Kansas SNAP-Ed PSEs and FNP…What’s This Mean? October 7, 2014

What is Policy, Systems and Environmental Change? Policy, systems and environmental change is a way of modifying the environment to make healthy choices practical and available to all community members. By changing laws and shaping physical landscapes, a big impact can be made with little time and resources. By changing policies, systems and/or environments, communities can help tackle health issues like obesity, diabetes, cancer and other chronic diseases (Cook County Public Health).

Why is Policy, Systems and Environmental Change Important?  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

Programs and PSEs SettingProgram/EventsPolicy, Systems, and Environmental Change SchoolCelebrate national nutrition month Add fruits and vegetables to the a la carte options in schools CommunityHost a community bike ride and parade Implement a Complete Streets policy WorksiteStaff ChallengesHealthy meeting policies Food DesertsFood PantriesEconomic development incentives for full service grocery stores

ProgramPolicy Grocery ToursZoning policy limiting number of fast food restaurants and requiring corner/convenience store to meet WIC standards Featured RecipeHealthy nutrition standards in park and recreation food contract SmartBucks for Farmers’ Markets Dedicated local budget for SmartBucks Restaurant rating program Healthy rating program tied to license Educational Program promoting Water Building design standards requiring water fountains near high traffic areas and vending facilities Community GardenZoning code allowing for small-scale agriculture in residential and commercial areas

Policy, not program or projects Policies Ordinances Resolutions Planning & zoning Purchasing policies Economic development incentives/budge t Program Farmers markets Food pantries Eat local dinners Brochures Booths at special events Cooking classes

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

About Policy Change Passing of laws, ordinances, resolutions, mandates, regulation, or rules Governmental bodies, schools, parks and rec., worksites and other community organizations all make policy change Policies greatly influence the choices we make in our lives. Laws passed influence the daily decisions we make about our health. Examples: Adding a tax on unhealthy food, passing a laws allowing for community gardens in public spaces, prohibiting junk food in school fundraising, etc.

About Systems Change Involves change made to the rules within an organization. Systems and policy change often work hand-in-hand Systems change impacts all elements of an organization Examples: Creating a community plan to account for health impacts of new projects, creating a certification system for school bake sales to ensure they are in line with school wellness policy

About Environmental Change Environmental change is a change made to the physical environment Can be as simple as installing bike signage on established bike routes or as complex as sidewalk installation Examples: Bicycle/pedestrian master plan, placement of healthy & unhealthy foods in retail or vending environments.

Artfully Blend Policy-Program- Promotion Use programs as onramps and wrap-arounds Leverage policy & environmental changes Grow a constituency for change (e.g. demand

Impact Reach Exposure Potency many people with frequent exposure in a comprehensive way Focus on changing things that affect A Formula for Impact

50% healthy vending slots Ban on unhealthy foods in cafeteria Whole school reform + corner stores School reform + Corner Stories Walk to school day Walk to school year Safe Routes to School Safe Routes to School + Complete Streets Safe Routes + Complete Streets Adding Up Strategies…

Artfully Blend Policy-Program- Promotion - Discussion Think of the work you are or have been doing:  What behaviors are being modified?  What environments or systems are your target audience in?  Finally, develop a list of policies that would help support the behaviors that are being modified in the environments of your target audiences.

Message Environment Leadership Development and Information Assess Progress School Environment Retail Environment Civic Environment Health Care and Work Environment Early Childhood Environment The Healthy Behaviors framework recognizes action must occur at all levels – individual, family, community, and the broader society – to address the challenges posed by tobacco use, lack of physical activity and poor nutrition in Kansas. The environments identified in the framework represent important sectors of society where significant changes can occur to support health.

Copyright ©2010 American Public Health Association Frieden, T. R. Am J Public Health 2010;100: The health impact pyramid

Sedgwick Barton Butler Cherokee Clay Douglas Ellis Finney Ford Franklin Greeley Harper Harvey Gray Jefferson Johnson Lane Leavenworth Lyon Marion Marshall McPherson Miam i Chautauqua Morris Neosho Reno Rice Riley Russell Saline Seward Shawnee Sherman Sumner Thomas Wyandotte Decatur Sheridan Stafford Pratt Ellsworth Pottawatomie Nemaha Cowley Bourbon Osage Chase Cheyenne Cloud Dickinson Edwards Gove Greenwood Lincoln Montgomery Osborne Ottawa Rawlins Rooks Trego Washington Wichita Norton PhillipsSmithJewellRepublicBrown Doniphan Atchison JacksonMitchell Graham Wallace Logan Scott Ness Rush Wabaunsee Geary Pawnee Hodgeman HamiltonKearny Stanton Grant Haskell Morton StevensMeadeClark Kiowa ComancheBarber Kingman Labette Crawford Elk Wilso n Woodso n Allen CoffeyAnderson Linn Healthy Communities Initiative – Round 1 HCI – Round 2

Healthy Communities Initiative Team  HCI Leadership Teams Build support for policy, systems and environmental changes that promote healthy eating and active living.  Kansas Health Foundation Support leadership teams to implement the community change framework.  Technical Assistance Providers Center for Community Support & Research Public Health Law Center

HCI Implementation Grant Kansas Health Foundation will provide:  Funding Up to $25,000 per year over three years contingent upon a local cash match of $.50 on the dollar or $12,500 each year. Cash Match FAQ  Significant technical assistance To implement the community change framework to create an environment that supports the policy priority identified during the planning grant year.

Policy Priorities  Healthy Eating Food Policy Councils Healthy foods in public service venues Healthy Concessions Land Banking for Community Agriculture  Active Living Safe Routes to School Complete Streets Active Transportation

Statewide Partnership grantees will build support for policy, systems and environmental changes that ensure healthy food and beverage options are the routine, easy choice. We envision this initiative as a strong partnership among the grantees and Foundation. Statewide Partnerships

The American Heart Association Kansas Action for Children Kansas Hospital Association Kansas Rural Center KC Healthy Kids Healthy Communities Initiative

Healthy Kansas Schools  K-FIT  Let’s Move in Kansas Schools  School Wellness Policy Program  Healthier US Schools Challenge Incentive Grant  Youth Risk Behavior Survey  Team Nutrition Fresh Fruits and Vegetable Program

WorkWell Kansas Working with 30 communities over three years. Engaging 210 worksites. Developing a network of worksites interested in enhancing employees’ health and wellness through cultural, environmental, systematic, and policy changes at worksites across Kansas.

Food Policy Councils

What is a food policy council? Function as: food system planning venue. Bring together members from: government, universities, farmers and gardeners, food banks, restaurants, retailers, and faith communities. Focus on: economic development, health, agriculture, and social services. Tools: regulations, budgeting, legislation, programs and administration.

Why create food policy councils? Economy: Economic development and entrepreneurial opportunities in local food production = jobs. Wellness: Improved health outcomes with access to wholesome foods. Environment: Improved environmental quality. Equity: Increased access to healthy food for all residents, regardless of income.

What is happening around the country?

Food Policy Councils: Common Themes  Diverse stakeholders  Common interest – the food system  Connection to policymakers  Systems-level approach  Desire to bring about change

What do they do? Educate  Commission market demand and feasibility studies for locally-produced meat and produce  Create maps of local resources, connect producers with buyers  Host booth at the County Fair to conduct surveys Shape Policy  Advocate for ordinances that support urban farming (i.e. raising chickens on city lots)  Advocate for policy that supports ag land and beginning farmers Coordinate  Support school local food purchasing policies  Organize community gardens and SNAP at farmers’ markets