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North Sound Accountable Community of Health

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Leading with Love 

October 31, 2024 by Liz Baxter 1 Comment

I see this phrase a lot now, so maybe it is a new trend emerging. But trends pass, so I’m curious what will stay in the long term. 

I remember when Leading with Love was first discussed with the board in 2022, half expecting that they would say “oh, Liz, isn’t that nice.” Instead it led to one of the richest discussions that year, with board members diving deep to unpack what it meant to them and why it aligned with the culture of North Sound ACH and the work we do in the region. 

We have multiple frameworks that guide our approach. Separately each is critical, but when intertwined they are incredibly powerful – honoring tribal sovereignty, advancing equity, using targeted universalism, centering belonging, using the vital conditions for health and well-being, and leading with love. It is the last one – love – that is on my mind this month. 

Leading with love can sound soft or even passive – a ‘nice to have’ concept when you’re sitting singing songs around a campfire. But it takes commitment to embed and use love every day. Especially when things are hard, confusing, or we feel like we, or someone we care about, is under attack (whether real or perceived). Our innate human tendency is to defend, counter-attack, and to look to active allies for protection. 

Embedding the notion of ‘leading with love’ emerged from listening to a podcast featuring john powell about grief. What I took away was this: you cannot grieve without love and you cannot get to belonging without love. The next week, we had our first draft of five principles – compassion, care, community, courage, and curiosity. But we recognized that it would be easier to lead in this way when in a room of like-minded people who are enjoying each other’s company. We would be tested when things got difficult. That is when we know whether we took the principles seriously or not, and were willing to spend time on them when pushed. 

Love is intentional, a choice we make, and it takes just as much work to embed as any best practice or new tool. We can lead with suspicion, or fear, or anger, or our own past experiences. And we can choose to lead with love even when those other emotions or experiences want to crowd out love. That is the opportunity we have within our network and within our own relationships. How do I want others to act toward me if they hear a rumor, a story, someone’s challenging experience with me? 

My mom had a phrase that she used when we were growing up – ‘there but for the grace of God.’ She didn’t say it in a religious way, but in recognition that any one of us could be that person on the news, the person being arrested, the person who lost their apartment, was facing illness without insurance, etc. Coming from a very large family there was always something going on with someone. We didn’t distance ourselves from hard times, we circled around the person and made sure they did not feel isolated, but instead surrounded by love.

We have colleagues, partners in the Network, who we hear things about, and when we do we reach out to them hoping to hear from them firsthand what they are experiencing, and offer support where we can. I’m probably not surprising you, not all Network partners support the open nature of the Collaborative Action Network. People know things about organizations, practices and people in personal ways that our team may or may not. The door to the Network is broadly open, and we think that those who stay in the Network do so because of the opportunity to build relationships, meet new partners and collaborate on work. 

We ask everyone in the Network to commit to the same things. Their actions will show how they embrace and embed those commitments. But we get asked “how do you hold members of the network accountable?” The truth is that we don’t have accountability measures. The Network is an opportunity for transformative change. North Sound ACH helps facilitate those opportunities, but assessing and measuring partners in their commitments happens when an organization is selected by the Review Committee for capacity building dollars. Then we have a role in assessment, monitoring, and reporting. 

The past month has been challenging for many to watch polarization around a partner organization play out in the media. It has caused pain and heartache. And it has allowed staff and partners to step in and lead with love. Not judgment, but compassion. Not assumption, but curiosity. Not shunning, but care and community. And that takes courage when others expect you to do one thing only. 

The past 10 days have also been nourishing when it was most needed. Infusions of energy helped sustain the weary days. Some examples to share:

  • – Being present for the launch of the Setting Sun Institute was inspiring and generated so much hope, not only for the future, but for now. Young leaders stepping into leadership roles, guiding us to a future that they co-design was incredibly powerful to witness. (see their release down below!)
  • – Alongside was an event hosted by Children of the Setting Sun at the Paramount Theater in Seattle – Netse Mot: One People Gathering. All I could think was how I wanted more of this! If you were not able to attend, you can watch the recording here. 
  • – Our colleagues at Thriving Together North Central Washington held their first partner convening, and invited Cynthia Andrews and I to be on a panel to talk about the North Sound experience. Being in space as they launched their journey was so powerful and we learned a lot from them throughout the day. Having space that allows collaborative discussion is a courageous thing to do, and the richness of dialogue and desire to work together around the Vital Conditions was amazing to experience. 
  • – And lastly, last night Nanc and I went to see a performance of “Come from Away,” a musical retelling of what happened on 9/11 when 38 flights were directed to Gander Newfoundland, a community of about 9,000 people that welcomed 6,800 stranded passengers. Going back to the emotions of 9/11 was hard, but imagining what it would be like for my community to replicate what Gander accomplished – providing shelter, supplies, food, medications, health care needs, in multiple languages – while dealing with their own fears and biases during that traumatic week. I don’t know that I can imagine Bellingham doing that same thing, yet I can hope that we could. 

All told, I’m reminded that most of us can choose whether we lead with fear, suspicion, distrust, or we leave ourselves open to opportunities for connection, humanity, and profound relationships. I hope that we continue to choose the latter, but it requires trust in each other. That is where transformation can occur, and lead us to all communities thriving. The past week of connections came when I most needed them. (I’m sure there is a message from the universe in that somewhere.) I hope you get to be infused with connections like that as well. 

Thanks for being on this journey with us – 

Filed Under: newsletter, CEO Update Tagged With: Executive Director, ceo note, liz note

Belonging, Civic Muscle, and Voting

October 1, 2024 by Liz Baxter Leave a Comment

North Sound ACH has multiple frameworks that guide our work, and sometimes folks feel like they are separate and duplicative, but really they are intertwined. They are connected, build upon each other, and amplify what is possible. We are guided by:

  • Honoring tribal sovereignty, not only recognizing that we are all on Native Land, but also appreciation and gratitude for how tribes steward the land, air, water, wildlife because we are all connected in this ecosystem; 
  • Equity, with this description from PolicyLink as our starting point;
  • Targeted Universalism, because we are situated differently, in order for all community members to reach the same goal we need specific strategies to be available and used;
  • Belonging, an evolutionary next step from discussions of equity, leading us to imagine co-design, shared decision making, co-ownership of planning, implementation and results; and 
  • Vital Conditions for Well-being, (with belonging and civic muscle at its center) that moves from the standard definitions of ‘social determinants of health’ to what we are moving toward in key areas that cross clinical and community care and services.

This led our region to adopt principles around what we call ‘leading with love’ – seeing the humanity in each person and recognizing that they (we) all deserve to be loved as full human beings and have our needs met.
So, this is on my mind because of the current election season, and the work it takes to get eligible voters to turn out. For us, all of the above principles come into play. Voting is essential to belonging, and as communities we can either create barriers to voting, or we can enhance paths that encourage community members to vote. The choice is ours. Please, use whatever ability you have to encourage community members to vote, and point them to resources like IWillVote.org or Vote.gov. In Washington you can register to vote all the way through election day.

One shining example of enhancing paths to voting comes from partners in Skagit County. More than a year ago we were contacted by their County Auditor as they discussed offering election materials in English and Spanish for the 2024 election cycle. (FYI – There are federal laws that require election materials to be produced in languages other than English when certain conditions are met, and Skagit is not yet required to offer these materials in Spanish.) Skagit County was not required to do this, but still chose to do so, offering a brilliant model of how belonging and civic muscle can be operationalized in counties. Please check out the County’s  press release here.  We’re so proud to be a partner in their efforts and hope other counties follow their path.

No one sector or entity can do this alone. The Collaborative Action Network continues to grow (now more than 170 organizations!) and these frameworks ground us as we envision what we want to become as we move forward. 

None of us can achieve this alone, so thank you for joining us in this work!

Be well –

Filed Under: newsletter, CEO Update Tagged With: belonging, ceo note, liz note, civic muscle, voting, election

Network Dispatch: Mobile Mama Grows Internship Program

September 24, 2024 by Megan Stephenson Leave a Comment

Recently celebrating 10 years in the community, the perinatal therapy practice Mobile Mama is growing thanks to community support, such as the Collaborative Action Network Review Committee. Mobile Mama provides counseling services from conception through motherhood.

In 2017, a group of partners in Whatcom County formed a perinatal mental health task force to build community capacity to support families during pregnancy and the transition to parenthood Mobile Mama Therapy, Whatcom County Health and Community Services, Bellingham Center for Healthy Motherhood, and a parent advocate. Becoming fiscally sponsored by Whatcom Family & Community Network in 2021 allowed the task force to apply for and braid funds for a variety of specific projects. One project is Mobile Mama’s Master’s Level Clinical Counseling Internship in Perinatal Mental Health. In 2023, the ACH CAN and the Mount Baker Foundation funded the expansion of this program from a one intern pilot project to three internship slots. In 2024, the Healthy Children’s Fund contracted directly with Mobile Mama to support three more interns over the next two years. Read more about this program at Whatcom Talk [click here].

The recent grant from the ACH includes funding to conduct a feasibility study on replicating the Mobile Mama internship program and expanding the perinatal mental health workforce to other areas in Whatcom County and into Skagit, and San Juan counties. These three counties share perinatal mental health capacity-building work with support from Perinatal Support Washington and the Department of Children, Youth, and Families, as well as have access to PeaceHealth infrastructure, including hospitals, clinical practices, and community benefit grant opportunities.

The internship program directly increases access to care by developing a local mental health workforce skilled in addressing perinatal mood and anxiety disorders who work with Medicaid enrollees.

2024-2025 Interns shown here – Meredith LaPlante, Melody Eastman, Aliya Qadri, Rachel Jones. Photo provided by Mobile Mama.

At a recent visit by ACH staff, Mobile Mama shared the internships are going well –each intern provides intakes and counseling for up to 12 clients per week, and receives advanced training in perinatal mental health and supervision hours each week. Applications for this internship have “skyrocketed” as word has spread! Mobile Mama hopes the upcoming applicant pool will include more students culturally and linguistically matched to the community.

Because there are more clients than capacity to serve, Mobile Mama continues to seek sustainable funding to support the internship program, as they cannot bill insurance providers for internship services.

Mobile Mama is looking to partner with the Managed Care Organizations (MCOs) and others, to better understand how to advocate for Medicaid changes, negotiate rates, and support programming, as well as being part of discussions on navigating the issues around credentialing, reimbursement rates, and billing for interns under the supervision of trained clinical supervisors with MCOs. To connect, reach out to Michelle@MobileMama.com.

Filed Under: Announcements, Equity, Partners, Network Dispatch Tagged With: prenatal, prenatal care, therapy, perinatal, perinatal care, mobile mama, network dispatch

Dreaming Out Loud

August 29, 2024 by Liz Baxter Leave a Comment

This phrase has been on my mind for several months. Just about every week I get to spend time with partners who are doing creative and important work that is fueled by passion and commitment, but not always supported financially to be sustainable. We try to imagine what it would take to make those efforts become the norm, to be part of the mainstream strategies that are supported by policy and revenue. Some examples follow from my last couple of weeks –  

I watched a film called Daughters, about a program in Washington DC that connects daughters with their fathers through a dance that occurs inside of the carceral facility where they are held. It is a moving story about the children and parents, but also an incredibly powerful portrayal of how dehumanizing the system can be – limits to in-person visits (called ‘touch visits’) and even facilities that do not allow any visitation at all. We can’t criticize others for inhumane conditions when we also do that here. The backstory behind the dance was gut wrenching to absorb. Yet, the filmmakers stated that 95% of the men who take part in the dance do not re-offend when they are released – the impact of one day of reconnection and being treated as full and important human beings.

For example, people who are incarcerated depend on for-profit systems in order to call family members; the average cost can be as high as $50 to $100 per month. And when their families don’t have those funds, that means there is no contact. Here is the average cost of calls for each state. So dreaming out loud – being treated as a human is healing, and our carceral facilities are not geared in that way, but imagine the power of abolishing what we do today, replacing it with something that is focused on healing people who make their way through jails and prisons. In the framework of targeted universalism – what could be our universal goal?

Washington is one of several states implementing a Jail Reentry benefit through its Medicaid program. It reopens their Medicaid benefit 90 days before release, allowing payment for clinical services to bridge from incarceration to community upon their release. Alongside this, North Sound ACH began a Community of Practice with community organizations who work with people while they are incarcerated, and walk alongside them after their release. (The participants named itself Re-Integration Community of Practice, rather than Reentry). One of those partners (Underground Ministries) shared their set of principles that underpin their work, and one of those is ‘dreaming in decades:’ recognizing that many people who have lived experience with incarceration see dreaming as a privilege that they don’t have – survival is overwhelming just by itself; dreaming is too far to reach. They aim to change that.

The North Sound ACH Partner Convening was on August 15, and each time we come together it is a slightly different combination of people, and growing more diverse each time. The Collaborative Action Network is growing and changing, aiming to find ways for partners to meet, learn about and collaborate with each other.  We have intentionally tried to keep our gatherings to about 200 participants, but as the network grows we have to decide about future gatherings – make them larger or hold more focused smaller convenings. (There are currently 170 organizations in the Collaborative Action Network, and more on the horizon.) We’ll be reaching out to you in the near future to help the thinking for that strategy.

North Sound gets invited to meetings across the country because of our guiding frameworks (honoring tribal sovereignty, equity, targeted universalism, belonging, the vital conditions for well-being, and leading with love.) But it is also because of you. In August we were invited to the Inland Empire for a conference with 600 attendees, and it was amazing because instead of me, we sent Cynthia Andrews from our team, Jason McGill (CEO for Northwest Youth Services and North Sound board member) and Kevin Riley (also a board member, and pastor at Mount Baker Presbyterian Church). I wanted the Inland Empire to hear from them about what we’re aiming for, and I can’t wait to invite you to share your stories as well. They got a standing ovation for speaking as themselves – and so would you!

My dream – that my children and grandchildren will want to live here, rather than looking for another place to live solely because that other place feels more welcoming, or makes them feel like they will be a better fit there. North Sound can be that place too, but we cannot do this alone, and it isn’t an easy journey. We must work together to make this region a place where all community members feel like they belong; where we all see each other as whole human beings; where we are loved.  

Thanks for joining us in this work!

Be well – 

Filed Under: newsletter, CEO Update Tagged With: Executive Director, ceo note, liz note

Equity: Important Now More Than Ever

July 31, 2024 by Liz Baxter 1 Comment

Last summer we were getting ready to launch our first communities of practice, and had several conversations that retrenchment was just around the corner for investments in equity-focused work. A lot of organizations added DEI staff after the murder of George Floyd in 2020. By early 2023, many of those organizations were already walking back some of those commitments, either eliminating positions or asking DEI leads to add other responsibilities like strategic planning, HR, and other business practices to their roles. 

I carry a lot of curiosity about whether organizations who committed to equity, actually knew what they were committing to in the first place. Equity is much more than a trendy term to use in communications, a banner to wave to show that one is responding to a crisis, or a current event. Rather, it is (or should be) a body of work that will strengthen organizations and our communities if we put the required investments of time and dollars in. There is nothing easy about this, and there is no single strategy that will ‘achieve’ equity. There are too many long held beliefs, barriers and roadblocks in the way. That said, it is also possible to make visible and lasting progress. 

A close friend, Diana Bianco, introduced me to a term almost 20 years ago – “to what end?” I can’t count the number of times that I say that out loud. If you don’t know what you’re after, how will you know if you ever get there? 

I read an article this week about several large companies who are reducing or eliminating their commitments to DEI, including companies whose products we use every day. My intention is not to call them out here; they are not alone in making decisions to remove references to equity. They are simply examples of why the work we do is so important – equity is more than a word. 

  • “We’re going to lead with inclusion, because we need a world where inclusion is front and center. And that means inclusion for all, not some people. Everyone has a right to feel that they belong in the workplace and that they are included.”  They further stated “By putting inclusion first, we aim to address the existing flaws in DE&I programs, which have caused societal backlash and increased polarization,” then emphasizing its continued commitment to promoting equity within its “inclusion” strategy. (SHRM)
  • “True systems-change work associated with DEI programs everywhere are no longer business critical or smart as they were in 2020”, while in another spot they said “our commitments to DEI remain the same.” (Microsoft)

How can your commitments remain the same when you cannot say the word out loud? 

This is beyond disheartening or disappointing. I understand that companies don’t want anyone to be uncomfortable. Inequities are present every day – not just in the past, but perpetuated today and will continue into the future if we don’t name what needs to be changed. That’s why they need diverse leaders, who are tasked with leading those initiatives and deep systems change. But having a group of diverse leaders is a visual representation of hiring practices; having teams who are tasked with advancing equity is a whole other matter. It means that you value the work itself.  

Large companies have the power to change minds, and when they are faced with discomfort they should use that opportunity to educate, not backpedal; leaning into discomfort instead of stepping away. (Well, they could be using it as an opportunity for education if not for two things – they’re reducing their DEI staff, and the IRS tax laws make it illegal for a for-profit company to take any action that could reduce their market share or return to shareholders.) 

Equity is about everyone – and if there are people who feel left out, it is a lack of understanding about what an equitable approach can accomplish to better the lives of all community members. We have to know where we are headed (the ‘to what end’) and then we can lay out the steps we’ll take along the way. We cannot just begin taking steps and think they’ll get us to some  unstated goal. The word ‘equity’ is not the reason people are uncomfortable; the notion of change that will somehow leave them out or give them less is scary. So let’s address that. 

I’ll end with something my oldest said to me when he held his first job after graduate school. He was lamenting how much technology he had access to in his graduate program that was not accessible in the firm where he was working. As a young architect he didn’t have 3D printers or a device that he could take into the field as he was managing a project. “Mom, they only have desktops!” After he described the scenario I asked why that was and his response stayed with me, “the principals of my firm were taught by professors who were born at the turn of the last century.” I had to sit down and do the math to catch up. That is how structural racism stays in place – it is not about the long ago history (that some want to bury), all that history is sitting with the leaders we have today, including me.

If we want a future that embraces us all, we must be brave enough to build new structures, not continue to rebuild what made sense in the early 1900s. 

I’m glad to be with you on this journey and look forward to seeing you in August. Registration for the Partner Convening is open! 

Be well –

Filed Under: Equity, newsletter, CEO Update Tagged With: ceo note, liz note

Embracing Our Multifaceted Identities

June 27, 2024 by Liz Baxter Leave a Comment

There are more than a few voices whose words I turn back to time and time again, especially when things feel harder than on other days:

  • “We need to practice – which is different than something being ‘a practice’, or thinking of ‘best practices’; we need to practice each day.” – Clarice Bailey
  • “Practice does not make us better; it makes us different.” – Ruth Wilson Gilmore 
  • “I lead with my vulnerability.” – Alex Sanchez

Our team is definitely being called upon to practice. Like many of you, we are learning into anti-racism, anti-blackness, antisemitism, Asian hate, islamophobia, homophobia, xenophobia, and more. And trying to bring in our principles of leading with love into that mix. Some days are uplifting and joyful, but often mixed with sadness, disappointment, and anger with the hateful things happening around us in communities. 

We have a policy of ‘no politics in the workplace’ and we’re struggling with how that manifests itself when my workplace is also my home. Ironically, we often offer more trainings to partners than we do to our team, so we’re doing some internal focused work too. That makes us feel vulnerable, but we are practicing so that we can be different. We’re on the journey from here to there. 

June is a great example of the multiple and intertwined identities we hold. In addition to celebrating graduations, end of the school year, and Father’s Day, did you know that June also brings:

  • Immigrant Heritage Month
  • Black Music Month
  • LGBTQIA+ Pride Month 
  • Men’s Health Month
  • Caribbean-American Heritage Month
  • National PTSD Awareness Month
  • National Loving Day
  • Juneteenth
  • Summer Solstice
  • National HIV Testing Day 
  • And many, many more 

We all carry a varied mix of identities, making us amazing and interesting people. I identify as female, am a daughter, sister, mother, and grandmother; descended from slaves purchased by the Danes to work on sugar plantations in the Caribbean and from French settlers in the Caribbean. My maternal grandfather was one generation removed from slavery and was a composer and musician. Both of my parents were born on islands in the Caribbean. My parents were married, but if not for the Loving v. Virginia case, their marriage could have been illegal when they moved to the mainland. I’ve raised three children into adulthood with my partner Nancy, and was previously in a traditional marriage before divorcing. I have mixed race children by birth and adoption, a daughter-in-law from Busan, Korea, and a grandson who I often describe as being half Korean and half everything else. Yet we are connected by love and care for each other in ways that cannot be measured.

It is only from the outside that I’m asked to name myself with one identity, a desire to label me as one thing or another, incapable of seeing the multiplicity that exists within each of us. It is within my personal circle that this multiplicity is unearthed and treasured.

The June events listed above are significant to me and my family. We love each other because we cannot imagine choosing a different way to approach our lives. We see what makes us different, yet we are tied together by the richness of our own experiences, our connections, and our love. It is not naive to believe that love is powerful. It is what allows me (and us) to see the humanity in another person, no matter what assets they have or struggles they bear. 

We tell partners that we want to lead with love, and sometimes we realize we haven’t yet incorporated it at all levels of our work. We can get stuck in self-criticism and looking for others to blame. I hope we can also see these moments as an opportunity to lift new ideas and try new ways to be different.

Having once tried to teach myself to play the guitar, I know that I can only practice in a space where I don’t feel I will be judged if I’m imperfect. I hope we can provide that kind of space to each other, where we can be imperfect while we practice and learn, individually and together. That, too, is pretty powerful: the space to grow and become different.

We look forward to seeing in six short weeks at the August convening. Details coming soon!

Be well –

Filed Under: CEO Update, newsletter Tagged With: ceo note, liz note

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