Framing the Solution Through a Transdisciplinary, Multilevel Model
The Transforming Metropolitan Atlanta Communities through Prevention, Primary Care Linkages and Policy Improvement Model (Figure 9.4) uses a CBPR approach that increases support for policy, systems, and environmental (PSE) level change, and improves clinic-community linkages to decrease CVD and DMII risk and improve mental and behavioral health. This community-centered approach is guided by the MSM PRC CCB, through which health priorities, implementation strategies and their assessment have guided Metropolitan Atlanta neighborhood residents since 1999 (Figure 9.4).
Figure 9.4 The transforming metropolitan Atlanta communities through prevention, primary care linkages and policy improvement model.
COMMUNITY-BASED PARTICIPATORY APPROACH (CBPA)
The establishment of a governing body that ensures a CBPA can be challenging when (1) academicians have not previously been guided by neighborhood experts about the evolution of a community’s context, (2) community members have not led discussions regarding their health priorities, and/or (3) academic and neighborhood experts have not historically worked together as a single body with established rules guiding roles and function. As mentioned above, neighborhood representatives on the CCB are always in the majority in number and leadership but are complemented by other stakeholders from multiple sectors (e.g., local governance, health, community coalition board, urban planning, work sector), unified under a common agenda of enhancing community health and integrated care in their most vulnerable local communities (Table 9.2).