How do you engage community residents in their health when many are distrustful of and feel disrespected by the healthcare system? Encourage them to both direct and participate in the initiative, advises Charmaine Ruddock, project director of Bronx Health REACH. In this HealthSounds episode, Ms. Ruddock shares what Bronx Health REACH learned early on in its coalition-building from community focus groups, and how this local feedback informed program development for a community traditionally ranked last in New York in terms of health outcomes and health factors.