Planning for Neighborhood Health

Kathryn Madden

Scheri Fultineer

David Gamble

Planning for Neighborhood Health

Healthy Communities Kathryn Madden Landscape Strategies for Wellness Scheri Fultineer Hospital and Community Connections David Gamble

Vita Health & Wellness District

Location: one mile corridor on the West Side near downtown Stamford

Mission: to improve the health of the neighborhood and its residents

HEALTHY COMMUNITIES

“The social determinants of health are mostly responsible for health inequities.”

- World Health Organization

Neighborhood in Transition

Vidal Court public housing built in 1955; demolished 2013

Fairgate Hope VI mixed income, built 2010

Affordable Care Act 2010

Community Health Needs Assessment

Determinants of Health

Socio-Economic Factors

Physical Conditions

Health Services

Individual Behavior

www.healthypeople.gov/2020/about/DisparitiesAbout

Social-Economic Factors

38% Undocumented 37% Poor English Skills 31% < High School Degree

Median household income $36,000 - $45,000

20% living in poverty

American Community Survey 2007-2011

WEST SIDE NEIGHBORHOOD, STAMFORD

Naturalized U.S. Citizen

13%

Not a U.S. Citizen

38%

Born in U.S. 49%

English Only 37%

Bilingual 26%

English less than well

37%

Bachelors + 19%

< High School

31%

High School Degree

31%

Some College

19%

Cultural Factors

Hispanic, 70-90%

Hispanic, <50%%

Black, 70-90%

Black, 50-70%

White, 70-90%

White, <50%%

White, >90%%

Predominant Race/Ethnicity 2010

Stillwater Corridor

Stamford Hospital

214 215

Downtown

47% speak Spanish at home

16% speak other non-English languages

maps.communitycommons.org; American Community Survey 2007-2011

Community Engagement Ideas Over 60 initial interviews, 3 community meetings, many informal conversations

Food >> Healthy Eating: Farmers market, produce store, bakery, more community gardens, cooking and nutrition classes

Fitness >> Active Living: Walking loops, safer streets, affordable fitness, exercise rooms

Access to Health Care:

Outpatient services, urgent care center, rehab center, navigating system

Good Jobs and Local Businesses:

Job training spaces, better retail services, better support for family businesses

Stillwater Sandwich

Westover Pizza

Two Brothers

China King

Stamford Mkt

Hugo’s Stillwater Mkt/ Lucy’s

Three Sisters

Putnam Meat

Reye’s

Maya

Alexandria Deli Pellicci’s

La Esquina

El Progresso

Fairgate Farm Produce Market

Con Mini-Market

Healthy Eating

Food Market Restaurant/Deli Other Commercial

Jobs and Local Businesses

Organizing:

• Strengthen local neighborhood association

• Fund a business development position

Supports:

• Promote healthy ethnic foods

• Work with businesses to adapt to changing conditions

Jobs and Local Businesses

Partnerships:

• Community college & university

• Community-based service providers

Job Readiness:

• Vocational health care programs

• GED, certifications, and trainings

• Neighborhood-based career counseling

• Peer networks and youth development

Health Services

• Prevention

• Primary care

• Specialty care

• Diagnosis & treatment

• Urgent care

• Emergency room

Hospital/Clinic Medical Office Building Pharmacy

Stamford Community Health Center

Stamford Hospital

Optimus Clinic

Tully Center- Specialty & Immediate Care Center

Fairgate Health Center

Concentra Urgent

Care

Franklin Street Community Health Center

ER

TRESSER BLVD

Free Mobile Unit

Health Services

Stamford’s Free Mobile Clinic : AmeriCares with Stamford Hospital free diagnostic services, January 2014

Health & Wellness Partners

HEALTHY EATING

FITNESS

HEALTH CARE AND WORKFORCE

Stamford Community Collaborative

Physical Conditions

Two-thirds of adults and almost one-third of children in the United States are overweight or obese. Excess weight is associated with major causes of chronic diseases, such as diabetes, disability, and death. Institute of Medicine Accelerating Obesity Prevention Report

May 2012

Obesity Epidemic

Landscape Strategies for Wellness

Make Exercise Easier Walking loops Connections to local parks Safer streets: Lighting and Sidewalks Bike Paths Outdoor Exercise stations

Improve Access to Healthy Food

Urban Farm Community Gardens Farmer’s Market Opportunistic Gardens Hospital Programs Social Streetscape

MULTI FACETED URBAN FOOD PRODUCTION AND EXCHANGE

Urban Farm

Stillwater Avenue Fairgate Farm

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Best"Prac3ces:"Community"Farm"""""""""South&Side&Urban&Farm,&Providence,&RI&

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(ft)0

10010

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PROVIDENCE, RI

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Shade Structure

Water Supply

Public Restrooms

Plant Propagation

Animal Husbandry

•

•

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VITAHEALTHANDWELLNESSDISTRICTBestPrac ces:UrbanFarmAdded_ValueRedHookFarm,Brooklyn,NY

• FoodLiteracyandPolicyEduca on

• YouthTrainingandEmployment

• SoilProduc onandCompostResource

• FarmersMarketandCSA

• UrbanEntrepreneurTraining

“Tool Kit” for Successful Urban Farm

Community Gardens

Spruce Street Community Garden

VITAHEALTHANDWELLNESSDISTRICTBestPrac ces:CommunityGardenCur s50-CentJacksonGarden,Jamaica,NY

• Community/DesignerProcess

• RainwaterHarves ng

• NeighborhoodCompos ng

• CommunityDiningandGathering

• GardenManager

Opportunistic Gardens

DIY Easy to Install Portable Low Cost Adjusts to Site

Hospital Farm + Food + Program

Weiss Memorial

Farm Chicago

The Farm at Newark Beth Israel

k

• Partners with volunteers and community groups to operate roof farm

• Coordinates with Weiss Health for Life initiative to combat diabetes and other health issues through healthy diet and lifestyle education

• Offers 10’ x 10’ community garden plots to local residents • Provides educational sessions for city gardening

techniques

• Food grown on rooftop is sold at Uptown Farmer’s Market and donated to soup kitchens.

• Hospital donates $10,000 towards operating costs

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23MAY2013

KALE: IT’S A- OKAY!

Kale, a leafy green vegetable with a hefty texture and a hearty, earthy taste, is enjoying its moment

in the sun – literally, because we’re harvesting plenty of it at Fairgate Farm right now. And

figuratively, too, because this healthful vegetable has been cropping up on restaurant menus

everywhere!

It’s all good … because kale is tasty, satisfying and super-good for you! It makes a delicious juice

(and there’s no green more gorgeous than just-juiced kale) … crunchy and yummy when chopped

into a salad … and richly satisfying when steamed or sautéed with oil, garlic and a twist of lemon.

It’s worth developing a taste for kale because just one cup of raw kale provides more than 5 grams

Food + Social and Cultural Benefits

HEALTH AND WELLNESS

HEALTHY EATING

OPEN SPACE + CONNECTIONS

GOOD JOBS + LOCAL BUSINESSES HOSPITAL + COMMUNITY CONNECTIONS

STRUCTURE

Too much space

Too little space

Often created by large expenses of surface parking, creates emptiness

and isolation.

SEPARATION BETWEEN INSTITUTIONS AND NEIGHBORHOODS CAN BE CREATED EITHER THROUGH SPACE OR BUILDINGS.

The juxtaposition of large institutional-scaled buildings

to smaller residential fabric can create tension.

SCALE AND USE MUST BE CAREFULLY CALIBRATED TO INTEGRATE THE TWO.

MANAGING THE INTERFACE

MANAGING THE INTERFACE

MANAGING THE INTERFACE

MANAGING THE INTERFACE

HOSPITAL EXPANSION PLANS

NEW BUILDING

HOSPITAL EXPANSION PLANS

A MULTI-CULTURAL BUILDING

EXISTING CONDITIONS

VIDAL COURT

FAIRGATE

STAMFORD HOSPITAL

Lione Park

FAIRGATE FARM

VIDAL COURT REMOVAL + SITE ACQUISITION

HOSPITAL ADDITION, UTILITY PLANT + NEW HOUSING

VIEW ON STILLWATER AVENUE TOWARDS CENTRAL UTILITY PLANT

Central Utility Plant

VIEW ON STILLWATER AVENUE TOWARDS CENTRAL UTILITY PLANT

Central Utility Plant

HOSPITAL ADDITION, UTILITY PLANT + NEW HOUSING

OPEN SPACE AXIS

SITE ACQUISITION NECESSARY TO ENHANCE CONNECTIVITY

STAMFORD GREEN

STAMFORD GREEN

FAIRGATE FARM

OPEN SPACE SETBACK

HOSPITAL ENTRY

STAMFORD GREEN

FAIRGATE FARM

HOSPITAL ENTRY

PHASE 1 DEVELOPMENT

AREA

STAMFORD GREEN SECTION: STILLWATER + FINNEY INTERSECTION

STAMFORD GREEN SECTION: STILLWATER + FINNEY INTERSECTION

1: COMMUNITY CENTER + EVENTS

2: STRUCTURED PARKING + CAFE

3: PARKING STRUCTURE + EXERCISE

PARKING GARAGE OPTION WITH CURRENT FINNEY LANE ALIGNMENT

SHARED PARKING GARAGE OPTION WITH NEW FINNEY LANE ALIGNMENT

STILLWATER AVENUE BUILDING + SHARED PARKING STRUCTURE

STILLWATER AVENUE BUILDING + SHARED PARKING STRUCTURE + NEW BUILDING

STAMFORD GREEN … OUTDOOR CLASSROOMS

FARMER’S MARKETS EXERCISE STATIONS OUTDOOR SEATING URBAN ORCHARDS

POP-UP EVENTS GARDEN PLOTS WAYFINDING PLAY AREAS PUBLIC ART LIGHTING

SPECIALTY BUILDING

MIXED USE BUILDING

SHARED PARKING

STRUCTURE

FUTURE BUILDING

FAIRGATE FARM

CENTRAL UTILITY PLANT

RECENT VIEW ON STILLWATER AVENUE TOWARDS CENTRAL UTILITY PLANT

Central Utility Plant

FAIRGATE FARM

MIXED USE BUILDING AT THE INTERSECTION OF STILLWATER AND NEW FINNEY LANE

HEALTH SCIENCES INSTITUTE