Prosocial (Prosocial: Using Evolutionary Science to Build Productive, Equitable and Collaborative Groups by Atkins, Wilson and Hayes) is a mix of ideas from evolutionary science, core design principles for governing a commons from Elinor Ostrom, and Acceptance Commitment Therapy (ACT)(Training) based in contextual behavioral science. Here in Concord, there are more than 60 agencies and departments thatContinue reading “Prosocial Ideas May Help Us End Homelessness”
Category Archives: Uncategorized
How is Housing Security a System that can Improve?
To improve a system, it may be helpful to frame three components of that system: 1) how we make what the system provides, 2) what society needs, and 3) how we improve what we make in the system. A system is an interdependent group of people, items, process, products and services that have a commonContinue reading “How is Housing Security a System that can Improve?”
Housing is a Social Determinant of Health
Briefly, see Don Berwick’s 2021 National Forum Plenary on Ten Teams: Health Care’s Great Power and Great Responsibility He starts with a previous framing of the Moral Determinants of Health which include Ending hunger and homelessness in the US. His frame is that the healthcare system must become an active agent of change. He challengesContinue reading “Housing is a Social Determinant of Health”
How Good is the New Hampshire Food Stamp System?
“Every system is perfectly designed to give the results it gets.” Context: Social determinants drive 80% of health outcomes, clinical care drives 20% (see County Health Rankings Model). Food insecurity, unemployment, and poverty increased during the great recession (2008) and was exacerbated by the COVID-19 pandemic. Yet SNAP (Supplemental Nutritional Assistance Program–food stamp) enrollments haveContinue reading “How Good is the New Hampshire Food Stamp System?”
Adaptive problem
Health equity improvement is an example of an adaptive problem in contrast to a technical problem (cf. Heifetz winter 2004 issue of the Stanford Social Innovation Review). Thanks to: http://lifebytwobytwo.com/2018/02/08/the-stacey-matrix-of-process-complexity/
Begin at the beginning…
Realist musings, collective thinking and action for New Hampshire health improvement–sustainable, equitable, mindful. To paraphrase Brecht: “…It is the simple thing, so hard to achieve.” Start with our assets. Take heed of complexity. Make the most of our turn at improving health and reducing inequity.
My First Blog Post
This is the first post on my new blog. I’m just getting this new blog going, so stay tuned for more. Subscribe below to get notified when I post new updates.
Introduce Myself: Jim Schlosser
To share, to learn about local health equity improvement in New Hampshire. Think global, act local. Box: All models are wrong, some are useful. But… Kuhn (from Hirschman): A model is never defeated by facts, however damaging, but only by another model. The realist’s assertion: C + M = O In what context, what works…andContinue reading “Introduce Myself: Jim Schlosser”
NH Collective Health Impact 