Sneapa healthy communities_ppt_mapc

BuildingHealth intoCommunities

Source: Kevin Cortes, The Eagle Hill Place-making Photo Project

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What determines health?Healthcare Genetics Social, Environmental, Behavioral Factors

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Based on: Slide from The American Healthcare Paradox, Lauren Taylor; Original Source: McGinnis et al, 2002

OUR NEIGHBORHOODS SHOULD NOT BE HAZARDOUS TO OUR HEALTH.

Why do we do this work as planners?

Counseling &

Education

Clinical Interventions

Long-Lasting Protective

InterventionsChanging the Context to make individuals’ default decisions

healthySocioeconomic Factors

Smallest Impact

Largest Impact

“Eat healthy, be physically active”

Rx for high blood pressure, high cholesterol,

diabetes

Vaccinations, cessation treatments

(e.g. for smoking)

Fluoridation, tobacco tax, smoke-free

laws

Income, Race,

Education

Complete streets, speed limits, walkability, access to green space

Housing, Zoning, Economic Development

Examples from Other SectorsTraditional Public Health

CDC Health Impact Pyramid

Slower vehicle speeds make people feel safe and encourage them to be active and walk and bike more. For example, we know that is you are hit by a car going 25 mph, you have a less that a 1 in 10 chance of being killed; at 40mph, you have a nearly 7 in 10 chance of being killed.

It’s not right that residents of certain neighborhoods have to experience speeding vehicles and be at greater risk for severe injury and death while others do not. To change this, the officials, planners and public health professionals should use community strategies like traffic calming and slower speed limits to reduce speeding.*

* Adapted from Talking about Health in All Policies, Dorfman & Krasnow, Berkeley Media Studies Group

Speed Limit HIA

Speed Limit HIA

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• Adopt slow zone policy or enact local legislation

Policy Change

• Reducing design speeds used as part of local engineering guidance and regulations

Systems Change

• Traffic calming measures like speed humps, neighborhood traffic circles, and chicanes

Environmental

ChangeSources: Adapted from The National Association of County and City Health Officials definition of PSE Changes

Targets of Change

Housing insecurity results from individuals and families can no longer afford to live in stable and safe housing. Sadly, housing insecurity is issue in our community and having real effects. For instance, children who experience housing insecurity have been associated with poor health, lower weight, and developmental risk.

We can’t address the housing insecurity problem working in isolation. We need to work with partner in housing and community development to incorporate health criteria into our housing priorities. Working together, we can address the issue of housing insecurity and fix multiple problems at the same time. It will create more stability in people’s lives, improve childhood outcomes, and strengthen our economy.*

* Adapted from Talking about Health in All Policies, Dorfman & Krasnow, Berkeley Media Studies Group

Housing Production Plans

Housing Production Plans

Healthy Neighborhood Fund HIA

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• Adopt inclusionary zoning policy

• Develop HPP with health element

Policy Change

• Use Managing Neighborhood Change Approach (Anti-Displacement Strategies Toolkit)

Systems Change

• Use or leverage resources to increase affordable housing choices

Environmental Change

Sources: Adapted from The National Association of County and City Health Officials definition of PSE Changes

Targets of Change

People are healthier when they have a say in how in their neighborhoods are maintained and how they change. We need to engage residents, especially those who do not typically participate in neighborhood activities, so that we can make improvements like fixing sidewalks and parks so that everyone feels as part of the neighborhood. To do that, the officials, planners and public health professionals should work with residents to support mutual goals that create inclusive and resilient neighborhoods.*

* Adapted from Talking about Health in All Policies, Dorfman & Krasnow, Berkeley Media Studies Group

Photovoice• Record and reflect on community

strengths and concerns• Promote critical dialogue and

knowledge about important issues through group discussion of photographs

• Reach decision-makers

PlacemakingAllows people to create places and streets which are healthy, safe, active, and useful.

Photo Credit: Principle+

Incremental, small-scale improvements

Local ideas for local planning challenges

Short-term commitment and realistic expectations

Low-risk, with a possibly of high reward

Tactical Urbanism by The Street Plans Collaborative

Photovoice + Placemaking

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• Develop community/public engagement guidance (promote adult education approach)

Policy Change

• Support training of municipal staff and residents in photovoice

Systems Change

• Use available materials to make short-term changes and test ideas

Environmental Change

Sources: Adapted from The National Association of County and City Health Officials definition of PSE Changes

Targets of Change

HEALTH STARTS LONG BEFORE ILLNESS, IN OUR HOMES, SCHOOLS, AND JOBS