Abstract
Purpose. The purpose of this study was to identify best practices and the ideal collaborative framework for addressing complex issues, specifically childhood obesity and other health-related problems, by evaluating the individual healthy communities programs in San Bernardino County, California. Theoretical Framework. The theoretical framework of this study is based on collaborative public management theory, where public, private, and nonprofit organizations work collaboratively to solve problems that cannot be solved by government alone. Methodology. Primary data for this study were collected through an online survey, which was distributed to the 20 established healthy communities programs in San Bernardino County, California. Respondents were asked to provide information describing why the program was established, its mission, staffing levels, funding sources, partners, and any obstacles faced in implementing or sustaining the programs. Findings. Survey results found that healthy communities programs in San Bernardino County have been established to improve the overall health of the community they serve. The collaborative framework of these programs is in line with collaborative public management theory. This is due to the fact that local government organizations are taking the lead and soliciting support for these programs through partnerships with private and nonprofit organizations with the expertise to improve health and address childhood obesity. Conclusions and Recommendations. Through this study, it was determined that the ideal collaborative structure for a healthy communities program should consist of the following: (a) political support from the lead government agency, (b) dedication of general fund dollars to support program efforts, (c) at least one, full-time staff member dedicated to the healthy communities program efforts, (d) creation of policies to improve health, and (e) partners from public, private, and nonprofit organizations participating in the process, along with those community members most affected.