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Creating a Culture of Health Together Presented by: Dennis McNamara & Mariel Mehdipour Kern County 2016 SNAP-ED LIA Forum January 13, 2016 For CalFresh information, call 1-877-847-3663. Funded by USDA SNAP-Ed, an equal opportunity provider and employer. Visit www.CaChampionsForChange.net for healthy tips. What does our reality look like? How is Kern County doing? • #4 in state for deaths related to heart disease. • #2 in state for deaths related to diabetes. • Over 3 out of 4 Kern adults are overweight or obese. • Almost half of Kern 7th graders are NOT physically fit. • Over 1/3 of hospitalizations in Kern County are for patients with diabetes. What does our reality look like? What was the reality for our first HR project? Resident Feedback: Healthy Food Access Common themes were expressed: • “over priced” • “lacking in accessibility of produce” • “too far to walk to the main supermarket” Resident Feedback: Active Living Common themes were expressed: • “unsafe for pedestrians to walk on the street” • “cute & adorable but can be dangerous to children & families (i.e. stray dog) We began looking at health differently almost 10 years ago. To create a culture of health, what did we need to look at? • Policies • Systems • Our Surroundings (Built Environment) What is our role? Kern Co. Public Health Services • • • • • • • Assessing the problem. Addressing how to tackle the issue. Continuing discussions with various stakeholders and potential partners. Securing “champions.” Beginning work/Building the framework. Identifying and sustaining funding. Being a role model. What is our role? City of McFarland • • • • • • • Assessing the problem. ID the top community infrastructure needs. Addressing how to tackle the issue. Continuing discussions with various stakeholders and potential partners. Identifying projects. Identifying and sustaining funding. Being a role model. Building & Sustaining Relationships Collaborate: A Definition Per Merriam-Webster: • to work jointly with others or together especially in an intellectual endeavor • to cooperate with an agency or instrumentality with which one is not immediately connected Building & Sustaining Relationships Key Elements • Common Mission • Complementary Strengths • • • • • • Flexibility Open Communication Open Mind Sense of Humor Trust Wholeness Building & Sustaining Relationships • • • • • • • • • • The California Endowment - BHC South Kern California FreshWorks Funds CDC CDPH CNAP Partners Community Based Organizations CSUB Early Childhood Education Centers Faith Communities Health Systems Building & Sustaining Relationships • • • • • • • • • Kaiser Permanente KC Department of Human Services KC Library Kern Family Healthcare Residents School Districts United Way of Kern County Vision y Compromiso (Promotoras) Youth Building & Sustaining Relationships • • • • • • City/County Code Compliance City/County Planning Departments Consultants (Planning Field) DHF – Community Organizers Elected Officials Environmental Justice Groups Building & Sustaining Relationships • • • • • • • City/County Animal Services KC Probation City/County Waste Management KCPHSD, Environmental Health Law Enforcement Media Store Owners/Retailers What happens once relationships are built? Policy Change Arvin General Plan Update 2012 Systems Change Engaged retailers will adjust/adapt how they “do business.” • Enhancing retailers economic vitality (e.g. increase WIC, EBT & cash sales) • Increasing access to produce Changing the “faces” of participation in the process like youth and retailers • Engage with retailers (e.g. product requests) Environment Change Environment Change Funding Streams • • • • • • • • California FreshWorks Fund The California Endowment CDC, Public Health Associate Program Community Transformation Grant City &/or County General Funds Kaiser Permanente NEOP (TA and Staffing) Retailer (Lighting, Flooring, Electrical Work, Plan Checks, Paved Parking Lot) • In Kind What can healthy retail lead to? Creating a culture of health that: • • • • • Healthier Residents Children Ready to Learn Increasing Our Sense of Community Improving Our Quality of Life Improving Safety What can healthy retail lead to? Creating a culture of health that: • Economic Development • Equal Access to Services • Equal Access to Healthier Food Options • Viable Alternative Transportation Options What is a general plan? What is a General Plan? • The California Supreme Court has called the general plan the “constitution for future development.” • The general plan expresses the community’s development goals and embodies public policy relative to the distribution of future land uses, both public and private A General Plan is required to contain 7 Mandatory Elements and can contain Optional Elements also: Required Elements • Land Use • Circulation • Housing • Conservation • Open Space • Noise • Safety Optional Elements • Air Quality • Public Health A general plan is made up of text describing goals, objectives, policies, implementation measures as well as a set of maps and diagrams. • A goal is a general expression of community values. • An objective is a specified end, condition, or state that is an intermediate step toward attaining a goal. • A policy is a specific statement that guides decisionmaking. It indicates a commitment of the local legislative body to a particular course of action. A policy is based on and helps implement a general plan’s objectives. • An implementation measure is an action, procedure, program, or technique that carries out general plan policy. Each policy must have at least one corresponding implementation measure. What are our guiding principles? McFarland examples of encouraging retail: Principle • Planning for the City of McFarland should strive to create a complete and integrated city containing housing, shops, work places, schools, park and civic facilities essential to the daily life of the residents. Objective • Establish a well-balanced mix of residential, commercial, industrial, and open space/public land which will create and maintain a high quality environment and a fiscally sound economy. Policy • All development shall conform to the land use density and intensity standards depicted in the General Plan. McFarland examples of encouraging retail: Principle • The “Downtown Area” shall have a center focus that combines commercial, civic, cultural and recreational uses and housing. Objective • Preserve the land use patterns and scale in the City’s Downtown business district. Policy • In order to enhance pedestrian activity, the City shall prohibit drive-through restaurants and businesses from locating in the central business district. • The City shall work to develop a parking lot in the Downtown area. • Strip mall type development shall be prohibited in the Downtown area. West Kern Avenue McFarland Tent & Awning Bridge Gazebo McFarland’s Efforts in Improving the Quality of Life for its Citizens • • • • • • • • New recreational opportunities Community Garden Improved pedestrian infrastructure Development of a bicycle network Subdivision Guidelines to encourage non-vehicular modes of transportation. Encouraging mixed use development. Local Hazard Mitigation Plan Pursuing grants to assist the City in developing parks, bicycle paths, sidewalks and ADA compliance requirements. Industrial Avenue New Parks ATP CA FreshWorks Fund CDBG Program Kaiser Permanente Local Dollars PG&E Famosa Nut Pending Cornerstore Project Pending Cornerstore Project Pending Cornerstore Project McFarland Community Garden McFarland Community Garden Enhanced Animal Control “Without a sense of Caring, there can be no Community.” Thank You! Contact Information Dennis McNamara Planning Director City of McFarland (661) 792-3091 [email protected] For CalFresh information, call 1-877-847-3663. Funded by USDA SNAP-Ed, an equal opportunity provider and employer. Visit www.CaChampionsForChange.net for healthy tips. Thank You! Contact Information Mariel T. Mehdipour, MPH Director, Community Wellness Unit Kern County Public Health Services Department (661) 868-0326 [email protected] For CalFresh information, call 1-877-847-3663. Funded by USDA SNAP-Ed, an equal opportunity provider and employer. Visit www.CaChampionsForChange.net for healthy tips.