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www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and Projects Design for Health Carissa Schively Slotterback

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Page 1: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

www.designforhealth.net

Design for HealthApril 2009

APA PresentationDesign for Health: Strategies for Addressing Health

in Local Plans, Policies, and Projects

Design for Health

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Page 2: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

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Page 3: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

www.designforhealth.net

Design for HealthApril 2009

Design for Health www.designforhealth.net

Page 4: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

Page 5: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

Page 6: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

Page 7: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

www.designforhealth.net

Design for HealthApril 2009

Design for HealthProject Participants

Page 8: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

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Page 9: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

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Page 10: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

Page 11: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Connections Between Health Topics and Plan Elements

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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

Page 12: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

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Page 13: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Design for HealthDesign for Health Activities and Tools

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• 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

Page 14: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 15: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

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Page 16: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 17: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 18: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 19: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Page 20: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

40.3 % are within 400 m of a trail (49.32 % w/in 600 m)

Page 21: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Page 22: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

HIA: Ramsey

Current achievements, health goals, and policy directions (how to get there)

Page 23: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 24: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Page 25: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 26: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 27: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Implementation: Eden Prairie

• Site planning guidelines to implement comprehensive plan

• Address numerous health issues

Page 28: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Page 29: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Page 30: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

Page 31: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

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Page 32: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Approach:

• 2030 Comprehensive Plan Update

• Twin Cities Army Ammunition Plant (TCAAP)

City of Arden Hills

Arden Hills

Page 33: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 34: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Arden Hills Workshop & Game

Arden Hills

Created by HKGi, Inc

Page 35: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 36: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 37: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 38: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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

Page 39: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

www.designforhealth.net

Design for HealthApril 2009

Bloomington

• Four plan sections

• Planning context and framework

• Vision and Values

• System Plan

• Implementation

Page 40: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

BloomingtonTechnical Specifics

Page 41: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Bloomington

Page 42: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

Page 43: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

BloomingtonHealth Impact Assessment

Page 44: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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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

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Page 45: Www.designforhealth.net Design for Health April 2009 APA Presentation Design for Health: Strategies for Addressing Health in Local Plans, Policies, and

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Design for HealthApril 2009

Design for Health – www.designforhealth.net

Summary

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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