Community Land Trusts as a Means to Improve Health

Hindman, Daniel J.; Pollack, Craig Evan

doi:10.1001/jamahealthforum.2020.0149

Cited by 7 publications

(6 citation statements)

References 4 publications

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“…Community land trusts (CLTs) are non-profit organizations that acquire housing and then sell it to low- and moderate-income households at an affordable price in exchange for a guarantee that the price will remain affordable upon resale [ 11 ]. The CLT board is democratically governed by residents of the CLT and other local stakeholders.…”

Section: Introductionmentioning

confidence: 99%

Moving upstream: healthcare partnerships addressing social determinants of health through community wealth building

Gusoff,

Zuckerman,

Pham

et al. 2023

BMC Public Health

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Background Healthcare-based interventions addressing social needs such as food and housing generally fail to impact the upstream wealth and power inequities underlying those needs. However, a small number of US healthcare organizations have begun addressing these upstream inequities by partnering with community wealth building initiatives. These initiatives include community land trusts, resident-owned communities, and worker cooperatives, which provide local residents ownership and control over their housing and workplaces. While these partnerships represent a novel, upstream approach to the social determinants of health, no research has yet evaluated them. Methods To assess the current state and key aspects of healthcare-community wealth building partnerships, we conducted a multiple case study analysis using semi-structured interviews with thirty-eight key informants across ten partnerships identified through the Healthcare Anchor Network. To analyze the interviews, we used a two-stage coding process. First, we coded responses based on the phase of the intervention to which they corresponded: motivation, initiation, implementation, or evaluation. Then we assessed responses within each aspect for common themes and variation on salient topics. Results Partnerships were generally motivated by a combination of community needs, such as affordable housing and living wage jobs, and health system interests, such as workforce housing and supply chain resilience. Initiating projects required identifying external partners, educating leadership, and utilizing risk mitigation strategies to obtain health system buy-in. Implementation took various forms, with healthcare organizations providing financial capital in the form of grants and loans, social capital in the form of convening funders and other stakeholders, and/or capacity building support in the form of strategic planning or technical assistance resources. To evaluate projects, healthcare organizations used more process and community-level metrics rather than metrics based on individual health outcomes or returns on investment. Based on best practices from each partnership phase, we provide a roadmap for healthcare organizations to develop effective community wealth building partnerships. Conclusions Assessing healthcare partnerships with community wealth building organizations yields key strategies healthcare organizations can use to develop more effective partnerships to address the upstream causes of poor health.

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Section: Introductionmentioning

confidence: 99%

Moving upstream: healthcare partnerships addressing social determinants of health through community wealth building

Gusoff,

Zuckerman,

Pham

et al. 2023

BMC Public Health

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“…Retaining collective ownership and allowing members to hold long-term leases facilitates greater autonomy in management practices ( Ambrose & Stone, 2010 ) and protects individual households from the municipal government or land developers ( Algoed et al, 2020 ), and from corporations that may exploit customary forms to tenure to displace people ( Veit, 2019 ). Trusts differ from most other affordable housing options by allowing for wealth generation and facilitating social cohesion, both of which can be health promoting ( Hindman & Pollack, 2020 ). Conventional homeowners in the U.S. were eight times more likely to be in the process of foreclosure than community land trust homeowners after the 2008 housing crisis ( Thaden, 2011 ).…”

Section: Resultsmentioning

confidence: 99%

Synthesizing the links between secure housing tenure and health for more equitable cities

Baumgartner¹,

Rodrıguez²,

Berkhout³

et al. 2023

Wellcome Open Res

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Millions of households in rich and poor countries alike are at risk of being unwilfully displaced from their homes or the land on which they live (i.e., lack secure tenure), and the urban poor are most vulnerable. Improving housing tenure security may be an intervention to improve housing and environmental conditions and reduce urban health inequalities. Building on stakeholder workshops and a narrative review of the literature, we developed a conceptual model that infers the mechanisms through which more secure housing tenure can improve housing, environmental quality, and health. Empirical studies show that more secure urban housing tenure can boost economic mobility, improve housing and environmental conditions including reduced exposure to pollution, create safer and more resourced communities, and improve physical and mental health. These links are shared across tenure renters and owners and different economic settings. Broader support is needed for context-appropriate policies and actions to improve tenure security as a catalyst for cultivating healthier homes and neighbourhoods and reducing urban health inequalities in cities.

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“…This usually includes holding public meetings where members can express their concerns and provide input on proposed policies or projects. The grassroots approach is the most common route, and it involves a group of people coming together to form a community land trust [ 16 ]. This is achievable through an existing organization or by creating a new organization purposely for creating a community land trust.…”

Section: Reviewmentioning

confidence: 99%

Changing a Community: A Holistic View of the Fundamental Human Needs and Their Public Health Impacts

Adabanya,

Awosika,

Moon

et al. 2023

Cureus

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There are many approaches to changing a community to ensure it serves the people’s fundamental needs. For example, enabling equitable access to critical aspects of the community, such as quality healthcare, high-quality education, and job training, is vital for promoting community safety through enhancing tolerance and respect for diversity. However, creating a community that serves the fundamental needs of the people demands a substantive investment of effort. Understanding the nature of these efforts requires discussion of community engagement, examining community networks and their role in fostering cooperative action, enhancing public safety, and identifying the structures of involvement and pertinent routes for developing community land. Understanding such efforts entails knowing the issues related to gentrification and disbandment. These hands-on possibilities can help avert the possibility of people being pushed out of their community settings. These insights further shed light on how the family unit and larger community are able to create collective unity and foster each member’s responsibility in community service provision that promotes community integration. Examining how violence and other factors affect a community’s collective power is necessary to determine how a community can avoid such violence and encourage positive changes at the individual and family levels to promote community cooperation and safety. Essentially, changing a community can yield significant improvements in public health. Addressing factors such as access to nutritious food, healthcare, physical activity, and social amenities and fostering social cohesion through community engagement can collectively contribute to reducing the burden of chronic diseases and promoting overall well-being. This review provides insight into crucial issues that have long plagued the societal disconnect between the local community and the leadership, policymakers, or other authoritative institutions that govern them, thus affecting the implementation of strategic social and public health initiatives. We will also explore strategies to mitigate these potential pitfalls.

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Community Land Trusts as a Means to Improve Health

Cited by 7 publications

References 4 publications

Moving upstream: healthcare partnerships addressing social determinants of health through community wealth building

Moving upstream: healthcare partnerships addressing social determinants of health through community wealth building

Synthesizing the links between secure housing tenure and health for more equitable cities

Changing a Community: A Holistic View of the Fundamental Human Needs and Their Public Health Impacts

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