Health Equity and Community DevelopmentB U I L D I N G H E A L T H Y, S T R O N G , A N D S A F E C O M M U N I T I E S F R O M T H E I N S I D E O U T :

H O W D O H E A L T H A N D C O M M U N I T Y D E V E L O P M E N T O B J E C T I V E S O V E R L A P ?

Friday, August 12, 2016

RISE’S MISSION

Rise partners with communities to build stronger, more equitable St. Louis area neighborhoods.

AG E N DA

9:30 - 9:45 Introductions

9:45 - 10:40 Presentations

10:40 - 10:50 Break

10:50 - 11:20 Breakout Session

11:20 - 11:50 Panel Discussion

11:50 - 12:00 Question/Answer Session

PURPOSE

Neighborhoods can’t thrive without strong, healthy residents. How can we collaborate to improve wellness and safety in our communities?

Today is an opportunity to connect local health care experts, community development practitioners, and community partners to discuss local health and safety needs, learn from health initiative success stories, and workshop strategies for promoting health and well-being in the communities we all serve.

G R O U P T R A I N I N G O B J EC T I V E S

Key questions guiding this group training include:

• How do health and safety impact community development?

• How are local hospitals and health agencies leveraging Community

Health Needs Assessments (CHNAs) and community outreach programs

to address important health and safety issues in our neighborhoods?

• What are local community development organizations and their

partners doing to improve health and safety awareness and build

wellness among their residents?

• What pressing health and safety needs exist in your community? How

can they be effectively and efficiently addressed?

C O M M U N I T Y D E V E LO P M E N T I N S T. LO U I S

Encourage and promote the industrial, economic, entrepreneurial, commercial and civic development or redevelopment of a community or area, including the provision of housing and community economic development projects that benefit low-income individuals and communities.

Source 1: Missouri Department of Economic DevelopmentSource 2: Swanstrom, Todd and Karl Guenther. 2011. Creating Whole Communities: Enhancing the Capacity of Community Development Nonprofits in the St. Louis Region. http://pprc.umsl.edu/pprc.umsl.edu/data/EnhancingCapacity2011.pdf (August 8, 2016).

1• St. Louis needs to increase its capacity for

strategic community development.

2• Strategic community development requires a

supportive community development system.

3• It is important to increase the capacity for

CDCs to implement place-based strategies.

C O M M U N I T Y D E V E L O P M E N T V E R T I C A L M O D E L

Source: Guenther, Karl. 2014. “Framework for a St. Louis Regional Community Economic Development System.” In Building a St. Louis Regional Community Development System, ed. Karl Guenther. http://stlouis.uli.org/wp-content/uploads/sites/51/2015/06/StrengtheningNeighborhoodsTaskForceFinalMarch2015.pdf (August 10, 2016).

C O M M U N I T Y D E V E LO P M E N T A N D H E A LT H

Regions are systems of neighborhoods that are interdependently linked. The prosperity or poverty of one neighborhood affects the prosperity and poverty of others.

Healthy neighborhoods are critical for the development of a healthy, prosperous community:

When we allow neighborhoods to decline as a result of concentrated poverty, housing abandonment, neglected public infrastructure, and other dysfunctions, we waste human resources that could be better put to use to bolster the regional economy. For example, when people live in communities without access to jobs, the result is an underperforming job market characterized by pockets of high unemployment. Economically and racially segregated neighborhoods are associated with poor health outcomes caused by stress, poor air quality, and lack of access to medical services. We all end up paying for these costs through our public and private health insurance.”

“

Source: Swanstrom, Todd. 2014. “Introduction: Why Strong Neighborhoods are Necessary for a Strong Region.” In Building a St. Louis Regional Community Development System, ed. Karl Guenther. http://stlouis.uli.org/wp-content/uploads/sites/51/2015/06/StrengtheningNeighborhoodsTaskForceFinalMarch2015.pdf (August 10, 2016).

H E A LT H Y C O M M U N I T Y M O D E L

Source: Grey Bruce Health Unit. 2016. “Building Healthy Communities Together.” https://www.publichealthgreybruce.on.ca/portals/0/images/Healthy_Communities/Healthy-Communities-Parts_diagram.jpg (August 8, 2016).

H O U S I N G A N D H E A LT H

Enterprise Community Partners, Inc. commissioned Providence’s Center for Outcomes Research & Education (CORE) to conduct a study exploring links between affordable housing and health (Health in Housing: Exploring the Intersection Between Housing and Health Care).Key findings:

• Affordable housing residents are often less healthy than the general population.

• Access to stable housing plus health-related services can produce:• Cost savings• Lower costs to health care systems• Decrease in total Medicaid expenditures

• Improved resident health outcomes• Primary care visits: up more than 20 percent• Emergency department visits: down 18 percent• Residents self-reported that access to care and quality of care

improved 40 percent

Source: Sandel, Megan and Laurel Blatchford. 2016. “Bending the Healthcare Cost Curve: Four Policy Recommendations for Healthy Housing.” June 27. http://www.phi.org/news-events/1037/bending-the-healthcare-cost-curve-four-policy-recommendations-for-healthy-housing?utm_source=PHI+Newsletter&utm_campaign=83571cf71e-July_2016_external_news_2&utm_medium=email&utm_term=0_14767b3be6-83571cf71e-48885365 (August 8, 2016).

P U B L I C P O L I C Y A N D H E A LT H

The City of St. Louis' Sustainability PlanHealth, Well-Being, and Safety (one of seven functional categories)“The City of St. Louis aspires to foster a balanced and thriving environment and high quality of life that satisfies physical, spiritual, and mental needs of its constituents; prevents disease through nutritional, lifestyle, and fitness opportunities; promotes safety and peace through the empathetic awareness of self and others; and a place where timely responses to natural disasters are delivered by a coordinated and prepared resource network.”

Objectives:A. Advance Positive Behavior, Nonviolent Conflict Resolution, and

Crime PreventionB. Reduce Toxins in the EnvironmentC. Increase Access to Healthy, Local Food and Nutrition EducationD. Encourage Physical Activity, Fitness, and RecreationE. Ensure Access to Local Health Systems, Services, and InformationF. Minimize Vulnerability to Hazards and Disasters

Source: City of St. Louis Planning Commission. City of St. Louis Sustainability Plan. https://www.stlouis-mo.gov/government/departments/planning/documents/city-of-st-louis-sustainability-plan.cfm (August 7, 2016).

The City of St. Louis' Obesity Plan 2018 goal: reduce obesity by 5%

1. Identify obesity baseline data, monitor, and evaluate Plan progress.

2. Create city-wide obesity prevention campaign and support partner collaboration.

3. Improve access to quality healthy eating opportunities.4. Improve access to quality active living opportunities.5. Improve access to quality health care through reduction in the

number of uninsured and increased use of preventative care.

Five social determinants of health:1. Economic Stability2. Education3. Social and Community Context4. Health and Health Care5. Neighborhood and Built Environment

P U B L I C P O L I C Y A N D H E A LT H

Source: City of St. Louis Department of Health. St. Louis: The City Where Healthy Living Matters. https://www.stlouis-mo.gov/government/departments/health/documents/upload/Obesity_Plan_FINAL-1.pdf (August 7, 2016).

P U B L I C P O L I C Y A N D H E A LT H

St. Louis City Community Health Improvement Plan, 2014-2017City of St. Louis Department of Health

Mission (from Mayor Slay): “It is both my mission and passion to ensure that St. Louis strives to be a great and prosperous city; one that is healthier, cleaner, safer, better educated, more open to diversity and more fun.”

Five Outcome Areas:1. Chronic Disease Mortality2. Education and Pipeline to Success (monitoring basis only)3. Youth Violence Prevention4. Sexual and Reproductive Health5. Substance Abuse and Addiction

Source: City of St. Louis Department of Health. 2014. 2014-2017 Community Health Improvement Plan. https://www.stlouis-mo.gov/government/departments/health/documents/upload/CHIP-2015.pdf (August 7, 2016).

P U B L I C P O L I C Y A N D H E A LT H

St. Louis County Community Health Improvement Plan St. Louis Partnership for a Healthy CommunityLed by St. Louis County Department of Health

Mission: “As partners, we will join forces to improve the health ofSt. Louis County residents through comprehensive and accountableassessment, planning, programming, and measurement.”

Four Health Priority Areas:1. Access to Health Care2. Behavioral Health (Mental Health and Substance Abuse)3. Healthy and Safe Environments (Asthma)4. Prevention and Disease Management (Obesity and Sexually

Transmitted Infections)

Source: St. Louis County Department of Health. 2014. 2014 St. Louis County Community Health Improvement Plan. http://www.stlouisco.com/HealthandWellness/HealthPromotionandCHIP/CommunityHealthAssessment (August 7, 2016).

P U B L I C P O L I C Y A N D H E A LT H

St. Clair County Community Health PlanSt. Clair County Health Department

Mission: “We are a collaborative public health system that mobilizes resources to meet identified health needs and promote the health and well-being of all of the residents of St. Clair County. We do this to enable St. Clair County to be among the healthiest counties in America by the year 2020.” Mobilize private and public sectors for health care progress Identify health care problems affecting the St. Clair County population Develop and implement intervention activities through collaboration

Four Health Priority Areas:1. Risk Factor Prevention for Chronic Diseases2. Maternal and Child Health3. Behavioral Health4. Violence Prevention and Safety

Source: St. Clair County Health Department. 2011. St. Clair County Community Health Plan. http://www.health.co.st-clair.il.us/about/Documents/SCCHD2011IPLAN.pdf (August 7, 2016).

P U B L I C P O L I C Y A N D H E A LT H

Madison County Health Needs Assessment and Community Health Plan, 2011-2016Madison County Partnership for Community Health

Mission Statement: “To improve the health of Madison County residents through collaborative efforts of organizations and individuals interested in creating, promoting, and maintaining healthy environments and lifestyles.”

Five Health Priority Areas:1. Air Quality/Environment2. Mental Health3. Obesity4. Substance Use and Abuse5. Teen Pregnancy

Source: Madison County Partnership for Community Health. 2011. Madison County Health Needs Assessment and Community Health Plan, 2011-2016. http://www.co.madison.il.us/document_center/Health/2011_2016_Madison_County_Health_Needs_Assessment_and_Community_Health_Plan.pdf (August 7, 2016).

PA R T I : P R E S E N TAT I O N S

Speaker(s) Organization Focus

Michele Hoeft Barnes-Jewish HospitalChristian Hospital

Health Care Providers, Community Health Needs Assessments (CHNAs),and Community Outreach

Lindsay Elliott DeSales Community Housing Corporation

Community Development Organizations and Community Health

Jo Ann Rankins-Cannon City of St. Louis Neighborhood Stabilization Team

Neighborhood Safety, Vacancy Concerns and Violations, and Community Health

PA R T I I : B R E A KO U T S E S S I O N

Group A Group B

Discuss: What major health issues exist in your community and/or area?

Discuss: What major safety issues exist in your community and/or area?

• Please choose a note-taker and a presenter as you begin your conversation.

• We will discuss separately for about 20 minutes before each group shares their ideas with the rest of the room.

PA R T I I I : PA N E L D I S C U S S I O N

Speaker(s) Organization Focus

Melissa Ramel St. Louis City Health Department and SLU

• Moving forward: where do we go from here?

• Where do you see potential for more collaboration in the community health field?

• Where could stronger partnerships and better inter-organizational communication strengthen the work you're doing?

Richelle Clark Washington University in St. Louis Institute for Public Health – Center for Community Health Partnership and Research

Paul Sorenson Grace Hill Settlement House

Melissa Logsdon Missouri Foundation for Health

QUESTIONS?