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How To: Engage Community Development
as a Partner for Health Equity
#HowToWebinar
Presented by:
Douglas Jutte, MD, MPHExecutive Director,
Build Healthy Places Network
Daniel Lau, MPHManager of Strategic Engagement, Build
Healthy Places Network
@RootCauseCo
@RootCauseCoalition
company/root-cause-coalition/
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Health Happens in Neighborhoods:
What We Can Do About It
Douglas Jutte, MD, MPH
Daniel Lau, MPHThe Root Cause Coalition
May 31, 2018
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3 Build Healthy Places Network
THE BUILD HEALTHY PLACES NETWORK
Connect partners across health & community development
Provide access to research, best practices, innovations, and models that demonstrate what works
Highlight the health-related value of community development investments
Encourage and enable measurement of health-related impact
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4 Build Healthy Places Network
Outline for Today
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5 Build Healthy Places Network
OUTLINE
What are the Problems?
What is Community Development?
Holistic Approaches to address SDOH
Innovative Financing & Partnerships
Resources for Next Steps
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6 Build Healthy Places Network
What are the Problems?
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7 Build Healthy Places Network
CONTRIBUTIONS TO PREMATURE DEATH
BehavioralPatterns
40%
Genetic Predisposition
30%
Environmental Exposure5%
Social Circumstances
15%
Health Care10%
McGinnis MJ, Williams-Russo P, Knickman JR. Health Affairs 2002
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8 Build Healthy Places Network
POOR HEALTH ACROSS ALL RACIAL AND ETHNIC GROUPS
24%
19%
21%
18%
16%15%
11%10%
8%7% 6%
4%
0%
5%
10%
15%
20%
25%
Black, Non-Hispanic Hispanic White, Non-Hispanic
<100%
100–199%
200–399%
≥400%
Percent of adults with poor health
By income (% of Federal poverty line)
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9 Build Healthy Places Network
…BUT POVERTY IS CONCENTRATED
Percent of people in poverty
By racial or ethnic group
28%
39%
25%
34%
12% 13%
10%12%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
All Persons Children (≤17 Years)
Black
Hispanic
Asian
White, Non-Hispanic
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Housing
Transportation
Parks and
Playgrounds
Jobs
Schools
Grocery Stores
PEOPLE GET SICK BECAUSE OF THEIR SOCIAL AND PHYSICAL ENVIRONMENTS
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11 Build Healthy Places Network
IN DETERMINING YOUR HEALTH…
20005 >
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12 Build Healthy Places Network
HEALTH DISPARITIES
Short distances, large differences
Washington, DC
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13 Build Healthy Places Network
HEALTH DISPARITIES
Short distances, large differences
New Orleans, LA
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14 Build Healthy Places Network
Short distances, large differences
Minneapolis, MN
HEALTH DISPARITIES
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15 Build Healthy Places Network
COMMUNITY DEVELOPMENT & HEALTH WORK SIDE-BY-SIDE
Economic hardship by city Childhood obesity by city
Los Angeles County
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16 Build Healthy Places Network
COMMUNITY DEVELOPMENT IS IN THE ZIP CODEIMPROVEMENT BUSINESS
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17 Build Healthy Places Network
$3.5 trillionper year
>80% of costs are due to chronic disease
Most chronic disease is preventable
Most chronic disease happens to
low-income people in low-income places
WHERE ARE WE NOW?: High costs
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18 Build Healthy Places Network
>$1 trillionper year
Spent on avoidable chronic disease occurring in low-income neighborhoods
WHERE ARE WE NOW?: Inefficient investments
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19 Build Healthy Places Network
What is Community Development?
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COMMUNITY DEVELOPMENT: PAST
Pruitt-Igoe, St. Louis, MO
1956 to 1972Architect: Minoru Yamasaki
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Solara, San DiegoZero Energy Affordable Housing
ZIP CODE IMPROVEMENT…HOUSING COORDINATED WITH SERVICES
Plaza Apartments, San FranciscoSupportive Housing
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ZIP CODE IMPROVEMENT…COMPREHENSIVE YOUTH DEVELOPMENT
KIPP Academy, Washington D.C. Neighborhood Centers Inc, Houston
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ZIP CODE IMPROVEMENT…RESIDENT-FOCUSED ECONOMIC DEVELOPMENT
Baker-Ripley Center, Houston Market Creek Plaza, San Diego
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▪ Federal/state tax credits & grants• Low Income Housing Tax Credit (LIHTC)
• New Markets Tax Credit (NMTC)
• Community Development Block Grants (CDBG)
• Healthy Food Financing Initiative (HFFI)
▪ Community Reinvestment Act dollarsCRA-motivated loans and investments from private, for-profit banks
How much money? And where does it come from??
OVER $150 BILLION DOLLARS ANNUALLY
DIRECTED INTO LOW-INCOME NEIGHBORHOODS
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25
REDLINING
Community ReinvestmentAct of 1977(CRA)
Philadelphia, 1949
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COMMUNITY DEVELOPMENT CORPORATIONS& AFFILIATES
Source: Democracy Collaborative
# of CDCs nationwide (2006)
4,600)
75,000) Jobs created by CDC activities (2010)
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COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS
# government-certified CDFIs (2015)
958)
1.56 Million) Square feet of healthy food retail financed (2015)
Source: CDFI Fund Annual Report FY 2015
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$15 MILLION RAISED IN CAPITAL CAMPAIGN
$5 MILLION INVESTED IN AFFORDABLE HOUSING
$15 MILLION LEVERAGED FROM CDFIS AND BANKS
$15 MILLION INVESTED IN AFFORDABLE HOUSING
$15 MILLION AFFORDABLE HOUSING
$15 MILLION RAISED IN CAPITAL CAMPAIGN
$20 MILLION AFFORDABLE
HOUSING
$10 MILLION EARLY CHILDHOOD CENTER
COMMUNITY DEVELOPMENT IS IN THE LEVERAGING BUSINESS
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29 Build Healthy Places Network
HolisticApproaches
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30 Build Healthy Places Network
ZIP CODE IMPROVEMENTAT THE NEIGHBORHOOD LEVEL
East Lake Meadows, Atlanta, GA
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31 Build Healthy Places Network
ZIP CODE IMPROVEMENTAT THE NEIGHBORHOOD LEVEL
East Lake Meadows, Atlanta, GA
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32 Build Healthy Places Network
COMMUNITY QUARTERBACK
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33 Build Healthy Places Network
VILLAGES OF EAST LAKE,ATLANTA, GEORGIA
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34 Build Healthy Places Network
VILLAGES OF EAST LAKE,ATLANTA, GEORGIA
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35 Build Healthy Places Network
VILLAGES OF EAST LAKE,ATLANTA, GEORGIA
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36 Build Healthy Places Network
VILLAGES OF EAST LAKE,ATLANTA, GEORGIA
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37 Build Healthy Places Network
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38 Build Healthy Places Network
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39 Build Healthy Places Network
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40 Build Healthy Places Network
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41 Build Healthy Places Network
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42 Build Healthy Places Network
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43 Build Healthy Places Network
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44 Build Healthy Places Network
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45 Build Healthy Places Network
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46 Build Healthy Places Network
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47 Build Healthy Places Network
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48 Build Healthy Places Network
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49 Build Healthy Places Network
Funding Innovations & New Partnerships
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50 Build Healthy Places Network
Community Health and Literacy Center using NMTC $$
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51 Build Healthy Places Network
Dignity Health$120 million loan fund
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52 Build Healthy Places Network
UnitedHealthcare$21 million low interest loan
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53 Build Healthy Places Network
March 13, 2018 ProMedica & LISC launch $45M partnership
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54 Build Healthy Places Network
CONWAY CENTER, WASHINGTON, DC
$90 million investment addressing multiple SDOH
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55 Build Healthy Places Network
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56 Build Healthy Places Network
Resources: Diving Deeper and Taking Next Steps
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57 Build Healthy Places Networkwww.BuildHealthyPlaces.org @BHPNetwork
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59 Build Healthy Places Network
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The Network’s Vision: Equitable communities where all
children and families can live rewarding and healthy lives.
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62 Build Healthy Places Network
Equitable and healthy
communities
Accelerate the flow of healthcare dollars
Speed and spread innovative solutions
Achieving Better Health through Better Partnerships
DRIVE NEW CROSS-SECTOR
INVESTMENTS
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63 Build Healthy Places Network
“We are likely to look back at this time and wonder why community development and health were ever separate sectors.”– Risa Lavizzo-Mourey, MD, Former President and CEO, Robert Wood Johnson Foundation, Speaking at the 2016 National Interagency Community Reinvestment Conference
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Questions?
#HowToWebinar
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@RootCauseCo
@RootCauseCoalition
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