Planning for Mental Health and Wellbeing Moderator : Della Acosta Of Sound Mind Planning for Mental Health and Wellbeing Moderator : Della Acosta

Objectives Understand relationship of mental health and built environment Understand how mental states or illnesses affect day-to-day functioning Develop methods to adapt built environment for mental health Develop networking tools for planners and mental health professionals Della

Timeline Panelist Introductions Activity : A Day in the Life Why is considering mental health important for planners? Panel discussion Della

Panelist Introductions

Panelists Della Acosta Comprehensive Planner at Michael Baker International Angie Hood-Medland, MD Primary Care Clinician and Postdoctoral Fellow, UC Davis Shannon Suo, MD Family Medicine/Psychiatry Clinician Educator, UC Davis Al Rowlett, MSW, MBA CEO of Turning Point Community Programs Rachel Ford Consumer Affairs Liaison, Solano Behavioral Health; diagnosis of Bipolar Disorder Della

Activity “Choose your own adventure” style game As a group: Read the bio card for the person you are playing Play through the day of the individual Each step in the person’s daily routine will have choices to make Each choice will take a number of energy tokens Della

Three tokens : high-level Energy Tokens Represents the level of energy each choice or action takes. The number of tokens must be paid for each choice. Level depends on difficulty of the task, the mental health status of the role, and the particular stressors of that person Della One token : low-level Two tokens : mid-level Three tokens : high-level

Energy Tokens Each person has a different number of tokens, dependent on their starting energy levels Each person should end with a specific number range of tokens remaining to represent the ideal actions chosen and energy level throughout the day Della

Crisis! If your person hits zero tokens, they have hit their capacity to emotionally manage the events of the day and have a mental crisis. Turn over and read the crisis card for that person, and the round is over. To succeed each round, the person has to be within a specific range of tokens remaining to represent they have chosen the best actions to manage their energy level throughout the day Della

While you play Starting Tokens: Carmen: 15 tokens Arnold: 12 tokens Teresa: 15 tokens Philip: 9 tokens Rebekah: 12 tokens Jack: 9 tokens Draw or write ideas on the large sheet of paper for discussion at the end: How would a city planner work with staff, officials, and other agencies or departments to reduce the energy required for these scenarios? Della

Ideal Tokens Remaining Carmen: 3 - 5 tokens Arnold: 2 – 4 tokens Teresa: 2 – 4 tokens Philip: 1 – 2 tokens Rebekah: 2 – 4 tokens Jack: 1 – 2 tokens

Why is talking about mental health important? Angie

not merely the absence of disease or infirmity.” What is Mental Health ? “A state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community” “Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” Angie World Health Organization

Prevalence 1 in 4 people affected by a mental health problem in any year Globally, mental disorders cause more disability than any other non-communicable disease Angie – give more context Mental health concerns are not just the realm of those with diagnosed disorders – they affect almost all people at some point of their lives

Mental Health Affects Cities Direct Costs Health care long-term care Disability Physical health Mortality Undertreatment Indirect Costs Informal care Homelessness Employment Angie Direct and Indirect costs of mental illness = 4% GDP

Urban Living Increase in Mood disorders Anxiety disorders Schizophrenia Cocaine and heroin addiction Decrease in Suicide risk Dementia Alzheimer's disease Alcohol, prescription drug, methamphetamine abuse Angie Reasons cities may increase mental health problems Pre-existing factors Social factors Environmental factors Overload Erosion of protective factors (A lot of the recommendations for sustainability, resiliency, growth management are COUNTER to the recommendations for mental health)

Why should planners talk about mental health? Della

Planning for Mental Health: Significantly improves quality of life and social capital Strengthens resilience Helps to reduce and accommodate the most common mental health concerns Improves the productivity and efficiency of the community Reduces burdens on residents and jurisdictions

Panelist Discussion Go table to table for summary of thoughts and ideas, and then ask for general questions

Della Acosta Michael Baker International dacosta@mbakerintl Della Acosta Michael Baker International dacosta@mbakerintl.com Angie Hood-Medland, MD UC Davis eahood@ucdavis.edu Shannon Suo, MD UC Davis ssuo@ucdavis.edu Al Rowlett, MSW, MBA Turning Point Community Programs alrowlett@tpcp.org Rachel Ford Solano Behavioral Health reford@SolanoCounty.com