Design for Health

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Design for Health
HIA Training Workshop
Ann Forsyth
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HIA Training Workshop
Overview

• Design for Health overview
• Working session Preliminary Checklist
• Working session Rapid Assessment
• Working session Threshold Analysis

Ann Forsyth
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Design for Health www.designforhealth.net
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Design for Health
Project Staff

• Research Faculty
• Ann Forsyth, Cornell
• Kevin Krizek, U. Colorado
• Carissa Schively Slotterback, U. Minnesota
• Coordinators
• Amanda Johnson, Research Fellow, U. Pennsylvania
• Aly Pennucci, Research Assistant/Coordinator, U.
  Minnesota
• Research support
• Karen Roof, PhD Student, U. Colorado
• Ashley Miller, Sutee Anantsuksomsri, Research
  Assistants, Cornell
• Joanne Richardson, Web

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Design for Health
Project Overview

• Project initiated out of interest in connections
  between built environment and health
• Takes advantage of 2008 legislative deadline for
  metropolitan area comprehensive plans
• Built on work by Design Center/Active Communities
  Transportation (ACT) Research Group examining
  active living and food environmentsadds a range
  of other issues
• Started July 2006
• Separate grants given to technical assistance
  provider and to Minnesota cities/counties (19 so
  far)

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Design for Health
Core Health Topics

• Accessibility
• Air quality
• Environmental and housing quality
• Food
• Mental health
• Physical activity
• Safety
• Social capital
• Water quality

Metropolitan Design Center
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Design for Health
Connecting Planning and Health

• Planning affects numerous health issues
• Comprehensive planning represents an opportunity
  to address health
• Plan implementation can further address health
• Zoning ordinances
• Design guidelines
• Capital improvements

Carissa Schively Slotterback
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Design for Health
Land Use Plan Future land use Housing
plan Resource Protection Transportation Traffic
Analysis Zone (TAZ) Allocation Highway roads
plan Bike pedestrian plan Special traffic
situations Transit plan for facilities
service Aviation Plan Water Resources Wastewater
sewer plan Surface water management plan Water
supply plan Parks Open Space Regional parks and
open space Optional Elements

• Metropolitan Council Requirements 2008
• Topics
• Accessibility
• Air Quality
• Environmental and Housing Quality 
• Food
• Mental Health
• Physical Activity
• Social Capital
• Safety (crime traffic)
• Water Quality

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Design for Health
Design for Health Activities and Tools

• Eventstalks, feedback sessions, boot camps
• Research summaries (key questions) summarize
  fast-moving and contradictory evidence
• Information sheetsmodel planning and ordinance
  language/cases
• Case studies of existing plans
• Health impact assessmentsthree
  planning-oriented tools
• Image resources and PPTs
• Planning and health links
• Plan review checklists
• One-on-one technical assistance
• Web site

Carissa Schively Slotterback
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Design for Health
Technical Assistance

• Work closely with partner communities
• Periodic meetings and phone conferences
• Assist in using tools and provide new information
  when needed
• Review draft plans and provide written comments
• Assist with HIAs

Carissa Schively Slotterback
(Image centered left to right, 2.5 up from
bottom, 2.0 from top)
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Design for Health
Health Impact Assessment

• Developed HIA tools tailored to planners
• Preliminary Assessment (checklist)
• Rapid Assessment (participatory workshop)
• Threshold Analysis (comprehensive)
• Identify and evaluate effects of policies,
  plans, programs, and designs on health
• Detailed guidebooks and training workshops
  assist planners in using tools

Ann Forsyth
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Preliminary Checklist
Overview

• Overview of the Preliminary Checklist HIA 2.1
• Application of HIA to proposal and plan
• Outcomes of the HIA process

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Preliminary Checklist
Overview

• First step in HIA process
• Checklist/survey of health issues
• Determine if further assessment is needed
• Quick
• Point-based

Carissa Schively Slotterback
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Preliminary Checklist
Overview

• Assesses significance of project, plan, or policy
  in terms of its size and scope
• Is it significant enough to assess?
• Does the plan or proposal meet some initial
  thresholds for a healthy community?
• Initial scan of impacts
• Helps determine whether additional analysis is
  needed

Carissa Schively Slotterback
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Preliminary Checklist
Part I Is it significant enough to assess?

• Geographic extent
• Reversibility
• Population or workforce increase
• Cumulative impact
• People affected
• Land use change
• Institutional capacity

Carissa Schively Slotterback
(Image centered left to right, 2.5 up from
bottom, 2.0 from top)

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Preliminary Checklist
Part 1 Is it significant enough to assess?
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Preliminary Checklist
Part 2 Does the plan/policy/project meet
thresholds?

• Accessibility
• Physical activity
• Social capital
• Air quality
• Water quality
• Food
• Safety

Carissa Schively Slotterback
(Image centered left to right, 2.5 up from
bottom, 2.0 from top)

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Preliminary Checklist
Part 2 Does the plan or proposal meet some
initial thresholds for a health community?
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Preliminary Checklist
Completing the Preliminary Checklist

• What information is needed?
• Where do I get information?
• Who should be involved?
• How do you use it for a proposal or plan?
• Project proposal (e.g. mixed use development)
• Corridor plan (e.g. transit corridor development
  strategy)

Carissa Schively Slotterback
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Preliminary Checklist
Completing a Preliminary Checklist (Part 1) -
Proposal
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Preliminary Checklist
Completing a Preliminary Checklist (Part 2) -
Proposal
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Preliminary Checklist
Completing a Preliminary Checklist (Part 1) - Plan
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Preliminary Checklist
Completing a Preliminary Checklist (Part 2) - Plan
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Preliminary Checklist
Using the HIA

• Who is involved?
• City staff planners, engineers, parks, public
  health, others
• Public
• Elected/appointed officials
• Other agencies/organizations
• What is required?
• Time varies
• Basic knowledge of the project, plan, or policy

Carissa Schively Slotterback
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Preliminary Checklist
Using the HIA

• What are the outcomes of a preliminary checklist?
• Knowledge about the connections between health
  and planning
• Additional HIA may be needed
• Key health concerns may emerge
• Need for scoring adjustments to reflect local
  values and conditions

Carissa Schively Slotterback
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Preliminary Checklist
Summary

• Overview of the Preliminary Checklist HIA 2.1
• Application of HIA to proposal and plan
• Outcomes of the HIA process

Carissa Schively Slotterback