A4 thursday planning for neighborhood health
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Planning for Neighborhood Health Kathryn Madden Scheri Fultineer David Gamble
Transcript of A4 thursday planning for neighborhood health
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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Shade Structure
Water Supply
Public Restrooms
Plant Propagation
Animal Husbandry
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• 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
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• 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
