Connect

Connect

Community Action Model

Decades of successful initiatives have deepened our organization’s understanding of the community change process and our ability to advance community action.

This perspective informed our Community Action Model, which can be applied to achieve a variety of community health goals. This model highlights the importance of a community’s context, defines six essential practices for success, and outlines a 3P Action Cycle: Partner, Prepare, and Progress. It also presents expected impacts. This model is useful to community coalitions and leaders looking for a collaborative process to create and maintain healthier places, and to funders seeking a tested and comprehensive approach for community investments.

CAM_2025

Explore the Model

Community Context

Community context plays a vital role in healthy communities work. Every community has its own culture, assets, history, and challenges on which to build. When funders, community leaders, and partnerships fully recognize and understand these unique community settings, it helps direct strategies and tactics to better align with and leverage various dynamics at play.

Read More

Essential Practices

Healthy Places by Design believes six Essential Practices are critical for creating meaningful and sustained change in communities. They address who should be involved, and how community partners can collaborate effectively for sustainable impact.

Read More

3P Action Cycle

The 3P Action Cycle reflects a community change process that is intended to be iterative, and not necessarily linear. The 3P Action Cycle ensures intentionality about Partnership, Preparation, and Progress to change policies, systems, and environments for improved community health.

Read More

Impacts

Community partnerships can achieve impressive and lasting results from healthy community initiatives that fully employ the Community Action Model. These impacts stem from actions taken during the 3P Action Cycle, integrating the Essential Practices, and from each of the strategies that are implemented.


Early Impacts
  • Promotions and programs can help generate attention within a community and deliver early wins that build public support for more complex policy and systems changes.
  • The Partner and Prepare action steps result in stronger relationships between partners and community members, motivating and mobilizing them to work for a healthier community.
  • Community leaders and coalitions will also have a better understanding of their community, more experience setting priorities, new health leadership opportunities, and success in leveraging resources.

Intermediate Impacts
  • Successful implementation of projects that can support future policies (e.g., shared-used agreements, complete streets design guidelines, and supermarket and garden ordinances) and built environments (e.g., “pop-up” projects, new sidewalks, gardens, farmers’ markets, and community gathering spaces) build credibility and capacity, allowing healthy community work to deepen in a community.
  • When policies and environmental changes that support health are maintained, they not only create improved community conditions, but can also outlast shifting budgets or turnover in organizations.
  • Other impacts can include new investments; re-directed budget priorities to support more healthy community projects; stronger relationships and collaboration between community members and decision makers; and new staff in various organizations and agencies for ongoing work.

Sustainable Impacts
  • Systems changes include an integrated web of policies, places, programs, and other resources that support equitable health in a community. Multiple sectors work collaboratively to align their priorities.
  • Health becomes embedded into institutional processes. For example, government departments may change the way they operate by prioritizing spending, new development, and built environment projects to maximize services and policies and provide safe, affordable access to healthy lifestyles for all community members.
  • Community norms begin to shift as mutually reinforcing policies, systems, environments, and programs increase opportunities for healthier behaviors and public demand for conditions that support healthy living.

Community Change
  • As systems and norms change in a community, partnerships and relationships also continue to evolve with intention and increasing capacity, enabling coalitions to address other important quality-of-life issues.
  • Community members have more equitable health outcomes and maintain influence in decisions that affect them. Businesses, governments, nonprofits, and coalitions understand their role in reinforcing community members’ expectations and priorities. Communities experience a host of benefits from their long-standing priority on health, including increased civic engagement, employment, educational attainment, safety, and quality of life.
  • Successful and sustainable healthy community change initiatives will ultimately create a culture of health in communities, where health is embedded in the community’s identity. The neighborhoods, schools, parks, streets, food venues, and other public spaces where the changes occur support and reflect healthy patterns of living, learning, working, and playing, serving as role models to other communities beginning their path to better health.

Communities in Action

 Buffalo, NY

A public–private initiative, led by Buffalo Niagara Medical Campus Inc. in New York, was launched to improve community health. Partnerships were born, community members were engaged, and sustainable impacts have since transformed the city.

Read More
Denver, CO

Intentional community engagement helped Denver, Colorado respond to the health needs of culturally diverse neighborhoods and make planning processes more community led.

Read More
Flint, MI

In a city striving for revitalization, one key asset had been long neglected: an extensive park system. Partners in Flint, Michigan, set out to make parks a priority again by building community members’ capacity through collaborative leadership.

Read More
Hamilton County, OH

Since its launch in 2009, an initiative to make healthy living easier called WeTHRIVE! has grown into a “social movement” in Hamilton County, Ohio. What started with 50 people in three communities has expanded to more than 189,000 people throughout 19 communities. This still-growing movement is a result of sustainable thinking from the start.

Read More
Jefferson County, AL

Leaders in Jefferson County, Alabama faced a series of sobering financial and environmental challenges that impacted their ability to deliver essential services to those most impacted by health inequities. Despite these challenges, ongoing collaboration and a spirit of flexible persistence have enabled the county to scale and sustain healthy community change.

Read More
Louisville, KY

Thanks to community engagement and a commitment to sustainable thinking, more neighborhoods in Louisville, Kentucky now have safe and affordable housing, access to healthy food, and convenient places to walk, bike, and play. Leaders and community members are attuned to the impact that education, employment, housing, transportation, and related issues have on their health.

Read More
New Orleans, LA

New Orleans, Louisiana, spent more than a decade recovering from Hurricane Katrina. In a city of close-knit neighborhoods, part of that recovery was the addition of over 100 miles of bike lanes around local schools. This success was driven by the KidsWalk Coalition and its commitment to strategic communication and a culture of learning.

Read More
Rancho Cucamonga, CA

Socioeconomic differences and health disparities bisect Rancho Cucamonga, California into two communities with distinct needs. Healthy RC, a city–community partnership, is working to bridge that divide through authentic community engagement.

Read More
Santa Ana, CA

An innovative partnership in Santa Ana, California is restoring open space so that people can live safer and more active lives. And by practicing community engagement, collaborative leadership, and sustainable thinking, partners there are working toward lasting change.

Read More