Action Plan for Disability Inclusion
Action Plan for Disability Inclusion
The purpose of this Action Planning Guide is to support the community's efforts to plan for enhancing
community participation among people with disabilities. We hope this guide will be useful to anyone
interested in bringing about community change and improvement, but it may be particularly helpful for
staff of Centers for Independent Living and other community-based organizations who will operate as
facilitators of these processes.
Ensuring community participation for all requires broad-based efforts involving many different sectors
of the community. Often referred to as community coalitions or partnerships, these initiatives involve
key community leaders and representatives of grassroots organizations. They bring together
representatives from government, social service agencies, faith-based organizations, businesses, health
organizations, and other sectors of the community that share a concern about the problem or have a
stake in its solution. The aim of such initiatives is to change communities and systems to improve
outcomes for people with disabilities.
The group's action plan is its vision for a healthy community for people with disabilities made concrete.
How could education be changed to better serve all students? What changes in housing could be made
to ensure accessible and affordable housing for all? How can the business community do its part? How
about government? Service providers? Taken together, the proposed changes in all relevant sectors of
the community provide a blueprint for action.
People with disabilities face barriers to participation in community living, and experience disparities in
their lives in areas including:
Employment
Socialization
Housing
Transportation
Health care
Civic involvement
We work toward a day in which all people live in communities that support their full engagement for a
high quality of life. This guide is an attempt to foster work that will take us closer to this vision.
The World Health Organization defines barriers as, “Factors in a person’s environment that, through
their absence or presence, limit functioning and create disability. These include…
a physical environment that is not accessible,
lack of relevant assistive technology (assistive, adaptive, and rehabilitative devices),
negative attitudes of people towards disability,
services, systems, and policies that are either nonexistent or that hinder the involvement of
all people with a health condition in all areas of life.”
According to the Centers for Disease Control and Prevention (CDC), seven common types of barriers for
people with disabilities include:
Attitudinal
Communication
Physical
Policy
Programmatic
Social
Transportation
To view an example of people who used this method, please see our video “Stoplights Don’t Stop Us!”
on the YouTube channel [Link]/rtcil.
We have outlined a complete process for change. You may be familiar with some of the stages of
planning already, but this guide prompts you to plan for the entire process. We use resources from the
Community Tool Box, [Link] an online resource for community change and improvement.
Chapter II offers an overview of the planning process, with particular emphasis on clarifying
the vision, mission, objectives, and strategies.
Chapter III provides help in considering which sectors of the community should be involved
in the initiative.
Chapter IV, the heart of this guide, assists in identifying particular changes that can be
sought to more fully support community participation by all. These changes are categorized
by goal area for easy review.
Chapter VII outlines a strategy for documenting progress on goal attainment and promoting
renewal of the initiative.
As any community organizer will attest, it is critical to listen before taking action.
In addition to talking one-on-one, consider hosting public forums or focus groups, in which people can
express their views about the issues and what can be done about them. Such public meetings should be
convened with people from different neighborhoods, socioeconomic groups, and ethnic and cultural
groups. This will expand available perspectives on issues and options.
One method of becoming familiar with the issues consists of structured opportunities to listen to a
variety of members of the community. These listening sessions go by different names including focus
groups or "social reconnaissance." They are straightforward and effective tools for gaining local
knowledge about the issues and context. We recommend using these public forums to learn about the
community's perspectives on local issues and options.
Such information can be used to help document the level of the problem and to consider whether
further action is necessary. Later, these data can be used to determine how effective your group was in
addressing the problem or goal. (Note: Increased community awareness and activity may beget changes
in reporting, changes in service rates, and other activities that may make it difficult to conclude that
there was an effect or that observed effects were due to the initiative.)
The state social services department should be able to tell you the number of recipients of
Medicaid and food stamp program participants.
Hospital admission and exit records exist and can give you information on births, causes of
death, etc.
Census data are available for your community in the United States. This demographic information
can be found on the Bureau of Census web site: [Link].
Behavioral Risk Factor Surveillance System (BRFSS) provides data regarding health-related risk
behaviors, chronic health conditions, and use of preventative services:
[Link]
Community Commons has premade maps of data from the state level to the block level, tools to
create your own maps, and reporting tools for areas such as health, equity, environment, education,
economy, and food: [Link]
Police records can tell you crime rates and the incidence of problems such as domestic violence
or motor vehicle accidents.
Chamber of Commerce data provide information about job growth, the unemployment rate, etc.
Nonprofit service agencies, such as the United Way ([Link] generally have
records on a variety of different issues.
School districts can tell you school enrollment rates, attendance, and test scores. For
comparative school district rates, check with your state department of education.
The U.S. Centers for Disease Control and Prevention can give you information on the rates of
many diseases: [Link]
Statistical Abstract of the United States is a good general source in print for national
information. It is done annually, and is available in most local libraries.
Many other web-based resources contain useful, up-to-date information. Try using key words,
such as “people with disabilities” with the search engine of your internet browser.
Below is a list of personal factors and environmental factors (social and physical) that may affect
community participation by people with disabilities.
Develop a Framework
A framework (sometimes known as a “model” or “theory”) helps guide the process of community action
and change. How is our community to navigate the course from initial understanding and planning down
the long road to improved community participation? A clear framework helps communicate the
pathway for improvement, focusing local efforts on changing conditions for community participation for
people with disabilities.
Planning and building capacity (e.g., listening to the community, documenting the
problem, building leadership)
Targeted action (e.g., community organizing, contacting key officials, advocacy, social
marketing)
Community and systems change (e.g., bringing about new or modified programs,
policies, and practices relevant to the mission in all appropriate sectors of the
community or broader system)
Widespread behavior change in relevant behaviors (e.g., people with disabilities actively
participate in their communities)
Improving participation and well-being outcomes (e.g., increasing the number of people
with access to transportation)
1. Assessing,
prioritizing, and
planning for
capacity building
5. Improving 2. Implementing
community targeted action
participation and intervention
4. Achieving
widespread change in 3. Changing
behavior to enhance community conditions
civic engagement and systems
Figure 1. Framework for Collaborative Community Action on Health (Adapted from the Institute of
Medicine, 2003).
Each community develops its own framework (or model or theory) for action. This creates a pictorial
explanation of how change and improvement can occur. The community’s framework will reflect its
unique goals, needs, assets, and situation.
Investigating these questions is crucial to ensure that your group does not reinvent the wheel, and to
maximize potential by joining forces.
Participants should reflect the diversity of the local community. Coalition leaders must ensure that the
planning group extends beyond service providers of relevant agencies. Are people with disabilities and
their families involved? People of different socioeconomic backgrounds? If the community is culturally
diverse, are African Americans, Hispanics, or other racial or ethnic minorities involved in planning?
Leadership
Leadership refers to the process by which leaders and constituents work together to bring about change
by setting priorities and taking action. Successful groups have a person or small group that accept
responsibility for success. Leaders have a clear vision of a community that promotes full community
Size
The group must have a manageable size and structure. Most groups operate best with a maximum of 15
people. If many people are interested in working on the issues, a larger group can be structured into
smaller groups, such as task forces organized by goal areas, which can report back to a coordinating
council or the coalition as a whole.
Some groups use a "planning retreat" in which members can focus specifically on the goals and means
of the initiative. This can be accomplished in half- or full-day sessions.
Structure
The organization of the group is also important. In larger groups or communities, action planning might
initially be done in subcommittees or task groups that are organized by goal area. In smaller groups or
communities, the entire group might work on the action planning.
Diversity
The group should be diverse and integrated. It should include officials from important sectors, such as
directors or administrators from the transportation sector, as well as people concerned about what is
going on in the sector, such as people with disabilities, families, and caregivers, who are affected by and
interested in bringing about change in transportation access for people with disabilities. The group must
consider how the continuing participation of persons in positions of authority can be maintained while
preserving the involvement of other community members without official titles.
Inclusivity
Planning sessions must be well-publicized and open to members. The entire group will provide review
and approval of the coalition’s action plan, as well as its vision, mission, objectives, and strategies.
For information on Group Facilitation, refer to Chapter 16 of the Community Tool Box:
[Link]
Be Inclusive
Good planning seeks out key players with diverse viewpoints. Once a diverse group is at the
table, it is important to get them to communicate. Effective leaders often call on silent members
during pauses in the discussion. They convey the value of each person's voice on the issues.
Occasionally, it may be necessary to discourage an overly enthusiastic member from talking too
much or dominating meetings. Leaders may do so by thanking them for their comments and
indicating the importance of hearing from other members of the group.
Be Efficient
Planning meetings must be efficient, starting and ending on time. It may be helpful to have an
agenda or to build a consensus at the beginning of the meeting about what will be accomplished
and in what time frame.
Summary
This chapter provided a background in the key issues and concepts of planning. The next chapter
provides an overview of the process of planning for action, with particular emphasis on reviewing the
group's vision, mission, objectives, and strategies for promoting community participation for all.
Your group might arrange town meetings or focus groups in which to discuss these issues. Be sure to
invite a variety of people, including people with disabilities and their families, nonprofit staff members,
local government, staff of centers for independent living, health care providers, and other interested
community members.
Financial:
Materials:
What are some alternatives for addressing the problem or goal in light of
the anticipated barriers and resources?
These ideas may provide an initial indication of what solutions might be
acceptable to the community. (The group will refine these ideas in its
actions plan that is described in later chapters of this guide.)
Your group might collaborate with officials of local centers for independent living, school districts, and
transportation and health departments to obtain existing data that could be used to document the
problem.
Your group might use past planning products, interviews with community leaders and outside experts,
and relevant models. It may be helpful to refer to the list of potential influential factors on p. 4 and the
illustrative “Framework for Full Community Participation” on p. 5.
What personal factors affect attainment of the goals? These may include
knowledge, skills, and history.
What environmental factors affect participation of people with disabilities?
These may include a physical environment that is not accessible, lack of
relevant assistive technology, negative attitudes of people towards disability,
and services, systems, and policies that hinder involvement.
How can we use this analysis of influential factors – and our experience and
knowledge of our local communities – to identify promising strategies and
tactics for promoting community participation for all?
Is the community initiative already using a framework for action (or model or
“theory” of practice) to guide its efforts?
If appropriate, how can (should) it be adapted?
What is the logical path from initial understanding and planning to
improvements in outcomes at the community level?
How can this framework for action help guide our group’s efforts?
Your group might use interviews with community leaders to help with these questions. Informants
might be drawn from key officials in health and human services, and the business and government
sectors, as well as grassroots leaders in communities particularly affected by the concern.
Your group might use interviews with community leaders to help with these questions. Informants
might be drawn from key officials in health and human services and the business and government
sectors, as well as parents and leaders in communities particularly affected by the concern.
KEY OFFICIALS
LEADERSHIP
Vision
When groups develop a plan for action, they decide what
they hope to accomplish and how they are going to get
Mission there. These decisions may be reached through strategic
planning, the process by which a group defines its vision,
mission, objectives, strategies, and action plans.
Objectives
The purpose of this chapter is to provide you with an
overview of these broader planning considerations and
explain what is involved in creating or refining your
Strategies group's vision, mission, objectives, and strategies. It also
helps clarify considerations of where the group will direct
its efforts: who is at risk and who is in a position to help
Action Plan with the problem or goal. At the conclusion of the
chapter, we provide planning pages that prompt your
organization to refine its vision, mission, objectives,
Targets and strategies, and targets and agents of change.
Agents of Change
For more information on developing strategies, refer to the Community Tool Box Chapter 8, Section 4
for more information: [Link]
strategies/main
"Transportation for All" or “Accessible Health Care for All.” The vision should convey the community's
dream for the future. A vision should be: a) shared by members of the community, b) uplifting to those
involved in the effort, and c) easy to communicate (it should fit on a T-shirt).
The mission describes what the group is going to do and why. The mission might refer to implementing
a community-based effort to reduce the incidence of a negative condition, such as barriers that prevent
individuals with disabilities from receiving needed health services. A group’s mission may be mandated
by its funding source, or it may be created by its leadership. The mission may look something like this:
“To improve accessible health care for all by building community partnerships, improving available
services, and through policy advocacy.”
Objectives refer to specific measurable results of the initiative. They include: a) key behavioral
outcomes, such as a change in the percentage of young people with disabilities to finish high school, b)
related community-level outcomes, such as the incidence of written or auditory health messages that
help people with visual or hearing impairments receive the message and c) key aspects of the process,
such as adopting a comprehensive action plan for improving outcomes related to full community
participation. These goals set specified levels of change and dates by when change will occur.
Example Objectives
a) By the year 2026, increase by 20% the number of people with disabilities in the community that
obtain a high school diploma or GED.
b) By the year 2030, increase by 30% the number of people with disabilities in the community that
are employed and making a living wage.
For more information on developing Objectives, see the Community Tool Box Chapter 8, Section 3:
[Link]
Strategies refer to how the initiative will be conducted. A group may use a variety of strategies to meet
its objectives and fulfill its mission.
For further information on developing action plans, see the Community Tool Box Chapter 8, Section
5: [Link]
When the group has determined where it is going and how it is going to get there, it will focus on key
actors whose behaviors need to be changed and people who are in a position to make the changes.
Clarifying whose behavior must change to address the problem will help in later planning for action.
Potential targets of change could include people with disabilities, family members, service providers,
teachers, business owners, and elected and appointed officials.
Potential agents of change include all those in a position to contribute to the solution, including people
with disabilities, family members, caregivers, neighbors, service providers, teachers, business people
and merchants, faith-based leaders, and elected and appointed officials.
For further information on identifying targets and agents of change, please refer to Chapter 8,
Section 3 of the Community Tool Box: [Link]
start/identify-targets-and-agents-of-change/main
Summary
This chapter outlined key ideas in strategic planning. The planning pages that follow provide an
opportunity to apply these ideas to your own community initiative.
VISION
The vision describes the ideal condition desired for the community. It conveys the
community's dream for the future. It must be a shared vision; uplifting and easy to
communicate. An example vision statement is: "Full Community Participation."
MISSION
The mission statement describes the special task or purpose of the group. It
describes what the group intends to do and why. It must be concise, outcome-
oriented, and inclusive. An example mission statement is: "To promote the
community participation and well-being of people with disabilities through a
community partnership."
Objectives state the goals toward which project activities are directed. Objectives
describe how much will be accomplished in specific measurable results and state the
time frame for accomplishments. Objectives must be challenging, important,
potentially measurable, timed, and feasible to accomplish. Please list the objectives of
your group, inserting the appropriate dates and target percentages:
By the month/year ____, the number of adults with disabilities who experience
delays in receiving primary and periodic preventive health care due to specific
barriers will decrease by ___ percent.
By the year ____, the proportion of all occupied homes and residential buildings
that have visitable features will increase by ___ percent.
By the year ____, the proportion of adults with disabilities who participate in
leisure, social, religious, or community activities will increase by ___ percent.
Strategies describe how the objectives are going to be met. Broad strategies for
enhancing full community participation include: increasing personal experience and
competence, decreasing environmental stressors and barriers, and enhancing
environmental support and resources.
Specific strategies related to changing individual behavior include: a) providing
information and enhancing skills, b) altering incentives and disincentives,
c) modifying access, barriers, and opportunities, d) enhancing services and
supports, and e) modifying policies and practices.
Specific strategies related to organizational and community development include:
a) community assessment and monitoring, b) public awareness and media
campaigns, c) integrating and coordinating local agencies and resources, d) coalition
building, e) modifying access to products and services, f) developing resources to
enhance family and peer support, g) advocacy and nonviolent protest,
h) enforcement of existing policies and laws, and i) changing policies and laws.
List the strategies to be used by your group:
TARGETS OF CHANGE
Targets of change are those who directly experience the problem or are at risk,
or those people who contribute to the problem through their actions or lack of
action.
Please list the targets of change for your group:
AGENTS OF CHANGE
Agents of change are those who are in the best position to contribute to the
solution and those who have a responsibility to contribute to the solution.
Please list the agents of change for your group:
1. Clarify a common purpose through listening, gathering and reviewing data, and building a shared
vision and mission.
2. Generate and critique options through consideration of risk and protective factors, broad and
specific strategies, and the community’s framework for action. This process identifies particular
changes in communities and systems (i.e., new or modified programs, policies, and practices) to be
sought to achieve the mission.
3. Obtain consensus about community and systems changes to be sought through ballot voting about
the importance and feasibility of proposed changes, or by having participants use dot stickers or
post-it notes to share preferences for changes to be sought.
4. Decide how to proceed as a group through open discussion to identify action steps (i.e., who will do
what by when) to bring about the identified changes.
9:30 VMOSA … What Is VMOSA (Vision, Mission, Objectives, Strategies, Action Plans)?
9:45 Vision: Promoting full community participation: Creating your own community’s vision
10:15 Mission: What we are trying to accomplish and why: Stating your mission
10:45 Objectives: How much of what we will accomplish by when: Creating your objectives
11:15 Strategies: How we will get there: Identifying a set of broad and specific strategies
12:30 Adjourn
Product of Session/Day Two: A set of prioritized community and systems changes (i.e., new or
modified programs, policies and practices to be sought in each relevant sector of the community
[e.g., community organizations, schools, faith communities, businesses, government]).
9:15 Identify targets and agents of change: Who should benefit? Who can
contribute?
9:30 Identify community and systems changes by strategy (work in small groups
organized by strategy)
10:45 Identify community and systems changes by sector (work in small groups
organized by sector)
11:45 Build consensus on community and systems changes to be sought (e.g., vote
using dot stickers or post-it notes placed on large sheets of paper around the
room, each featuring a potential change to be sought)
1:00 Adjourn
Important Activities:
1. Review the targets and agents of change identified in the previous chapter. These are the
people whom your group hopes to influence and involve in its efforts.
2. Review the community sectors diagram on the next page from an example coalition
promoting community participation and well-being of individuals with disabilities. Consider
which of these sectors of the community might be most useful in promoting this goal. Modify
the chosen sectors and delete or add new ones to fit your community's specific needs,
resources, barriers, and experiences.
3. Use the planning page at the end of this chapter to identify the community sectors with which
your group will collaborate. Each sector should help reach your group's targets of change
and/or involve your selected agents of change. Your organization’s own particular sectors will
reflect the overall vision, mission, objectives, and strategies, as well as local resources and
opportunities.
4. In preparation for the next important chapter on preparing an action plan, review the example
community change objectives that could be sought in each sector. Consider how these
changes in communities and systems could work together in a comprehensive and concrete
vision for promoting full community participation.
Which community sectors should be used to address your group's mission? Which of these offer good
prospects for changing behaviors and involving community members with a concern about the health
and community participation of individuals with disabilities?
Social Service/
Community
Organizations
Media Businesses
Government
Review the targets and agents of change identified in the previous chapter. Consider what community
sectors will best enable the group to reach the targets of change and involve potential agents of change.
Consider the following questions: Does the sector provide a way to reach large numbers of people?
Does it provide access to community members who have an interest or responsibility for promoting the
well-being of individuals with disabilities? Is this part of the community important to the mission? Is it
feasible to involve the sector in the group's efforts? What other sectors could or should be involved?
Your
Community
Initiative
This chapter provides an inventory of possible changes that your group might seek. Final decisions about
which changes or improvements to pursue should be made by your community.
The Inventory of Potential Community and Systems Changes is organized by goal areas:
Step 1: Review, modify, and expand the inventory of potential community and systems changes by
referring to the following examples of possible changes that might be sought by your group (p. 35). Scan
the inventory of possible objectives and mark the community and systems changes that seem relevant.
Then brainstorm to see if you can identify others not listed in the inventory. Modify these potential
changes and delete or add new ones to fit your community's specific needs, resources, and barriers.
Step 2: Use the planning page to list a tentative set of changes to be sought.
Step 3: Use your community’s framework for action to draft a simple flowchart that shows how the
planned changes in communities and systems fit together, forming pathways that lead logically to
widespread behavior change and improved outcomes.
Note that the potential changes in the inventories are directed at many different levels of the
community and broader system. Some may address the behaviors of certain individuals with disabilities
and their families, while others seek to change the behaviors of influential people, such as policymakers
or clergy. Some changes are directed at the environment by altering the programs, policies, and
practices of important institutions or organizations. Your group should attempt to make changes in a
variety of different sectors in your community. Such changes may bring about a more meaningful and
lasting solution.
We strongly encourage planners to involve as many stakeholders as possible in the process described in
this chapter. For example, a planning group of 20 could break into diverse work teams of five people –
one team for each goal area. Once all of the steps are completed, those smaller teams could review and
exchange their respective findings and rationales with one another. This exchange of ideas could then
serve as the basis for a planning team’s recommendations to the broader group.
A Key Question:
What combination of changes in programs, policies, and practices are necessary to make a difference
with the mission of promoting well-being and community involvement of individuals with disabilities?
By _____, provide Living Well with a Disability to residents of assisted living or nursing homes.
By _____, collaborate with people with disabilities to determine needs and interests, and provide
appropriate workshops or classes to build independent living skills, such as communication skills, local
transportation options, financial literacy, and computer skills.
By _____, coordinate with local education agencies to provide pre-employment transition skills
programs to students graduating from high school. The curriculum can include topics such as driver’s
education, personal finance, budgeting, goal setting, interviewing, and attitude and behaviors.
By _____, provide support groups for people with potential, current, and past transitions from assisted
living to the community for networking and sharing personal stories.
By _____, coordinate with local assisted living facilities to give presentations to residents to increase
awareness of emancipation and transition services for people wishing to live more independently.
By _____, coordinate with local schools and centers of education to participate in career fairs, job fairs,
or college fairs to increase awareness of transition services for students.
By _____, coordinate with the local fire department and disaster assistance (Red Cross, etc.) to provide
emergency preparedness training and education.
By _____, provide disaster preparedness resources such as fire department alert stickers, contact lists,
and safe haven addresses.
By _____, assure that videos used by educational institutions that serve people with disabilities have
closed captioning or written versions for people with hearing loss.
By _____, increase awareness among students and parents of the Individuals with Disabilities Education
Act (IDEA) and the rights that it assures to students with disabilities.
By _____, assure that educational resources provided by schools abide by the Standards for Web Site
Accessibility ([Link]
By _____, coordinate with schools to deliver informational presentations to teachers, students, and
parents to increase visibility and awareness of available services.
By _____, coordinate with churches and faith-based organizations to deliver presentations to church
leaders, groups, members, and youth to increase visibility and awareness of available services.
By _____, coordinate with senior centers, offices of aging, support groups, and other organizations to
conduct outreach presentations about available services.
By _____, conduct a community event in relation to different types of disabilities, such as a Brain Injury
Awareness Day, to educate about available CIL services.
By _____, participate in local health fairs, college fairs, and career fairs to promote available services and
connect with the public.
By _____, provide access to sign language interpreters or readers for people with hearing or vision
difficulty when they are in a health care or health services setting.
By _____, coordinate matching assistive technology with individuals who are interested in using these
devices.
By _____, provide assistive technology and technical assistance to individuals, such as video readers and
talking watches, for people with low vision.
By _____, initiate a telecommunications access program for people to make video phones and other up-
to-date technology more available to people who need it.
By _____, communicate with county and state authorities to ensure that voting sites recognize the right
of people with disabilities to have someone with them while voting.
By _____, check for ADA compliance and usability of outdoor spaces such as public parks, monuments,
squares, gardens, sidewalks, street crossings, and pedestrian pathways. Communicate with city or
county leadership if changes are required for full use of outdoor spaces by people with disabilities.
By _____, work with city and property managers to implement changes to parking in public places to
increase ease of use by people with disabilities.
By _____, coordinate with community partners to provide educational awareness of Universal Design
for community leaders, people with disabilities, and other stakeholders.
By _____, facilitate the installation of covered shelters or benches for bus stops.
By _____, facilitate changes to crosswalks (e.g. increased crossing time, verbal cues, and lighting) and
other pedestrian safety features.
By _____, work with local restaurants to provide braille or large print menus and other printed material
for patrons.
By _____, become involved in the statewide plan for independent living (SPIL), presenting to the
statewide independent living council (SILC) or an action committee or work group to increase full
community participation for people with disabilities.
By _____, provide informational packets or phone calls on voting registration, voting rights, and the
voting process for people with disabilities and others in the community.
By _____, provide advocacy training to increase advocacy skills at the individual and group level.
By _____, hold voter registration booths in public places (such as local supermarkets) and distribute
voter materials such as applications for advanced ballot voting.
By _____, disseminate issue “blasts” or factsheets disseminated broadly to increase civic participation
and voter turnout.
By _____, organize (or participate in) a town hall meeting to shed light on upcoming issues and actions.
By _____, facilitate local advocacy groups of people with disabilities to identify problems and research
and advocate solutions at the community level.
By _____, facilitate ADA anniversary celebrations to increase awareness and demonstrate solidarity for a
more inclusive, barrier-free community. For example, demonstrate at the capitol building, provide a
platform for personal testimony, or host an open house for the community.
By _____, conduct awareness events at schools including topics and activities such as disability history,
accessible van demonstration, disability simulation, and disability etiquette.
By _____, conduct awareness events in the community including topics and activities such as disability
history, rallies, proclamations, presentations, and disability etiquette.
By _____, provide employment training and job readiness education for people with disabilities.
By _____, facilitate a job club or other networking opportunity for adults who are seeking to advance in
their careers.
By _____, coordinate a mentoring event to bring together youth with disabilities and adults with
disabilities who are a part of the workforce.
By _____, increase awareness and outreach to expand the use of WIPA by social security beneficiaries
with disabilities.
Health care
By _____, develop a resource center or hub for information and connections to services for aging and
disability.
By _____, host information sessions to explain Medicaid benefits and changes to Medicaid at the local,
state, and federal level.
By _____, coordinate with local health education providers such as hospitals, clinics, or universities to
provide information to people with disabilities about health promoting behaviors, preventative health
screenings, and up-to-date recommendations for increasing health in particular areas, e.g. heart health
or oral health.
Housing
By _____, advocate for a city ordinance to require visitability standards for new housing construction.
By _____, establish a program to provide home modifications to people with disabilities such as
wheelchair ramps and shower grab bars to increase the ease with which they can use their home.
By _____, provide support to people with disabilities for locating and affording accessible housing.
By _____, provide education on housing issues, such as renting rights, landlord-tenant laws, incentives
for modification for accessibility, and other resources.
By _____, provide stress-reduction activities (i.e., meditation, etc.) as a part of regular meetings or
support groups or as a stand-alone class.
By _____, launch support groups for specific disabilities, such as low vision, brain injury, or multiple
sclerosis.
Sustainability
By _____, develop a sustainability plan for your effort (see [Link]
initiative).
By _____, initiate and maintain independent fundraising in the community (events, auctions, soliciting
donations, selling food or other goods, etc.)
By _____, apply for grants to provide new or expanded services, advocacy, or education within your
service area.
Transportation
By _____, establish a regular training for transit personnel in the public transportation service area on
safely and respectfully transporting people with all types of disabilities.
By _____, provide transportation vouchers to people with disabilities for use for public transportation.
By _____, establish a cab voucher program to increase availability of on-demand travel for people with
disabilities.
By _____, assist people with transportation plans to meet their specific needs.
By _____, coordinate with the city and transit authority to increase service areas.
By _____, establish a transportation fund for people with disabilities to subsidize travel expenses for the
bus system or paratransit.
By _____, check for usability of public transportation, including passenger loading zones and stops.
Communicate with the transit authority if changes are required for full use of public transportation by
people with disabilities.
Recreation
By _____, provide classes or workshops for people with disabilities to increase knowledge of personal
interests, such as photography or the arts.
By _____, coordinate a club for accessible physical activity, such as a wheelchair basketball team or
exercise class.
By _____, coordinate a recreational event that includes people with disabilities, such as an inclusive 5k,
field day, or sailing/rowing event.
Community partners:
Strategies:
What other changes in programs, policies, or practices could or should be made in this
sector?
To review the overall set of proposed changes for all sectors, ask:
Collectively, would all the changes be sufficient to improve outcomes for community
participation and well-being to desired levels?
What other changes in programs, policies, or practices could or should be made in the
community?
Step 2: Using a Survey (or More Informal Review) to Build Consensus
To help attract and preserve commitments, it is important to build consensus on the changes to be
sought. The group may use a survey to review the proposed changes. This can also be done less
For each change to be sought, consider whether the proposed change is:
Important to the mission of promoting full community participation for people with
disabilities?
Feasible to accomplish?
Seek feedback from key audiences for the group. Then collect the completed surveys and compute an
average rating for the importance and feasibility of each proposed change.
The results can be used to guide prioritization. Proposed changes with high importance and high
feasibility ratings should be given higher priority for action; those with lower importance or feasibility, a
lower priority. It may be helpful to set a cutoff for choosing priorities. For example, perhaps only those
proposed changes with an average rating of 4 or higher on importance, and 3 or higher on feasibility
might be included on the final action plan.
The entire membership should have the opportunity to make a decision on changes to be sought. Seek
consensus. Use a formal vote to resolve disputes about specific changes only when necessary. Arrange
for a vote of the entire membership on the complete action plan, recording the votes.
Summary
This chapter described a process for helping build consensus on the complete list of proposed changes
for the community sectors to be involved in the initiative. The next chapter describes how to convert
these proposed changes into a final action plan.
Identify Major
Action Steps for
The purpose of this chapter is to help prepare Each Change
action steps that will be necessary to bring about
your community changes in program, policy, or
practice. We recommend defining only the major Review of
action steps needed to attain each proposed Earlier Analysis
change. It is not necessary to list all the action
steps – list only the most critical steps required to
create the desired change.
Finalize and
Communicate
The Plan
Use the information gathered in the previous chapters to guide your group’s action steps for bringing
about identified community and systems changes. For example, how can your understanding of
potential resources and barriers be used to outline a communications plan for who should know about
what?
What needs to be done? Who will By what date What financial, human, What individuals and What individuals
take will the political and other resources organizations might and organizations
action? action be are needed? What resources resist? How? should be
done? are available? informed about
these actions?
Chapter VII. Documenting Progress and
Promoting Renewal
By community change, we mean developing a new program (or modifying an existing one), bringing
about a change in policy, or adjusting a practice related to the group's mission. Examples of community
changes include establishing a new transportation program or establishing a Disability Mentoring Day
for students and job-seekers with disabilities.
Systems changes are similar to community changes, but take place on a broader level. A business might
implement equal opportunity practices throughout its operations in the state or nationally. Another
example is a change in state agency policy to award cash incentives to grantees that reach or exceed
their objectives. Documenting community and systems change is discussed further in Chapter 38 of the
Community Tool Box ([Link]
initiatives/monitor-progress/tools).
We recommend monthly recording and quarterly reporting of community and systems changes. This
documentation process can help you discover the factors that affect change. A lull in the rate of
community changes may indicate that the action plan needs to be updated. Documenting community
changes also helps us remember to celebrate our accomplishments.
Documenting Progress
Documentation can help address three key questions related to the functioning of community-based
efforts.
The following example shows a cumulative graph of CIL community actions and systems changes:
Figure 1.
80 WIOA Passed
60
Curriculum Training
40
20
Date
Figure 1 shows example data from a CIL, which documented actions to increase full community participation, and
resulting community changes. Community actions (red) and community changes (blue) are displayed cumulatively:
the onset of each new change is added to all previous changes in programs, policies, and practices.
Using Figure 1 above, we can examine the CIL’s actions in the community and their success bringing
about community change. Accelerations (steeper lines) in community actions sometimes precede
accelerations in community changes, but a period in 2014 shows great increases in actions without
corresponding increases in changes. The CIL can use this graph of activity to examine the actions taken
during this period, and whether they should be adjusted to help reach their desired outcomes.
2. What factors affect the rates of community and systems change facilitated by the group?
Over more than two decades, the Center for Community Health and Development has examined
community change patterns—and the factors that affect them—with hundreds of community initiatives.
Research suggests that seven factors appear to affect rates of community and systems change:
The data from Figure 1 above suggest the importance of several factors for the capacity of the CILs to
make changes: a) training on the Community Tool Box Curriculum, b) action planning, and c) supportive
external conditions, such as adequate funding.
3. Under what conditions are community and systems changes associated with improvements in
more distant community-level indicators of well-being?
The figure below illustrates how these data can be used to examine possible associations between rates
of community and systems change and improvements in more distant outcomes. When changes in the
community-level indicator (i.e., number of youth transitioning from school to adult life who have
independent living skills) are correlated with accumulated community and systems changes related to
this goal (i.e., new programs and school practices to promote independent living among young adults), a
causal relationship is suggested. (Note: Without formal experimental designs, this relationship is
suggested, not demonstrated, since other factors could have caused the observed changes in
outcomes.) Nevertheless, these and other related data such as duration of changes and their
concentration in local places can help us examine the fundamental question: Under what conditions are
community and systems changes associated with improvements in more distant community-level
indicators?
Figure 2.
70
60
50
40
Reached
30
20
10
0
2012 2012 2013 2013 2013 2013 2014 2014 2014 2014 2015 2015 2015 2015 2016 2016
Qtr3 Qtr4 Qtr1 Qtr2 Qtr3 Qtr4 Qtr1 Qtr2 Qtr3 Qtr4 Qtr1 Qtr2 Qtr3 Qtr4 Qtr1 Qtr2
Evaluation Period
Community changes promoting youth transition Number of youth with IL skills
For details on the documentation system used by the Center for Community Health and Development,
see [Link] For more supports on “Evaluation,”
Data can also be used to promote critical reflection and adjustments. The review of progress should
involve all relevant audiences for the group, including stakeholders from various community sectors.
Communicate with relevant audiences how feedback was used to modify the action plan – or even the
broader vision, mission, objectives, and strategies – of the group.
Review the action plan at least annually. Update the list of proposed changes to account for new
opportunities and changes in context.
There is a particularly significant implication of the shift in orientation from a “program” perspective to
one focused on facilitating community and systems changes: It increases the group’s flexibility and
responsiveness to change over time. A community partnership that thinks of itself as running a
“program” might find it difficult to redesign or reinvent itself should the environment change, and that
particular strategy becomes ineffective. This can feel as though the rug were pulled out from under the
group, be extremely demoralizing to the effort, and fatal to its evaluation.
By contrast, a group that aims to bring about a set of strategically chosen community and systems
changes is more flexible. When outside forces shift or barriers are encountered, the natural response is
to revisit the list of prioritized changes and generate a renewed course of action.
Acting in accordance with current events and issues that are important to the community is a key to
bringing about change. It also provides a credible response to traditional criticisms from scientists and
evaluators who may see existing activities and secular trends in systems as “confounding” effects that
We recommend framing the group’s role as a catalyst for change—helping bring about of a series of
community and systems changes related to the mission, rather than solely the direct provider of
programs or services. This shifts the evaluation conversation from questions about attribution (e.g.,
what outcomes did the group produce?) to questions about contribution (e.g., how did the group help?)
Summary
This final chapter outlined a strategy for documenting the unfolding of community changes over time
and providing feedback on goal attainment to stakeholders. It also highlighted the importance of
renewal, suggesting that groups must modify their action plans periodically to respond to new
challenges and opportunities.
Thank you for your efforts to build a more inclusive and barrier-free community for all. Best wishes as
you seek to convene stakeholders in this important process for planning and implementing community
change.
When you complete these activities, celebrate (for now)! You have developed a blueprint for action.
The work of transforming communities and systems to promote community participation for all will be
made by joining with local people who care enough to make needed changes. As we do this important
work, we realize that we walk the path of those before us. And, eventually, others will carry on this
cause after we are gone.
Roussos, S., & Fawcett, S. (2000). A review of collaborative partnerships as a strategy for improving
community health. Annual Review of Public Health, 21, 369-402.