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www.designforhealth.net
Design for HealthApril 2009
APA PresentationDesign for Health: Strategies for Addressing Health
in Local Plans, Policies, and Projects
Design for Health
Car
issa
Sch
ive
ly S
lott
erb
ack
www.designforhealth.net
Design for HealthApril 2009
Design for HealthPresentation Overview
(Image centered left to right, 2.5 up from bottom, 2.0 from top)
I. 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 Car
issa
Sch
ive
ly S
lott
erb
ack
www.designforhealth.net
Design for HealthApril 2009
Design for Health www.designforhealth.net
www.designforhealth.net
Design for HealthApril 2009
• 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 HealthProject Staff
www.designforhealth.net
Design for HealthApril 2009
• 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 HealthPresenters
www.designforhealth.net
Design for HealthApril 2009
• 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 HealthProject Overview
www.designforhealth.net
Design for HealthApril 2009
Design for HealthProject Participants
www.designforhealth.net
Design for HealthApril 2009
– Accessibility– Air quality – Climate change– Environmental and housing
quality – Food – Health facility access– Mental health – Noise– Physical activity– Safety– Social capital– Water quality
Core Health Topics
Design for Health
Me
tro
pol
itan
De
sig
n C
en
ter
www.designforhealth.net
Design for HealthApril 2009
Design for HealthConnecting Planning and 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
Car
issa
Sch
ive
ly S
lott
erb
ack
www.designforhealth.net
Design for HealthApril 2009
Metropolitan Council Requirements 2008
Topics• Accessibility • Air Quality• Environmental and
Housing Quality • Food• Mental Health• Physical Activity• Social Capital• Safety (crime & traffic) • Water Quality
Land Use PlanFuture land useHousing planResource ProtectionTransportationTraffic Analysis Zone (TAZ) AllocationHighway & roads planBike & pedestrian planSpecial traffic situations Transit plan for facilities & serviceAviation PlanWater ResourcesWastewater & sewer planSurface water management planWater supply planParks & Open SpaceRegional parks and open spaceOptional Elements
Design for Health
www.designforhealth.net
Design for HealthApril 2009
Connections Between Health Topics and Plan Elements
Acce
ss Air
En
v. H
ou
s.g
Fo
od
Me
ntal
PA
Sa
fety
So
cial
Wa
ter
Land Use Plan
Future land use x x x x x x x x x
Housing plan x x x x x x x x
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 x
Special traffic x x x x x x
Transit plan x x x x x x
Aviation Plan x x x x
Water Resources
Wastewater & sewer x x x
Surface water x x x
Water supply plan x x
Reg. Parks and O.S. x x x x x
Optional elements:
Economic Development x x
Intergovernmental Coordination x x
Urbanization & Redevelopment Areas x x x x x x x x
www.designforhealth.net
Design for HealthApril 2009
Health in Planning PolicyConnecting Planning and Health
• Four general approaches (Morris 2007)
• Comprehensive plan update
• Corrective/Selective Amendments
• Revised Codes or Ordinances
• Separate Health- related Plans
Car
issa
Sch
ive
ly S
lott
erb
ack
www.designforhealth.net
Design for HealthApril 2009
Design for HealthDesign for Health Activities and Tools
Car
issa
Sch
ive
ly S
lott
erb
ack
• 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
www.designforhealth.net
Design for HealthApril 2009
Design for HealthHealth 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
www.designforhealth.net
Design for HealthApril 2009
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
Car
issa
Sch
ive
ly S
lott
erb
ack
www.designforhealth.net
Design for HealthApril 2009
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
www.designforhealth.net
Design for HealthApril 2009
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
www.designforhealth.net
Design for HealthApril 2009
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
www.designforhealth.net
Design for HealthApril 2009
www.designforhealth.net
Design for HealthApril 2009
40.3 % are within 400 m of a trail (49.32 % w/in 600 m)
www.designforhealth.net
Design for HealthApril 2009
www.designforhealth.net
Design for HealthApril 2009
HIA: Ramsey
Current achievements, health goals, and policy directions (how to get there)
www.designforhealth.net
Design for HealthApril 2009
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
www.designforhealth.net
Design for HealthApril 2009
www.designforhealth.net
Design for HealthApril 2009
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
www.designforhealth.net
Design for HealthApril 2009
Goals and strategies related to physical activity, social equity, mental health, air quality, water quality, food access, general access, and environment/housing
www.designforhealth.net
Design for HealthApril 2009
Implementation: Eden Prairie
• Site planning guidelines to implement comprehensive plan
• Address numerous health issues
www.designforhealth.net
Design for HealthApril 2009
www.designforhealth.net
Design for HealthApril 2009
www.designforhealth.net
Design for HealthApril 2009
• 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 HealthPresenters
www.designforhealth.net
Design for HealthApril 2009
Arden HillsCity of Arden Hills
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• 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
Jam
es
Leh
nh
off
www.designforhealth.net
Design for HealthApril 2009
Approach:
• 2030 Comprehensive Plan Update
• Twin Cities Army Ammunition Plant (TCAAP)
City of Arden Hills
Arden Hills
www.designforhealth.net
Design for HealthApril 2009
• 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
City of Arden Hills
Arden Hills
www.designforhealth.net
Design for HealthApril 2009
Arden Hills Workshop & Game
Arden Hills
Created by HKGi, Inc
www.designforhealth.net
Design for HealthApril 2009
• 2030 Comprehensive Plan Update– Active Living Chapter– Active Living Principles and Components in
Subsequent Chapters:• Land Use• Transportation• Parks and Recreation• Environmental Conservation and Sustainability
City of Arden Hills
Arden Hills
www.designforhealth.net
Design for HealthApril 2009
• Twin Cities Army Ammunition Plant (TCAAP)
• 585 acres• Mixed Use Development• Potential for 3,000 residents• Many challenges• Ongoing project
City of Arden Hills
Arden Hills
www.designforhealth.net
Design for HealthApril 2009
• 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
City of Arden Hills
Arden Hills
www.designforhealth.net
Design for HealthApril 2009
• 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 HealthPresenters
www.designforhealth.net
Design for HealthApril 2009
Bloomington
• Four plan sections
• Planning context and framework
• Vision and Values
• System Plan
• Implementation
www.designforhealth.net
Design for HealthApril 2009
BloomingtonTechnical Specifics
www.designforhealth.net
Design for HealthApril 2009
Bloomington
www.designforhealth.net
Design for HealthApril 2009
BloomingtonCitizen 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
www.designforhealth.net
Design for HealthApril 2009
BloomingtonHealth Impact Assessment
www.designforhealth.net
Design for HealthApril 2009
Design for HealthOutcomes
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• 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 shop for information
Car
issa
Sch
ive
ly S
lott
erb
ack
www.designforhealth.net
Design for HealthApril 2009
Design for Health – www.designforhealth.net
Summary
(Image centered left to right, 2.5 up from bottom, 2.0 from top)
Car
issa
Sch
ive
ly S
lott
erb
ack
I. 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