Making the Case for Policy Change November 13, 2013 The information and assistance provided in this webinar does not constitute legal advice or legal representation.

Overview

How do you pull the policy lever? What is the vision for your community? How do you pull the policy lever?

Community Change Framework Environment that Supports Community Health Policies Community Mobilization Community Education Advocacy with Organizational Decision Makers Educating Government Policymakers

Policy change Making the healthy choice the easy choice

Policy Any written plan or course of action designed to influence and determine decisions

Policy, systems, environmental change Practice/ Individual Behavior Programs Practice/ Individual Behavior

Policy, systems, environmental change Practice/ Individual Behavior Programs

Public health law Law and policies can be used to solve public health challenges

Why PSE change? Major health problems will not be solved solely by individual actions Health problems are influenced by societal policies and environments that promote unhealthy behaviors or fail to foster healthier choices Chronic disease prevention requires an “upstream” approach that improves the environments where we live, work, learn, play, and receive health care

Health Impact Pyramid

Impact of policy Vision Consistency Continuity

Healthy Eating Policies © Public Health Law Center

Comprehensive Food Policy Council Membership Mission/goals Responsibilities Comprehensive Food Policy Council

No written policy: Goals? This group will increase economic opportunities for local farmers. This group will organize cooking classes. This group will address the environmental impact of farming.

Santa Fe Food Policy Council: Goals The resolution sets forth the following vision for the Santa Fe food system: Affordable and nutritious food should be provided in a respectful manner and should be available to all people. A wide variety of safe and nutritious food should be available to city and county residents. Access to safe and nutritious food should not be limited by economic status, location, or other factors beyond a resident’s control.

Healthy beverage policy Goals and purposes Pricing requirements Product placement Use of promotional space Labeling Local purchasing Nutritional standards

No policy: Buying practice Sports drinks are healthy. They help with rehydration! As long as it is not pop or soda, it is fine. Diet soda is healthy.

Written policy Beverage Standards: 100% of beverages must be one or a combination of the following: o Water, including carbonated water (no added caloric sweeteners); o Coffee or tea with no added caloric sweeteners (if condiments are provided, sugars and sugar substitutes may be provided and milk/creamer products, such as whole or 2% milk, that have less fat than cream); o Fat-free or 1% low-fat dairy milk or calcium- and vitamin-D-fortified soymilk with less than 200 calories per container; o 100% fruit juice or fruit juice combined with water or carbonated water (limited to a maximum of 12-ounce container; no added caloric sweeteners); o 100% vegetable juice (limited to a maximum of 12-ounce container, no added caloric sweeteners, and ≤ 200 milligrams of sodium per container); and o Low-calorie beverages that are ≤ 40 calories per container.

Policies Supporting Walking and Bicycling

Master Bicycle/Pedestrian Plan Vision Advisory Committee Identifies Strategies/ Priorities Resource Allocation Master Bicycle/Pedestrian Plan

No written policy: Strategies? Link businesses with residential areas through trail networks. Create a bicycle/pedestrian advisory council. Create separate paths for bicycles and pedestrians. Mark all crosswalks with traffic signals.

Wichita Master Bicycle Plan Strategies Strategy 1 Provide on- street and off-street bicycle facilities where recommended. Strategy 2 Install a Signed Bicycle Route Wayfinding System. Strategy 3 Improve bicycle safety and access at arterial roadway crossings. Strategy 4 Improve bicycle access to transit stops and stations. ………………………………………………………………….. Strategy 25 Fund projects through the CIP, annual programs and grants. Strategy 26 Allocate staffing to implement this plan. Strategy 27 Create a bicycle and pedestrian advisory board. Strategy 28 Update the bicycle master plan on a regular basis. Strategy 29 Publish an annual implementation work plan. Strategy 30 Establish performance measures to monitor progress.

Complete Streets Purpose Reach Responsibilities/ Implementation Design Standards Complete Streets

No written policy: Design standards? Require sidewalks on both sides of the street in residential neighborhoods. Have elevated pedestrian bridges over busy intersections. Create wide shoulders so two bikers can ride side-by-side.

Complete Streets Design Guidelines– Tennessee Department of Transportation A Guide for Achieving Flexibility in Highway Design - AASHTO, Flexibility in Highway Design - FHWA, Designing Walkable Urban Thoroughfares: A Context Sensitive Approach - ITE/CNU, Urban Street Geometric Design Handbook - ITE, Planning Complete Streets for an Aging America - AARP, Highway Design Handbook for Older Drivers and Pedestrians - FHWA, A Policy on Geometric Design of Highways and Streets - AASHTO (often referred to as the Green Book), Guide for the Planning, Design and Operation of Pedestrian Facilities - AASHTO, Guide for the Development of Bicycle Facilities - AASHTO, and Roadside Design Guide - AASHTO. http://www.tdot.state.tn.us/bikeped/CompleteStreets.pdf

Communication strategies to engage your community December 11, 2013 Framing the Message Communication strategies to engage your community December 11, 2013

Communication Strategies: Targeting your audience Senior Leadership Team Coalition Key Stakeholders – i.e. Food producers Broader community leaders, Media

Questions? www.publichealthlawcenter.org Natasha Frost – Natasha.Frost@wmitchell.edu Mary Marrow - Mary.Marrow@wmitchell.edu