Oral

The connection between the physical and social environments and health outcomes is well documented. However, in a budgetary climate that dictates doing more work with less funding, public health departments are challenged to address issues outside the customary purview of public health. Presenters in this session will demonstrate how they have worked with community groups and retailers and utilized unique technology to expand the reach of their programs. For example, the translation of a national asthma counselor model at the neighborhood level led to development the of not only a web-based asthma case management registry to improve coordination among providers but web based evaluation component. Alternatively, multilingual educational materials are distributed by member hardware and paint retail stores to provide point-of-purchase information on safe work practices and products to small contractors, superintendents, landlords, and "do-it-yourselfers". In this presentation, participants will learn about these and other methods of community training and dissemination of messages.

Session Objectives: • Describe two examples of structural change that were achieved to create a trauma informed system of care and identify approaches to creating change in other settings and environments. • Articulate the elements of creating multi-faceted service delivery collaborations within communities • Describe the benefits and limitations of embedding evaluation in a developing community program.