The power of positive stressors

Jul 12, 2018

The launch of coalitions often have a similar story. Key partners come together, form a collaboration, and move forward in a collective manner—all with the best intentions and similar goals in mind. Unfortunately, what happens next is all too frequent. A competition begins—be it for resources, ownership, or a host of another needs.

Over the course of my four years with Central Iowa ACEs 360, I have been pleased at the collaborative manner with which our coalition has moved the ACEs movement forward. We have incredible leaders who think systemically and with the whole community in mind. When partners come to the table, it has been with the focus of “how do WE advance the movement,” rather than a sole focus on how it benefits a single entity. That being said, as resources have become scarcer and external stress from political and social environments has created additional pressures, I have constantly considered my role in fostering that continued collaboration amid competition.

One of the most valuable benefits of the HealthConnect Fellowship is the opportunity to have dialogue with leaders with a vast array of experience. In February, Ralph Smith joined the fellows for a discussion, and provided thought leadership on a variety of topics. As a leader who has had significant experience in coalitions, I asked Ralph how to foster collaboration in times of scarcity and competition. Ralph shared that his perspective has been to view disagreement and different approaches to work as “positive stressors.” He shared that the perspective of “positive stressors” provides an opportunity to review the direction of coalitions and/or their goals to determine if work is moving in the right direction.

With this in mind, I have actively worked over the past few months to reframe coalition challenges as “positive stressors” that provide the opportunity to reflect on our collective work. Here are two ways efforts have shifted as a result.

Positive Stressor: What impact is your coalition actually making?

Reducing trauma requires commitment and systems change over the course of generations. Beyond outputs from trainings and reports, Central Iowa ACEs 360 has not focused on documenting the incremental successes and promising practices in our work over time. The documentation of our work needed to be higher on the priority list. The shift? We have recently dedicated time and resources to concretely document the history of our coalition though video interviews, conduct qualitative analysis of our technical assistance efforts, and proactively increase our presence at conferences and workshops.

Positive Stressor: There is more to trauma and toxic stress than just ACEs.

Historical trauma, epigenetics, and social determinants of health are critical factors that are interwoven with ACEs science. While attending any committee meeting or training for Central Iowa ACEs 360, we have highlighted this. However, we have not been proactive in interweaving these factors with our messaging and strategic planning. This can alienate potential partners and systems. Our message has often been received as solely focused on parents and disregarding community stressors. The shift? Conversations of equity and historical trauma will be foundational in every strategy we will now move forward. Policy messaging and communications materials are receiving critical review to ensure our language affirming the movement, not alienating allies.

These are just two ways I have reframed work recently. I frequently look at challenges in meetings and say “this is a positive stressor.” Competition and defensiveness will not move our work forward. Opportunities for reflection and, if needed, course correction will advance the movement.

Related Issues & Ideas

Article

Q&A: REED partners share the power in holding space for rest, healing, collective learning

View Q&A: REED partners share the power in holding space for rest, healing, collective learning
White Paper

Strengths of Latinx Immigrants Despite Legal Violence

View Strengths of Latinx Immigrants Despite Legal Violence
Report

Champions for Change: A Collective Commitment to Children's Health

View Champions for Change: A Collective Commitment to Children's Health
Website

Make It Okay messaging in multiple languages

View Make It Okay messaging in multiple languages
Article

8 Ways People of Color are Tokenized in Nonprofits

View 8 Ways People of Color are Tokenized in Nonprofits
Website

Iowa Coalition for Collective Change

View Iowa Coalition for Collective Change
Website

Iowa Public Health Association

View Iowa Public Health Association
Report

Cultivating Change: How the HealthConnect Fellowship lifted a network of advocates to improve children's health in central Iowa

View Cultivating Change: How the HealthConnect Fellowship lifted a network of advocates to improve children's health in central Iowa
Report

Shifting the Lens: How The ACE Study sparked action to collectively improve our community's health

View Shifting the Lens: How The ACE Study sparked action to collectively improve our community's health
Report

United Way Community Impact Report

View United Way Community Impact Report
Website

Youth Homelessness Demonstration Program

View Youth Homelessness Demonstration Program
Website

CAMHI4Kids Children's Mental Health System

View CAMHI4Kids Children's Mental Health System
Website

Community Catalyst System of Advocacy

View Community Catalyst System of Advocacy

Creating Space for Change

Advocates connect through a shared commitment to improve health outcomes.

View Story
View Story

Centering People in Community Planning

Amal Barre's research and advocacy efforts address housing instability and the sense of belonging in the community.

View Story
View Story

Launching the Basic Income Pilot with Community

How UpLift's collaboration with many partners led to greater impact

View Story
View Story

Amplifying Philanthropy’s Impact

Iowa funders are making shifts to center communities and advance equity.

View Story
View Story

Healthy Homes Redefines Community Collaboration

Working together to improve housing is leading to better health outcomes.

View Story
View Story

A Food is Medicine Approach to Health Care

An incentive program has provided a model for increasing access to nutritious foods and improving health outcomes.

View Story
View Story

Cultivating the Soil for Culturally Responsive Health Care

DMU is transforming the way health sciences education is delivered.

View Story
View Story

Zeroing in on Health Needs

A needs assessment of Oakridge Neighborhood residents is informing ways to improve health and well-being

View Story
View Story

Improving Health through Community Advocacy

How AMOS engaged hundreds of advocates to push for a children's mental health crisis response system

View Story
View Story

Latinx Project Tells Story of Strength and Opportunity

New report highlights central Iowa Latinos contributions and disparities and elevates Latinx leaders

View Story
View Story

Re-Imagining How Iowa's Systems Work Together to Best Serve Families

The Vision Council has led conversations on how Iowa's families and children can be safe, secure, healthy, and well in our communities.

View Story
View Story

Champions for Change: A Collective Commitment to Children's Health

Outcomes from Mid-Iowa Health Foundation's HealthConnect Fellowship, October 2019-June 2021

View Story
View Story

Elevating the Latinx Community

How nonprofit leaders brought attention to the Latinx community and built new systems of support during the pandemic

View Story
View Story

The Dream Cube: Art for Social Impact

The Dream Cube, a monolithic structure constructed of pillows piled 8-feet high, popped up in downtown Des Moines late last fall. The provocative piece sparked conversations about the potential of our youth—if they have a safe place to dream.

View Story
View Story

How Youth Are Driving Community Efforts to End Homelessness

dsm Magazine features a unique collaboration that is engaging youth who’ve experienced homelessness in identifying new solutions to address this issue in central Iowa.

View Story
View Story

Protecting Those Who Protect Our Kids

Iowa ACEs 360 shares this story about how supervisors in the Polk County Dept. of Human Services’ Child Welfare Division are addressing trauma in their workforce.

View Story
View Story

A New Approach to Supporting Youth in Juvenile Detention

Teenagers in jumpsuits lying on yoga mats, their eyes closed, their bodies still. This is the image Megan Hoxhalli describes as remarkable for juvenile detention, a place where youth arrive shaken, dysregulated, and scared about their future.

View Story
View Story

Creating a Culture of Inclusivity

View Post

How Community Health Workers Can Improve Heart Health

View Post

How Medical-Legal Partnerships Can Link Systems to Improve Health Outcomes

View Post

Creating a Culture of Sustainability in Helping Professions

View Post

Meet Dr. Daniel Zinnel, Incoming Mid-Iowa Health Foundation Board Member

Foundation news
Aug 2, 2023
View Post

Using Data for Systems-Level Advocacy

Advocacy
Jul 28, 2023
View Post

7 Benefits of a Statewide System Approach to Community Health Work

View Post

Why I Advocate for Heart Disease Preventive Strategies

View Post

4 Ways to Center Youth in Mental Health Conversations

View Post

Economic Burden of Health Inequities: 5 Insights to Inform Action

View Post

Disability Rights Attorney Shares What Iowans Should Know About Medicaid

View Post

Health Equity Work in Action: What Funders Should Know

Funder practices
Apr 5, 2023
View Post

Basic Income: 4 Things to Know

Partnerships
Apr 4, 2023
View Post

Prioritizing Advocacy: How a Nonprofit Created a Full-Time Role

Advocacy
Feb 1, 2023
View Post

Meet the team leading UpLift – The Central Iowa Basic Income Pilot

View Post

HealthConnect Fellows: Engaging authentically in systems change

View Post

7 insights gained through a nonprofit merger

Foundation grants
Nov 17, 2022
View Post

Six Elements to Consider with Community Conversations

View Post

Community-Based Participatory Research: What to Know

View Post

How student research informed the basic income project

Action planning
Sep 20, 2022
View Post