Community Assets Research Articles

Locating the evidence for children and young people social prescribing: Where to start? A scoping review protocol.

It is estimated that disruptions to life caused by the COVID-19 pandemic have led to an increase in the number of children and young people suffering from mental health issues globally. In England one in four children experienced poor mental health in 2022. Social prescribing is gaining traction as a systems-based approach, which builds upon person-centered methods, to refer children and young people with non-clinical mental health issues to appropriate community assets. Recognition of social prescribing benefits for children's mental health is increasing, yet evidence is limited. Inconsistent terminology and variation of terms used to describe social prescribing practices across the literature hinders understanding and assessment of social prescribing's impact on children's mental health. This scoping review thus aims to systematically identify and analyse the various terms, concepts and language used to describe social prescribing with children and young people across the wider health and social care literature base. The scoping review will be undertaken using a six-stage framework which includes: identifying the research question, identifying relevant studies, study selection, charting the data, collating, summarising and reporting the results, and consultation. Electronic databases (MEDLINE, Embase, Cumulative Index to Nursing and Allied Health, PsychInfo, Social Policy Practice, Scopus, Science Direct, Cochrane library and Joanna Briggs), alongside evidence from grey literature, hand search, citation tracking, and use of expert correspondence will be included in the review to ensure published and unpublished literature is captured. Data extraction will be carried out by two reviewers using a predefined form to capture study characteristics, intervention descriptions, outcomes, and key terms used to report social prescribing for children and young people. No formal quality appraisal or risk of bias evaluation will be performed, as this scoping review aims to map and describe the literature. Data will be stored and managed using the Rayaan.ai platform and a critical narrative of the common themes found will be included.

Fairness in energy communities: Centralized and decentralized frameworks

This research discusses fairness in energy communities while investigating two types of organizations for operation and cost-sharing. On the one hand, centralized architectures consist of operating community assets in a coordinated manner with a central controller before a community manager shares the overall benefits between the users. Four sharing strategies are investigated and implemented in a monthly post-delivery phase. In contrast, in decentralized architectures, each user operates its assets independently. In such frameworks, the costs/benefits are usually shared among users through market-based mechanisms that rely on users' bids. This work then explores the Pool market and Peer-to-peer transactions to investigate the impact of different bidding from the users' perspective. Ultimately, all the proposed centralized and decentralized approaches (10 in total) are assessed based on economic performances at both users' and community levels. Specific attention is paid to fairness within the community, which is challenging. Three indexes derived from economy and game theory are then considered, along with metrics tailored for energy communities. Results from a seven-user community indicate that the pool market systematically returns considerable savings among decentralized frameworks compared to peer-to-peer markets. More importantly, centralized frameworks systematically yield the most significant bill reduction (16 %) and fairer cost allocation compared to decentralized frameworks.

Pengembangan Taman untuk Meningkatkan Integrasi Lingkungan Hijau di Universitas Sunan Giri Surabaya

The development of the park at Sunan Giri University Surabaya aims to improve the integration of the green environment on campus through the utilization of ecological, social, cultural, economic, and aesthetic functions of the park as a green open space. This research uses the Asset-Based Community Development (ABCD) method to develop the park as a green space at Sunan Giri University Surabaya. The ABCD method focuses on utilizing community assets, such as available land and the support of the academic community, to design parks that function ecologically, aesthetically, socially, and economically. Through observation and focus group discussions, community needs and potentials were identified for garden planning. Project implementation was carried out in stages involving active participation from the campus community. The results showed that the developed garden successfully improved the aesthetics and tidiness of the campus environment and supported social and cultural functions. The evaluation showed that the success of the program was influenced by community support and land availability, despite challenges such as dry soil conditions. The development of this garden is expected to become a model of environmental sustainability and strengthen the university's image as an institution that cares about the environment.

Daily vulnerability and disaster resilience: a case study of preferred community assets and social capital for Latinx coastal residents

PurposeThis study explores how marginalized populations in high-hazard-risk areas on the Oregon coast utilize valued locations and social networks to adapt to daily challenges and natural hazards.Design/methodology/approachWe hypothesize that locations most valued for their associated resources (community assets) also support the most social capital. Focus group discussions and a novel conceptual mapping activity were employed to identify preferred community assets and associated social capital for Latinx residents.FindingsCommunity-based organizations, churches and schools are the preferred community assets found to enable strong social capital, although differences existed in which forms of structural social capital were identified. Mechanisms by which relationships are formed in this case study and implications for disaster resilience are discussed and theoretically linked to other relevant contexts.Research limitations/implicationsWe provide policy recommendations to utilize community assets and social capital to support disaster resilience for marginalized populations.Originality/valueRecruitment of participants through a community-engaged process developed trust with Latinx community members. Focus group design addressed barriers to participation to create space for diverse perspectives. By applying social capital theory to this data, actionable insights are identified to better incorporate the values and needs of marginalized groups into disaster risk reduction efforts.

Protocolizing social prescribing in mental health and addiction services: barriers and opportunities

Abstract Issue Social Prescribing (SP) is a structured approach where health professionals recommend community activities to enhance well-being. Starting in Catalonia in 2012, it expanded to the entire primary care network by 2016. By 2023, 23,338 patients received SP, showing a 2.3-fold increase from 2022. Two-thirds experienced improvement in mental well-being. Now, efforts focus on applying SP to mental health and addiction services (MHAS), where SP can be used for restoring health and well-being. Description A literature review was conducted and a working group was initiated with MHAS professionals was initiated to exchange experiences and identify needs and best practices. This was done in preparation for designing a pilot experience, which will include a qualitative study through focus groups to validate the action plan and determine barriers and facilitators in MHAS. The groups will be segmented into MHAS users and frontline professionals. Results The results of the review process and the working group sessions demonstrated that SP can be useful and beneficial for the health MHAS users. However, barriers and opportunities were identified. The main barriers detected include: the need for strong support during referrals to community activities; increased awareness of addiction among activity providers to reduce stigmatization; define inclusion and exclusion criteria; determining monitoring and evaluation tools; and mapping and updating community assets. Regarding opportunities, the following were highligthed: the interest of MHAS professionals in promoting and implementing a SP program in this area; the existence of organizations already conducting community activities focused MHAS users; and political prioritization of this issue. Lessons The implementation of a SP program protocol in MHAS is considered beneficial. It is necessary to analyse barriers to effectively address them and to identify opportunities to leverage them. Key messages • Social Prescribing has significantly enhanced mental health outcomes in Primary Care, which can imply a potential improvement in well-being of mental health and addiction services users. • Implementing Social Prescribing in mental health and addiction services offers promising integrated care opportunities, requiring barriers resolution and maximizing existing prospects.

Opportunities and challenges in utilizing community assets to extend chronic care management in podoconiosis endemic areas: Evidence from Northwestern Ethiopia.

Community-based chronic care intervention is important in the control and prevention of lifelong conditions such as podoconiosis and similar 'intensive disease management' neglected tropical diseases (NTDs). Despite a call for such interventions, few efforts have been made to identify opportunities and challenges related to their implementation. Employing a qualitative approach, this study explored the possibility of engaging community actors, physical places and networks to promote chronic care management in rural Ethiopia. We gathered data from affected individuals, community members, local leaders, health professionals and community health workers between April and May 2022. The study revealed that affected individuals, family members, religious leaders, traditional leaders, and health professionals have the potential to extend chronic care management in rural areas. Houses, churches, schools, and healthcare facilities are suitable venues at which to perform interventions. Strong community solidarity and political will are vital to chronic care interventions, while lack of understanding about chronic conditions, financial constraints, and limited resources at healthcare facilities could pose challenges. Using community assets has great promise for expanding chronic care management with minimal costs and efforts in under resourced areas. Achieving this will require a successful plan to coordinate the collaboration among the agents and settings.

Enhanced ANN-based ensemble method for bridge damage characterization using limited dataset

Bridges are vital assets of transport infrastructure, systems, and communities. Damage characterization is critical in ensuring safety and planning adaptation measures. Nondestructive methods offer an efficient means towards assessing the condition of bridges, without causing harm or disruption to transport services, and these can deploy measurable evidence of bridge deterioration, e.g., deflections due to tendon loss. This paper presents an enhanced input-doubling technique and the Artificial Neural Network (ANN)-based cascade ensemble method for bridge damage state identification and is exclusively relying on small datasets, that are common in structural assessments. A new data augmentation scheme rooted in the principles of linearizing response surfaces is introduced, which significantly boosts the efficiency of intelligent data analysis when faced with limited volumes of data. Furthermore, improvements to a two-step ANN-based ensemble method, designed for solving the stated task, are presented. By adding the improved input-doubling methods as simple predictors in the first part of the cascade ensemble and optimizing it, we significantly boost accuracy (7%, 0.5%, and 8% based on R2 in predicting tendon losses for three critical zones that were defined across the deck of a real deteriorated prestressed balanced cantilever bridge). This improvement is strong evidence of the accuracy of the proposed method for the task at hand that is proven to be more accurate than other methods available in the international literature.

“The Kids can Handle it”: A Culturally Responsive Case Study of Four Detracking School Leadership Teams

Purpose: This comparative case study focused on high schools in California, New York, Pennsylvania, and Virginia using the lens of Culturally Responsive School Leadership to investigate the actions of school leaders in implementing detracking and asks How do school leaders’ actions regarding detracking fit into the larger framework of Culturally Responsive School Leadership? Research Methods: This study uses a qualitative comparative case study method involving interviews with leadership team members at detracking high schools. Findings: Leaders in all the schools explicitly demonstrated creating inclusive spaces, embracing community assets, and enacting culturally responsive instructional leaders. Leaders at three of the schools explicitly celebrated students’ identities. Leaders at two of the schools suggested they engage in critical self-reflecting aimed at combating biases against minoritized students but did not explicitly mention this self-reflection. Implications for Researchers and Practitioners: Though emergent in nature, these findings add to our collective knowledge about practices in detracking schools that may be beneficial elsewhere and being to fill in gaps in our knowledge about specific detracking conditions over which school leaders have control. These findings also demonstrate a need for researchers, professors of leadership education, and policy makers to support school leaders in becoming culturally responsive and sustaining the practices at the heart of CRSL. Applying this framework allows for a rigorous discussion of leaders’ specific actions along with avenues of detailed consideration for researchers, educators of future school leaders, and policy makers in a coherent manner to create and sustain schools that can serve all children well.

Interracial interaction, park ownership, belonging, community asset, and perceived provision of cultural ecosystem services

Public urban parks contribute fundamentally to social and ecological functioning of modern cities, and enhance human wellbeing through associated ecosystem services, including cultural ecosystem services (CES). This study was conducted to understand how components of interactional justice contribute to users’ perceptions of how well CES are provided in public parks. This paper therefore explores the possibility of parks’ contribution to sense of ownership and belonging, and their place as community assets, as potential catalysts for CES. Data came from an online survey distributed to adult residents of St. Louis, Missouri, USA in spring-summer of 2019. Black respondents reported more positive park interactions than white respondents. Positive interactions in parks were positively related to all dependent variables, while negative interactions were negatively related to belonging and community asset, but positively related to perceived provision of CES. Only community asset was positively related to perceived provision of CES. Results suggest that residents perceive the provision of CES differently based on the quality of interactions with others in their community parks. Additionally, feeling that the park is a community asset contributed positively to users’ perceptions of CES associated with it. This finding indicates that the social and cultural components of a community park relate to how well that space is perceived to deliver cultural environmental benefits. As these interactions influence relationships to and use of the park itself, it is implied that interactional justice plays an important role in determining how effective urban parks are in delivering CES.

Intrapersonal, Cultural, and Community Assets among Puerto Rican Hurricane Maria Survivors: A Latent Profile Analysis

In September 2017, Hurricane Maria decimated Puerto Rico and resulted in the deaths of thousands of people, the destruction of thousands of homes, and the mass migration of hundreds of thousands of Puerto Ricans to the U.S. mainland. Because of these events, Puerto Rican Hurricane Maria survivors on the U.S. mainland are at risk for depressive symptomatology. The purpose of this study was to examine sources of protection against depressive symptoms in this population, with a focus on identifying protective assets and how such assets are differentially distributed across subsets of survivors. A sample of 319 Puerto Rican Hurricane Maria survivors ( Mage = 38.5 years, 77% women) completed surveys of intrapersonal, cultural, and community assets, as well as a measure of depressive symptoms. Results showed that optimism and religiosity at the intrapersonal level, and collective efficacy and community safety at the community level, emerged as significant protective assets against depression. Results from a latent profile analysis revealed four classes of survivors based on their degree and type of protection: High Protection, Safe Community, Moderate Protection, and Low Protection. The High Protection class reported fewer depressive symptoms compared with the Moderate and Low Protection classes but reported similar levels of depressive symptoms as the Safe Community class. Findings suggest that intrapersonal cognitive factors, and community efficacy and safety factors may represent salient assets among hurricane survivors on the U.S. mainland. Findings also illustrate that subsets of Puerto Rican Hurricane Maria survivors vary in their degree and type of protective assets.

Arabic Language Learning Assistance Using Direct Methods at MTs Al–Barokah Jaharun B Galang

This study uses a descriptive qualitative approach with the ABCD (Asset Based Community Development) model to explore the potential problems in improving MT students' Arabic speaking skills in Jaharun B Village. Conducted on March 25-28, 2024, at MTs Al Barokah, this study involved observation, interviews, and documentation. The main focus is on the stages of learning Arabic (Maharatul Kalam) for grade 8 students with direct teaching methods (Thariqah Mubasyarah). The study results showed that this mentoring positively improved students' speaking skills in terms of fluency, pronunciation, and confidence in using Arabic. The direct method has proven effective in making learning more lively, interactive, and relevant to students' daily communication needs. Learning becomes more comprehensive and sustainable by involving community assets, such as support from parents and teachers.

A Case Study of Story Mapping, Neighborhood Change, and Community Assets of Ballpark, Salt Lake City

A Case Study of Story Mapping, Neighborhood Change, and Community Assets of Ballpark, Salt Lake City

Impact of urban productive safety net program on urban households' asset accumulation and food consumption rate in Dessie City, South Wollo Zone, Amhara Region, Ethiopia.

Agriculture is the driver of economic growth in many developing countries like Ethiopia, where it often represents at least 25% of gross domestic product. But the quality and productivity of the land depends on the way agriculture is practiced. Better agricultural techniques are necessarily including Productive Safety net Program. Urban Productive Safety Net Program is designed to support the poor households and establish urban safety net mechanisms. While several studies have examined the effects of rural productive safety net programs, the outcomes of similar programs in urban areas are not well documented. This knowledge gap hinders the ability to effectively design and implement urban productive safety net programs. The main objective of this study was to assess the impact of urban productive safety net program on asset accumulation and consumption rate in Dessie city. Both primary and secondary data sources were used. A total of 112 households were selected randomly among the public work Urban Productive Safety Net Program beneficiary and non-beneficiary households. Descriptive analysis, inferential statistics and econometric models were used for analysis. Based on the econometric estimation results the demographic and socio-economic variables such as education, access to credit, access to extension services and adult male labor force revealed positive relation to public work urban productive safety net program beneficiary and non-beneficiary household's asset accumulation and consumption. The impact of program participation was also found to be positive and significant for both home asset and community asset. While food and non-food consumption even the total consumption and food security status are also positive. Generally, the result indicated that, due to program participation beneficiary households have higher home asset and community asset and better consumption and food security status.

Engaging with parents' voices to support children with neurodiversity, anxiety, trauma, and attachment issues: Towards more inclusive practice in schools

AbstractThe return to school following the significant disruption to education during the COVID‐19 pandemic presents challenges for students, teachers, and parents. In the English context, education leaders have expressed serious concerns about the significantly increased levels of anxiety and school absenteeism among students of all ages, particularly those with special educational needs (SEND). This article reports on the findings of a study with 10 parents of children with neurodiversity, anxiety, trauma, and attachment difficulties. The parents' views were solicited using innovative participatory tools, such as Community Asset Mapping, Blob Trees, and Unfinished Sentences, over the course of a year. The use of these tools is particularly significant as it introduces a novel approach to gathering insights in this field. The parents proposed various ways for teachers and schools to develop more inclusive practices for children with SEND. These suggestions are organised under the categories of Children, Parents, and Processes.

Understanding the experiences of older adult participants and individuals involved in the delivery of a physical activity programme based on participatory approaches: A qualitative analysis.

The present study aimed to understand the experiences of older adult participants and service deliverers involved in a UK-based physical activity programme, developed using participatory approaches. Focus groups and one-to-one interviews were conducted with 34 older adults (aged 55+ years) and 13 service providers. Inductive thematic analysis was conducted, structured using the framework approach. Four themes were identified: (1) Co-designed activities met needs and encouraged attendance; (2) engagement and access of programme activities; (3) enjoyment and perceived benefits of sessions; and (4) support needs of individuals delivering activities. Co-designed activities appeared to meet participant needs and instil a sense of ownership of the programme. Feeling able to relate to other participants seemed important and of potential relevance to attracting older adults to the programme. Peer support may help to increase confidence in attending sessions; place-based approaches (using resources in local communities) and a flexible approach to involvement also seemed to facilitate engagement. Enjoyment of the programme appeared to be enhanced through activity variety and opportunity for socializing, with a sense of community being created through the support and encouragement of fellow participants. It was considered important that volunteers had appropriate recognition and ongoing support. These findings suggest that using participatory approaches may facilitate enjoyment and sustained engagement of older adults. Provision based on local community assets may contribute to sustainability of services. However, providing ongoing support is imperative, requiring further costs and resources over the longer-term.

Community Asset Density and Past-Year Mental Health Symptoms Among Youths

ImportanceMany youths experience mental health challenges. Identifying which neighborhood and community factors may influence mental health may guide health policy and practice.ObjectiveTo explore associations between community assets (eg, schools, parks, libraries, and barbershops) and past-year mental health symptoms among youths.Design, Setting, and ParticipantsThis cross-sectional study leveraged 3 datasets, which were linked by 26 zip codes: the Western Pennsylvania Regional Data Center, the Child Opportunity Index 2.0 database, and the Allegheny County Youth Risk Behavior Survey (YRBS). The YRBS was administered during the study period in 2018 to youths across 13 high schools in Allegheny County, Pennsylvania; the study dates were from October 15 to October 19, 2018. Dates of analysis were from August 1, 2023, to July 15, 2024.ExposuresAsset density in each zip code across 8 asset categories (transportation, education, parks and recreation, faith-based entities, health services, food resources, personal care services, and social infrastructure) was calculated.Main Outcomes and MeasuresThe main outcomes were mental health measures included in the past 12 months, which comprised feelings of hopelessness (feeing so sad or hopeless that you stopped doing activities), nonsuicidal self-injury (hurt yourself on purpose without wanting to die), and suicidal ideation (seriously considered attempting suicide). All were operationalized to any or none. Data were analyzed using multivariable generalized linear mixed models and were adjusted for age, sex assigned at birth, race and ethnicity, and identification as sexually or gender diverse.ResultsAmong 6306 students who were eligible for the YRBS based on their enrollment in participating high schools, 4487 students completed surveys, and 2162 were included in the analytic sample (mean [SD] age, 15.8 [1.2] years; 1245 [57.6%] were assigned female sex at birth). Over one-third of the participants (811 [37.5%]) reported past-year feelings of hopelessness; 587 (27.2%), past-year nonsuicidal self-injury; and 450 (20.8%), past-year suicidal ideation. High total asset population density (adjusted odds ratio [AOR], 0.85 [95% CI, 0.75-0.97]; P = .01), as well as population density of transportation assets (AOR, 0.77 [95% CI, 0.66-0.90]; P < .001), educational resources (AOR, 0.78 [95% CI, 0.67-0.92]; P = .002), and health services (AOR, 0.74 [95% CI, 0.60-0.91]; P = .006), were associated with lower odds of past-year hopelessness after adjusting for covariates. There were no correlations between asset density, Child Opportunity Index, and other mental health measures.Conclusions and RelevanceThe findings of this cross-sectional study suggest that access to certain community assets was associated with lower odds of feelings of hopelessness among youths. Ongoing work is needed to characterize other forms of social and cultural capital, which may mitigate negative mental health outcomes among adolescent youths.

57 Nature based social prescribing for enhancing mental health and well-being

Abstract Objectives Nature Based Social Prescribing (NBSP) is a means of connecting people with non-clinical, nature-based community-led interventions delivered by 3rd sector organisations using local community assets. This research used a mixed-method Social Return on Investment (SROI) of a six-month pilot ‘Making Well’ NBSP programme to support individuals with chronic mental health conditions in Wales. Methods The ‘Making Well’ programme costs were estimated by means of SROI along projected 20% overheads, were incorporated to reflect sustainable costs as the charity develops and more accurately estimate the future social value expected to be generated. The ‘Making Well’ project delivered two separate programmes between October 2021 and April 2022. Data was collected from participants (n = 12) at baseline and eight-week follow-up along with interviews to collect in-depth data on individuals lived experience of participating in the programme. The ‘Making Well’ programme costs were estimated and financial proxies from the HACT Social Value (SV) bank were applied to identified benefits. Results The estimated cost of ‘Making Well’ programme inputs were £1,312 per participant and the net value of well-being benefits were £4,313 to £6,130 per participant, giving a range of SVR’s between £3.30 to £4.70 for every £1 invested in this NBSP intervention. The SROI forecast provides a three-year projection of the annual social value created and the estimated forecast cost of programme inputs was £797 per participant. The net value of well-being benefits was £4,313 to £6,130 per participant, giving a range of social value ratios between £5.40 to £7.70 for every £1 invested. Conclusions The SROI results demonstrate that the ‘Making Well’ programme is an effective NBSP intervention for supporting people with enduring mild to moderate mental health conditions. This SROI contributes to emerging evidence on the use of community assets and NBSP in generating a return on investment and positive social value. SROI forecasting for socially prescribed interventions delivered by local community assets, such as The Fathom Trust, can help organisations demonstrate transparent and effective investment of public funds and support optimal future social value creation and long-term public health outcomes.

Improving health behaviours and attitudes around podoconiosis in Northern Western Ethiopia: Implementation and intervention effectiveness.

Assessing how interventions are implemented is essential to understanding why interventions may or may not achieve their intended outcomes. There is little evidence about how interventions against Neglected Tropical Diseases (NTDs) are being implemented. Guided by the Context and Implementation of Complex Intervention (CICI) framework, we evaluated an ongoing intervention against the NTD podoconiosis to examine the implementation process and its effectiveness in terms of improving shoe wearing practices, increasing knowledge and reducing stigmatizing attitudes towards podoconiosis in rural Ethiopia. We employed an exploratory mixed methods approach, qualitative followed by quantitative, between April and July 2022 to assess implementation agents, theory, strategy, process and outcomes of the intervention. We conducted document analysis, observations, focus group discussions, in-depth interviews and key informant interviews for the qualitative phase. We administered a survey to 369 rural residents, of whom 42 were affected by podoconiosis. The implementers utilized government healthcare centers in a bid to mainstream podoconiosis services within local healthcare structures. The implementers provided training for health professionals and the public and distributed supplies to patients over a three-month period. The intervention reached 62% of patients, but female patients were less likely to participate than male patients. Only 18% of community members had participated in health education campaigns linked to the intervention. Involvement in the intervention resulted in improved shoe wearing practice and holding fewer stigmatizing attitudes. However, internalized stigma among patients was still rife; and the plan to utilize community assets to extend the intervention activities was not effective. Implementers must monitor the fidelity and progression of programs on a constant basis to make corrections. They also need to expand health education, provide psychosocial support and design economic empowerment programs for patients to reduce stigma. They must also collaborate with policy makers and international partners to sustain program activities at intervention delivery points.

Pilot qualitative exploration of the impact of community asset mapping within the undergraduate psychiatry curriculum at an Irish medical school

IntroductionProviding an effective response to global health disparities requires that future doctors are better prepared to embrace a public health ethos. Asset-based approaches see people and communities as coproducers of...

Effects of Community Assets on Major Health Conditions in England: A Data Analytic Approach.

The broader determinants of health including a wide range of community assets are extremely important in relation to public health outcomes. Multiple health conditions, multimorbidity, is a growing problem in many populations worldwide. This paper quantified the effect of community assets on major health conditions for the population of England over six years, at a fine spatial scale using a data analytic approach. Community assets, which included indices of the health system, green space, pollution, poverty, urban environment, safety, and sport and leisure facilities, were quantified in relation to major health conditions. The health conditions examined included high blood pressure, obesity, dementia, diabetes, mental health, cardiovascular conditions, musculoskeletal conditions, respiratory conditions, kidney and liver disease, and cancer. Cluster analysis and dendrograms were calculated for the community assets and major health conditions. For each health condition, a statistical model with all community assets was fitted, and model selection was performed. The number of significant community assets for each health condition was recorded. The unique variance, explained by each significant community asset per health condition, was quantified using hierarchical variance partitioning within an analysis of variance model. The resulting data indicate major health conditions are often clustered, as are community assets. The results suggest that diversity and richness of community assets are key to major health condition outcomes. Primary care service waiting times and distance to public parks were significant predictors of all health conditions examined. Primary care waiting times explained the vast majority of the variances across health conditions, with the exception of obesity, which was better explained by absolute poverty. The implications of the combined findings of the health condition clusters and explanatory power of community assets are discussed. The vast majority of determinants of health could be accounted for by healthcare system performance and distance to public green space, with important covariate socioeconomic factors. Emphases on community approaches, significant relationships, and asset strengths and deficits are needed alongside targeted interventions. Whilst the performance of the public health system remains of key importance, community assets and local infrastructure remain paramount to the broader determinants of health.