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Design for Health Carissa Schively Slotterback APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and Projects Design for Health April 2009 www.designforhealth.net Design for Health Presentation Overview I. Overview of Design for Health II. Health Impact Assessments IV. Example Plans and Guidelines V. Presentations by Partner Communities VI. Q&A Design for Health April 2009 (Image centered left to right, 2.5 up from bottom, 2.0 from top) www.designforhealth.net Carissa Schively Slotterback III. Example HIAs Design for Health www.designforhealth.net Design for Health April 2009 www.designforhealth.net Design for Health Project Staff • Research Faculty – Ann Forsyth, Cornell – Kevin Krizek, U. Colorado – Carissa Schively Slotterback, U. Minnesota • Coordinators – Amanda Johnson, Research Fellow, U. Pennsylvania – Aly Pennucci, Research Assistant/Coordinator, U. Minnesota • Research support – Karen Roof, PhD Student, U. Colorado – Ashley Miller, Sutee Anantsuksomsri, Research Assistants, Cornell – Joanne Richardson, Web Design for Health April 2009 www.designforhealth.net Design for Health Presenters • James Lehnhoff, AICP – City of Arden Hills Comprehensive Plan Update • Michaela Ahern, AICP, LEED AP – City of Bloomington Alternative Transportation Plan and Health Impact Assessment Design for Health April 2009 www.designforhealth.net Design for Health Project Overview • Project initiated out of interest in connections between built environment and health • Funded by Blue Cross and Blue Shield • Takes advantage of 2008 legislative deadline for metropolitan area comprehensive plans • Built on work by Design Center/Active Communities Transportation (ACT) Research Group examining active living and food environments—adds a range of other issues • July 2006 through June 2008 • Separate grants given to technical assistance provider and to 19 cities/counties Design for Health April 2009 www.designforhealth.net Design for Health Project Participants Design for Health April 2009 www.designforhealth.net Design for Health – – – – – – – – Accessibility Air quality Climate change Environmental and housing quality Food Health facility access Mental health Noise Physical activity Safety Social capital Water quality Design for Health April 2009 Metropolitan Design Center – – – – Core Health Topics www.designforhealth.net Design for Health • Planning affects numerous health issues • Comprehensive planning represents an opportunity to address health • Plan implementation can further address health • Zoning ordinances • Design guidelines • Capital improvements Design for Health April 2009 www.designforhealth.net Carissa Schively Slotterback Connecting Planning and Health Design for Health Metropolitan Council Requirements 2008 Topics • Accessibility • Air Quality • Environmental and Housing Quality • Food • Mental Health • Physical Activity • Social Capital • Safety (crime & traffic) • Water Quality Design for Health April 2009 Land Use Plan Future land use Housing plan Resource Protection Transportation Traffic Analysis Zone (TAZ) Allocation Highway & roads plan Bike & pedestrian plan Special traffic situations Transit plan for facilities & service Aviation Plan Water Resources Wastewater & sewer plan Surface water management plan Water supply plan Parks & Open Space Regional parks and open space Optional Elements www.designforhealth.net Air Mental PA Safety Social Water x x x x x x x x x Housing plan x x x x x x x x Food Env. Hous.g Access Future land use Connections Between Health Topics and Plan Elements Land Use Plan Resource protection x x x Transportation TAZ allocation x x x x Highway & roads x x x x Bike & pedestrian x x x x x x Special traffic x x x x x x Transit plan x x x x x x Aviation Plan x x x x x Water Resources Wastewater & sewer x Surface water x Water supply plan Design for Health April 2009 Reg. Parks and O.S. x x x x x www.designforhealth.net x x x x x x Health in Planning Policy Connecting Planning and Health • Four general approaches • Comprehensive plan update • Corrective/Selective Amendments • Revised Codes or Ordinances • Separate Healthrelated Plans Design for Health April 2009 Carissa Schively Slotterback (Morris 2007) www.designforhealth.net Design for Health • Events—talks, feedback sessions, boot camps • Research summaries (key questions)— summarize fast-moving and contradictory evidence • Information sheets—model planning and ordinance language/cases • Case studies of existing plans • Health impact assessments— three planning-oriented tools • Image resources and PPTs • Planning and health links • Plan review checklists • One-on-one technical assistance • Web site Design for Health April 2009 www.designforhealth.net Carissa Schively Slotterback Design for Health Activities and Tools Design for Health Health Impact Assessment • Developed HIA tools tailored to planners • Preliminary Assessment (checklist) • Rapid Assessment (participatory workshop) • Threshold Analysis (comprehensive) • Detailed guidebooks and training workshops assist planners in using tools Design for Health April 2009 www.designforhealth.net HIA: Carver County Preliminary Checklist • Assesses significance of project, plan, or policy in terms of its size and scope • Considers whether certain health thresholds are met Design for Health April 2009 Carissa Schively Slotterback • www.designforhealth.net HIA: Carver County • Preliminary Checklist – Abbreviated review of proposed transloading facility in response to citizen petition for environmental review – Helped identify key health concerns with project – Will likely do rapid assessment if project moves forward Design for Health April 2009 www.designforhealth.net HIA: Bloomington • Workshop-based health impact assessment for proposed bicycle trail in powerline corridor • Worked with existing advisory committee • Identified and evaluated potential health impacts • Results integrated into Alternative Transportation Plan Design for Health April 2009 www.designforhealth.net HIA: Ramsey • Most detailed HIA tool • Uses evidence-based measures to assess health impacts • Used by Ramsey to evaluate existing conditions to inform comprehensive plan update Design for Health April 2009 www.designforhealth.net Design for Health April 2009 www.designforhealth.net 40.3 % are within 400 m of a trail (49.32 % w/in 600 m) Design for Health April 2009 www.designforhealth.net Design for Health April 2009 www.designforhealth.net HIA: Ramsey Current achievements, health goals, and policy directions (how to get there) Design for Health April 2009 www.designforhealth.net Plan: Marshall • City of Marshall, in rural Minnesota • Prepared Pedestrian and Bikeway Plan: A Safe and Healthy Marshall • The lens of health highlighted issues such as access to food and parks Design for Health April 2009 www.designforhealth.net Design for Health April 2009 www.designforhealth.net Plan: Carver County • Included public health element in 2030 Comprehensive Plan Update • Significant health content in other parts of plan – Land Use, Parks and Trails, Aging, Transportation • Planning process engaged planning and public health staff Design for Health April 2009 www.designforhealth.net Goals and strategies related to physical activity, social equity, mental health, air quality, water quality, food access, general access, and environment/housing Design for Health April 2009 www.designforhealth.net Implementation: Eden Prairie • Site planning guidelines to implement comprehensive plan • Address numerous health issues Design for Health April 2009 www.designforhealth.net Design for Health April 2009 www.designforhealth.net Design for Health April 2009 www.designforhealth.net Design for Health Presenters • James Lehnhoff, AICP – City of Arden Hills Comprehensive Plan Update • Michaela Ahern, AICP, LEED AP – City of Bloomington Alternative Transportation Plan and Health Impact Assessment Design for Health April 2009 www.designforhealth.net Arden Hills • 9.4 square miles • ~10,000 people • ~14,000 jobs • 10 miles from downtown Minneapolis and St. Paul • A city divided by freeways, fragmented neighborhoods, and few connected trails, and newly opened land for development (Image centered left to right, 2.5 up from bottom, 2.0 from top) Design for Health April 2009 www.designforhealth.net James Lehnhoff City of Arden Hills Arden Hills City of Arden Hills Approach: • 2030 Comprehensive Plan Update • Twin Cities Army Ammunition Plant (TCAAP) Design for Health April 2009 www.designforhealth.net Arden Hills City of Arden Hills • Comp Plan Update Process and Tools – Staff involvement engineering, public works, parks, community development – Parks, Trails, and Recreation Committee (PTRC), Planning Commission, and City Council work sessions – Active living website and research summaries – Community workshops Design for Health April 2009 www.designforhealth.net Arden Hills Arden Hills Workshop & Game Created by HKGi, Inc Design for Health April 2009 www.designforhealth.net Arden Hills City of Arden Hills • 2030 Comprehensive Plan Update – Active Living Chapter – Active Living Principles and Components in Subsequent Chapters: • • • • Design for Health April 2009 Land Use Transportation Parks and Recreation Environmental Conservation and Sustainability www.designforhealth.net Arden Hills City of Arden Hills • Twin Cities Army Ammunition Plant (TCAAP) • 585 acres • Mixed Use Development • Potential for 3,000 residents • Many challenges • Ongoing project Design for Health April 2009 www.designforhealth.net Arden Hills City of Arden Hills • Results – City Approved 2030 Comprehensive Plan – TCAAP redevelopment is ongoing • Implementation – Guiding Plan for the B2 District – Adopted New Design Standards – Becoming part of site plan review process Design for Health April 2009 www.designforhealth.net Design for Health Presenters • James Lehnhoff, AICP – City of Arden Hills Comprehensive Plan Update • Michaela Ahern, AICP, LEED AP – City of Bloomington Alternative Transportation Plan and Health Impact Assessment Design for Health April 2009 www.designforhealth.net Bloomington • Four plan sections • Planning context and framework • Vision and Values • System Plan • Implementation Design for Health April 2009 www.designforhealth.net Bloomington Technical Specifics Design for Health April 2009 www.designforhealth.net Bloomington Design for Health April 2009 www.designforhealth.net Bloomington Citizen Involvement • Citizen Advisory Group • Focus group meeting with targeted stakeholder groups • Presentations before multiple City advisory groups (Traffic and Transportation Advisory Commission, Parks, Arts, and Recreation Commission, Advisory Board of Health) • Public hearings before the Planning Commission and City Council Design for Health April 2009 www.designforhealth.net Bloomington Health Impact Assessment Design for Health April 2009 www.designforhealth.net Design for Health • Increased knowledge among planners about health issues • Refined, robust, and tested suite of HIA tools tailored to planners • Sample plans and ordinances that serve as local and national models • Evidence-based, health-oriented 2008 plans from partners • Built collaborations • www.designforhealth.net one-stop (Image centered left to right, 2.5 up from bottom, 2.0 from top) shop for information Design for Health April 2009 www.designforhealth.net Carissa Schively Slotterback Outcomes Design for Health – www.designforhealth.net Summary Overview of Design for Health II. Health Impact Assessments III. Example HIAs IV. Example Plans and Guidelines V. Presentations by Partner Communities VI. Q&A Carissa Schively Slotterback I. (Image centered left to right, 2.5 up from bottom, 2.0 from top) Design for Health April 2009 www.designforhealth.net