Kansas SNAP-Ed

PSEs and FNP…What’s This Mean?

October 7, 2014

What is Policy, Systems and Environmental Change?

Policy, systems and environmental change is a way of modifying the environment to make healthy choices practical and available to all community members. By changing laws and shaping physical landscapes, a big impact can be made with little time and resources. By changing policies, systems and/or environments, communities can help tackle health issues like obesity, diabetes, cancer and other chronic diseases (Cook County Public Health).

Why is Policy, Systems and Environmental Change Important?

Major health problems will not be solved solely by individual actions

Health problems are influenced by societal policies and environments that promote unhealthy behaviors or fail to foster healthier choices

Chronic disease prevention requires an “upstream” approach that improves the environments where we live, work, learn, play, and receive health care

Programs and PSEs

Setting Program/Events Policy, Systems, and Environmental

Change

School Celebrate national nutrition month

Add fruits and vegetables to the a la carte options in schools

Community Host a community bike ride and parade

Implement a Complete Streets policy

Worksite Staff Challenges Healthy meeting policies

Food Deserts Food Pantries Economic development incentives for full service grocery stores

Program PolicyGrocery Tours Zoning policy limiting number of fast food

restaurants and requiring corner/convenience store to meet WIC standards

Featured Recipe Healthy nutrition standards in park and recreation food contract

SmartBucks for Farmers’ Markets

Dedicated local budget for SmartBucks

Restaurant rating program

Healthy rating program tied to license

Educational Program promoting Water

Building design standards requiring water fountains near high traffic areas and vending facilities

Community Garden Zoning code allowing for small-scale agriculture in residential and commercial areas

Policy, not program or projects

Policy

Any written plan or course of action designed to influence and determine decisions

About Policy Change

• Passing of laws, ordinances, resolutions, mandates, regulation, or rules

• Governmental bodies, schools, parks and rec., worksites and other community organizations all make policy change

• Policies greatly influence the choices we make in our lives. Laws passed influence the daily decisions we make about our health.

• Examples: Adding a tax on unhealthy food, passing a laws allowing for community gardens in public spaces, prohibiting junk food in school fundraising, etc.

About Systems Change

• Involves change made to the rules within an organization. Systems and policy change often work hand-in-hand

• Systems change impacts all elements of an organization

• Examples: Creating a community plan to account for health impacts of new projects, creating a certification system for school bake sales to ensure they are in line with school wellness policy

About Environmental Change

• Environmental change is a change made to the physical environment

• Can be as simple as installing bike signage on established bike routes or as complex as sidewalk installation

• Examples: Bicycle/pedestrian master plan, placement of healthy & unhealthy foods in retail or vending environments.

Artfully Blend Policy-Program-Promotion

• Use programs as onramps and wrap-arounds

• Leverage policy & environmental changes• Grow a constituency for change (e.g.

demand

Impact Reach Exposure Potency

many people

with frequent exposure

in a comprehensive way

Focus on changing things that affect

A Formula for Impact

Adding Up Strategies… Adding Up Strategies…

Artfully Blend Policy-Program-Promotion - Discussion

• Think of the work you are or have been doing: What behaviors are being modified? What environments or systems are your

target audience in? Finally, develop a list of policies that

would help support the behaviors that are being modified in the environments of your target audiences.

MessageEnvironment

Leadership Development and Information

Assess Progress

SchoolEnvironment

RetailEnvironment

Civic Environment

Health Care and Work

Environment

Early Childhood

Environment

The Healthy Behaviors framework recognizes action must occur at all levels – individual, family, community, and the broader society – to address the challenges posed by tobacco use, lack of physical activity and poor nutrition in Kansas.

The environments identified in the framework represent important sectors of society where significant changes can occur to support health.

Copyright ©2010 American Public Health Association

Frieden, T. R. Am J Public Health 2010;100:590-595

The health impact pyramid

Sedgwick

Barton

Butler

Cherokee

Clay

Douglas

Ellis

Finney

Ford

Franklin

Greeley

Harper

Harvey

Gray

Jefferson

Johnson

Lane

Leavenworth

Lyon

Marion

Marshall

McPherson

Miami

Chautauqua

Morris

Neosho

Reno

Rice

Riley

Russell

Saline

Seward

Shawnee

Sherman

Sumner

Thomas Wyandotte

Decatur

Sheridan

Stafford

Pratt

Ellsworth

Pottawatomie

Nemaha

Cowley

Bourbon

Osage

Chase

Cheyenne

Cloud

Dickinson

Edwards

Gove

Greenwood

Lincoln

Montgomery

Osborne

Ottawa

Rawlins

Rooks

Trego

Washington

Wichita

NortonPhillips Smith Jewell Republic Brown

Doniphan

Atchison

JacksonMitchellGraham

Wallace

Logan

ScottNess

Rush

WabaunseeGeary

Pawnee

HodgemanHamilton Kearny

StantonGrant

Haskell

MortonStevens Meade Clark

Kiowa

Comanche Barber

Kingman

Labette

Crawford Elk

Wilson

Woodson

Allen

Coffey AndersonLinn

Healthy Communities Initiative – Round 1 HCI – Round 2

Healthy Communities Initiative Team

HCI Leadership Teams • Build support for policy, systems and

environmental changes that promote healthy eating and active living.

Kansas Health Foundation• Support leadership teams to implement the

community change framework.

Technical Assistance Providers• Center for Community Support & Research • Public Health Law Center

HCI Implementation Grant

Kansas Health Foundation will provide:

Funding• Up to $25,000 per year over three years

contingent upon a local cash match of $.50 on the dollar or $12,500 each year.

• Cash Match FAQ

Significant technical assistance• To implement the community change framework

to create an environment that supports the policy priority identified during the planning grant year.

Policy Priorities

Healthy Eating• Food Policy Councils• Healthy foods in public service venues• Healthy Concessions• Land Banking for Community Agriculture

Active Living• Safe Routes to School• Complete Streets• Active Transportation

• Statewide Partnership grantees will build support for policy, systems and environmental changes that ensure healthy food and beverage options are the routine, easy choice.

• We envision this initiative as a strong partnership among the grantees and Foundation.

Statewide Partnerships

• The American Heart Association• Kansas Action for Children• Kansas Hospital Association• Kansas Rural Center• KC Healthy Kids

Healthy Communities Initiative

Healthy Kansas Schools

K-FIT Let’s Move in Kansas Schools School Wellness Policy Program Healthier US Schools Challenge Incentive

Grant Youth Risk Behavior Survey Team Nutrition Fresh Fruits and

Vegetable Program

WorkWell Kansas

• Working with 30 communities over three years.

• Engaging 210 worksites.

• Developing a network of worksites interested in enhancing employees’ health and wellness through cultural, environmental, systematic, and policy changes at worksites across Kansas.

Food Policy Councils

What is a food policy council?

Function as: food system planning venue.Bring together members from: government, universities, farmers and gardeners, food banks, restaurants, retailers, and faith communities.Focus on: economic development, health, agriculture, and social services.Tools: regulations, budgeting, legislation, programs and administration.

Why create food policy councils?

Economy: Economic development and entrepreneurial opportunities in local food production = jobs.Wellness: Improved health outcomes with access to wholesome foods.Environment: Improved environmental quality.Equity: Increased access to healthy food for all residents, regardless of income.

What is happening around the country?

Food Policy Councils: Common Themes

Diverse stakeholders Common interest – the food system Connection to policymakers Systems-level approach Desire to bring about change

What do they do?

Educate Commission market demand and feasibility studies for locally-

produced meat and produce Create maps of local resources, connect producers with buyers Host booth at the County Fair to conduct surveys

Shape Policy Advocate for ordinances that support urban farming (i.e.

raising chickens on city lots) Advocate for policy that supports ag land and beginning

farmersCoordinate

Support school local food purchasing policies Organize community gardens and SNAP at farmers’ markets