Intro; Contents; Contributors; Chapter 1: Introduction; What Is an Institution?; Institutionalization and Dualism; Institutions and Community-Based Work; Organization of Book; Conclusion; References; Chapter 2: A Community-Based Organization; Introduction; Realism Is Problematic; Realism Is Not Needed; A Few Practical Concerns; A Move Away from Philosophy; Conclusion; References; Chapter 3: Establishing Community-Based Primary Health Care; Introduction; Primary Health Care as Community-Focused Projects; Participation, Dialogue, and Local Knowledge; Community-Based Primary Health Care

ConclusionReferences; Chapter 4: Community-Based Funding and Budgeting: Participatory Budgeting as a Transformative Act; Why Community-Based Budgeting?; A Community-Based Philosophy; What Is a Community?; Participatory Budgeting (PB): Beyond Traditional Budgeting; Participatory Budgeting Must Do More than Simply Reform; Cultural Challenges of Participatory Budgeting; The Philosophical Thrust of Participatory Budgeting; Communal Budgetary Discourse: A New Moral Framework; Conclusion; References; Chapter 5: Aims of a Community-Based Research Program; Introduction

Against Positivism and Realism: Roots of Community-Based Participatory Research in HealthQualitative Approaches and the Rejection of Grand Designs; The New Language of Qualitative Research: Cultural Competence; Beyond Cultural Sensitivity and Toward Praxis; Conclusion; References; Chapter 6: Training Community-Based Health Workers; Introduction; Traditional Community-Based Pedagogy; The Need for Community-Based Philosophy; Engaging a Community; Conclusion; References; Chapter 7: Creating a Community Health Worker Training Program; CHW Importance in the Region; The Appalachian Region

Developing a New CurriculumThe Appalachian Region and Stakeholders; History of the Program; CHW Regional Training and Utilization; Stakeholder Needs; Diversity of Programs; Logistical Challenges; Scope of Work/Timeline; CHWs Addressing Health Disparities; Program Metrics; The Curriculum; Community-Based and Experiential Learning Curriculum; Identification of Students and Community Partners; Evaluation Plan; Proposed Partnerships; Placement Sites; Addressing Social Determinants of Health; Implementation Timeline; Future of the Training Program in Southeast Ohio; References

Chapter 8: Is the Affordable Care Act Encouraging Hospitals to Engage their Communities? Experiences from Appalachian OhioMethods; Overview of Study; Recruitment and Sampling; Data Collection and Analysis; Findings; Challenges; Low-Resource Communities; Rural Geography; Hospital Resources; Implementing Programs; Cautious Optimism About CHNA Process and Effects; Doubting that CHNA Process Will Positively Affect Communities; Describing Change as Slow in Community Health; Believing CHNAs will Improve Local Health Outcomes; Discussion; Conclusion; References; Chapter 9: Community-Based Political Interventions