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Healthy Parks Healthy People
September 23, 2011
Petroglyph National Monument, Albuquerque New Mexico
On a cool sunny September 2011 morning in the middle of the Rio Grande Rift Valley, 36 health
care providers and public land managers met at the Albuquerque Volcanoes Day Use Area for a
day-long Healthy Park Healthy People event at Petroglyph National Monument. The group was
divided into 6 sub-groups named for native plants. They were all welcomed by National Park
Service Superintendent Joseph Sánchez and introductions were made by each participant.
Everyone was asked to share a stretch and state their favorite type of outdoor recreation, which
ranged from hiking, gardening, biking and camping to cross country skiing, canoeing and dog
walking.
Introductions and stretches helped warm up the participants.
Facilitator David Simon, from Eco Think Inc., shared the agenda and kept the initial
introductions on task. Then Diane Souder, Chief if Interpretation and Outreach led a brisk hike
from the Volcanoes Day Use Area, around three of the volcanoes, stopping for a brief
interpretive program about geology and the cultural landscape. Three quarters of the participants
had never been there before and they marveled at the 200 square mile view, from what is almost
the geographical center of Albuquerque. The hike was an opportunity for exercise as well as a
chance to informally get to know one another. With medical doctors, nurses, chronic disease
specialists and physical therapists representing the health care community and land managers
represented by the National Park Service, United States Forest Service, New Mexico State
Parks, New Mexico State Land Office and the City of Albuquerque and Bernalillo County Open
Space Divisions, there were several opportunities to meet new people.
Participants were later asked to estimate exactly how far they walked.
The 2011 Mather Hike was intended to provide a setting for New Mexico’s influential health
care and public land leaders to come up with possible innovative interdisciplinary demonstration
projects to use public lands to help promote physical activity healthy eating and mental health
throughout the state. After the hike, the group convened at the City of Albuquerque’s Open
Space Visitor Center, on the west side of the Rio Grande. There they were welcomed by City of
Albuquerque Open Space Superintendent Dr. Matthew Schmader.
The remainder of the day was spent outside in both large and small group activities. A healthy
lunch was served under the shade of a canopy while participants enjoyed the views of the Rio
Grande Bosque on the first day of fall.
Two individuals, representing both the public lands and the health care industry were asked to
“prime the pump” with motivational ideas and success stories. Attila Bality, an Outdoor
Recreation Planner, from the NPS Rivers and trails Conservation Assistance Program spoke
about prescription trails, the importance of play, free State Park passes as incentives to
employees and other innovative programs. Dr. Mark Whitaker, head of the Chronic Disease
Program at Presbyterian Health Plan, spoke about the physical and social benefits to exercise and
the increase in diabetes and obesity among the population. He noted that all states have greater
than 20% of the population falling into the obese category! With these ideas serving as the
seeds, each group was tasked with answering the following core questions:
Core Questions for Discussion
How can national, state, and local parks & recreation managers combine
forces with the medical community, healthcare and wellness leaders,
scientists and advocacy organizations to promote wellness and
contain/reduce healthcare costs?
How can we create a future in which the sick and the well routinely spend
time outdoors, whether as a component of their prescribed medical treatment
or as a core activity for maintaining healthy lifestyles and preventing chronic
disease?
What projects and programs can be undertaken in the Albuquerque
metropolitan area to pilot/test ideas and partnerships?
Each table contained a mix of participants so that the medical doctors, agency representatives
and insurance company staff were evenly spread through the gathering. By enabling small group
discussion several ideas were generated. A facilitator documented all the ideas from each group,
they were shared in a large group format and general types of activities and projects were
identified after a mid afternoon fruit and ice tea break.
.
Participants reviewing ideas from other groups.
Large Group Summary
Resources
American Academy of Pediatrics
Veterinary Association
New Mexico Delegation Office – to identify Federal and other resources
Action
Article standardized first? Updates, features/events
Clearing House – Healthier Weight Council Annual Meeting October 20, 2011
Regular information distribution network
Leader/VIP Demonstrating issue
COC Outdoor recreation committee
Upgrade Websites – Insurance providers
Marketing
Projects
Hiking Clubs for youth
Expand silver sneakers to outdoors settings
Computer program to generate Rx specific to patient
Grading system for healthy trails
Large coordinated recreational activity “Parks Mob”
Albuquerque Weight Loss Initiative (expand beyond African- American Community, National
Medical Association)
Research “Million Hearts” campaign
“Meet Up.com”
Print Rx Trails Guides and make them more available
Report out successes and lessons to the group
Who was missing from this process? Some of the following were invited but were unable to
attend. The following were deemed important to a complete process to garner community
wide support:
Non Governmental Organizations
COC/Biz
Mental health organizations
Albuquerque Public Schools and all other school districts
UNM Center for Developmental Disability
UNM Physical education Department
US Army Corps of Engineers
Bureau of Land Management
NM Department of transportation
Middle Rio Grande Council of Government
Albuquerque Metropolitan Flood Control Authority
Albuquerque Office of Senior Affairs
City and County Community Centers
Community Nurses
AHA/Cardiologists
Physical Therapists
Media
Sports Medicine
Neighborhood Groups
Community Health Councils
Diabetes Council
Pueblos
NM Conference of Churches
NM Department of Tourism
Association of Counties
NM State Forestry
Apache Plume Group
Access is a real problem – no way to get to the parks and outdoors activities – need to work with
transit
Public Safety – unsafe sidewalks and streets
Lack of funding
Lack of knowledge
Poverty – the reality of what is means to be poor
Walk-able communities is a real goal- connectivity between neighborhoods
Equity and inclusion in all we do is important
Nutritional values need to be looked at in school lunches and meals on wheels
Mobile produce trucks to travel throughout poorer areas especially those know as “food deserts.”
Maps on busses and at bus stops showing passengers where parks and trails are located
Churches are a real source for community involvement
Community based nursing is important
Collaboration between health community and recreation – prescription trails
How do we evaluate the sustainability of any of these ideas? City/County Council ordinances
that support the sustainability of each of these ideas. For example an ordinance could require
neighborhoods to have pedestrian access. Planning should pay attention to multi-modal
transportation opportunities.
“Complete Street Initiative” is a good basis for quality design
Framing your message to get buy-in from policy makers.
Delegation Office – Congressional help. They can help with private and government funding
sources. Get a one page summary to any office and they will get it to the grant searcher
Community gardens in communities and in schools
Job training programs for community farms and local food initiatives
What is the motivation?
Educational campaigns need a variety of media/appropriate technology (print, tv, radio, social
media, exhibits, bill boards)
Need city to establish a formal Health, Fitness Recreation Advisory Board – well beyond the
Park and Recreation Advisory Board
New Mexico Healthier Weight Council could serve as an information clearinghouse
Curly Doc Group
How can Parks and Recreation and medical and health care community promote wellness and
contain and reduce costs?
Needs a seamless approach between land management
Use park passes as incentives
Passports – earn points; help market parks and open space areas
Create a template for a statewide approach – look at Healthy Parks Healthy People Action Plan
Could health plans write articles about outdoor opportunities for members?
Statewide advisory Council to help develop HPHP NM Plan
Consider adding HPHP NM to existing workgroup
Physicians need simple programmatic tools for patients
Promote outdoor healthy recreation with physicians in training
Promoting outdoor healthy recreation represents a positive shift in patient interaction
If we have an advisory committee – consider non-traditional organizations (faith based, etc)
Future- sick and well spend time outdoors
El Morro starting fitness program – over the top marathon; this is a management shift from a
historic resource to recognizing the value of recreation
Blend interpretive messages with health messages
Land managers have to offer diverse activities
Address the poverty issue and lack of access to public lands
Subsidized transportation
Joint use agreements
Maybe P.E. shifts to outdoor recreation activities
Children’s Outdoor Bill of Rights (UNM Law Center is lead)
Projects
Pilot transportation projects to outdoor recreation areas
Marketing proposal – go find something in a park – incentive ideas
Wellness coordinators could sponsor member hikes @ public lands
Outdoor recreation opportunities article in HP member newsletters or utility bills
Promote recreation opportunities @ public spaces (Alb Uptown)
We need to collect data- what/who are we targeting
Booth @ Albuquerque Health Expo
Phone apps- embedded information in marketing information
Desert Willow Group
Incentives
- Perks
- Vouchers
Work with established groups from preschoolers to Kiwanis clubs to generate interest
Work with employer groups and health plans
How do we engage the disengaged?
- free
- transportation
- health providers help promote outdoor places with patients /brochures
Caring for the land; caring for the people
Specific program ideas – Tai Chi in the park
All trail maps should be black/white stock paper in tablet form – inexpensive
Key – getting your organizations outdoors – YMCA, scouts, boys and girls clubs, health clubs
Make outdoor fitness fun; make outdoor/environmental education fun!
Four Winged Salt Bush Group
Medical and recreational professions have overlapping goals but do not necessarily work
together
Land managers need to be encouraged to incorporate recreation in their activity (Conservancy
District)
SCORP and Great Outdoors: many overlapping goals but how can plans guide the priorities and
involve multiple groups: land managers, health professionals, schools, non-profits, private sector.
Change has to come about by community involvement
Microsoft Anti-trust lawsuit; corporation vs. community – community has won time and time
again – community efforts prevail
Need ways to match different types of exercise with individual preferences
Each professions overlaps in the goal of health, but when one reaches its limit, do they
necessarily push the individual into the other’s area?
Need patient input and interests to come up with a RX that will really work. Need a computer
program that could make a prescription based on interests, then the suggested prescription would
direct you where you want to go and what you want to do. Then get a text message sent to you
to remind you what to do and where to do it.
How to stimulate (younger) generations to use the outdoors instead of the indoors?
Make technology an ally not an adversary (GPS, geo caching, Google Earth, digital cameras).
Social media – make it cool to be outdoors!
Make an emotional connection with the outdoors:
- if your health depends on it
- lower health insurance premiums
- the “cool factor,” similar to the way skate parks are
- show them what wilderness looks like
- what did you do this summer?
- portable museums – traveling road shows that go to the schools
If this is and was all about education , where was APS (Albuquerque Public Schools)?
APS has a wellness committee
Teach basic skills such as bicycling
Assuage fears about safety
Community recreation plan (including APS: make full use of existing facilities and natural
features
“Meetup.com” to form groups of people with similar interests
Engage veterinarians in Rx writing
Get businesses to realize benefits of getting their employees to exercise and get outdoors
Gather evidence of benefits of outdoor activities so medical providers will prioritize
There are benefits to being fit, whether or not we loose weight
Snakeweed Group
Streamline information given to patients and providers
Standardize “best practices”
How do we reach the uninsured?
Educate early childhood/elementary students about healthy lifestyles and prevention?
Community Gardens in cities, schools, churches
Where are children in the decision making process?
Focus on preventative care from doctors
Patient responsibility
Yucca Group
National grading systems of National Forests/Parks; share with medical/public health/patients
etc.
Supervised walking program offered by National Park Service – walking champion
What percent of people who live near parks actually use them?
Partner with schools to organize field days
Trail-ways etiquette
Advertisement – how and where
Trail use goal setting
Park Service to partner with corporations/3 key partners to organize “families in the park”
walking and hiking.
Wellness centers/Visitor Center
List of Participants
Patricia Dominguez (Bingaman’s office) [email protected]
Matt Zidovsky (Heinrich’s Office) [email protected]
Calvert Curley(Udall’s Office) [email protected]
Michelle McKenzie NM Veterans Admin. HCS [email protected]
Dr. Susan Baum (NM Dept. of Health, Chronic Disease Prevention) [email protected]
Dr. Lance Chilton (UNM) lancekathy@ gmail.com
Theresa Clay (IHS) [email protected]
Dr. Luke Esquibel (UNM Medical Reserve Corp) [email protected]
Eileen Goode (Cronic Disease Coalition) [email protected]
Pam Hilsop (Molina Health) [email protected]
Dr. Richard Kozoll (UNM) [email protected]
Erin Marshall (Healthier Weight Council) [email protected]
Charm Linblad (NM Healthcare Takes on Diabetes and Prescription Trails) [email protected]
Julie Maez (Presbyterian Health Care) [email protected]
Joni Pompeo (Presbyterian HP) [email protected]
Colleen McRoberts /Langan (Bern. Co. Open Space) [email protected]
Linda Macdonald (Sandia Labs) [email protected]
Dr.Sally Davis (UNM Prevention Research center) [email protected] (unable to attend)
Dr. Anthony Flagg (Native Health Initiative) [email protected]
Kelly Gossett (New Mexico Kayak Instruction) [email protected]
Kris Porcher (Lovelace Health System) [email protected]
Dr. Anne Simpson (UNM Inst for Ethics, Div of Geriatrics, Ctr for Excel for African Am Health)
Christy Tafoya (NM State Parks) [email protected]
Dr. Mark Whitiker (Cronic Disease, PHS) [email protected]
Cynthia Piirlo (USFS) [email protected]
Alberta Becenti (HIS) [email protected]
Miranda Miller (NM State Land Office) [email protected]
Marsha Hagerdon (USFS/Grants ) [email protected]
Leslie Delong (El Malpais/El Morro NM)) [email protected]
Lee Ferrill (El Morro NM) Howard_ [email protected]
Gale Weaver (El Malpais NM) [email protected]
Dave Simon (Eco Think) [email protected]
Attila Bality( Rivers and Trails Conservation Assistance/NPS) [email protected]
Dr. Joseph Sánchez (Supt. Petroglyph NM ) [email protected]
Dr. Matthew Schmader (Supt. City Open Space) [email protected]
Paul Hyso (City of Albuquerque, videographer) [email protected]
Diane Souder (Petroglyph NM) [email protected]
Stephen T. Mather Hike:
Healthy Parks Healthy People
September 23, 2011
Agenda
8:30 -- 9:00 a.m. Participants assemble at Petroglyph National Monument, Volcanoes Day Use Area
9:00 – 9:15 a.m. Welcome by Dr. Joseph Sánchez. Introductions. Stretch .
9:15 – 11:00 a.m. Volcanoes hike. Group photo and video.
11:00 – 11:30 a.m. Transition/travel to Open Space Visitor Center, 6500 Coors Blvd.
11:30 a.m. – 12:15 p.m. Welcome to Open Space Visitor Center (Dr. Matthew Schmader). Lunch and small
group activity looking at Core Questions.
12:15 – 1:00 p.m. Presentations by a public lands professional and a public health care professional.
- Attila Bality, National Park Service, Rivers and Trails Conservation Assistance
Program
- Dr. Mark Whitaker, Cronic Disease Program, Presbyterian Health Services
1:00 – 1:45 p.m. Continue small group discussions. Participants continue to address three main questions
and record answers.
1:45 – 2:00 p.m. Break
2:00 p.m. Large group discussion. Review of partnership and project ideas. Participants each
select at least one item for follow-up.
3:30 p.m. Wrap up and adjourn
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