mark dooris director, healthy settings development unit university of central lancashire...
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Mark DoorisDirector, Healthy Settings Development Unit
University of Central Lancashire
[email protected]/hsdu
Investing for Health in North West England: Using the Healthy
Settings Approach
Presentation Outline Healthy Settings: Overview, Origins & History
Healthy Settings: Theory & Practice
North West Healthy Settings Development Unit & Regional Health Promotion Planning
Challenges and Opportunities - ‘fully developed’ approach within settings -
- integrating different settings initiatives -
- corporate citzenship agenda -
Healthy Settings Development UnitAim & Functions
To improve the health of the people of North West
England & beyond by supporting & facilitating the development of the
settings-based approach to health promotion &
health development within the context of broad-based investment for
health
Healthy Settings: Origins
Settings
Health for All 1977-
Healthy Settings
Ottawa Charter 1986
New public health – socio-ecological model Health not illness – ‘salutogenesis’
“Health is created & lived by people
within the settings of their everyday
life; where they learn, work,
play & love.”
WHO 1986
Ottawa Charter
Background Policy Context1977 Health for All 20001986 Ottawa Charter1991 Sundsvall Statement1992 Agenda 211997 Jakarta Declaration1998 ‘Settings for Health’ in
WHO Glossary1999 Health 21 – Target 13
‘settings for health’2001 WHO European
Office: Investment for Health & Development
Settings-related Initiatives1986 Healthy Cities Project1988 Health Promoting
Hospitals Project1991 Health Promoting
Schools Network1992 Regions for Health
Network1995 Health in Prisons
Project1998 Health Promoting
Universities Book
Healthy Settings: International/European Timeline
Theory & Practice
What?
Why?
Where?
How?
Who?
Settings as a Dimension of the Health Education Matrix
Hea
lth
Pro
bl e
m
Population Group
Settin
g
Aim: to integrate a commitment to health within culture, structures, processes & routine life of organisational &
other settings
Healthy Settings: What?
“The place or social context in which people engage in daily activities in which environmental, organizational &
personal factors interact to affect health & wellbeing.
A setting is also where people actively use & shape the environment & thus create or solve problems relating to
health. Settings can normally be identified as having physical boundaries, a range of people with defined
roles & an organizational structure.”Settings for Health - WHO Health Promotion Glossary, 1998
Healthy Settings: Why (1)? Health largely ‘produced’ outside of
Illness [health] services
Health improvement requires investment in social systems in which people live their lives
Settings approach represents tangible way of ‘investing for health’ at local level – health
as asset for & outcome of development & productivity of organisations
Healthy Settings: Why?
Leisure &Recreation
‘Health’& Social Care
Criminal Justice
EducationCommunity
HealthWork/
Economy
Illness
Source: adapted from Grossman & Scala (1993)
Ottawa Charter - strategies -- processes -
Universities & Colleges
Health & Social Care
SchoolsPrisons
Workplaces
Cities & Communities
Other – eg clubs, homes
Healthy Settings: Where?
Healthy Settings: Who?
Teachers Students
Governors
Youth Service
Health & Social Care
Community Groups
Healthy School
Co-ordinator
Non- Teaching
Staff
Parents/ Carers
School Nurse
Businesses
Police Faith Organisations
Healthy Settings: How (1)?
3 focus areas or elements
Creating supportive/healthy living & working environments
Integrating health development into daily activities
Developing links with other settings & wider community – ‘straddling settings’
Healthy Settings: How (2)?
Valuesparticipation, equity, partnership, sustainability
multidisciplinary ‘whole systems’ socio-ecological approach
public health
development agenda
institutional agenda/core
business
organisational development &
change management
high visibility
innovative project
top-down political/
managerial commitment
bottom-up
engagement & empowerment
North West England: Investment for Health
North West England: Investment for Health
Healthy Settings Development UnitAim & Functions
To improve the health of the people of North West
England & beyond by supporting & facilitating the development of the
settings-based approach to health promotion &
health development within the context of broad-based investment for
health
Healthy SettingsDevelopment Unit
HomeNew!! Conference 2003ContextEvidenceHistoryTheorySettings TopicsServices: Events, Training & ConsultancyLinks
PublicationsNewslettersReports
Contact Us
Welcome to the website of the North West England Healthy Settings Development Unit
IntroductionThe unit aims to support and facilitate the holistic and integrated development of healthy settings throughout England's North West.'Health is created and lived by people within the settings of their everyday life; where they learn, work, play and love.'This website aims to provide a gateway for settings-related information. As well as pages on individual settings, it provides in-depth background and contextual information. The site is dynamic and developing, and includes details of useful resources and contacts as well as a host of helpful links to other sites of interest.
What are healthy settings?At their simplest, settings such as schools and workplaces are convenient places for health interventions. However, healthy settings are about more than this, because they use whole systems thinking. This aims to integrate a commitment to health into the fabric of settings - within their cultures, structures, processes and routine life. More information on healthy settings...Background information on health, health promotion, health development and public health..
Healthy Settings Development Unit: Products
Healthy Settings Development Unit: Products
Healthy Settings Development Unit: Products
Healthy Settings Development Unit: Staff & Work Programmes
Director
Regional Healthy Workplace Co-ordinator
Regional Healthy Prisons Co-ordinator
National Health Promoting Hospitals Co-ordinator
Health Promoting University Co-ordinator
Research and Development Officer
Administrative Assistant
+ links to Healthy Schools, Colleges, Care Homes, Nightlife
+ commitment to integration with topic-based programmes (e.g. physical activity, transport, tobacco, mental health, violence and food)
Within settings – fully developed ‘whole system’ approach connections between people, environments & behaviours
links between different health issues
personal and corporate citizenship – wider impacts
Between settings – ‘joined up’ approach bridge the gaps
co-ordinate & integrate maximise contribution to healthy city or community
horizontal & vertical networking
Evaluation & evidence developing appropriate tools & investing in building evidence base
Conclusions: Implications, Opportunities & Challenges
Settings as springboards for corporate citizenship
Potential for settings to use intra- and inter-organisational leverage to maximise their contribution
to ethical practice and sustainable regeneration and development – linking local action to global agendas
Conclusions: Implications, Opportunities & Challenges
Mark DoorisDirector, Healthy Settings Development Unit
University of Central Lancashire
[email protected]/hsdu
Investing for Health in North West England: Using the Healthy
Settings Approach