1. All SDOHs are local: collaborating to assure healthy habitats for humans Barbara Laymon, MPH National Association of County and City Health Officials

2. Introduction With your local health department… Think globally, act locally ■ Eco-social model ■ Local health department collaborations –Community health assessment and improvement activities –Policy arena –Methods Health is complete physical, mental, and social well-being

3. Eco Social Model of Health http://www.ncvhs.hhs.gov/21st%20final%20report.pdf http://www.ncvhs.hhs.gov/21st%20final%20report.pdf

4. Local health department strategic opportunities for collaboration ■ Community Health Assessments ■ Community Health Improvement Plans ■ County government interagency efforts ■ Health Impact Assessments ■ Policy Analysis ■ Community Engagement

5. Community health assessment Community Health Assessment ■ Norwalk, CT http://www.naccho.org/topics/infrastructure/healthy- people/upload/Norwalk-s-presentation-Moving- Forward-April-2013.pdf ■ Ingham County (Lansing, MI) Health Department http://www.naccho.org/topics/infrastructure/healthy- people/upload/NACCHO-Healthy-People-Mtg-HCC.pdf

6. County government In early 2012, King County agencies made commitments and created work plans for Equity and Social Justice. This section includes notable achievements plus a series of stories that provides a more in- depth illustration of the work by King County http://1.usa.gov/16bMd Y3

7. Community engagement The Cuyohoga County (OH) Health Department used photovoice to capture the concerns of young people. The coalition was able to use these messages to change the environment in ways that support health. http://ccbh.info/hipcuyahoga/?tag=ohio-department-of-job-and- family-serviceshttp://ccbh.info/hipcuyahoga/?tag=ohio-department-of-job-and- family-services

8. Policy Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative: http://www.publichealthreports.org/issueopen.cfm?articleID=3050 http://www.publichealthreports.org/issueopen.cfm?articleID=3050

9. Health Impact Assessments ■ Delaware General Health District in Delaware, OH ■ Prince George's County Health Department in Largo, MD ■ New Orleans Health Department in New Orleans, LA ■ Public Health Madison and Dane County in Madison, WI ■ http://www.naccho.org/topics/environmental/h ealth-impact-assessment/index.cfm http://www.naccho.org/topics/environmental/h ealth-impact-assessment/index.cfm Healthy habitats take planning

10. Summary Influencing Social Determinants of Health ■ Be strategic ■ Use the community health assessment and improvement planning processes in your community ■ Use policy analysis, health impact assessments, and county government And remember… It’s all about engagement

11. Many thanks blaymon@naccho.org