Collaborative Approaches to
Well-being in Rural Texas
In 2018 the Hogg Foundation awarded $410,000 to five rural, Texas communities to address a lack of understanding in how communities support resilience and mental health, inequities, community grown disparities, and community-driven solutions. The engaged communities include Bastrop, Brooks, Morris, Nacogdoches, and Victoria Counties.
What factors are essential for effective cross-sector alignment ?
- Overall focus is “upstream” issues and root causes of “injustices that affect marginalized communities” regarding mental health.
- Each location has flexibility in determining their collaborative approach but must use best-practice models that address systems level change, be committed to shared learning, plan for community inclusion and participation, and share decision-making and leadership opportunities with historically excluded populations.
- Over 52.0% of partners surveyed, who are engaged in this initiative, indicated the alignment effort has a shared purpose with established priorities.
- The Alliance for Greater Works served as the grant coordinator in the past to provide technical assistance.
- The initiative includes five collaborations (within five Texas counties) with different governance structures, objectives, and priorities.
- Participating organizations use a common agenda which lays out goals and budget for a 5-year period.
- The Hogg Foundation for Mental Health provides evaluation-based consultation to the five sites.
- Each collaborative has individual data system.
Finance and Sustainability
- The Hogg Foundation for Mental Health provided substantial funding to the five individual coalitions plus the grant coordinator in rural Texas for the first 8 years with very few stipulations.
- The foundation sends RFPs/funding opportunities to member orgs frequently.
- Almost 60.0% initiative partners indicated their site had established sustainable financing.
Integration of Health Equity
- Defines as ensuring people have equal access and equal opportunities to health systems in their community, such as access to care, clean water, a clean living environment, and transportation
- Embeds in the shared purpose and vision of the initiative and an explicit goal for many member organizations
Community Trust and Accountability
- Engages historically excluded voices and populations by interviewing and inviting them to share their needs
- Gets involved in community engagement and trust building activities
- Holds sites accountable to the community
Measures of Success
- Development of “indigenous leadership”
- Developing a “shared value system” to describe impact
- Different measures of success across the five collaboratives
- Funded broad infrastructure in designated communities while making progress on racial tensions through collaboration
- Shared progress towards community goals and progress toward health equity