United States Public Health Service (USPHS) 2011 Field Training: Mobilizing Communities to Solve the problem of Childhood Obesity 1

Lets Move! Mobilization at the Federal Level 2

Lets Move! Mobilization at the Community level Parents Schools Mayors and Local officials HealthCare Providers Community Leaders (Faith based and Neighborhood Organizations) Chefs Children 3

Obesity: A Threat to the Nation The physical and emotional health of an entire generation and the economic health and security of our nation is at stake -First Lady Michelle Obama ( ) USPHS critical skills to mobilize communities: -Mission Statement: Protect, promote, and advance the health and safety of our Nation -6,500 full-time public health professionals; -Deliver the Nation's public health promotion and disease prevention programs and advancing public health science. -Frontlines in the Nation's fight against disease and public health challenges. -Trained for leadership during public health crises- “Mercy Model” 4

USPHS: Recent Mercy Model Response Missions September 2009: American Samoa Tsunami Direct: Psycho-social training for over 65 trainers Sustainable: “Train the Trainer” served over 900 children with psychosocial services; Partnership with FSU to create formal post graduate MSW program. January 2010: Haiti Earthquake Direct: 6,000 immunizations administered Sustainable: SOP implementation for Environmental Health; National vaccination program implementation May - September 2010: IHS support for suicide clusters Direct: Over 500 direct clinical services Sustainable: Implemented programs delivered healthcare services for over 1100 youth; Systems of Care grant for $1million; ongoing programmatic consultation 5

USPHS Officers often deploy as Mercy Teams. - Small groups of officers (typically 4-6) - Trained and experienced in working with host systems and agencies - Composed of specific medical, public health, and health system experts who generally integrate directly into community systems to support and sustain health systems and programs. - Teams work to bridge health service gaps between community systems/agencies; assist locals to implement programs, and build capacity in systems affected by crises or conflict. USPHS Mercy Model Capabilities for Lets Move! 6

Collaborate with existing community resources for direct and indirect services. -Integrate professions, approaches and worldviews into actual programming; -Promote use of community anchors, programs, and resources Help communities improve or expand their range and quality of wellness services. -Work across systems and agencies to better communicate, educate and coordinate -Emphasize collaborations and coordinated approaches (not unilateral action) -Assist in program development through implementation of best practices Act as field coordinators for on-the-ground mobilization of “Let’s Move!” -Coordination includes integrating in interagency environments to support their efforts -Implement scalable leadership and management structures for “Let’s Move!” USPHS Mercy Teams: Leadership for Lets Move! 7

Lets Move! Mobilization Strategy Coordinate : -Systems of care; Faith-based and neighborhood organizations, healthcare entities, schools, children, social service agencies, governmental officials Integrate: -Professions, approaches and worldviews into actual programming, as much as possible. Mobilize: - Agencies, programs, and staffs to deliver services and implement “Let’s Move!” programs - Community strengths and resources; - Collaborations and coordinated approaches 8

USPHS Mercy Teams Community Health Teams (CHT) -provide “Lets move!”education, training, and clinical services to community leaders, faith-based and neighborhood organizations, parents and children Health Systems Teams (HST) -provide consultation with mayors, local government and school officials, and healthcare leaders on “Lets Move!”program delivery and infrastructure development Population-based Training Teams (PTT) - develop innovative “Lets Move!” training curricula for dissemination to healthcare providers, school personnel, and parents to ensure long term sustainability and increased competencies 9

USPHS Mercy Teams: Population Based Service and System Level Interventions 10 Increase physical activity Improving access to healthy, affordable foods Providing healthy foods in schools Empowering parents and caregivers Population Training Teams: Training curriculum for healthcare providers, school personnel, and parents Community Health Teams Healthcare providers, community leaders teachers, parents, children, chefs, Health System Teams: Government Officials, Hospital CEOs, School Officials

USPHS 2011 Field Training and Beyond - Return on Investment Limited resources are maximized for sustainable public health interventions - Scalable capabilities Public health programs: anti-bullying, suicide prevention, and tobacco cessation 11