Phase I: Setting the Stage

What to know

  • How can ATSDR address community member concerns?
  • What is unique about the community?
  • What are the purpose and goals of the community engagement effort?
  • Remember that the community's priorities and concerns may not align with ATSDR's public health work.
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Informing Planning and Goal Setting

When environmental contamination is identified at a site, it is critical to start by understanding the community’s concerns. Using this information is what informs the steps that ATSDR will take based on its mandate, mission, and priorities. The decision to take on public health work may not always be yours to make. However, the decision on degree and form is yours to thoughtfully consider when employing community engagement.

No matter what stage of the process you're in, you will need to first have a basic understanding of the community. This means first understanding the environmental contamination it is faced with, and other community concerns.

Actions that will help you learn about the community, identify their concerns, and determine how you can help are:

  • Conducting media scans
  • Collecting community demographic information, and
  • Developing a community profile.

Community engagement specialists can support the site team and organizational leadership by providing the information above. This information can be used to determine what type of site work to take on.

Ultimately, if ATSDR is going to do public health work in a community, you will need to get an:

  • In-depth understanding of a community’s unique attributes
  • Historical experiences, and
  • Goals to inform a successful engagement strategy.

Community engagement activities in this Phase will inform planning and goal setting for the duration of your public health work.

Ask Yourself

When Deciding Whether to Conduct Environmental Public Health Work…

  • Are the community’s health concerns related to ATSDR’s mandate and mission?
  • Were unique community concerns considered as part of the decision-making process?
  • Do you have the organizational resources to support the successful implementation of community engagement activities?

Once You’ve Decided to Conduct Environmental Public Health Work…

  • What are the purpose and goals of the community engagement effort?
  • Are you making plans to meet with the community and its leaders to build relationships and to better understand and document their concerns?
  • What type of environmental data will ATSDR be collecting and assessing?
  • How are you communicating about agency public health plans (e.g., public health assessment/consultation/exposure investigations) and establishing expectations for ATSDR’s role with the community?
  • What unique aspects of the community will you account for when you plan your community engagement efforts?
  • Will your engagement allow for the community to continue working toward their own environmental health goals?

Keep in Mind

ATSDR’s public health work may not be the primary concern of the community. Always recognize the community’s priorities and concerns, even when they do not align with the priorities and concerns of ATSDR.

Community Engagement Activities

Possible Community Engagement Activities:

COMMUNITY ENGAGEMENT WITH TRIBAL COMMUNITIES‎

Two important concepts to keep in mind when considering community engagement with tribal communities are tribal sovereignty and cultural competence. There are unique legal and political relationships between the federal government and Indian tribes.



These relationships are based on the U.S. Constitution, treaties, Supreme Court decisions, federal laws, and Executive Orders. These treaties, laws, orders, and decisions provide authority to the federal government for Indian affairs with federally recognized tribes. Each Tribal government can create and enforce laws and create Tribal government entities to carry out those laws. Public health professionals must be aware that federally recognized tribes may prefer to work with federal agencies, and state-recognized tribes may prefer to work with state agencies [SAMHSA 2009].