Build Support for Policy Amond Decision Makers

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This step in the roadmap to policy change is focused on one key objective:

It will be necessary at this point to have identified who the decision-maker(s) is/are and who might influence them in order to select the most appropriate strategies to influence them. Head back to Step 4 if you have not yet made this decision.  Generally, the strategies employed to influence decision-makers about a policy are often referred to as “advocacy”.

Advocacy
Advocacy is characterized by The Community Tool Box http://ctb.ku.edu/tools/... as:

Advocacy usually involves working with government, business, schools, or some other large institutions to take positive action (e.g. putting a policy in place) to correct an unfair or harmful situation (the problem you identified clearly in Step 1). The situation may be resolved through persuasion, by compromise, or through political or legal action. This is often called “system advocacy” and is different than an individual who is lobbying for gains to their situation, known as “self-advocacy”. However, the strategies and tactics to be successful could be quite similar. Systems advocacy means changing norms by taking on the power structure, which may be represented by governmental agencies, the provincial or local government, big business, or churches, schools or other institutions with power and influence.  Some examples may help clarify just what advocacy is:

The American Public Health Association www.apha.org , in their Media Advocacy Manual describes the value of advocacy.  “Advocacy is used to promote an issue in order to influence policy-makers and encourage social change. Advocacy in public health plays a role in educating the public, swaying public opinion or influencing policy-makers.  Media coverage is one of the best ways to gain the attention of decision-makers, from local elected officials to members of Congress. All monitor the media. Every congressional office has a staff person who monitors the news in the district or state and clips articles that mention the representative or senator by name. These articles are circulated to staff each week. Decisions to support legislative initiatives are frequently influenced by the media coverage.”

Advocacy - Persuasive communication and targeted actions in support of a cause or issue that seek to change policies, positions, and programs. www.rho.org/html/glossary.html
When undertaking advocacy, select one or more strategies from the following three approaches:

Several ingredients make for effective advocacy, including:

Source: The Community Tool Box: ctb.ku.edu/tools/en/sub_section_main_1196.htm

Examples of strategies for advocacy, as found in THCU’s “Developing Health Promotion Policies” within each category might include the following:

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Media Advocacy

When working within the Media category specifically for policy change, a specialized field of work emerges known as Media Advocacy1. This is a particularly powerful strategy as it also engages the public as well as decision-makers. 1 Media advocacy involves the strategic use of media (usually the news media) to shape public opinion, mobilize community activists, and influence decision makers to create a change in policy.

Recommended Resources
The American Public Health Association Media Advocacy Manual describes the value of advocacy. 
www.apha.org/news/Media_Advocacy_Manual.pdf

THCU’s Media Advocacy Manual provides an in-depth look at the skills and strategies associated with working with the media to influence policy decisions.
www.thcu.ca/infoandresources/...pdf

The following table illustrates the difference between typical persuasion campaigns and media advocacy approaches.

Education/Persuasion Campaigns
Media Advocacy
Informs/Persuades the person with the problem. Mobilizes community activists and influences decision makers
Focuses on individual responsibility Focuses on social accountability
Focuses on behaviour change in the individual Focuses on changing the environment, through policy changes.
Uses a variet of types of health communication approaches. Focus is not on new media. Focuses on news media (through paid advertising is sometimes used)

Recommended Resource

The American Public Health Association www.apha.org, in their Media Advocacy Manual www.apha.org/news/Media_Advocacy_Manual.pdf provides suggestions and tips on the following types of media strategies:

Advocacy Skills

___Accentuate the positive
___Emphasize your organization's accomplishments to the community
___Plan for small wins
___Present the issues in the way you want others to see them
___Develop your own public identity
___Check your facts
___Keep it simple
___Be passionate and persistent
___Be prepared to compromise
___Be opportunistic and creative
___Stay your course
___Look for the good in others
___Keep your eyes on the prize
___Makes issues local and relevant
___Get broad based support from the start
___Work within the experiences of your group members
___Try to work outside the experiences of your opponents
___Make your opponents play by their own rules
___Tie your advocacy group's efforts to related events
___Enjoy yourself!

Tools
The “Community Tool Box provides these Survival Skills for Advocacy” ctb.ku.edu/tools/en/sub_section_main_1196.htm provides the list below. Each skill identified here is explored in more detail within the CTB at: ctb.ku.edu/tools/en/sub_section_main_1198.htm

Persuasion
The Heart Health Resource Centre in their resource “Working toward Heart Health Public Policy at the Local Level” describes a persuasive argument as one that:

Source: The Heart Health Resource Centre www.hhrc.net

When preparing the persuasive message to influence a decision-maker, whether to be included in media messages, shared during an interpersonal exchange (such as a briefing), or at a larger event, demonstrate that:

In all advocacy messaging geared to influencing policy change, use any opportunity to share your SOCO – Specific Over-riding Communication Objective. Determine carefully what this core message is and look for opportunities to integrate it everywhere. This SOCO will be tied to why you are pursuing the policy option you are – to address the problem you have identified. No matter your venue, event, channel or vehicle get the message included about your policy pursuits.

Robert Cialdini, author of “The Psychology of Persuasion” offers six tactics for enhancing the likelihood of success when trying to persuade others to your way of thinking:

Recommended Resources
Robert Cialdini. Influence: The Psychology of Persuasion (Revised Edition)”. New York: William Morrow and Co. 1993.

Robert Wood Johnson.  “Promoting Active Living Communities: A Guide to Marketing and Communication.” It is available at: www.activelivingbydesign.org/fileadmin/template/documents/rwjf_toolkit.pdf. 434

Diffusion
The skills associated with this approach to advocacy builds on the concept of influencers to decision-makers. It is based on the “Diffusion of Innovations Theory” of Everett Rogers and describes how new ideas spread within networks.
Diffusion is the process by which an innovation is communicated through certain channels over time among the members of a social system. Each member of the social system faces his/her own decision about that innovation that typically follows a 5-step process:

When presented with this innovative idea, perhaps in the form of a policy option, there are several attributes of the innovation that can enhance the likelihood that the idea will be adopted.

These are:

Innovations are likely to be adopted more quickly if they offer advantages such as:

Compatibility
Innovations are likely to be adopted more quickly f they are compatible with values and beliefs, with perceived need, with previously introduces / adopted ideas.

Complexity
Innovations are likely to be adopted more slowly if they are difficult to understand or implement and use.

Trialability
Innovations are likely to be adopted more quickly if they allow experimentation on a limited basis before final commitment, an “installment plan” or phased approach.

Observability
Innovations are likely to be adopted more quickly if they produce visible results.

Involving Others
Step 3 in the Policy Roadmap addressed engaging stakeholders in the policy development process. In this stage, when determining the tactics and strategies of how to influence decision-makers, those stakeholders can be engaged in a variety of ways. Skills associated with engaging partners such as those used in working with coalitions and networks will be useful at this stage.  Don’t focus only on involving those who already support your efforts. There may be opportunities in the tactics taken to involve “opponents”, as determined in your Force Field Analysis in Step 2. The Community Tool Box ctb.ku.edu/tools/en/sub_section_main_1205.htm offers this advice regarding when (and when not to) involve opponents:
Three good indicators are:

Not every situation calls for collaboration. Sometimes involving your opponents would be very difficult, if not also damaging to your efforts. For example, when:

How can you involve opponents?
Suppose you decide that it might not be such a bad idea to involve your opponents in your cause. It's good that you're open to the idea. But since you may be on unfamiliar territory, just how should you go about doing this? What do you do first? The Community Tool Box suggests you consider using the following steps as a guide:

1. Decide that you want to involve your opponents. This is the first and possibly most   
    important step; you need to make that basic decision before you can proceed further.

2. Narrow your targets. Whom would you like to involve? Probably not all opponents,
    rather only certain ones. But which ones? Try these criteria:

Some careful thinking ahead here is worth your while.

Counter-arguments
THCU suggests that those planning for policy change anticipate the arguments that opponents might raise related to your issue. Re-visit Step 1 where you analyzed the problem for possible clues to this. The decision-maker is more likely to offer resistance to your proposed option if they perceive:

Once the decision has been made to work with possible opponents, The Community Toolbox recommends

Assertive Listening

The Brain Injury Resource Centre www.headinjury.com/assertskills.html in Seattle, Washington offers the following hints regarding a key advocacy skill directly related to engaging others as well as the messaging strategies associated with persuasion.
Assertive listening is one of the most important advocacy skills to discuss. The goals of assertive listening are:
(1) to let the other know that you want to understand his or her point of view;
(2) to understand accurately what another is saying; and
(3) to let the other know that he or she has been understood. Remember that understanding is different from agreement. You can understand what another is saying but still disagree with him or her.

You can let others know you are interested in hearing and understanding their points of view in several ways. You can tell them you are interested. Here are some examples of how you could phrase such a statement:
            I’d like to hear your views on . . .
            I’d like to understand your views on . . .

Looking directly at the other shows you are giving him, or her, your attention. Leaning forward slightly communicates interest, while a relaxed, open posture communicates receptiveness to what the other party is saying.

Recommended Resources
The Community Tool Box ctb.ku.edu/tools/en/sub_section_main_1205.htm offers suggested “talking points” to get things started in talking with your opponent.

Roger Fisher and William Ury, “Getting to Yes” for more detail on the 12 talking points with the opposition

Policy Tactics

When deciding what type of an approach to take to influence decision-makers, THCU offers the following options grounded in the degree of public profile desired. These ideas deal primarily with a politically based policy. The tactics of letter-writing campaigns, telephone call campaigns, meetings, and presentations can be found in “THCU’s Developing Health Promotion Policies” on p. 40-42.

Some broad headings of types of tactics:

Educating
Some examples of education:

Reminding
Sometimes, just serving as a watchdog will get results. For example, many police departments are just too busy to bother with cyclists who do not wear bicycle helmets. Your group can a) remind them of the law and b) offer to help by providing trained kids who can raise funds to provide helmets for others in the community.

Pressuring
Some tactics that provide pressure of different degrees:

Complaining
This may be the way to start your advocacy process – it may be all that is needed. For example, the stairways in your workplace are not very clean; you can bring this to their attention in a number of ways.

Negotiating
If negotiation is the best way to help the people you represent, go for it! In some cases, it may make sense to use an impartial negotiator or mediator. When you encounter a decision-maker who seems to be willing to discuss options, start here.

Degree of Public Profile

When deciding what type of an approach to take to influence decision-makers, THCU offers the following options grounded in the degree of public profile desired. These ideas deal primarily with a politically based policy.
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Selecting Your Spokespeople
Most of these tactics involve someone within your group addressing others. PolicyLink offers these tips on selecting that spokesperson:

Recommended Resources
The National Coalition for Promoting Physical Activity has created “Active Communication: A Guide to Reaching the Media” that provides tips on many media activities (e.g. press conference).
www.ncppa.org/MediaGuide.pdf

Visit the Ontario Public Health Association for information about meeting with elected officials and writing letters to the editor. 
www.opha.on.ca/resources/a-d.html#advocacy

To learn more about policy development, advocacy and media advisories visit PolicyLink at
www.policylink.org/AdvocatingForChange/Media/Planning.html#Spokespersons

The Space Coalition Lobbying Handbook provides information on sample advocacy letters, contacting elected officials, and meeting with elected officials.
www.girlguidestoronto.com/lobbybk.pdf

THCU’s workbook “Developing Health Promotion Policies” provides several worksheets on pages 47-52 designed to organize your strategies.

Tools
4e6www.ncppa.org/MediaGuide.pdf
The Community Tool Box offers tips to “Understand Tactics of the Opposition”

Deflect - they could divert the issue to a lesser, side issue; or could "pass the buck"
to a lower official who has no real power.

The Community Tool Box  ctb.ku.edu/tools

Putting the Strategies Together
From the various tactical ideas posed here as well as additional ones your group will generate as to how best to influence your decision-makers, PolicyLink recommends these steps to assist you in choosing which ones to move ahead with:

Barometer depicted here provides some insight into how to match potential strategies to the various stakeholders on your issue.

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The following template for a plan to build support in decision-makers for a policy change has been adapted from the Community Tool Box.
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They further suggest that each strategy will:

This step of Building Support among Decision-Makers for Policy in the overall roadmap is critical to success. Convincing the decision-maker(s) to support your policy option is what the process is all about. Once this support has been gained, you move on to other challenges associated with Writing the Policy (Step 6) but in many ways, that becomes more mechanical than strategic.

By the end of this step you will have matched the specific advocacy tactics to the decision-maker. Remember that change in the system may be slow. This step can take a lot of time – the decision-makers may even change before you are done and this can seem like a real step backwards, however it may just be the spark needed to escalate action. When progress seems slow and partners are waning in their motivation, the Community Tool Box suggests organizers of advocacy initiatives should:

Once your strategies have been successful and the decision-maker(s) support your policy option, give the nod to move forward to create the specific policy in question, move on to Step 6.

Source:
Adapted from the Physical Activity Resource Centre "Toolkit for Influencing Physical Activity"
http://www.ophea.net/parc/policy.cfm