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Social Environment
Centers for Disease Control and Prevention
   
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Community Interventions To Promote
Healthy Social Environments

Improving Neighborhood Living Conditions
Intermediate Outcome: Making Housing Affordable
  • Legislative support for subsidized housing
  • Housing or shelters for homeless persons
  • Increased single-room occupancy units for low-income, single adults
  • Building codes requiring developers to apportion low-cost units in new developments
  • Mixed income housing developments
  • Low-cost housing protection in neighborhood revitalization projects
  • Habitat for Humanity
Intermediate Outcome: Increasing Housing Quality and Safety
  • Tenant organizations and support
  • Public programs to abate housing hazards (e.g., lead paint removal or rodent extermination)
  • Child-proof homes (e.g., safety locks, poison symbols, or scald-proof water controls)
  • Protection against extremes in climate
  • Removal of unsafe/abandoned buildings and debris in vacant lots
  • Fire safety protection
  • Neighborhood beautification (e.g., tree and garden planting or clean-up events)
Intermediate Outcome: Making Neighborhoods Safer
  • Neighborhood watch programs
  • Rapid access to emergency personnel (e.g., fire, police, and medical services)
  • Home security systems
  • Safe playgrounds
  • Animal control
  • Neighborhood policing by residents (e.g., Detroit's Halloween fire prevention)
  • Reduction of neighborhood gang activity
  • Reduction of drug trafficking and neighborhood shooting galleries
  • Increased sidewalks, exercise and recreation paths, and lighting
  • Reduction of liquor store density
Intermediate Outcome: Building, Improving, and Retaining Neighborhood Assets
  • Public libraries, schools, fire departments, hospitals, and parks
  • Public information systems (e.g., local media or the Internet)
  • Neighborhood businesses and home-based enterprises
  • Cultural organizations and citizen associations
  • Religious organizations
  • Facilities for sports and other special interest clubs
  • Family resource centers
  • Supermarkets and produce grocers
  • Transportation systems (e.g., bus, rail, or car pools)
Intermediate Outcome: Enhancing Neighborhood Cohesion and Social Support Systems
  • Informal neighborhood social activities (e.g., sewing, book, or gardening clubs)
  • Mentoring programs (e.g., Big Brothers/Sisters or youth business)
  • Involvement in community organizations (e.g., Kiwanis or Scouts)
  • Senior centers
  • After-school programs
  • Accommodations for persons with disabilities
  • Elder day care
  • Park recreation and exercise programs
  • Architecture designed to increase neighbors' interaction (e.g., decrease in gated communities and increase in sidewalks, front porches, and mixed income housing)
  • Neighborhood planning to increase public meeting spaces (e.g., plazas, parks, trails, local entertainment centers)
Community Development and Employment Opportunities
Intermediate Outcome: Enhancing Community Economic Viability
  • Enterprise zones
  • Small loans to support locally owned businesses
  • Recruiting/retention of neighborhood stores and services
  • Sustainable technologies
  • Job relocation to workers' neighborhoods
  • Use of neighborhood facilities and services for health agency business (e.g., meeting spaces or catering)
  • Small business assistance
  • Local business clubs as resource for business owners
  • University and community partnerships to advise local business owners and provide student apprenticeships
  • Policy/legislative safety nets during economic recessions
Intermediate Outcome: Providing Job Training Opportunities
  • Elementary and middle school exposure to entrepreneurial activities
  • Volunteer programs to mentor students in diverse occupations
  • Youth internships in local service agencies and businesses
  • Training of local residents for neighborhood intervention programs
  • Spotlight on public health careers at schools
  • Junior Achievement programs in schools
  • School-based, student businesses for neighborhood services
  • Convenient junior colleges and community colleges
  • Affordable technical schools
  • Technical school scholarships sponsored by regional businesses
Intermediate Outcome: Developing Employment Opportunities
  • Equal opportunity, nondiscrimination policies
  • Hiring of local personnel in neighborhood businesses
  • Placement of service companies and light industries in workers' neighborhoods
  • Community jobs for mentally or physically impaired persons
  • Support of neighborhood cottage industry
  • Apprenticeship programs
  • Federal and state job programs (e.g., VISTA or Job Corps)
  • Roles for senior citizens in workplaces
Intermediate Outcome: Improving Work Conditions
  • Minimum wages that permit working families to live above the poverty level
  • Flexible workplaces (e.g., shifts or telecommuting) that accommodate workers with child or elder care responsibilities
  • Safe and equitable working conditions for new immigrants
  • Safe work environments (e.g., federal occupational safety and health standards)
  • Quality, affordable childcare for welfare-to-work participants and low-income working families
  • Jobs that provide personal growth and fulfillment opportunities
  • Adequate health benefits with employment
  • Financial safety in case of injury, illness, or job loss
Engaging in Civic Affairs and Participating in Decision-Making
Intermediate Outcome: Increasing Civic Engagement
in Communities
  • Voter-registration drives
  • Media spotlight on issues that need local input
  • Public health links with local faith communities
  • Civic clubs (e.g., Rotary, volunteer fire departments, or parent-teacher associations)
  • Enhanced sense of community around political jurisdictions (e.g., belonging to a particular neighborhood or township)
  • Non-categorized funding support for organizing community action groups
Intermediate Outcome: Increasing Social Engagement
in Communities
  • Neighborhood social clubs (e.g., hobbies or sports)
  • Community centers/facilities for group meetings
  • Senior centers
  • Community day care programs (e.g., for preschool children or elderly or impaired persons)
  • Promotion of public leisure activities (e.g., concerts or festivals) as alternative to private leisure (e.g., television or video games)
  • Increased opportunities and facilities for community volunteers to share knowledge (e.g., regarding the arts, languages, or sports)
  • Centers for community entertainment and leisure activities (e.g., a theater-bookstore-coffee complex)
  • Attractive, safe neighborhood meeting spaces (e.g., parks, playgrounds, plazas, or ball fields)
Intermediate Outcome: Building Community Infrastructure To Increase Local Decision-Making
  • Non-categorized funding support for community organizing
  • Community coalition-building
  • Training in negotiation skills for community groups
  • Training programs for grassroots advocacy
  • Reinforcement of cultural heritage to build common interests (e.g., language courses or Saturday schools to teach ethnic group customs and art)
Promoting Supportive Community Customs, Norms, and Processes
Intermediate Outcome: Promoting Social Solidarity and Understanding Across Diverse Groups
  • Nondiscrimination policies
  • Affirmative action programs
  • Anti-stigma campaigns (e.g., for AIDS or mental illness)
  • Freedom schools (i.e., from the civil rights era)
  • Diversity training in workplaces
Intermediate Outcome: Providing a Focal Point for Community Growth and Social Support Activities Through Religious Institutions
  • Location for social support and leisure activities in addition to spiritual fulfillment
  • Location for multicultural social interaction
  • Source for aid for community members (e.g., food, clothing, or shelter)
  • Outlet for members to provide service to their communities
  • Outlet for socialization across generations
Intermediate Outcome: Recognizing Multicultural
Beliefs and Customs
  • Neighborhood multicultural festivals
  • Cultural arts sponsorship (e.g., music, dance, and art)
  • Multicultural training for care providers
  • Increased multicultural sensitivity through professional associations (e.g., American Medical Association or American Nursing Association)
  • School-based programs that celebrate ethnic traditions
  • Recognition and reinforcement of cultural behaviors that are protective of health
  • Social and health services that are sensitive to cultural beliefs and customs
Intermediate Outcome: Supporting Community Centers for Socialization
  • Community facilities for local group meetings
  • Public recreation facilities and programs for all ages
  • After-school programs
  • Support or interest groups
  • Youth programs that provide alternative to unsupervised leisure time (e.g., music, sports, or art programs)
  • Senior centers for socializing, education, and leisure activities
Intermediate Outcome: Strengthening Democratic
Norms for Equal Voice and Influence for All Community Members
  • Stimulation of community debates regarding issues of social equity (e.g., location of undesirable facilities, expenditures for schools, or placement of public libraries)
  • Attention to trends of increasing inequity in income and wealth and the consequences on health and social structure
  • Increased community voice in local government (e.g., voter registration drives or educational forums on ballot issues)
  • Encouragement of accountability of public agencies
  • Encouragement of accountability of private companies (e.g., unsafe products or employment practices)
Promoting Opportunities for Education and Developing Capacity
Intermediate Outcome: Promoting Early Learning and Child Development Opportunities
  • Child development programs (e.g., Head Start or Healthy Start)
  • Parenting classes in schools, churches, or health agencies
  • Funding for expansion of community preschool programs
  • Training programs for providers of home-based childcare
  • Development of high-quality foster childcare systems (e.g., training, adequate funding, and oversight)
  • Programs to support young mothers (e.g., school-based programs, home nursing visits, and educational programs and materials)
Intermediate Outcome: Improving the Quality of Educational Systems
  • Schools as sites for support programs (e.g., Washington Heights model after-school program, parenting programs, or community support programs)
  • Private corporation support for public education (e.g., company sponsorship and mentoring programs or Microsoft's computers to schools program)
  • Senior citizens as models and mentors in schools
  • Adequate public investment in education
  • Competitive salaries for teachers
  • Programs to strengthen community-school relationships
  • Efforts to improve curricular standards
  • Efforts to improve teacher performance
  • Lower teacher-student ratios
  • Curriculum focus on social and health issues (e.g., personal skills, drug-free environments, or safe choices regarding sex)
Intermediate Outcome: Enhancing Job Training Programs
  • Elementary and middle school exposure to entrepreneurial activities
  • Volunteer programs to mentor students in diverse occupations
  • Youth internships in local service agencies and businesses
  • Spotlight on public health careers at schools
  • Junior Achievement programs in schools
  • School-based, student businesses for neighborhood services
  • Convenient junior colleges and community colleges with curricula that support adult technical and liberal education
  • Affordable technical schools
  • Technical school scholarships sponsored by regional businesses
  • Off-campus college programs at work sites and community sites to advance work opportunities
  • Retraining programs for displaced workers (e.g., factory closings or corporate downsizing)
  • Job Corps program
  • Mentoring programs to acquaint youth with professions and trades (e.g., summer internships)
Intermediate Outcome: Providing Opportunities for Recreation and Leisure for All Ages
  • YMCA/YWCA programs
  • Campfire Girls/Boys, Boys Clubs/Girls Clubs, Scouting
  • Community Sports for youth (e.g., basketball, baseball, soccer, gymnastics, and swimming)
  • Community arts programs through local parks and recreation
  • Local hobby clubs
  • Adult recreational sports and exercise programs
Intermediate Outcome: Promoting a Life-Long Learning Environment
  • Community capacity development across generations (e.g., Louisville model)
  • Criminal justice system programs to reintegrate members of a community through job training programs
  • Continuing education programs for adults at local colleges
Promoting Health, Disease and Injury Prevention, and Healthcare Opportunities
Intermediate Outcome: Defining Community Goals
  • Community participation in health decision-making
  • Continuous access to health information for decision-making
  • Research driven by community-identified health issues
  • Community as equal collaborators in research
Intermediate Outcome: Supporting Safe and Satisfying Living Conditions
  • Collaboration between health services and broader social, economic, and political sectors for healthier environments
  • Social marketing to influence normative health patterns
  • Healthy choices in school, home, work, community settings
Intermediate Outcome: Providing Health Education
in Communities
  • Use of media for community health education
  • Use of media to raise awareness of public health issues
Intermediate Outcome: Promoting Culturally Appropriate Health Services
  • Multicultural providers
  • Interpreter services
  • Health education materials in multiple languages
  • Multicultural participation in designing and evaluating health services
Intermediate Outcome: Making Healthcare Accessible
  • Access to quality healthcare for all ages
  • Equitable coverage for mental health agencies
  • Coverage for preventative as well as curative care
  • Providers available in all communities
Intermediate Outcome: Promoting Health and Disease Prevention Through School Settings
  • Health-promotion curriculum (e.g., self-esteem or health choices)
  • Preventive care (e.g., hearing and vision screenings or therapy for speech or learning difficulties)
  • Programs for adolescent parents for school completion and parenting skills
Intermediate Outcome: Promoting Health and Disease Prevention Through the Workplace
  • Mental health promotion and care
  • Opportunities for exercise and healthy eating
  • Childcare, child development centers
  • Opportunities to strengthen social networks
  • Opportunities for meaningful work experiences
Intermediate Outcome: Monitoring Community Health Through Sentinel Health Indicators
  • Health indicators (e.g., preventable morbidity and mortality or health disparities)
  • Socioeconomic indicators (e.g., rates of employment, crime, or housing availability, or surveys of quality of community life)

 


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Social Environment Contents
bullet Improving Neighborhood Living Conditions
bullet Community Development and Employment Opportunities
bullet Engaging in Civic Affairs and Participating in Decision-Making
bullet Promoting Supportive Community Customs, Norms, and Processes
bullet Promoting Opportunities for Education and Developing Capacity
bullet Promoting Health, Disease and Injury Prevention, and Healthcare Opportunities
Contact Information

Community Guide Branch
National Center for Health Marketing (NCHM)
Centers for Disease Control and Prevention
1600 Clifton Road NE
Mailstop E-69
Atlanta, GA 30333

E-mail:
communityguide@cdc.gov

 
 
 




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The Community Guide is sponsored by the CDC's National Center for Health Marketing and the Community Guide Partners.