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Promoting Family and Community Wellness Through Value-Based Research
Isaac Prilleltensky
Peabody College, Vanderbilt University
What is Wellness?
Wellness is a positive state of affairs, brought about by the simultaneous and balanced satisfaction of personal, relational, and collective needs of individuals, families, and communities.
Webs of Wellness
There cannot be wellness but in the combined presence of personal, relational, and collective well-being
Personal Wellness in Families and Communities Sense of control Physical health Love Optimism Competence Growth Self-esteem
Relational Wellness in Families and Communities Support Affection Bonding Cohesion Collaboration Respect for diversity Democratic participation
Collective Wellness
Economic prosperity Social justice Adequate health and social services Low crime Adequate housing Clean environment Support for community structures
Positive Web-like Interactions
Values, ResourcesPrograms, Policies
Values, ResourcesPrograms, Policies
Values, ResourcesPrograms, Policies
Values, ResourcesPrograms, Policies
EmploymentSafety netsQuality education
Child careAdequate housingCohesionAccess to health care
Good parentingMutual SupportGood mental health
Easy temperamentPhysical healthAdequate birth weight
Negative Web-like Interactions
Values, ResourcesPrograms, Policies
Values, ResourcesPrograms, Policies
Values, ResourcesPrograms, Policies
Values, ResourcesPrograms, Policies
PovertyViolenceDiscrimination
No child carePoor housingLack of cohesionCrime
Teen parentingFamily sizeStressorsPoor parentingAddictionsPoor mental health
TemperamentPoor healthBirth weight
Web-like Interactions of Social Capital
low med high
healthwelfare
educationtolerance
crime
Low SC: LA, MS, GAMed SC: CA, MO, OKHi SC: ND, SD, VT, MN
Web-like Interactions in Kerala
CollectiveWell-being
RelationalWell-being
Personal Well-being
Tenancy lawsNutrition in school
Distribution Of resourcesLand reform
Infant mortalityLiteracyNutrition
Life expectancy
Social supportSense of cohesion
Personal Empowerment
Social Movements
Government Action
Outcomes
Processes
PERSONAL WELLNESS
RELATIONAL WELLNESS
COLLECTIVE WELLNESS
Health Respect for diversity
Social justice
Self determination
Collaboration and democratic participation
Support for social structures
Caring and compassion Meaning and spirituality
Sense of community
Support for the environment
Values for Family and Community Wellness
Value-Based Research Outcomes
Self determination: Ability of community members to pursue goals Avoid colonizing research
Collaboration: Meaningful opportunities for community members to have input in decisions affecting their lives Voice and choice
Social justice: Fair and equitable allocation of resources in the community Caring does not replace justice
Value-Based Research Process
Self determination: Voice and choice in research The client knows best!
Collaboration: Meaningful input regarding needs Nothing about us without us!!
Social justice: Equal access to resources brought about by the partnership What’s in it for me?
Research Partnerships
Step 1: Create ownership in community Step 2: Clarify vision and values Step 3: Amalgamate strengths of partners Step 4: Research and act collaboratively
Conclusions
If you want to make a change in a group or community, engage them in ways that enhance the level of control over their lives and affords them a voice in research
If you want to make a change in the health of a community, change the social environment and not just the behaviors of individuals
If you want to improve society, don’t work only at the individual or group level, and don’t work only on personal and societal wellness, but on social justice as well, for without justice there is no wellness.
