a4 thursday planning for neighborhood health
TRANSCRIPT
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Planning for Neighborhood Health
Kathryn Madden
Scheri Fultineer
David Gamble
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Planning for Neighborhood Health
Healthy Communities Kathryn Madden Landscape Strategies for Wellness Scheri Fultineer Hospital and Community Connections David Gamble
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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
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HEALTHY COMMUNITIES
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“The social determinants of health are mostly responsible for health inequities.”
- World Health Organization
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Neighborhood in Transition
Vidal Court public housing built in 1955; demolished 2013
Fairgate Hope VI mixed income, built 2010
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Affordable Care Act 2010
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Community Health Needs Assessment
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Determinants of Health
Socio-Economic Factors
Physical Conditions
Health Services
Individual Behavior
www.healthypeople.gov/2020/about/DisparitiesAbout
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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%
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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
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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
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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
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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
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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
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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
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Health Services
Stamford’s Free Mobile Clinic : AmeriCares with Stamford Hospital free diagnostic services, January 2014
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Health & Wellness Partners
HEALTHY EATING
FITNESS
HEALTH CARE AND WORKFORCE
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Stamford Community Collaborative
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Physical Conditions
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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
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Make Exercise Easier Walking loops Connections to local parks Safer streets: Lighting and Sidewalks Bike Paths Outdoor Exercise stations
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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
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Urban Farm
Stillwater Avenue Fairgate Farm
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S"FULTINEER"FOOD$FORM$RESEARCH$
Best"Prac3ces:"Community"Farm"""""""""South&Side&Urban&Farm,&Providence,&RI&
"
(ft)0
10010
50
SOUTHSIDE COMMUNI TY LANDTRUST |
PROVIDENCE, RI
ecneF retemirePdrawetS mraF
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
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“Tool Kit” for Successful Urban Farm
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Community Gardens
Spruce Street Community Garden
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VITAHEALTHANDWELLNESSDISTRICTBestPrac ces:CommunityGardenCur s50-CentJacksonGarden,Jamaica,NY
• Community/DesignerProcess
• RainwaterHarves ng
• NeighborhoodCompos ng
• CommunityDiningandGathering
• GardenManager
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Opportunistic Gardens
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DIY Easy to Install Portable Low Cost Adjusts to Site
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Hospital Farm + Food + Program
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Weiss Memorial
Farm Chicago
The Farm at Newark Beth Israel
k
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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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Home + + About + + Communit y + + Fairgate Farm Healthcare
Workforce St rategic Pl an Contact
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
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Food + Social and Cultural Benefits
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HEALTH AND WELLNESS
HEALTHY EATING
OPEN SPACE + CONNECTIONS
GOOD JOBS + LOCAL BUSINESSES HOSPITAL + COMMUNITY CONNECTIONS
STRUCTURE
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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.
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MANAGING THE INTERFACE
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MANAGING THE INTERFACE
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MANAGING THE INTERFACE
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MANAGING THE INTERFACE
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HOSPITAL EXPANSION PLANS
NEW BUILDING
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HOSPITAL EXPANSION PLANS
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A MULTI-CULTURAL BUILDING
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EXISTING CONDITIONS
VIDAL COURT
FAIRGATE
STAMFORD HOSPITAL
Lione Park
FAIRGATE FARM
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VIDAL COURT REMOVAL + SITE ACQUISITION
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HOSPITAL ADDITION, UTILITY PLANT + NEW HOUSING
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VIEW ON STILLWATER AVENUE TOWARDS CENTRAL UTILITY PLANT
Central Utility Plant
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VIEW ON STILLWATER AVENUE TOWARDS CENTRAL UTILITY PLANT
Central Utility Plant
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HOSPITAL ADDITION, UTILITY PLANT + NEW HOUSING
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OPEN SPACE AXIS
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SITE ACQUISITION NECESSARY TO ENHANCE CONNECTIVITY
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STAMFORD GREEN
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STAMFORD GREEN
FAIRGATE FARM
OPEN SPACE SETBACK
HOSPITAL ENTRY
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STAMFORD GREEN
FAIRGATE FARM
HOSPITAL ENTRY
PHASE 1 DEVELOPMENT
AREA
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STAMFORD GREEN SECTION: STILLWATER + FINNEY INTERSECTION
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STAMFORD GREEN SECTION: STILLWATER + FINNEY INTERSECTION
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1: COMMUNITY CENTER + EVENTS
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2: STRUCTURED PARKING + CAFE
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3: PARKING STRUCTURE + EXERCISE
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PARKING GARAGE OPTION WITH CURRENT FINNEY LANE ALIGNMENT
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SHARED PARKING GARAGE OPTION WITH NEW FINNEY LANE ALIGNMENT
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STILLWATER AVENUE BUILDING + SHARED PARKING STRUCTURE
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STILLWATER AVENUE BUILDING + SHARED PARKING STRUCTURE + NEW BUILDING
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STAMFORD GREEN … OUTDOOR CLASSROOMS
FARMER’S MARKETS EXERCISE STATIONS OUTDOOR SEATING URBAN ORCHARDS
POP-UP EVENTS GARDEN PLOTS WAYFINDING PLAY AREAS PUBLIC ART LIGHTING
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SPECIALTY BUILDING
MIXED USE BUILDING
SHARED PARKING
STRUCTURE
FUTURE BUILDING
FAIRGATE FARM
CENTRAL UTILITY PLANT
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RECENT VIEW ON STILLWATER AVENUE TOWARDS CENTRAL UTILITY PLANT
Central Utility Plant
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FAIRGATE FARM
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MIXED USE BUILDING AT THE INTERSECTION OF STILLWATER AND NEW FINNEY LANE
HEALTH SCIENCES INSTITUTE
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