There's Something Happening Here: A Look at The California Endowment's Building Healthy Communities Initiative

In 2011, TCE commissioned PERE to help capture some of the dynamism happening in each of the sites as they were pivoting from the initial planning phase, which started in 2009, to early implementation.Our focus was on the over-arching story of BHC rather than on the narrative of each site, which would have required many more interviews, many more site visits, and many, many more pages to convey. And while we touch on some of the interactions between BHC and the communications and policy work done under the statewide umbrella of Health Happens Here, our emphasis in this report is on BHC and the sites themselves.Through the course of this research, we have become increasingly convinced that TCE is indeed onto something -- if not big, at least important. In order to clarify exactly what it is, we use a simplifying three-part storyline linked together by an overarching concept of Just Health

Transactions, Transformations, Translations: Metrics that Matter for Building, Scaling, and Funding Social Movements

This report provides an evaluative framework and key milestones to gauge movement building. Aiming to bridge the gap between the field of community organizing that relies on the one-on-one epiphanies of leaders and the growing philanthropic emphasis on evidence-based giving, the report stresses three main insights. The first is that any good set of movement metrics should capture quantity and quality, numbers and nuance, transactions and transformations. They are related -- an energized leader with a clear power analysis (a transformative measure) may turn out more members for a coalition rally (a transactional measure) -- and the report offers a matrix that weaves together both types of metrics across ten different movement-building strategies. The second is that a movement is more than one organization -- and if the whole is to be greater than the sum of its parts, we must measure accordingly. While report includes measures of success at the organizational level, it attempts to move beyond and focus on whether groups can align and work together to create a more powerful force for social change -- suggesting that in the same way that movements need to scale up to face the challenges of our times, metrics, too, must expand to capture the whole. The third is that metrics must be co-created, not imposed. Recognizing the gravity of the times and hoping to gauge their effectiveness, movement builders are eager to come up with a common language and framework for themselves -- and are developing the tools and capacities to do so. The report suggests that the funder-grantee relationship can build on this wisdom in the field and develop a set of evaluative measures that are not onerous requirements but tools for mutual accountability. The report also offers a set of recommendations to funders and the field, ranging from practical steps (like building a new toolbox of measures, improving the capacity to use them, and documenting innovation and experimentation) to more far-reaching suggestions about leadership development, the connection of policy outcomes with broader social change, and the need to generate movement-level measures. We, at USC PERE, hope this report contributes to a conversation about how to best capture transformations as well as transactions in social movement organizing, and how to build the broader public and philanthropic support necessary to realize the promise of a more inclusive America

The Economic Benefits of Immigrant Authorization in California

The USC Center for the Study of Immigrant Integration (CSII) estimates that California would eventually benefit from Latino immigrant legalization by $16 billion annually. This would work towards fixing our budget crisis and restoring our safety net programs cut by the state last August. During this period of economic struggle and budget woes, California has a lot to gain from a national legalization policy. The report entitled "The Economic Benefits of Immigrant Authorization in California" measures the benefits that would accrue to the state and the nation if the currently unauthorized Latino workforce in California were legalized. CSII researchers used a conservative economic model that accounts for the wage "penalty" incurred by the undocumented, assumes a very slow increase in English skills and educational levels, and does not account for gains from future migration. Despite this conservative modeling, the report finds that significant immediate and long-term benefits would accrue not only to affected workers, but to the state and nation overall

Acute fetal anemia diagnosed by middle cerebral artery Doppler velocimetry in stage v twin-twin transfusion syndrome.

In stage V twin-twin transfusion syndrome (TTTS), up to 50% of surviving twins die or experience permanent disabilities, likely due to acute intertwin hemorrhage resulting in sudden severe anemia of the survivor. Although fetal middle cerebral artery (MCA) Doppler studies demonstrate strong correlation with fetal hemoglobin values, acute hemorrhagic events are more difficult to diagnose, and optimal timing of delivery of the survivor poses an obstetric dilemma. We report a case of newly diagnosed stage V TTTS at 28 weeks gestation, complicated by acute severe anemia diagnosed by significantly abnormal fetal MCA Doppler studies. The anemic twin was urgently delivered and is doing well without significant sequelae

Treating the concerned family members of alcohol and drug users : a randomized study

The Community Reinforcement and Family Training (CRAFT) approach is an empirically-supported treatment for the concerned significant others (referred to as CSOs) of treatment-refusing substance users (referred to as identified patients or IPs). Previous studies have examined the efficacy of CRAFT when delivered via individual therapy. The goal of the current study was to examine two less-costly alternatives to the individual CRAFT approach. Forty concerned family members of treatment-refusing alcohol and drug users were randomized to either Group CRAFT or a Self-Directed CRAFT condition in which CSOs received a CRAFT self-help book. In both conditions, free treatment was available to substance users who agreed to enter treatment within a six-month treatment window. Two sets of hypotheses were tested: (1) that CSOs in both the Group and Self-Directed CRAFT conditions would engage their loved ones into treatment and report increases in CSO, family, and IP functioning from the baseline to the viii three and six-month follow-up interviews; and (2) that participants in the Group condition would demonstrate greater increases in these three domains and would have higher engagement rates than CSOs in the Self-Directed condition. Results indicated that both conditions were successful in engaging treatment-refusing IPs into treatment, with no statistically significant difference between Group and Self-Directed CRAFT. Of the CSOs in the Group CRAFT condition, 60% engaged their loved one into treatment, compared to 40% in Self-Directed CRAFT. Of the CSOs in the Group condition who received at least one session of group therapy, 71% engaged their IP into treatment. CSOs in both conditions reported significant improvements in family cohesion and conflict, IP substance-related consequences, and IP total days of substance use at the three and six-month follow-up. Effect sizes comparing the engagement rates of previous individual CRAFT studies with the current Group CRAFT engagement rates were in the small range (.05 - .13) and effect sizes comparing individual CRAFT and Self-Directed CRAFT engagement rates were in the small to moderate range (.23 - .31)

Transforming Lives, Transforming Movement Building: Lessons from the National Domestic Workers Alliance Strategy - Organizing - Leadership (SOL) Initiative

Today's millions of domestic workers in the U.S. play a critical role in our society, whether caring for our children, providing home health care for our elderly, or keeping our homes clean for our families. With the demographic growth of the elderly and disabled, domestic workers will only become more essential to our society. Yet, despite the importance and intimacy of their work to those who hire them, domestic workers have been largely invisible to society, undervalued in the labor market, and excluded from basic workplace standards and protections. We begin the report by describing the National Domestic Workers Alliance Strategy -- Organizing -- Leadership (SOL) Initiative program -- its design and the participants -- and the key questions posed for this assessment. We then define the core concepts and framework that underlie the curriculum. The second half of the report is devoted to lifting up a new set of metrics for capturing indicators of transformational leadership. Based on the findings, we discuss valuable lessons for the program and conclude with implications for movement building. This analysis is based on a review of the literature on domestic worker organizing and on intersectionality; on quantitative and qualitative data we collected through surveys, small group discussions, interviews, and observations; and on documents related to SOL provided by National Domestic Workers Alliance (NDWA). Using a mixed-method approach, we coded all the data and culled the results for common themes. Perhaps more important to note, the analysis in this report is the result of an iterative, co-creative process between USC Program for Environmental and Regional Equity (PERE), NDWA, Social Justice Leadership (SJL), and generative somatics (gs) -- the sort of process we have called for when recommending a new model of assessment. We thus offer this report as a collective effort in a learning process about a dynamic and evolving model of transformative leadership development, transformative organizing, and transformative movement building