Mobilizing for Action through Planning and Partnerships …assets.thehcn.net/content/sites/nashville/CTS_Report_FINAL.pdf · Mobilizing for Action through Planning and Partnerships

Community Themes and Strengths Assessment Report | 1

Mobilizing for Action through

Planning and Partnerships (MAPP)

Community Themes and Strengths

Assessment

Final Report

Report Date: April 10, 2014

“A healthy Nashville has a culture of well-being, where all people

have the opportunity and support to thrive and prosper.”

MAPP Vision Statement

2013


Acknowledgements

Healthy Nashville Leadership Council,

MAPP Advisory Body

Dr. Alicia Batson

Jeff Blum

Ted Cornelius (Chair)

Dr. John Harkey

Dr. Arthur Lee

Nancy Lim

Councilwoman Sandra Moore (Vice-Chair)

Brenda Morrow

Vice-Mayor Diane Neighbors

Dr. Freida Outlaw

Janie Parmley

Dr. William S. Paul

Dr. Marybeth Shinn

Dr. Susanne Tropez-Sims

Councilwoman Sheri Weiner

Ex-Officio Members

Captain Mike Hagar

Laura Hansen

Tommy Lynch

Leslie Meehan

Renee Pratt Metro Public Health Department Core Support

Dr. William S. Paul, Director of Health

Dr. Sanmi Areola

Tracy Buck

Dr. Celia Larson-Pearce

Keri Kozlowski

Stan Romine

Thomas Sharp

Chris Taylor

Brian Todd

Dr. Sandra Thomas-Trudo

Dr. Kimberlee Wyche

Metro Public Health Department Core Support

Dr. William S. Paul, Director of Health

Dr. Sanmi Areola

Tracy Buck


Keri Kozlowski

Stan Romine

Thomas Sharp

Chris Taylor

Brian Todd

Dr. Sandra Thomas-Trudo

Dr. Kimberlee Wyche

Community Themes and Strengths

Committee

Billy Fields

Brenda Morrow

Bryn Bakoyema


Chris Taylor

Courtney Wheeler

Dinah Gregory

Donna Kenerson

Dr. Freida Outlaw

Gary Gaston

Janie Parmley

John Patrick

Dr. Kimberlee Wyche

Laura Hansen

Renee Pratt

Tanya Evrenson

Doug Hausken

Reverend Theo Bryson

Yolanda Vaughn


Table of Contents

Community Themes and Strengths Assessment Executive Summary …………..……………..…………… p 4

Assessment Process and Results ………………………………………………………………………………… p 8

Appendices ........................................................................................................................................ pp 16-23

A. Background – Mobilizing for Action through Planning and Partnerships

B. Consensus Building Workshop Results

C. Community Listening Session Script and Protocol


Executive Summary

Nashville is using the Mobilizing for Action through Planning and Partnerships (MAPP) community health

assessment process as the framework for convening a large variety of organizations, groups, and individuals

that comprise the local public health system in order to create and implement a community health improvement

plan. MAPP utilizes four assessments, which serve as the foundation for achieving improved community

health. They are:

Community Health Status Assessment

Community Themes and Strengths Assessment

Forces of Change Assessment, and

Local Public Health System Assessment

The Community Themes and Strengths (CTS) committee met over the course of four months to answer the

overarching CTS assessment questions:

What is important to our community?

How is quality of life (QoL) perceived in our community?

What assets do we have that can be used to improve community health?

The CTS committee was charged with gathering community thoughts, opinions, concerns, and solutions, as

well as feedback about QoL and community assets. Recognizing that any single approach could be insufficient

in reaching a broad cross-section of such a diverse population, the subcommittee selected the following three

methods to answer the assessment questions:

Electronic QoL Survey

Community Listening Sessions

Creation of Asset Maps Using 2-1-1 Data

The electronic QoL survey was created after reviewing the MAPP QoL survey provided in the MAPP

handbook. Committee members used the consensus building workshop, a Technology of Participation (ToP)

facilitated brainstorming process, to provide answers to the question, “What are the factors that ensure optimal

quality of life for all?” Similar responses were grouped together and given a descriptive title. In total, 11 groups

were created and they are:

1. Healthy Natural Resources 2. Accessible and Affordable Transportation 3. Meaningful Employment 4. Self-Determination 5. Equal Access to Basic Human Needs 6. Equal Access to Optimal Education 7. Affordable and Safe Housing 8. Physical and Mental Health 9. Connected and Engaged Community 10. Safe Community 11. Recreational Opportunities


The survey was open to the public for approximately one month. The committee chose to use a convenience

sample to collect information from readily-available respondents. Although the committee recognized that the

results of this type of sample could not be generalized to the entire population, effort was made to target

specific groups that otherwise might have been underrepresented. The survey was open to all Davidson

County resident ages 18 years and older. A total of 1,038 surveys were completed.

The CTS committee recognized the value of community listening sessions to gain a more in-depth

understanding of the issues that were most important to the community. Listening sessions were also viewed

as an effective tool to acquire meaningful input from community members who may have been less likely to

respond to the survey, such as those without access to a computer. The CTS committee chose to conduct four

community listening sessions in three targeted areas of Davidson County: Cayce Homes, Edgehill Community,

and the Nations. In order to promote consistency in data collection and reporting, a facilitation guide was

developed (Appendix D) and included standardized language including an overview of the listening session

process as well as the MAPP process. One individual conducted all but one of the listening sessions to ensure

consistency. In total, 32 Davidson County residents participated in the listening sessions.

The final data collection method used by the CTS committee was the creation of asset maps using 2-1-1 data.

With assistance from United Way and the Metropolitan Department of Planning, the CTS committee was able

to create asset maps that showed where gaps in services exist. The 2-1-1 data contains service providers that

are split into 16 different service categories. For each service category, the committee created two different

maps, one showing the service provider locations with census tract income levels, and the other showing the

service provider locations with census tract population. These asset maps helped to identify potential gaps in

service as well as areas that are saturated with providers.

Once all of the data was analyzed, the CTS committee members were asked to identify issues, assets, and

perceptions that stood out in the data, and they are as follows:

Assets Information from Asset Map Information from QoL Survey

Greenways and green spaces

I have access to parks and greenways where I can be physically active.

71% of respondents either Agreed or Strongly Agreed

Healthcare rich in Nashville

Located mostly in urban core, fewer assets in North and West Nashville

Structural access does not ensure life circumstances provide access

Can’t miss work

Hours of operation


Issues Information from Listening Sessions Information from QoL Survey

Lack of adequate recreational opportunities, especially for teens

Need more camps that are free for low-income families

Create exercise opportunities that are fun and engaging for all ages

Also need to do more for Senior Citizens. They often don’t have the transportation to get to community centers and are not able to “age in place”

Access to mental health / substance abuse resources

I have access to high quality mental health services in Davidson County.

37% of respondents selected Neither Agree nor Disagree

I have access to high quality substance abuse services in Davidson County.

58% of respondents selected Neither Agree nor Disagree

Meaningful employment

“We need more jobs in our area. Any kind of job.”

“We need access to Wi-Fi so that we can search for jobs.”

Youth jobs programs so they can be prepared for the real world

Need help for people looking for jobs, such as interview training and resume writing

I am able to find employment in my preferred area of interest

24% of respondents either Disagreed or Strongly Disagreed

There are enough employment opportunities in Davidson County?


Access to basic human needs – Access to affordable food

Food in low-income areas is more expensive

$3 for a half gallon of milk as opposed to $1.99 in other areas

“We are in a food stamp area”

Need better transportation options to access fresh fruits and vegetables

Fifty Forward provides transportation to seniors

Nashville Mobile Market comes, but their stuff is too expensive


Transportation (Public Transit)

Needs to lower the cost to ride and add additional routes

The bus stop at Martha O’Bryan has been moved

Some bus stops are dangerous because they are right on the road

Some trips are very long because you have to go downtown first to get a different bus

I have enough access to affordable public transportation options in my neighborhood.

51% either Disagreed or Strongly Disagreed

I have enough access to affordable public transportation options in Davidson County.

52 % either Disagreed or Strongly Disagreed

Transportation (Walkability)

Lack of sidewalks / lack of connectivity

“Cars have no regard for kids going to school and seniors crossing street to go to grocery store, the cars almost run them over. People in wheelchairs have gotten hit.”

My neighborhood has well lit sidewalks for me to use.


Transportation (Bikeability)

“Why does the Gulch have bikes and we don’t?”

Bikes provide additional transportation options to go to work or to the store

Perceptions Information from Listening Sessions Information from QoL Survey

Inequalities perceived by MDHA residents, specifically residents who are senior citizens

“Caucasians moved out but now they are coming back. Eventually, they are going to be coming back into OUR area and there’s nothing that we can do about it. Where are we going to go? There aren’t any jobs in the area!”

Lack of respect for senior citizens.

Senior citizens get very little in food stamps, can’t afford fruits and vegetables.

Communities desire opportunities for inter-generational connectedness

Mentoring opportunities

Help kids stay out of trouble

“Easy for kids to get into trouble, but it’s really hard for them to get out of it!”

People view Davidson County and their own neighborhood as safe

I feel safe in my neighborhood.

76% of respondents either Agree or Strongly Agree

I feel safe in Davidson County.

64% of respondents either Agree or Strongly Agree


Assessment Process and Results

The Community Themes and Strengths (CTS) committee met over the course of four months to answer the

overarching CTS assessment questions:

What is important to our community?

How is quality of life (QoL) perceived in our community?

What assets do we have that can be used to improve community health?

The CTS committee was charged with gathering community thoughts, opinions, concerns, and solutions, as

well as feedback about QoL and community assets. Recognizing that any single approach could be insufficient

in reaching a broad cross-section of such a diverse population, the subcommittee selected the following three

methods to answer the assessment questions:

Electronic QoL Survey

Community Listening Sessions

Creation of Asset Maps Using 2-1-1 Data

The electronic QoL survey was created after reviewing the MAPP QoL survey provided in the MAPP

handbook. Committee members used the consensus building workshop, a Technology of Participation (ToP)

facilitated brainstorming process to provide answers to the question, “What are the factors that ensure optimal

quality of life for all?” Similar responses were grouped together and given a descriptive title (Appendix B). In

total, 11 groups were created and they are:

1. Healthy Natural Resources 2. Accessible and Affordable Transportation 3. Meaningful Employment 4. Self-Determination 5. Equal Access to Basic Human Needs 6. Equal Access to Optimal Education 7. Affordable and Safe Housing 8. Physical and Mental Health 9. Connected and Engaged Community 10. Safe Community 11. Recreational Opportunities

The tables and charts on the following pages provide the information from the QoL survey. The survey received 1,038 responses.


Are you Male or Female? Survey

Response Davidson County

Male 30.2% 298

Female 69.8% 689

What is the highest level of education you have completed?

Survey Response

Davidson County

Less than High School 0.1% 1

High School Diploma GED 3.3% 32

Some College 11.6% 114

2-year College Degree (Associates) 4.6% 45

4-year College Degree (BA, BS) 34.0% 335

Master's Degree 35.6% 350

Doctoral Degree or Professional Degree (MD, JD) 10.9% 107

Are you Male or Female?

Male

Female


What is your current marital status? Response Percent

Response Count

Single, Never Married 23.4% 228

Married 57.4% 559

Separated 1.3% 13

Divorced 15.4% 150

Widowed 2.5% 24

What is the highest level of education you have completed?

Less than High School

High School Diploma GED

Some College

2-year College Degree(Associates)

4-year College Degree (BA, BS)

Master's Degree

Doctoral Degree orProfessional Degree (MD, JD)

Single, Never Married

23%

Married 57%

Separated 1%

Divorced 16%

Widowed 3%

What is your current marital status?


3.00 3.10 3.20 3.30 3.40 3.50 3.60 3.70 3.80 3.90

How satisfied are you with your quality of life inyour neighborhood?

How satisfied are you with your quality of life inDavidson County?

How satisfied are you with your opportunities toengage socially with all people in your…

How satisfied are you with your opportunities toengage socially with all people in Davidson…

Using the rating scale provided, please answer the following questions:

Very Unsatisfied Unsatisfied

Neither Satisfied nor Unsatisfied Satisfied

Very Satisfied

How satisfied are you with your quality of life in your neighborhood? 34 108 100 486 257

How satisfied are you with your quality of life in Davidson County? 25 80 132 586 159

How satisfied are you with your opportunities to engage socially with all people in your neighborhood? 52 181 272 358 121

How satisfied are you with your opportunities to engage socially with all people in Davidson County? 30 123 318 414 96

In regards to Transportation, please indicate your level of agreement with the following statements.

Strongly Disagree Disagree

Neither Agree nor Disagree Agree

Strongly Agree

I have enough access to affordable public transportation options in my neighborhood. 223 274 186 229 72

I have enough access to affordable public transportation options in Davidson County. 219 292 210 196 59


In regards to Basic Needs, please indicate your level of agreement with the following statement.



Strongly Agree

I have the ability to meet my basic needs such as food, clothing, housing, and medicine. 26 58 39 393 459

In regards to Safety, please indicate your level of agreement with the following statements.


Neither Agree

nor Disagree Agree

Strongly Agree

I feel safe in my neighborhood. 26 101 104 528 222

I feel safe in Davidson County. 18 125 212 542 76


In regards to Employment, please indicate your level of agreement with the following statements.



Strongly Agree

There are enough employment opportunities in Davidson County. 95 320 252 280 29

I am able to find employment in my preferred area of interest. 70 167 192 414 131

I earn enough money from my job(s) to support my household. 99 181 156 371 164

What is your race? Survey Response Davidson County

American Indian and Alaska Native 0.4% 4

Asian 0.7% 7

Black or African American 23.7% 233

Native Hawaiian and Other Pacific Islander 0.2% 2

White 71.6% 703

More than One 1.7% 17

Other (please specify) 1.6% 16

In regards to Education, how satisfied are you with the following:

Very Unsatisfied Unsatisfied

Neither Satisfied nor Unsatisfied Satisfied

Very Satisfied

Number of public schools that serve your neighborhood. 41 134 349 387 71

Number of public schools in Davidson County. 30 127 406 361 53

The quality of education provided by the public school system in Davidson County. 189 355 271 133 34

Access to private schools in Davidson County. 38 121 475 268 74

Affordability of private schools in Davidson County. 180 283 430 71 15

The quality of education provided by private schools in Davidson County. 21 53 558 238 107

Access to higher education in Davidson County (Colleges, Universities, etc). 23 59 191 481 227

Affordability of higher education in Davidson County (Colleges, Universities, etc). 97 291 347 205 41

The quality of education provided by higher education institutions in Davidson County. 14 53 302 453 159


In regards to Health, please indicate your level of agreement with the following statements.


Neither Agree

nor Disagree Agree

Strongly Agree

I have access to high quality health care services in Davidson County. 28 44 71 559 283

I have access to high quality dental services in Davidson County. 38 71 98 520 258

I have access to high quality mental health services in Davidson County. 35 82 357 346 152

I have access to high quality substance abuse services in Davidson County. 24 58 566 232 96

There are mental health promotion, and early intervention supports in my community for children and adolescents (Consider school readiness programs, alcohol and tobacco prevention, and other wellness services). 48 163 514 217 35

It is important to me to have health providers that are racially, ethnically, and culturally similar to the people who live in my community. 35 110 320 339 174

I have no problem accessing healthy, fresh food in my neighborhood. 48 127 85 458 264

My neighborhood has well lit sidewalks for me to use. 342 292 66 212 71

I have access to parks and greenways where I can be physically active. 65 119 98 454 243

What is your annual household income? Survey Response Davidson

County

Less than $10,000 2.3% 22

$10,000 - $19,999 3.8% 36

$20,000 - $29,999 6.1% 58

$30,000 - $39,999 11.1% 106

$40,000 - $49,999 10.7% 102

$50,000 - $59,999 11.1% 106

$60,000 - $69,999 6.9% 66

$70,000 - $79,999 7.1% 68

$80,000 - $89,999 6.4% 61

$90,000 - $99,999 6.1% 58

$100,000 - $149,999 17.1% 163

$150,000 + 11.4% 109


In regards to Community Engagement, please indicate your level of agreement with the following statements.



Strongly Agree

I believe my neighborhood is a good place to raise children. 40 117 174 465 191

I believe Davidson County is a good place to raise children. 27 74 210 542 135

I believe my neighborhood is a good place to grow old. 51 157 179 453 146

I believe Davidson County is a good place to grow old. 32 107 220 501 121


Appendices

Appendix A

Background - Mobilizing for Action through Planning and Partnerships

Identifying Nashville’s public health issues and improving the community’s health and quality of life requires the

knowledge and experiences of all of those who live and work in Nashville. Nashville is using the Mobilizing for

Action through Planning and Partnerships (MAPP) community health assessment process as the framework

for convening a large variety of organizations, groups, and individuals that comprise the local public health

system in order to create and implement a community health improvement plan. As a community-based and

inclusive process, MAPP provides an opportunity to build and maintain relationships with community partners

and Nashville residents. Community involvement throughout the process creates community ownership of

public health concerns and solutions.

Fig 1: MAPP Process Roadmap to Improved Health

From 1997 through 2001, the National Association of County and City Health Officials (NACCHO), in

collaboration with the Centers for Disease Control and Prevention (CDC), developed MAPP. Prior to MAPP’s

inception, public health practitioners did not have structured guidance on creating and implementing

community-based strategic plans. In response, NACCHO and CDC created a process based on substantive

input from public health practitioners and public health research and theory. As a result, MAPP is a process

that is both theoretically sound and relevant to public health practice. (National Association of County and City

Health Officials, 2008).

Nashville has used many public health assessment tools in the past and was one of the first communities to

use the MAPP process for community health assessment and planning. Nashville was selected by NACCHO


as a MAPP demo site from 2001 until 2003, during which time the Healthy Nashville Leadership Council

(HNLC) was created as an overseeing body to help guide the MAPP process and prioritize strategic issues.

The HNLC is a mayoral appointed council, comprised of strategic thinkers and community leaders that is

convened by the Metro Public Health Department (MPHD) to serve as the steering committee for the MAPP

process. MPHD serves as the lead agency for conducting the MAPP assessments and has established a core

support team, comprised of 11 members, diversely representative of the health department and its initiatives,

who will serve as leadership for the MAPP assessment teams. See page 12 for the Executive Order

establishing the Healthy Nashville Leadership Council.

Fig 2: MAPP Organizational Structure (2013-2014)

MAPP utilizes four assessments, which serve as the foundation for achieving improved community health. As

reflected in the organizational structure above, for this iteration of MAPP, Nashville has partnered with the

Nashville Food Policy Council to utilize information from their Food System Assessment to inform the strategic

issues in addition to the traditional four MAPP assessments. These four assessments are:

Community Themes and Strengths Assessment: Provides community perceptions of their health and quality of life, as well as their knowledge of community resources and assets.

Local Public Health System Assessment: Measures how well public health system partners collaborate to provide public health services based on a nationally recognized set of performance standards. The Local Public Health System Assessment is completed using the local instrument of the National Public Health Performance Standards Program.


Community Health Status Assessment: Measures the health status using a broad array of health indicators, including quality of life, behavioral risk factors, and other measures that reflect a broad definition of health.

Forces of Change Assessment: Provides an analysis of the positive and negative external forces that impact the promotion and protection of the public’s health.

Fig 3: MAPP Process

Once strategic issues are identified, the HNLC will formulate goals, strategies and an action plan for

implementing the strategies.

This approach leads to the following:

o Measurable improvements in the community’s health and quality of life;

o Increased visibility of public health within the community;

o Community advocates for public health and the local public health system;

o Ability to anticipate and manage change effectively; and

o Stronger public health infrastructure, partnerships, and leadership.

Healthy Nashville Leadership Council Executive Order

Article I. EXECUTIVE ORDER NO. 025

Section 1.01 THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON

COUNTY

Section 1.02 KARL F. DEAN, MAYOR

SUBJECT: Healthy Nashville Leadership Council

I, Karl Dean, Mayor of the Metropolitan Government of Nashville and Davidson County, by virtue of the power and authority vested in me, do hereby amend former Mayor Purcell Executive Order No. 019 and find, direct and order the following:


I. The Metropolitan Government desires to improve the health of its citizens by assessing citizen’s health status, the current health systems available to provide essential services, and potential forces of change affecting citizen health and establishing strategic priorities for health improvement; and

II. Much of the chronic disease burden is preventable and the underlying contributors to chronic diseases include unhealthy diet, lack of physical activity, and tobacco use; and

III. Community-wide action is necessary to improve health, including action by individuals, families, schools, employers and businesses, community groups, religious communities, and government; and

IV. The Healthy Nashville Leadership Council has been successful in drawing community-wide attention to and encouraging ownership of important public health problems and their solutions.

1. Healthy Nashville Leadership Council: There is a Davidson County citizens’ council called the Healthy Nashville Leadership Council (hereinafter Council).

2. Council’s duties: The Council shall be charged with: a. Assessing the health status and quality of life of Davidson County residents, assessing health systems for essential services, and assessing potential forces of change, and b. Establishing strategic priorities and mobilizing community initiatives to achieve improvements in health.

3. Council members: The Council shall be composed of eighteen (18) members appointed by the Mayor. a. One of the members shall be a member of the Metropolitan Board of Health; and b. One of the members shall be the Director of Health or her/his designee. c. Other appointees to the Council shall include, but not be limited to, representatives of health care organizations, community organizations, and other interested community members. d. Members of the Council shall be appointed with a conscious intention of reflecting a diverse mixture with respect to race, ethnicity, gender, and age.

4. Terms for Council members:

a. With the exception of the Director of Health, the regular term of a member of the council shall be three (3) years. b. However, of the initial membership of the Council, five (5) members will serve one (1) year, six (6) members will serve two (2) years, and six (6) members will serve three (3) years so that the terms are staggered as to replace no more than one third (1/3) of the members each year. [Note: The Mayor will designate the term length for each initial Council member at the time of appointment.] c. Members of the Council shall continue in office until the expiration of the terms for which they were respectively appointed and until such time as their successors are appointed, unless a member is administratively removed from the Council pursuant to section 10 below.

5. Vacancies: A vacancy shall be filled in the same manner as a regular appointment.

6. Compensation: Members of the Council shall not be compensated for services rendered.

7. Chair: The Mayor shall appoint a chair from among the members.

8. Officers: The Council shall elect other officers as the Council finds necessary and appropriate.

9. Quorum: A quorum for approving decisions by the Council shall consist of a majority of the currently filled positions on the Council.


10. Removal of Members: A member who fails to attend three (3) or more meetings in a calendar year will cease to be a member absent a vote of retention by the Council.

11. Staff: The Metropolitan Public Health Department shall provide staff support for the Council.

Ordered, Effective and Issued:

Karl F. Dean Mayor

Date: March 17, 2008


Appendix B

Consensus Building Workshop Results

Healthy

Natural

Resources

Accessible and

Affordable

Transportation

Meaningful

Employment

Self-

Determination

Equal

access to

Basic

Human

Needs

Equal

Access to

Optimal

Education

Affordable

and Safe

Housing

Physical

and Mental

Health

Connected

and

Engaged

Comm

Safe

Community

Recreational

Opportunities

Health of our

Natural

Environment

Transportation Meaningful

Work

Freedom to

Make Choices

Basic

Needs Met

for

Everyone

Good

Education

Affordable

& Safe

Housing

Access to

Affordable

Health Care

Shared

Community

Ownership

Safety Parks and

Open Spaces

Transportation Living Wage /

Economic

Opportunities

Self Determine

Quality

Access to

Ample &

Nutritious

Food, &

Clean

Water

Proper

Education

Adequate

Housing

Good Health Sense of

Community

Safe and

Secure

Comm

Opportunities

to "Play"

Basic Trans Employment &

Opportunity

Equal

Access

Access to

Educational

Opp

Affordable

Housing /

Adequate

Shelter

Access to

Health Care

Senior Citizen

Engagement

Transportation /

Transit System

Economic

Stability

Social

Interaction

(Family

Friends,

Church, etc)

Availability of

Quality Jobs &

Promotional

Opportunities

Strong

Families

Awareness of

Services

Available

What are the factors that ensure optimal quality of life for all?


Appendix C

Community Listening Session Script and Protocol

(To gather before the meeting: note paper, writing utensils, enough chairs for participants, water/refreshments

for participants, any handouts containing information about the project)

Welcome:

Welcome everyone. Thank you so much for coming out tonight/today to participate in this important project. My

name is ________________ and I work at _____________________. I am going to give you a quick overview

of why we are here, but first I want to take care of some housekeeping items.

*For Children Ages 14-17 Only*:

I must have your Informed Consent document that has been signed by your parent or legal guardian

I’m going to now pass out this assent form. Please read through this document and sign your name if you wish to participate in this listening session. Without your signature, you will not be able to participate.

Housekeeping: Here is the time to make announcements about any logistics. Some examples are:

The session will last approximately 1 hour and is open to Davidson County residents’ ages 18 years and older.

Please raise your hand if you do not live in Davidson County. Please raise your hand if you are not 18 years of age or older. If you haven’t already, please help yourself to refreshments. The bathrooms are located___________________ This is _______; he/she will be taking notes during our session. Silence cell phones

Project Overview:

This listening session is designed so that you can share your opinions about issues that affect your quality of

life. Several factors can affect a person’s quality of life, including but not limited to; access to quality education,

perception of safety, access to fresh fruit/vegetables, access to health care, etc. The affects can be positive or

negative, and there are no “wrong answers.” These are your opinions. The information gathered today will be

added to other listening session information, as well as data gathered from the quality of life survey that is

being shared throughout Davidson County. Please be aware that this session is voluntary and will not be

recorded using audio or video equipment. We will not record your name, address, or any other identifiers.

This listening session is being conducted by the Community Themes and Strengths Assessment Committee in

partnership with the Metro Public Health Department as a part of the community health assessment process

known as Mobilizing for Action through Planning and Partnerships (MAPP). MAPP is a strategic approach to

improving community health and quality of life through community-wide strategic planning. In front of you is a

MAPP one pager that explains more about this process.

Do you have any questions at this point?

Group discussions questions:


Ok, we are about to begin, but I do want to mention a couple things very quickly. This is going to be an informal

discussion, and we want to hear your ideas, experiences and opinions. I’m going to request that we let

everyone have a chance to speak, and please do not interrupt someone who is already speaking. Also,

please turn your cell phone on vibrate or off. The goal today is to have everyone’s opinions heard. If

you have any questions during the session, please feel free to ask me.

Is everyone ok to begin? Great, let’s get started.

1. What do you consider to be an optimal (best) quality-of-life? a. What do you consider to be important to the well-being of the community?

2. What do you believe would help improve your quality-of-life? 3. What do you consider to be strengths related to quality-of-life within your neighborhood / community? 4. What are the obstacles or challenges related to quality-of-life within your neighborhood / community?

a. Are you aware of any available services that address these obstacles / challenges? 5. What changes have you noticed in quality of life for those who live in Davidson County? 6. What is the most important change that could happen that you believe would benefit the quality of life

for you as well as your community? To Finish Up:

Review the major topics and themes covered

Make sure everyone is ok with the opinions expressed

Talk about next steps of the process o A report will be written up that includes all of the information for the listening sessions, as well

as the survey. Once this report is completed, it will be posted online at www.healthynashville.org/MAPP

Thank everyone for their participation!

http://www.healthynashville.org/MAPP

Documents

Mobilizing for Action through Planning and Partnerships …assets.thehcn.net/content/sites/nashville/CTS_Report_FINAL.pdf · Mobilizing for Action through Planning and Partnerships