Seizing the Moment and the Momentum: Opportunities for Advancing Community Prevention Sana Chehimi, MPH Prevention Institute May 2010 Sacramento, CA

a systematic process that promotes healthy behaviors and environments and reduces the likelihood or frequency of an incident, condition, or illness occurring. taking action to prevent problems from occurring before the onset of symptoms 4

Elements of Quality Community Prevention  Social and health equity: determinants of health and safety  Comprehensive approach – policy, environmental, and systems change  Multi field collaboration  Community engagement ownership and leadership  Evidence and innovation  Sustainability and norms change  Communication: making the case 5

Elements of Quality Community Prevention  Social and health equity: determinants of health and safety  Comprehensive approach – policy, environmental, and systems change  Multi field collaboration  Community engagement ownership and leadership  Evidence and innovation  Sustainability and norms change  Communication: making the case 6

The health inequities we see…are not about just individual bad choices: Nancy Krieger, Harvard School of Public Health “ ” they are about things not being fair 7

 Social networks & trust  Participation & willingness to act for the common good  Acceptable behaviors & attitudes  Racial justice  Jobs & local ownership  Education  What’s sold & how it’s promoted  Look, feel & safety  Parks & open space  Getting around  Housing  Air, water, soil  Arts & culture Elements of Community Health PEOPLE PLACE EQUITABLEOPPORTUNITY  Preventative services  Access  Treatment quality, disease management, in-patient services, & alternative medicine  Cultural competence  Emergency response MEDICAL SERVICES 8

Elements of Quality Community Prevention  Social and health equity: determinants of health and safety  Comprehensive approach – policy, environmental, and systems change  Multi field collaboration  Community engagement ownership and leadership  Evidence and innovation  Sustainability and norms change  Communication: making the case 9

A good solution solves multipleproblems. Prevention Institute 10

Health and Equity in all Policies

Elements of Quality Community Prevention  Social and health equity: determinants of health and safety  Comprehensive approach – policy, environmental, and systems change  Multi field collaboration  Community engagement ownership and leadership  Evidence and innovation  Sustainability and norms change  Communication: making the case 12

Education Health Law Enforcement Business Intersectoral Partnerships Agriculture Environmental Health Transportation 13

Healthy Eating & Physical PhysicalActivity Safety & Preventing Violence Addressing the Intersection: Preventing Violence and Promoting Healthy Eating and Active Living 14

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Elements of Quality Community Prevention  Social and health equity: determinants of health and safety  Comprehensive approach – policy, environmental, and systems change  Multi field collaboration  Community engagement ownership and leadership  Evidence and innovation  Sustainability and norms change  Communication: making the case 16

Engage Communities in Leadership 17

18 It’s not about building sidewalks. It’s about building the knowledge and will and capacity and policies to continuously build sidewalks for decades to come. Ashland, KY Rapid City, SD Slide courtesy of Mark Fenton

Elements of Quality Community Prevention  Social and health equity: determinants of health and safety  Comprehensive approach – policy, environmental, and systems change  Multi field collaboration  Community engagement ownership and leadership  Evidence and innovation  Sustainability and norms change  Communication: making the case 19

Local Wisdom Action Evidence Base Building on the Evidence 20

Elements of Quality Community Prevention  Social and health equity: determinants of health and safety  Comprehensive approach – policy, environmental, and systems change  Multi field collaboration  Community engagement ownership and leadership  Evidence and innovation  Sustainability and norms change  Communication: making the case 21

Triple Bottom Line 22

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Truth Campaign 24

Elements of Quality Community Prevention  Social and health equity: determinants of health and safety  Comprehensive approach – policy, environmental, and systems change  Multi field collaboration  Community engagement ownership and leadership  Evidence and innovation  Sustainability and norms change  Communication: making the case 25

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What’s Happening in CA? 27

The Strategic Growth Council, established to:  improve air and water quality  protect natural resource and agriculture lands  increase the availability of affordable housing  improve infrastructure systems  promote public health  assist state and local entities in the planning of sustainable communities and meeting AB 32 goals 28

SGC: Strategic Partnership Health and Human Services Business, Transportation and Housing CA Natural Resources Agency CA Environmental Protection Agency Office of Planning and Research Public Member Robert Fisher Robert Fisher 29

 Increase Access to Free Drinking Water during School Mealtimes  Eliminate Electrolyte Replacement Beverages from California Public Schools  Increase Moderate to Vigorous Physical Activity in After-School Programs  Increase Moderate to Vigorous Physical Activity in PE Classes  Increase Flexibility to Develop Joint Use Facilities  Simplify and Focus Safe Routes to Schools  Strategic Growth Council Executive Order Governor Schwarzenegger’s 8 Actions to Promote Healthy Living 30

California’s Health in All Policies (HiAP) Task Force “… to improve health outcomes, agencies should collaborate with each other to ensure that health is considered when policies are developed.” Governor Arnold Schwarzenegger, Executive Order S-04-10, signed on February 23,

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36 Prospect Park Before Revival Brooklyn, NY Photo: Librado Romero/The New York Times 36

37 Prospect Park Revival Brooklyn, NY Photo: Librado Romero/The New York Times 37

221 Oak Street Oakland, California phone: fax: