Forces of Change Survey

Forces of Change Assessment is one of four assessments in the MAPP (Mobilizing for Action through Planning and Partnership, a NACCHO tool). This assessment is aimed at identifying forces –such as trends, factors, or events- that or are influencing the health or quality of life of our communities or the work of the local public health system.

1. Which of the following are key issues to the health of our communities?

COMMUNITY (social)

Which of the following are key issues to the health of our communities? COMMUNITY (social) Caring volunteers Community Action Programs Community Centers Community links to parks and recreational opportunities	Intergenerational activities Safe neighborhoods Vibrant and shared sense of Community
Other (please specify)

2. ECONOMIC (factors & trends)

ECONOMIC (factors & trends) Affordable housing Community Migration Competitive wages and benefits Economic Vitality Meaning jobs/work	Precision Manufacturers Qualified workforce Quality education & training opportunities Research & development Tax Burden	The built Environment Trade organizations Unions
Other (please specify)

3. POLITICAL

POLITICAL Accountability(Explain) Linkage between government, employers, health care for future planning Local input into State Health Plan Term Limits (Explain)	Transparencies in local government Transparencies in State government Two way communication between communities and state government Two way communication between local government and communities
Other (please specify)

4. ENVIRONMENT

ENVIRONMENT A built environment Accessibility for all Additional hiking, biking, and walking trails Clean air Clean water Green employers and communities (reduce, reuse, recycle, alternative power sources, etc…)	Green technology (Eco sensitive power, solar, wind, etc…) Public access to recreation Public transportation options State enforcement of codes Town code enforcement
Other (please specify)

5. HEALTHCARE (access implies both availability to care and ability to get to provider)

HEALTHCARE (access implies both availability to care and ability to get to provider) Access to Primary Care Access to Dental Services Access to Substance Abuse Treatment Access to Specialized care Access to Mental Health Services	Comprehensive health access planning School based Health Care Prevention focused health care insurance coverage Community based health promotion programming Employer based Health promotion programming	Chronic disease self management programs Behavioral Health linked to fee for service Risk Reduction linked to lower healthcare premiums Innovative health care (such as telephonic care) Trained and qualified workforce
Other (please specify)

6. In your own view what is occurring or might be occurring that affects the health of our communities or the public health system?

In your own view what is occurring or might be occurring that affects the health of our communities or the public health system?

7. What specific threats or opportunities are generated by these occurrences?

What specific threats or opportunities are generated by these occurrences?

8. What, if anything, should be included in the State Health plan to address your concerns?

What, if anything, should be included in the State Health plan to address your concerns?

9. Which of the identified key health issues are the most important to our community? And why?

Which of the identified key health issues are the most important to our community? And why?

10. Maine has made significant strides in tobacco use reduction if we could work on one other public health issue what would it be? And why?

Maine has made significant strides in tobacco use reduction if we could work on one other public health issue what would it be? And why?

Thank you for your time! We would like to invite all participants to a public forum when the results of this and all of the other MAPP assessments are completed into the Community Health Plan for Sebasticook Valley. If you would like to be contacted or receive communications regarding this report and the CHP please fill out your contact information below.

Sincerely ,
MAPP Steering Committee a sub committee of Sebasticook Valley Healthy Communities Coalition, A Healthy Maine Partnership.

11. Name:

Name:

12. Address:

Address:

13. Email:

Email:

Forces of Change

1. Default Section

1. Which of the following are key issues to the health of our communities?COMMUNITY (social)