Traveling the Countryside of Complexity

Jan 31, 2023

A Palm Health Foundation/FAU Fellow travels an unpaved road on a journey alongside community to find solutions for complex needs.

Written by Amanda Kopacz

An Unexpected Journey

I was immediately intrigued by the description of the Palm Health Foundation/FAU Fellowship. My heart fluttered at “community change makers” and “macro-focused social work.” And at the same time I was intimidated by work with what sounded like a very complex and completely unfamiliar technological tool called SenseMaker. Though I’m no technophobe, I’m an unconventional (aka older) student and started my educational career pre-internet. I don’t consider tech-savvy among my list of strengths. So, I was generally surprised when my FAU advisor and mentor Dr. Joy McClellan reached out to encourage me to apply. Though I resisted, she insisted. I hope that anyone reading this, if nothing else, comes away understanding the value of mentors.

 

So what exactly did I do at this fellowship? It turns out that the reason the description of the Palm Health Foundation/ FAU Fellow was difficult for me to understand and imagine myself doing is because the work is actually hard to explain. It is complex. No really, the SenseMaker tool and process is rooted in complexity theory. When I was offered the fellowship, the first thing I did was head to Google to attempt to get a handle on what “Complexity Theory” was, especially as explained by Dave Snowden (note: for the curious at heart, Dave Snowden gives a lovely Ted Talk explaining complexity through a birthday party metaphor that will likely enlighten your understanding to a much greater degree than my clunky description). Thank you, Google.

 

I would later be immersed in the “Complexibility Community of Practice” where complexity-focused change makers from across the globe shared research, ideas, articles, thoughts, links to live conversations, and all possible things related to complexity theory. I participated in meetings at odd times to accommodate our SenseMaker collaborators in Australia, as well as learned about community change from amazing organizations in our backyard. In the beginning, there was so much I didn’t yet understand, it was like becoming fluent in a new language.

 

 

Going “Swimming”

Without getting into the theoretical weeds, I will say the way that organizations typically embark on macro-level change is as though humans are robots, and a directive given from the top should re-route behaviors and resolve whatever problem had existed. If we lived in a system of order, this would work because all problems could be addressed with rules that all humans followed. But humans are complex, so they require complex approaches to change. What this means in action is that everything, from the collection of insight and data, to the recognizing of themes, to the attempts at solutions must all be from a perspective of complexity.

 

The SenseMaker tool (remember, that dreaded technology) is designed for participants to share their experiences and their own insight on those experiences. There are no scaling questions or multiple choice. Instead, there are stories where people define their own themes. Don’t get me wrong, the first time I went “swimming” in the data (as Andy McAusland, Director of Grants and Evaluation at Palm Health Foundation says), I didn’t know how to make sense of it. And then something magical happens—patterns emerge. It doesn’t end there, because the patterns and stories are then brought back to the community to “make sense” of the themes, needs, and problems in the community. And what comes from these SenseMaking sessions then inspires change. Actual, real live, grassroots change.

 

 

Embracing the Concept of Failing

Every week for my fellowship during the spring and summer of 2022, I had the honor to witness (and note-take, and support) a group of change makers that had dubbed themselves Glades Life. I learned the Glades community (which includes Belle Glade, South Bay, Pahokee, and other surrounding areas) had many issues and community concerns that were distinct from the rest of Palm Beach County. By the time I joined the project, they had been engaged in SenseMaking for many months, adapting to the changing circumstances of COVID along the way.

 

The bulk of the Sensemaker stories/data had been collected, brought back to the community, and major themes had been identified. They were in the action stage with initiatives called “Safe to Fail” projects. I think it’s unfortunate that we are conditioned to recoil at the word “fail” instead of recognizing its value in progress. All change, all progress, all growth requires risk and failure. A “Safe to Fail” project is one that is worth trying, because in complexity we don’t assume we know the solutions to problems. We adjust as we go along. We add resources to projects that seem to be helping meet the community needs, and allow those that aren’t to fizzle out. Sometimes a community has concerns about an issue that requires many projects simultaneously.

 

Community Led Change Making

One example of a concern that was identified throughout the Glades communities was youth safety. Community members had been greatly impacted by shootings and loss of local young people, but also expressed more general concerns about the safety of children and teens in the area. The issue inspired two very different Safe to Fail projects addressing different aspects of youth safety. One, a program called “Dads on Duty” was initiated to connect at-risk youth with mentors, and eventually other opportunities.


Another project focused on addressing a specific stretch of road that was both a school walking route as well as site of several bus stops. Community members who had been engaged with the SenseMaker project were invited to participate in a walk audit, which identified numerous safety issues. Some issues (like trees blocking school zone signs) were addressed by the city immediately. While others, like broken sidewalks and infrastructure issues required more perseverance on the part of Glades Life. I know they will persist. Because the thing about grassroots change that is different than hierarchical top-down change is intimacy. They love their community. Knowing these change makers has allowed me to love their community, too!

 

 

Passing the Torch

These are only two examples of the seven projects I had the privilege to support during my time as the Palm Health Foundation/FAU fellow. I was able to pass the torch to this year’s fellow and offer whatever insight I could to boost her learning curve. As I reflect on the experience, what I value most is not just that I witnessed and supported community change, but that I was changed. Grateful is not a big enough word for being invested in and given this opportunity to learn, grow, and be equipped to be a change agent in an ever-changing world.

 

I don’t know that I’d say I’m fluent, but I do feel as though I can comfortably travel in the countryside of complexity. It may be a landscape without paved roads where trees and brambles redirect our paths, yet if the last three years has taught us anything I believe it is that the path forward requires adaptability. And that we must embrace trying (and sometimes failing) at something new.

 

About Amanda

Amanda Kopacz is a mental health advocate, trauma-informed yoga and mindfulness teacher, FAU MSW student, and all things “big feelings.” Whether she’s leading mindfulness for at-risk kids, art workshops for local non-profits, or therapy groups for diversion programs, her focus is on bringing accessible and empowering mental health and resilience skills to youth and adults.


30 Apr, 2024
The inaugural Riviera Beach Youth Explosion on April 6, 2024, at the United House of Prayer drew 225 attendees to a talent extravaganza showcasing the incredible youth singers, dancers, and instrumentalists from Lake Park, Riviera Beach, and West Palm Beach. Over 80 youth aged 5-18 delivered eleven outstanding performances, including choirs, groups, and solo acts to entertain the awe-struck audience and compete for cash prizes ranging from $200 to $500. Judges Edwin Ferguson and Marsha Andrews from the School District of Palm Beach County and Shirley Lanier, Doug Lawson, and Julia Botel of the Riviera Beach City Council chose the winners in song, dance, and instrumental categories among a sea of talent. The winners, all from Riviera Beach and West Palm Beach, were: Singing 1st Place - Seanna Simmons 2nd Place - Nathan Butler 3rd Place - Caleb, Gabriel, and Jokim Washington Honorarium - Grace Rhoden Dance 1st Place – Faith’s Place Jubilant Dancers 2nd Place – RJH Praisers, R.J. Hendley Christian Community School Instrumental 1st Place - Faith's Place Marching Line 2nd Place - Jeremiah Aboderin 3rd Place - Nathaniel Gayle Honorarium - Elijah Jackson Honorarium - Travis Jackson II
29 Mar, 2024
The Community Changemakers Fund (CCF) at Palm Health Foundation announced its first 21 grant awards totaling $186,500. Seven local funders are supporting the fund, all part of a growing Culture of Health Network comprised of changemakers committed to improving Palm Beach County’s health. Funders include the Children’s Services Council of Palm Beach County, the Community Foundation of Palm Beach and Martin Counties, the Frederick A. Deluca Foundation, Lost Tree Foundation, Palm Health Foundation, Quantum Foundation, and the United Way of Palm Beach County.  Funders were inspired to create the CCF after Palm Beach County won the 2020-2021 Robert Wood Johnson Foundation Culture of Health Prize in recognition of the way residents take the lead in creating solutions to build healthier communities. The CCF is investing in the individuals, organizations, and businesses committed to community change and is connecting them with like-minded changemakers to share project ideas and resources.
27 Mar, 2024
“Dr. Wiese has brought knowledge, experience, and investment to Palm Beach County and our Glades region to empower and improve the lives of residents,” said Patrick McNamara, Palm Health Foundation president and CEO. “She includes community in every stage of her work, from training residents to collect health data, to profiling their contributions in her scholarly presentations and publications. Dr. Wiese exemplifies our belief in resident-led health solutions and will be a guiding voice on our board of trustees for years to come.” Dr. Wiese is the recipient of over 5 million dollars in funding from the National Institutes of Health (NIH) and Florida Department of Health. She is the principal investigator for a recent five-year, $4.2 million R01 grant from the National Institute on Aging of the NIH in collaboration with the University of Miami, Colorado State University, and Washington State University to study “The Role of Air Quality and Built Environment in Social Isolation and Cognitive Function Among Rural, Racially/Ethnically Diverse Residents at Risk for Alzheimer’s Disease.” The project will involve 1,087 Glades region adults ages 45 and older who have not been previously diagnosed with Alzheimer’s disease and related dementias. A key factor in the work has been the continuous engagement of rural community residents and organizations in the design, implementation, and evaluation of research to decrease dementia risk. Dr. Wiese received her M.S. in Nursing from the University of Virginia, her Ph.D. in Nursing from Florida Atlantic University, and a post-graduate certificate in Epidemiology and Biostatistics from Drexel University. She is board-certified in Advanced Public Health Nursing, Gerontological Nursing, and Rural Health Nursing. Dr. Wiese was selected as a 2021 Hartford Distinguished Educator in Gerontological Nursing and 2023 Fellow of the Gerontological Society of America. She serves on the Florida State Health Improvement Plan taskforce and co-launched a new Rural Health Disparities workgroup of the Alzheimer’s Association Diversity/Disparities PIA of ISTAART. She was selected to attend the first annual Alzheimer’s Association Interdisciplinary Summer Research Institute (2021) and the 2023 IMPACT-AD training, related to her work with rural, racially/ethnically diverse older adults. This workgroup's investigation into global rural health disparities was recently published in the Alzheimer's and Dementia journal. ### About Palm Health Foundation Palm Health Foundation is Palm Beach County’s community foundation for health. With the support of donors and a focus on results, the foundation builds strong community partnerships, respects diverse opinions, advocates for its most vulnerable neighbors, and inspires innovative solutions to lead change for better health now and for generations to come. The foundation supports health equity for Palm Beach County residents of all backgrounds, heritage, education, incomes, and states of well-being. Palm Health Foundation has invested more than $93 million in Palm Beach County health since 2001. For more information about Palm Health Foundation, visit palmhealthfoundation.org or call (561) 833-6333.
06 Mar, 2024
On February 3, 2023, the Empower Healthcare clinic in Pahokee, FL, partnered with Healthier Glades, a Palm Health Foundation initiative, for “Know Your Numbers by Heart,” a special event to promote heart health during American Heart Month. Fifty attendees came to the Senior Resource Room in Pahokee for rapid A1C and cholesterol screenings, nutritional counseling, live CPR demonstrations, and education about preventing heart disease. Testing and information were provided by seventeen community partners, including the American Heart Association, Florida Atlantic University’s Christine E. Lynn College of Nursing and Harbor Branch Oceanographic Institute, and the Diabetes Coalition of Palm Beach County. According to the 2022 Palm Beach County, Florida Community Health Assessment, heart disease was the leading cause of death in Palm Beach County. What’s more, Black Americans—the majority in Pahokee—are 54% more likely to die of cardiovascular disease than White Americans, due to distinct risk factors like genetics and systemic disparities. Empower Health, under the leadership of its founder Dr. Jinga Oglesby-Brihm, has been focused on comprehensive and innovative chronic disease management for the rural Glades community since the clinic opened on the campus of First United Methodist Church in 2022. The heart health event is one of many ways she integrates local and county partners to improve patient health education and access to care. “We are grateful for the opportunity to connect with the community to provide free potentially lifesaving screenings and educational sessions,” she said. Healthier Glades and Palm Health Foundation have invested in Dr. Oglesby-Brihm to support her goal to “break the chains of healthcare disparity.” A Healthier Glades mini-grant provided funding to deliver healthcare services through churches in the Glades, and a Palm Health Foundation scholarship supported her doctoral studies at FAU College of Nursing, her first exposure to the Glades’ healthcare disparities. 
21 Feb, 2024
Palm Health Foundation , Palm Beach County’s leading community foundation for health, announced the release of its 2023 annual report . Entitled "Humanizing Health," the report describes the foundation's innovative approach to health philanthropy and how it is maximizing the impact of donor contributions.  The foundation’s president and CEO, Patrick McNamara, believes the report demonstrates the value of community collaboration fueled by philanthropy. “We are prioritizing the lived experiences of our neighbors and fostering community collaboration to guide our solutions to Palm Beach County’s greatest health needs,” he said. “Artists and musicians are coming together with world-class brain institutions to enhance the well-being of residents with Alzheimer’s and other brain diseases. Scholarship donors are developing bonds with nursing and behavioral health students. And health, government, and faith leaders are joining together with residents to create new solutions for health and wellness in their communities.” The foundation granted $2.4 million in 2023 and reported nearly $86 million in total assets. Highlights from the report include: Advancing Brain Health. Through The NeuroArts Fund, the foundation and its donors and partners are pioneering an emerging “brain coast,” with a vision to become as highly recognized as Florida’s Space Coast. Funding in 2023 supported learning about the neuroarts’ potential to impact mental health and neurodegenerative diseases. Building a Culture of Health. A collaboration with fellow Palm Beach County funders resulted in the new Community Changemakers Fund at Palm Health Foundation with $250,000 raised in 2023. A portion of the funds supported education for nearly 40 local change agents to advance their skills and increase their networks. The majority of the fund will support grants for resident and community-led ideas to address health inequities in vulnerable neighborhoods in 2024. Strengthening the Health Professions. Over $192,000 in scholarships was awarded to nursing and behavioral health students with lived experience and a desire to serve Palm Beach County’s diverse communities, especially those with health disparities. The report also shines a light on the meaningful connections made between donors and beneficiaries. With Palm Health Foundation's donor-advised funds, families can build their philanthropic legacy while supporting the change leaders in our community. “Our donors help us fulfill our mission and our aspiration for all residents to have opportunities to thrive and reach their full health potential,” said David Wisehaupt, immediate past chair of the foundation. “We always come to better solutions together than any of us would come to alone.” About Palm Health Foundation Palm Health Foundation is Palm Beach County’s community foundation for health. With the support of donors and a focus on results, the foundation builds strong community partnerships, respects diverse opinions, advocates for its most vulnerable neighbors, and inspires innovative solutions to lead change for better health now and for generations to come. The foundation supports health equity for Palm Beach County residents of all backgrounds, heritage, education, incomes, and states of well-being. Palm Health Foundation has invested more than $93 million in Palm Beach County health since 2001. For more information about Palm Health Foundation, visit palmhealthfoundation.org or call (561) 833-6333.
08 Feb, 2024
Palm Health Foundation ’s Scholarship Reception on January 24, 2024, brought together nursing and behavioral health scholars with their donors for an inspiring evening at the stunning Ann Norton Sculpture Gardens (ANSG) in West Palm Beach, FL. Over 150 guests attended the event to celebrate 73 scholars and the spirit of philanthropy that resulted in $687,000 in awarded scholarships to support the future careers of aspiring South Florida health professionals. Frances Fisher generously underwrote the reception at ANSG where she serves as chairwoman. An unprecedented number of donors contributed to Palm Health Foundation’s scholarship funds in 2023, including a pivotal $400,000 contribution from the Southeast Florida Behavioral Health Network (SEFBHN). Dr. Marsha Fishbane, Palm Health Foundation board chair, noted the significance of the scholarship program to Palm Beach County. “Through our support of the nursing and behavioral health professions, we are ensuring that our residents receive the person-centered care they need and deserve.”  One of the evening’s highlights included foundation trustee Dr. Christine Koehn sharing why she and her husband Rich decided to create The Koehn Family Fund for behavioral health and nursing scholarships. “We know that there aren’t enough behavioral health and nursing professionals in the field,” she said. “After hearing the scholars’ stories of the financial barriers they face and the heart they want to give, we knew we wanted to help.”
08 Feb, 2024
Dr. Fishbane has also been a key advocate of the foundation’s Healthier Together place-based funding effort, which was a major contributor to Palm Beach County winning the 2020-2021 Robert Wood Johnson Foundation's Culture of Health Prize . “I’m proud to lead Palm Health Foundation at a time when they are capturing local and national attention for their ground-breaking health initiatives,” said Dr. Fishbane. “The foundation’s staff, board of directors, and community partners are dedicated to building a culture of health, advancing brain health, and strengthening the health professions—all initiatives I am personally and professionally committed to advancing.” Dr. Fishbane is a resident of Singer Island and a graduate of Pennsylvania State University and Jefferson Medical College in Philadelphia. Her pediatric training was completed at Johns Hopkins Hospital. She was a Robert Wood Johnson Clinical Scholar and obtained a master’s in science from Johns Hopkins Bloomberg School of Public Health. As a medical professional, she was in private pediatric practice for six years before moving into a 30-year career in public health with the Florida Department of Health in Palm Beach County, where she held the positions of community and school health division director and school health medical director before her retirement. Her leadership commitments have included the Early Learning Coalition of Palm Beach County, the Teen Pregnancy Prevention/Teen Parenting Coalition, the Florida Coordinated School Health Partnership, and the Wellness Promotion Policy Task Force with the School District of Palm Beach County. Dr. Fishbane’s favorite pastimes are traveling and keeping up with her three daughters and three grandchildren. About Palm Health Foundation Palm Health Foundation is Palm Beach County’s community foundation for health. With the support of donors and a focus on results, the foundation builds strong community partnerships, respects diverse opinions, advocates for its most vulnerable neighbors, and inspires innovative solutions to lead change for better health now and for generations to come. The foundation supports health equity for Palm Beach County residents of all backgrounds, heritage, education, incomes, and states of well-being. Palm Health Foundation has invested more than $93 million in Palm Beach County health since 2001. For more information about Palm Health Foundation, visit palmhealthfoundation.org or call (561) 833-6333.
30 Jan, 2024
Code violation may not seem like a health issue to some, but the immediate stress it creates—and the prolonged stress from living in a home in need of repair—can affect residents’ mental and physical health.
30 Jan, 2024
When Ruth Schwarzkopf completed her nine-year term as a Palm Health Foundation (PHF) trustee in December 2023, she left a legacy that began not in the boardroom, but a ballroom. About a decade before she joined the board, Ruth attended the foundation’s inaugural Nursing Celebration at The Breakers Palm Beach. She was a hospital nursing director at the time and had never seen any significant acknowledgement of nurses anywhere. “To have somebody say nursing is a special and unique profession and recognize the dedication and the hard work we do every day was amazing to me,” Ruth said. She was hooked. Ruth advanced as a nursing leader within Tenet Health while at the same time becoming one of the foundation’s most dedicated volunteers. In the years prior to joining the board, she took on numerous committee and advocacy roles to support the foundation’s work to strengthen the nursing profession and improve the quality of healthcare in Palm Beach County. 
30 Jan, 2024
Funding puts the power of change in the hands of residents and nonprofit agencies.
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