Community
Participation in Developing Primary Prevention Programs to Enhance
Community Well-Being
Jean-Marc Bélanger [
*]
In 1991, the Ontario Government announced the Better Beginnings, Better
Futures project as a 25 year comprehensive, community-based research
demonstration project for young children and their families living in
eight disadvantaged communities in Ontario, Canada. The objective of
this longitudinal prevention policy research is to provide information
on the effectiveness of prevention using an ecological model as a
policy for children. The three goals of Better Beginnings, Better
Futures are to: a) prevent emotional and behavioural problems in
children; b) promote the optimal emotional, behavioural, social,
physical and cognitive development in children; and c) strengthen the
ability of communities to respond effectively to the social and
economic needs of children and their families (
Ministry of Community and
Social Services, 1989). This paper addresses issues
relating to one site of the project, the Sudbury Better Beginnings
Better Futures project. This particular project focuses primarily on a
community development approach to ameliorate the well-being of the
community. The community has been driven by the motto that: “To meet
the needs of the children we must first look at the needs of the
parents”. By focusing on programs that are inclusive of parents’ needs,
this community-based approach seeks to promote the reduction of a
number of social, emotional, physical, health and academic problems for
children. By enlisting the participation of the residents of the
community, the well-being of the whole community is meant to be
enhanced, as residents strive to make their neighbourhood a secure and
nourishing place to live for themselves and their children.
Eight sites across the province of Ontario were selected in 1991 to be
involved in the project, five of which focused on developing programs
for children from 0 to 4years old, whilst three sites -- known as the
older sites -- chose the ages
between 4 and 8 (from junior Kindergarten
to grade 3). The major responsibilities of the eight sites of Better
Beginnings, Better Futures were to develop and implement high quality
prevention programs for young children and their families,
characterized by meaningful and significant involvement of community
members in all aspects of program development and implementation. The
Sudbury Better Beginnings, Better Futures Project is one such
older
site and distinguishes itself from the other sites by putting
strong
emphasis on a community development approach (
Reitsma-Street, 1992) in designing
and implementing programs for children. The overall goals of this
project were to create a healthy and safe environment from which
children could develop to the best of their capacity. The Sudbury
project started offering its first programs for the community in 1991
and has since then continued to develop multiple programs aimed to
benefit the children and the parents of the community, including early
bird breakfast and after school programs in neighbourhood schools and
centres, summer and cultural activities, numerous community event and
workshops, as well as establishing partnerships with different
organizations in the Sudbury region (
Diallo
et al.,1997).
Sudbury and its surroundings is a community of approximately 165,000
people, which makes it the largest city in Northern Ontario, Canada.
Its economy, which used to be mainly focused on the mining industry, is
now more diversified with avenues in health care, education,
technology, tourism, retail, as well as government services.
Linguistically, the population is composed of approximately 70% English
speaking citizens and 30% French speaking citizens. There are several
cultural groups that live in the community. Specifically, in the two
neighbourhoods where the community project is located, that is the
Donovan and Flour Mill/Moulin à Fleur, 1,473 children were registered
in the seven elementary schools of these neighbourhoods. Forty eight
percent of parents reported English as their mother tongue, 38%
reported French and the remaining 14% reported another language (
Sudbury BBBF, 1990). Moreover, the
community has a relatively high concentration of off-reserve children
of aboriginal descent. Using a very conservative estimate,
approximately 300 aboriginal children lived in these neighbourhoods at
the time the project started (
The Ontario Prevention
Clearing House, Newsletter, 1991). Consequently, the Sudbury Better
Beginnings, Better Futures project was conceived with these linguistic
and cultural characteristics in mind. That is,
promoting respect for different languages and cultures (
Diallo, 1993) as well as promoting
bilingual and multi-cultural representation and participation
(
Diallo, 1998a) was considered of
paramount importance from the onset.
In addition to the ethnic mix, this particular geographical area was
considered to be at “high risk” and “disadvantaged”. That is, many
families struggle with low income, lone parenting, minimal child care
resources, poor quality housing, high rates of crime in the
neighbourhoods and a paucity of employment opportunities (
Sudbury BBBF, 1990) These indicators of
disadvantage may place the children within these families at risk for
present and future economic, social, educational and emotional problems
(
Schneiders, et al., 2003;
Aneshensel and Sucoff, 1996).
Indeed, the rate of teenage pregnancies and illiteracy in the
school-aged children was already higher than accepted standards (
Sudbury BBBF, 1990).
The overall purpose of the Sudbury Better Beginnings Better Futures
project has been to make primary prevention programs, as defined by
Cowen (2000), available to all children in
the Donovan and Flour Mill/Le Moulin à Fleur neighbourhoods, by
focusing on a community development approach and enlisting the
participation of parents in order to enhance the well-being of the
whole community. Hence, the notion of community well-being or
‘wellness’ (
Prilleltensky
and Fox, 2007) employed incorporates the notion of individual and
collective needs. The following sections of this paper provide an
account of some of the achievements of this community development
project.
The Community development Model
The ecological model of human development (
Bronfenbrenner, 1997;
Bronfenbrenner, 1986;
Trickett, 2002) forms the foundation of
the Better Beginnings, Better Futures projects. Within this
model, the importance of taking into account parent, family,
neighbourhood and community influences on children’s development is
underlined (
Leventhal and
Brookes-Gunn, 2000;
Bronfenbrenner,
1986). With this in mind, each of the Better Beginnings,
Better Futures projects were required to develop programs that could be
expected to improve child development outcomes within their respective
‘high-risk’ communities (
Peters et
al, 2004).
To meet the needs of the children we
must first look at the needs of
the parents. This motto probably exemplifies best the approach
taken
over the years by the Sudbury Better Beginnings, Better Futures
Project. The needs of parents were addressed by directly involving them
as community members within the project. Thus from the onset,
community members participated in the Sudbury Better Beginnings, Better
Futures project in various ways. In order to identify the “real” needs
of the community (
Diallo, Reitsma-Street
and Arnold, 1997;
Diallo, 1993;
Diallo, 1998b), residents participated in
action research by surveying other community members and asking them
what they felt the families of the community needed most. The needs of
the children, as identified by their parents and other community
members, became the cornerstone of the project by which programs were
designed. In particular, parents wanted a safe place where children
could play and learn (
Diallo, 1998b;
Diallo, 1993;
Diallo and Reistma-Street,
1994). While negotiating the contract with the funder, community
residents were insistent that the community development components of
the project would be included in the contract. Frequently, rules
imposed by funders threaten to destabilize important aspects of a
community development model. By negotiating the aspects of their
community development model with the funder at the onset, community
members became more confident and powerful in the use of their model,
which included a model of decision-making through consensus (
Diallo, 1998a;
Diallo,
1999a).
In addition, the community model includes an active partnership between
the community residents and the project staff. Various strategies were
designed in order to achieve that goal but the principle behind it was
that community members would participate in the decision-making process
when decisions that involved their children would be made. In other
words, community members have a ‘real’ voice.
Tools for the community
There are six “tools” that were developed by the members of the Sudbury
Better Beginnings, Better Futures project in order to equip and to aid
the community in being effective in utilizing their community model.
These six tools are: 1) the development of a vision and principles; 2)
the establishment of caucuses in order to ensure representation from
all segments of the community; 3) using the circle as a mean of
conducting meetings; 4) using consensus as a decision-making model; 5)
the research caucus; and 6) the establishment of a council as an
administrative structure. Each of these tools is considered in
turn.
First and foremost, the vision and principles of the association were
developed at an early stage in the development of the project. In 1991,
just a few months after being funded to provide programs for children,
the community members held several meetings in order to develop their
vision of the project and to develop 11 principles, which are still
being adhered to and upheld at this point in time in 2008 (see
appendix). The whole process began with the idea that people need
to
form a vision of what they can become and to be able to visualize their
community. The process of constructing and articulating a vision must
include those people who will be the subject of the development
process; that is, those whose well-being will be improved by it (
FWDM, 1984).
Needless to say, however, a vision must remain within the realm of
possibilities. The initial vision developed by community members was
simply to have a Better Beginnings, Better Futures project which would
provide programs and activities for children in their community.
Periodically, at various community meetings and with other work done in
the community with parents or cultural groups, participants were asked
to talk about their vision. In a particular workshop dealing with
vision, community members were asked what they would like their
children to look like at different stages of their lives (4,6,12 and 20
years of age). These moments taken for reflection, kept the vision
alive. At present, residents still periodically visualize how they want
their community to be. A major benefit of having developed the vision
and principles is that it ensures ownership of the project to community
members. It also provides guidelines for people who want to actively
contribute to the project, since a condition is to abide by the
principles of the Sudbury Better Beginnings, Better Futures project.
Second, in order to ensure representation and participation for the two
major linguistic groups (French and English) and all cultural groups of
the community, four caucuses were created by the Sudbury Better
Beginnings, Better Futures project. These are the Anglophone,
Francophone, Aboriginal and Multicultural caucuses. Each has a
purpose to ensure representation on cultural and linguistic levels and
each caucus has elected members on the Council. At the General
Meetings, caucuses meet as well so that community members have direct
access to their representation. Individuals choose which caucus they
feel they identify with the most and attend that one.
From the beginning of the project it was identified that several groups
needed to be drawn together, especially those who were more
marginalized in the neighbourhood such as people with low incomes,
Francophones and Aboriginals. Also, it was recognized that the caucuses
would provide a forum by which cultural autonomy could be developed,
processed and achieved thereby leading to confidence around any
integration among and between groups. Meetings, workshops and training
related to cross cultural differences were held during the first years
of the project. Members from the Francophone, Aboriginal, English
speaking and Multicultural groups meet in their own caucus, in their
own language, in their own physical space and make decisions regarding
the type of programs they want for their community (
Diallo et al., 1997). However, final
decisions on major directions remain with the Council of Better
Beginnings Better Futures. Nonetheless, this type of forum serves as a
tool to empower the various cultures, who are generally silenced by the
existing social structures in which they live. Not only do the caucuses
provide a space for having a voice, but also a space into which
decisions relevant to specific cultural needs can be met. Each caucus
has representation on Council which solidifies that voice and the
legitimacy of the decisions.
Third, the circle, inspired and borrowed from the Aboriginal tradition
of the Medicine Wheel (
Nabigon, 2006;
Graveline, 2003;
White, 1992) is a technique that provides
a great means for group bonding. The circle symbolizes harmony with all
of creation which includes fellow human beings. In the words of an
aboriginal elder:
We take hold of the present, and make the future what we want it to be.
Our work is to empower the people where they live, not to create
another bureaucracy. We are and must always be helpers to the People.
In healing ourselves, we heal our communities and out Nations. The
people are the experts, they will always know what to do provided they
have the context in which to do it. (Elder Dr. Art Solomon, L.1.B.D.D.,
in
White, 1992, p.3).
Moreover, a circle allows people to sit in equal fashion within the
group. Meetings at the Sudbury Better Beginnings, Better Futures
project usually start with a “circling-in” and end with a
“circling-out”. In circling-in and -out, everyone takes a turn to
speak, and is thus able to voice concerns, opinions and feelings
without interruption or response from others. It gives a chance for
people to say what they might expect from the meeting, or what they
enjoyed or didn’t enjoy about the meeting. Circling-out for example,
may provide space for an individual to express whatever she or he did
not have a chance to say during the meeting. By and large, the circle
is perceived as being a reassuring process for people, as it frequently
gives a feeling of not being alone in feeling or thinking in a certain
way. As such, it contributes to an increase in self-confidence
whilst allowing people to express ideas in a space created specifically
for that purpose (
Bélanger, 1995).
In addition, the circle both reinforces and gives acknowledgement to
the people that they are the true “experts” of their community.
Fourth, consensus as an approach to decision-making has been very
effective, especially in the earlier stages of development of the
project. Today it is still a principle that has value and is used when
it is felt by the community members that it is possible to attain. That
is, there have been situations in which voting was perceived as a more
efficient way of reaching a decision. Nevertheless, consensus is always
the preferred method of reaching a decision and is used when possible.
Fifth, the Better Beginnings, Better Futures project utilizes an action
research approach, which has been perceived by the community to be “a
process for gaining knowledge and taking action” (
Sari and Sari, 1992, p.
267). From the beginning and from the community’s perspective,
research needed to be demystified. A local research working group
called the research caucus was established and contributed greatly to
demystifying research mostly by describing research as part of us and
part of what we do (Logbook, 1989-1992). The research caucus
continues to hold monthly meetings by which community members can take
a lead in and/or participate in research activities occurring in the
project. It is also a medium through which the community at large is
informed periodically of the research activities undertaken within the
project.
Sixth, an important change occurred in the administrative structure of
the project in 1994 when the project evolved from an informal and light
structure, commonly referred to as the Sudbury Association (1989 to
1994) to a more formal structure, referred to as the Council. This
evolution was made possible by involving the community in a process
which allowed the development of a sense of ownership and that led to
empowering the community to participate actively in choosing their form
of governance. In this newer structure, community residents play key
roles and are voted in by the General Assembly. This structure is more
formal and clear. In addition, there is a higher involvement from
community members than in earlier days of the project, which could be
an indication that community residents identify with “their” project (
Bélanger and Diallo,
1999).
The preceding six tools used by community members and staff of the
project are all conducive to meeting an important goal of community
development -- to empower community members both personally and
collectively. Empowerment benefits individuals in their relationships
with their family members and friends, in their relations across
various sectors of the neighbourhoods, and is transmitted to children
growing up in the community, who then learn how to use these tools
effectively.
Changes in the community
Over the course of the last 17 years, many changes have occurred in the
community. Four components attached to the program can be seen as
contributing factors in effecting positive changes. These components
are: a) school-focused components; b) child-care components; c)
care-givers involvement components; and, d) community development
components. The following changes are what have been observed in the
community over time. These observations are drawn from quantitative and
qualitative data gathered through various research findings and reports
(
Reitsma-Street, 1992;
Diallo, 1993;
Diallo,
Arnold and Reitsma-Street, 1993;
Diallo and Reitsma-Street,
1994;
Diallo, 1995;
Diallo, 1996;
Diallo,
1998a;
Diallo, 1998b;
Diallo, 1999a and
Diallo 1999b), as well as being
corroborated through individual interviews with community members and
staff.
School-focused programs have
contributed to lower vandalism in the
neighbourhood and less violence in schools due to peaceful playground
programs. In addition, an increase in awareness concerning
different cultures is apparent within the community, given the
aboriginal cultural programming introduced in schools as well as the
multicultural support provided within the project. As a result of these
programs, there has been also a noticeable increase in children’s
sociability around their peers and teachers. Perhaps the most
surprising finding, there has been a reduction in teachers’ absenteeism
from the schools. Over time, the quality of the schools have improved
as a better atmosphere and concrete sources of support to help their
work seems to have attracted good quality teachers.
The observations around the
child-care
components reveal that there are
less children on the streets, given that there are now more attractive,
safe and accessible places for children to play. This was facilitated
through the rehabilitation of certain areas of the neighbourhood, where
projects were developed which included children in such activities such
as planting flowers. In addition, fencing was put in appropriate
places making the surroundings safer for the children from traffic. The
clearing of the grounds of litter and other debris also helped in
beautifying the neighbourhood. All of this contributed to a greater
awareness toward environmental issues and pride in one’s neighbourhood.
As well, caregivers noticed improvements in children’s overall social
behaviour, in that there was less fighting amongst them.
Moreover, the children began achieving better success at school, due in
great part to the early bird program, where breakfast is provided and
the opportunity to socialize are enhanced.
From the
care-givers components
point of view, evidence of increased
self-confidence, leadership and care-givers skills acquired by
community residents through training programs and workshops offered to
them were noticed. Moreover, care-givers have demonstrated an increased
interest in what is happening in the schools. Additionally, general
improvement in family functioning has been noted, with parent support
groups and a general climate of support and friendship permeating the
project.
The major goal of the
community
development component -- empowerment --
has been markedly achieved, whereby a stronger sense of community with
more active and organized community members is noted. In
addition, stronger relationships between families, neighbours and
ethnic communities are apparent. Moreover, the project has a hiring
policy of giving preference to qualified people from the community,
which has created jobs and has had a positive economic impact on the
neighbourhood. At present, 90% of staff members are residents of
the community. People feel empowered as their neighbourhood is now a
place where residents, parents and children can meet and play
safely. Additionally, a very important change in the community
has been the development of a more trusting relationship between the
agencies, the Better Beginnings, Better Futures project and the
community members. This has led to improved agency services that are
more appropriate to community needs as better communication and
cooperation between agencies, schools and health services have also
benefited the community. Overall, these improvements have led to less
intrusive services for children.
Participation
A key to the success of this community project has been the
participation of community members. Residents participate in various
ways, such as attending general assemblies, caucuses, or for some,
being an elected member of Council. Some work for the project full-time
or part-time, while others volunteer in specific programs or
activities. Many participate by taking part in various events organized
by the neighbourhood, or by donating some of their time, money, food,
clothing, material or other contributions. Participation is voluntary
and people choose their frequency of participation. The philosophy of
the project is not to tax people with too many expectations. Everyone
gives what he or she is capable of giving, which may change as the
circumstances of community members change. Any and all levels of
participation by community members in activities offered by the
programs is openly appreciated and valued.
What motivates people to participate is also interesting to know. First
and foremost, it is
their
community. This sense of ownership reflects
the pride they have in continuing to want to live, work and play in a
community which is secure and where people can continue to learn new
things and improve their skills. Residents are not only interested in
the present state of their community but also with the future that
their community holds for their children. They view the Better
beginnings, Better Futures project as a body that supports the
community and that provides a means to help residents stand up for
their rights.
The well-being of the community
Involvement in the affairs of their community has brought major
benefits to community members both at the individual and community
levels. Changes experienced by members of the community are marked by
an increase in self-confidence; acquisition of new skills such as
learning how to chair meetings, gaining knowledge on decision-making
processes and learning how to become more resourceful in one’s own
community. Individuals are also better able to interact with different
cultural communities within and outside their neighbourhoods. In
addition, individuals have expressed, in the context of various
meetings and community gatherings, the pride they now have in their own
community.
Overall, the neighbourhoods appear to have become more secure and
welcoming places; places where residents may be able to enjoy life.
Moreover, residents describe having a stronger sense of belonging to
the community and feel more organized as well as more resourceful when
needing to stand up for their rights. Indeed, many residents have
experienced situations where they were able to influence the decisions
made by decision-makers. In this way, there is a perception that
the voices of residents are heard.
Conclusion
In the context of the experiences of community involvement with the
Sudbury Better Beginnings, Better Futures project, residents show
improved mental health aspects of well-being which ultimately benefit
the whole community. Residents feel valued and feel that they have a
voice within their community. There is a perception of being part of a
more caring community and residents have expressed having gained a
better understanding not only of their own individual situation but
also that of others in the community. It is an inclusive community
which now seeks to understand differences rather than feeling the
intimidation and exclusion that often results from living in ignorance
amongst these same differences. It is also a community which has
learned to put their children first by better understanding themselves,
learning to work together in both easier and more difficult times and a
community who has its children’s present and future best interests at
heart.