Quality Community Prevention Self-Assessment Geographic Location
Completed by Skills/capacity Assessment: Rate your organization's or partnership's ability to:
Date Circle One: Level of Capacity/skill (1=Low, 5=High)
Comprehensive approach Engage in activities at all six levels of the Spectrum of Prevention1
Not Sure
1
2
3
4
5
Identify potential policy/organizational practice objectives
Not Sure
1
2
3
4
5
Assess potential partners and opposition and understand political feasibility of initiatives
Not Sure
1
2
3
4
5
Maintain productive formal and informal relationships with leaders from health and other sectors
Not Sure
1
2
3
4
5
Form/lead a coalition
Not Sure
1
2
3
4
5
Assess community priorities
Not Sure
1
2
3
4
5
Implement substantive community engagement
Not Sure
1
2
3
4
5
Cultivate strong ties to communities that are marginalized based on factors such as race, ethnicity, economic status, sexual orientation, gender, age, immigration status, or geographic location.
Not Sure
1
2
3
4
5
Make the case for policy and environmental change
Not Sure
1
2
3
4
5
Marshall evidence and data to support initiatives
Not Sure
1
2
3
4
5
Enact model organizational practices
Not Sure
1
2
3
4
5
Mobilize patient population for community advocacy
Not Sure
1
2
3
4
5
Monitor and use patient health data to analyze community health trends and needs
Not Sure
1
2
3
4
5
Collaboration
Leadership
Connect clinical and community activity
1
Six levels of the Spectrum of Prevention include: Influencing policy and legislation; Changing organizational practices; Fostering coalitions and networks; Educating providers; Promoting community education; and Strengthening individual knowledge and skills.
Project Assessment
What successes have you achieved?
What do you consider the greatest challenges moving forward?
Which of the following training sessions would you be most interested in? (circle up to 3) The How and Why of Policy
Making the Case: communicating prevention
Comprehensive strategy development
8 Steps to Effective Coalition Building
Building multi-field partnerships
Emerging strategies to improve health food & activity environments
Emerging strategies to prevent violence
Assessing community health factors
8 steps to a community-centered health home
Other trainings that would be useful: