The work of changing a system is, in the end, a kind of devotional practice. It asks us to stay long enough to be changed by what we are trying to change — and to keep returning, with attention, to what is most alive in the field. Most of us were trained to think about systems in the language of leverage: where to push, what to fund, which lever moves the most variance. That language is not wrong. It is just incomplete.
In the years I have spent moving between intimate clinical work and global philanthropic strategy, the same lesson keeps reappearing in different languages: relationship is the unit of change. Not relationship as a soft prelude to the real work, but relationship as the substrate of every consequential intervention. The strategy memos I admire most are the ones that read, underneath their crisp bullet points, as if their authors had spent a long time listening to people they love.
What we mean by 'sacred'
The word sacred is doing a lot of work here, and not all of it is religious. I use it in the older sense — that which we hold inviolable, that which orients us, the dimension of life that asks for reverence rather than control. A sacred posture in systems work is one that refuses to flatten the people inside the system into instruments of our theory of change.
When we treat presence as a serious practice — when we resource it, study it, and design for it — the rest of our strategy clarifies.
When we treat presence as a serious practice — when we resource it, study it, and design for it — the rest of our strategy clarifies. We learn to ask different questions. We learn to fund differently. We learn to hold complexity without collapsing it into the urgent. This is not a turn away from rigor. It is, in my experience, the deepest form of it.
Three quiet shifts I keep noticing
- 01Funders begin asking, before any other question, who is in the room when this organization makes hard decisions — and what those people are like with one another.
- 02Programs stop measuring only outcomes and start tracking the quality of the relationships through which outcomes are produced.
- 03Leaders give themselves permission to slow down at exactly the moments the field tells them to speed up — and find that the slow moments are where the strategy becomes legible.
None of this is mystical. It is, in fact, deeply practical. It is the practice of taking seriously the people through whom any change must move. The field of youth mental health, in particular, cannot afford to treat presence as decorative. The young people we serve can read a relationship in the first thirty seconds. So can our colleagues. So can our partners. So can we, if we let ourselves.
The work, then, is to design organizations and portfolios in which presence is structurally honored — not added on as an aesthetic, but built into how time is allocated, how decisions are made, and how we know whether something is working. The next era of this field will be defined, I suspect, by those who learn how to do this without losing their analytical edge.
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