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NCHPAD - Building Healthy Inclusive Communities

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System Change


System-directed change can be generated from 'top-down' or from 'bottom-up' approaches (Mandell and Schram as cited in Scholl, Dieser, et al., 2005). Top-down system change occurs from administrative or legislative directives, which was the case at the St. Paul JCC, where staff members saw a need in the community and felt the need to respond. Bottom-up system change occurs by people forcing change through the weight of their numbers and the power that weight can mobilize. Through a coalition desiring change, the Together We Play program was formed. Though different modalities of change served as catalysts to bring about the establishment of inclusive services in each of these organizations, true inclusion takes teamwork from all parties involved. This principle is clearly demonstrated in the services provided by the St. Paul JCC and its Together We Play program.


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