1. Integrating Health into Planning and Community Design, Part II Building Healthier Communities Fundamentals and Strategies for Integrating Public Health into Community Design 4 th Annual Partners for Smart Growth Conference January 27, 2005, Miami Beach

2. Public Health Community Planning and Design Community Planning and Design Physically Active Communities Physically Active Communities A Convergence of Priorities

3. Planning/Public Health Chronology (from a planners perspective) 1850 - 1920s: The public health roots of planning 1920 – 1930s: Zoning and subdivision regulations emerge to deal with nuisance issues, property values, quality of life 1945 – present: Urban decentralization, vast changes in jobs/housing proximity, consumer preferences, wealth; (now) conventional development patterns become norm 1970 – 1985: State growth management movement 1990 – present: Major change in Federal transportation priorities ISTEA (1990); TEA-21 (1997); TEA 3 (2003 reauthorization) 1990 – present: Smart growth movement 1997 – present: Public health and planning renew their marriage vows

5. Barriers to Health and Physical Activity: Is Community Design Part of the Problem? Separated land uses Auto-dominated community design Large lots Impervious surfaces Ignoring human scale Prohibited connections between origins and destinations

6. Public Health Profession Has Also Reached Some New Conclusions Individual interventions have been only moderately successful Its time to turn attention to environmental factors Development patterns have altered the balance of human behavior The social costs of current development patterns are greater than traffic congestion Conventional suburbia may be neither safe or healthy

7. Psychological, cognitive & emotional factors Attitudes / preferences Socio- demographic factors Social/cultural factors Built environment factors Level of Routine Physical Activity Level of Routine Physical Activity How, where, and to what extent we travel How, where, and to what extent we travel

8. Initial considerations Trip barriers Destination barriers Decision to walk/bike Family responsibility Work requirements Preferences Distance Time Weather Geography Route feasibility Route attractiveness Traffic safety Storage Showers Employer support If feasible If overcome Plannings Degree of Influence on the Decision to Walk or Bike

9. Regional structure Density and intensity Land use mix Street connectivity Street scale Aesthetic qualities Dimensions of Community Design that Affect Physical Activity

10. APAs Five Strategic Points of Intervention Where Planners Can Promote Change 1. Visioning and goal setting 2. Rethinking planning in all contexts 3. Local implementation tools 4. Site Design and Development 5. Siting Public Facilities and Capital Spending

11. 1. Visioning and Goal Setting Begins with a discussion of shared values Results in a shared image of a community imagines most desired future Provides a broad context within which goals are set and plans are developed Majority of planning efforts now launched with a visioning exercise (reflective of more citizen participation)

12. 2. Rethinking State and Local Planning Comprehensive plans Neighborhood plans Redevelopment plans

13. …2. Functional Plans Functional Plans –Health services –Bicycle and pedestrian –Transit –Streets and circulation –Trails –Parks –Housing –Economic development –Schools and campuses

14. 3. Local Implementation Tools Zoning and subdivision regulations –Rethink development density –Mix land uses –Connect streets and routes –Require sidewalks –Open space Transit-oriented development Traditional neighborhood development

15. … 3. More Implementation Tools Capital improvement programs Streetscape improvements Traffic calming in neighborhoods Transportation enhancements Financial set asides for parks and trails

16. 4. Site Design and Development Improve the pedestrian environment Security, lighting, visibility Protection from traffic Adequate accommodation Building orientation, setback requirements Public art Architecture and appearance Street trees, landscaping, open spaces Well connected routes

17. …4. Site Design and Development Bicycle facilities Sidewalk requirements Parking lot layout and design Amenities/conveniences for active people Encouraging signage Usable parks, open space Accessible stairways

18. 5. Siting and Use of Public Facilities and Capital Spending Public Spaces Schools Post offices Libraries Museums Parks City Hall Campuses Community Centers

19. Project Staff Planning and Public Health American Planning Association Marya Morris, AICP, Project Director National Association of County and City Health Officials Valerie Rogers, MPH, Project Director Jessica Solomon Centers for Disease Control and Prevention Andrew Dannenberg, MD, MPH Chris Kochtitsky,AICP, MPH Laura Harden, MEd