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Adaptive Leadership: Decision-Making Skills for Complex Public Health Challenges – Resource Page

Thank you for joining our session. Here are some follow up resources on the class topics. Please provide a review here.

Course Summary

Most decisions that keep leaders up at night are not technical problems with hidden answers. They are adaptive problems — situations where no expert holds the solution and progress requires people to change values, habits, or loyalties.

This course gave you three lenses for that work. Used together, they make hard decisions noticeably cleaner: better diagnosed, better framed, and made with less of the second-guessing that comes from trying to solve adaptive problems with technical thinking.

The Balcony

Step out of the dance to see the patterns. Watch the system, not the personalities. Most “people problems” are system problems wearing a person’s face.

Adaptive Leadership

Diagnose technical vs. adaptive. Give the work back to the people who own it. Regulate the heat. Expect — and honor — the loss that change asks of people.

Both/And

Refuse false choices. Hold paradox without collapsing it. Stability AND change. Speed AND care. The wiser third option usually appears once you stop forcing one side to win.

Easy Tips You Can Use This Week

Before You Act

  • Name the problem type. Is this technical (someone has the answer) or adaptive (we need to learn our way through)? The answer changes everything.
  • Get to the balcony for 30 minutes. No inbox. Look at patterns of who speaks, who defers, what keeps resurfacing.
  • Write down what you’d lose if your preferred solution failed. Then ask the same question of every stakeholder.

When You Face Resistance

  • Read it as data, not obstruction. The louder the pushback, the bigger the loss being signaled.
  • Name the loss out loud before you sell the gain. People can’t grieve what they aren’t allowed to acknowledge.
  • Protect the dissenting voice. The person everyone wants to silence usually carries the data the system needs.
  • Regulate the heat. Too little urgency = no change. Too much = panic. Your job is the thermostat, not the thermometer.

When You’re Stuck in Either/Or

  • Replace “but” with “and.” “We move fast AND we get it right.” It opens options that “but” closes.
  • Ask, “what’s the wisdom in the opposite view?” before defending your own.
  • Hold the paradox for 24 hours before deciding. The third option often arrives during that delay.
  • Build teams with productive tension. The friction is the feature, not a bug to eliminate.

You can’t make hard problems easy. But you can make hard decisions cleaner.

Quick Reference: Technical vs. Adaptive

Technical ProblemAdaptive Challenge
Problem is clearProblem requires learning
Solution is known to an expertSolution requires learning by stakeholders
Authority figure can fix itPeople with the problem must do the work
People expect a quick answerPeople resist because change asks for loss
Implementation is fastImplementation is slow and iterative

Follow-Up Reading

The Practice of Adaptive Leadership (book)

Visual summary of the Practice of Adaptive Leadership (PDF)

Using Paradox to Solve Tough Problems (article)

Both/And Thinking (book, blog and other resources)

Slide Deck

Five Takeaways to Remember

  1. Diagnose before you act — name the problem type first.
  2. Go to the balcony when you’re stuck.
  3. Read resistance as data about loss.
  4. Refuse false choices; hold paradox until a wiser path appears.
  5. Decide, communicate, own it — and stay in the conversation.

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