice annually with foundation staff, so that leaders and staff can share stories of progress, struggles, and inspiration. All of this in service of the all-too critical “t-word”: trust. Trust is the mother’s milk of community change efforts by philanthropy, and active, engaged listening is the foundation.
7. Make “patient” grants, and “urgent” grants. Investors engaged in place-based, community change efforts encounter several tensions to manage. Among them is the tension of patience versus urgency. As efforts such as the Harlem Children’s Zone, Market Creek Plaza in Southeast San Diego, the Skillman Foundation’s work in Detroit, and the Dudley Street Initiative in Boston have demonstrated, positive community change takes time. A two- or three-year grant just won’t do it, and most successful efforts require 7, 10, or 12 years of “patient money.” The most thoughtful investments on this front involve leadership development, organizational capacity building, and collaborative efficacy; but “impact” yield from these investments will typically take years to bear fruit. “Urgent” money involves investing in short-term campaigns or capital projects where tangible results are realized within 12-18 months. Community change, place-based philanthropy will require both types of investments, and too heavy a bias or tilt towards “patient” investments will leave the investor and the partnership vulnerable to allegations that some money has been spent, some meetings have occurred, but nothing “tangible” has been produced. As a result, confidence in the effort will dissipate. Our BHC effort in the early going has been appreciative of the need to simultaneously make “patient” and “urgent” (which we also call “early wins”) grants.
8. Story-telling is part of the doing. The two-most under-appreciated and under-invested themes in social-change philanthropy are power-building and story-telling. Having been at the helm of a large-asset foundation for more than a decade, I am guilty-as-charged on this front; in retrospect, I would gladly trade in half of the (often expensive) academic and research-oriented reports we have commissioned in my twelve years as CEO for more compelling, interesting, and impactful “stories” of community-level change that illuminate the path towards a healthy, more vibrant community. Story-telling by community leaders, youth, or community-based organizations can be powerful tools on multiple fronts: local residents and youth experience the power and passion of their own voice; local media are inspired to re-tell the story in a way that scales up the audience; policymakers pay greater heed and attention to the issue being raised; civic engagement and participation is served; cynicism, disengagement, and disempowerment are reduced. Utilizing multiple forms of story-telling, from social media to flip-cam videos to traditional approaches, we have been assertive in support of community leaders and youth on this front, and it has been inspiring to witness.
Why build, preserve, and protect our respective brands and reputations if we are not going to spend it? Spend that damn brand.
9. Spend the damn brand. Institutional philanthropy is risk-averse. We tend to worry and fret about how our institutional brand, reputation, and civic standing might be sullied by associating with potentially controversial efforts or organizations, and as a general rule, we keep our heads and our profile low. But we have discovered, in the early years of the BHC effort, that thoughtful, surgical application of our civic standing and reputation matters to community leaders – and that they want us to spend “it” on their behalf. Sometimes it comes in the form of convening a meeting, writing and placing an op-ed, placing a phone call to a civic leader, or taking out a full-page ad on an issue in the local newspaper. We have done this with regards to healthy food options for youth and families, health insurance coverage for the uninsured, gang prevention and intervention strategies, and school health efforts. There is a school of thought among philanthropy that our job as funders is “to make the grant and get out of the way.” We would argue that our job is to achieve our respective missions, and by any means necessary. On occasion, this requires stepping out of character on behalf of grantees, and utilizing our voice as well. Why build, preserve, and protect our respective brands and reputations if we are not going to spend it? Spend that damn brand.
10. A Highly Engaged Board. In the earliest planning stages of BHC with our Board of Directors, the Board made it clear that they understood the value and importance of a ten-year commitment, but they also made three points clear. The first was the importance of honesty, candor, and trust about the progress of the effort. The second was a complete commitment to an evaluation approach framed by “learning through impact.” And thirdly, they wanted to be engaged for the purposes of learning, and governance, but not micromanagement. We accomplished the latter by organizing our quarterly Board meetings in or near a BHC community site at least three times a year, and each Board member accepted an assignment of one community site for more in-depth and richer learning. Board members share their observations over dinner at our Board meetings.
In closing, we have found the work of community change to be an exhilarating journey in pursuit of our health mission. We have gained an appreciation of the importance of the “right brain-left brain balance” in this work: having a Theory of Change, and Logic Models, and metrics are important, but trust-building, power-building, and the spiritual dimension of the work constitutes the real glue to hold partners and relationships together over the long haul. And finally, a special note of thanks and appreciation to those foundations who have traversed this path before us, sharing tidbits of lessons and wisdom so that we can “make new mistakes” in the battle for community improvement and health justice.
--Robert K. Ross, M.D.