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

Design for Health April 2009 Design for Health Presentation 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 Carissa Schively Slotterback

Design for Health April 2009 Design for Health

Design for Health April 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 Health Project Staff

Design for Health April 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 Health Presenters

Design for Health April 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 Health Project Overview

Design for Health April 2009 Design for Health Project Participants

Design for Health April 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 Metropolitan Design Center

Design for Health April 2009 Design for Health Connecting 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 Carissa Schively Slotterback

Design for Health April 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 Plan Future land use Housing plan Resource Protection Transportation Traffic Analysis Zone (TAZ) Allocation Highway & roads plan Bike & pedestrian plan Special traffic situations Transit plan for facilities & service Aviation Plan Water Resources Wastewater & sewer plan Surface water management plan Water supply plan Parks & Open Space Regional parks and open space Optional Elements Design for Health

Design for Health April 2009 Connections Between Health Topics and Plan Elements Access Air Env. Hous.g Food Mental PA Safety Social Water Land Use Plan Future land use x xxxxxxxx Housing planx x x xxxxx Resource protection x x x Transportation TAZ allocation xx xx Highway & roads xx xx Bike & pedestrian xx x xxxx Special traffic xx x xxx Transit plan xx x xxx Aviation Plan xx 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 xxx x Optional elements: Economic Development x x Intergovernmental Coordination x x Urbanization & Redevelopment Areas xxxx xxxx

Design for Health April 2009 Health in Planning Policy Connecting Planning and Health Four general approaches (Morris 2007) Comprehensive plan update Corrective/Selective Amendments Revised Codes or Ordinances Separate Health- related Plans Carissa Schively Slotterback

Design for Health April 2009 Design for Health Design for Health Activities and Tools Carissa Schively Slotterback 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

Design for Health April 2009 Design for Health Health 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

Design for Health April 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 Carissa Schively Slotterback

Design for Health April 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

Design for Health April 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

Design for Health April 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

Design for Health April 2009

Design for Health April % are within 400 m of a trail (49.32 % w/in 600 m)

Design for Health April 2009

Design for Health April 2009 HIA: Ramsey Current achievements, health goals, and policy directions (how to get there)

Design for Health April 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

Design for Health April 2009

Design for Health April 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

Design for Health April 2009 Goals and strategies related to physical activity, social equity, mental health, air quality, water quality, food access, general access, and environment/housing

Design for Health April 2009 Implementation: Eden Prairie Site planning guidelines to implement comprehensive plan Address numerous health issues

Design for Health April 2009

Design for Health April 2009

Design for Health April 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 Health Presenters

Design for Health April 2009 Arden Hills City of Arden Hills (Image centered left to right, 2.5 up from bottom, 2.0 from top) 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 James Lehnhoff

Design for Health April 2009 Approach: 2030 Comprehensive Plan Update Twin Cities Army Ammunition Plant (TCAAP) City of Arden Hills Arden Hills

Design for Health April 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

Design for Health April 2009 Arden Hills Workshop & Game Arden Hills Created by HKGi, Inc

Design for Health April 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

Design for Health April 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

Design for Health April 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

Design for Health April 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 Health Presenters

Design for Health April 2009 Bloomington Four plan sections Planning context and framework Vision and Values System Plan Implementation

Design for Health April 2009 Bloomington Technical Specifics

Design for Health April 2009 Bloomington

Design for Health April 2009 Bloomington Citizen 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

Design for Health April 2009 Bloomington Health Impact Assessment

Design for Health April 2009 Design for Health Outcomes (Image centered left to right, 2.5 up from bottom, 2.0 from top) 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 one-stop shop for informationwww.designforhealth.net Carissa Schively Slotterback

Design for Health April 2009 Design for Health – Summary (Image centered left to right, 2.5 up from bottom, 2.0 from top) Carissa Schively Slotterback 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