Collaborative Partnerships: A Strategy for Improving Community Health Presented by: Ed Johnson, RLA, ASLA Monday June 1, 2015
Objectives Making the Connection: Cross-sector partnerships for safety and active transportation Explain the NC Department of Transportation Safe Routes to School Program and the NC Active Routes to School Project Share lessons learned through the partnership between NC Department of Transportation and the NC Division of Public Health
Public Health and Transportation Public health and transportation the opportunity Expanding the availability of, safety for, and access to a variety of transportation options and integrating healthenhancing choices into transportation policy has the potential to save lives by preventing chronic diseases, reducing and preventing motor-vehicle-related injury and deaths, improving environmental health, while stimulating economic development, and ensuring access for all people. Source: Centers for Disease Control and Prevention. CDC Transportation Recommendations. Available at: http://www.cdc.gov/transportation/. Accessed April 2015.
What Works Opportunities for Collaboration Strategies to increase Physical Activity Community-scale urban design and land use Street-scale urban design and land-use policies Active transport to school Sources: Community Preventive Services Task Force. The Guide to Community Preventive Services. http://www.thecommunityguide.org/pa/environmental-policy/index.html. Accessed 07/2014. Physical Activity Guidelines for Americans Midcourse Report: Strategies to Increase Physical Activity Among Youth. United States Department of Health and Human Services. http://www.health.gov/paguidelines/midcourse/pag-mid-course-report-final.pdf. Accessed 07/2014.
Physical Activity Recommendations Children and adolescents need 1 hour or more of physical activity daily. This should include: Aerobic Activity Most of the 60 minutes or more should be aerobic activity and should include vigorous-intensity at least 3 days a week. Muscle-Strengthening Activity on at least 3 days of the week. Bone-Strengthening Activity on at least 3 days of the week. 60 minutes or more of physical activity daily Source: United States Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. http://www.health.gov/paguidelines/guidelines/. Accessed April 2015.
Physical Activity Recommendations Adults need at least: 150 Minutes every week Moderateintensity aerobic activity OR 75 Minutes every week Vigorousintensity aerobic activity PLUS Musclestrengthening activities on 2 or more days a week that work all major muscle groups Brisk walking Jogging or running (legs, hips, back, abdomen, chest, shoulders and arms) Key Point: All adults should avoid inactivity. Some physical activity is better than none, and adults who participate in any amount of physical activity gain some health benefits. Source: United States Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. http://www.health.gov/paguidelines/guidelines/. Accessed April 2015.
Percentage Aerobic Physical Activity Aerobic physical activity recommendation for children/adolescents: 60 minutes or more of physical activity daily (vigorous-intensity physical activity at least 3 days a week) 35 32.4 30 25 27.1 25.9 20 15 10 5 0 National High School NC High School NC Middle School Data Sources: United States Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. http://www.health.gov/paguidelines/guidelines/. Accessed 07/2014. Centers for Disease Control and Prevention. State Indicator Report on Physical Activity, 2014. http://www.cdc.gov/physicalactivity/downloads/pa_state_indicator_report_2014.pdf. Accessed 07/2014. Department of Public Instruction and the Department of Health and Human Services, North Carolina Youth Risk Behavior Survey for middle and high school. Middle school: http://www.nchealthyschools.org/docs/data/yrbs/2013/statewide/middle-school.pdf High school: http://www.nchealthyschools.org/docs/data/yrbs/2013/statewide/high-school.pdf
Physical Activity Guidelines among Adults, BRFSS 2013 [ = 50.8 ] [ = 29.9 ] [ = 48.1 ] [ = 27.5 ] Sources: United States Department of Health and Human Services Center for Disease Control and Prevention Office of Surveillance, Epidemiology, and Laboratory Services Public Health Surveillance Program Office. Behavioral Risk Factor Surveillance System, 2013. Participated in enough Aerobic and Muscle Strengthening exercises to meet guidelines. http://apps.nccd.cdc.gov/brfss/display.asp?cat=pa&yr=2013&qkey=8291&state=us. Accessed April 14, 2015. North Carolina Department of Health and Human Services, State Center for Health Statistics, 2013 BRFSS Survey Results, Aerobic and Strengthening Guidelines (4-LEVEL) http://www.schs.state.nc.us/data/brfss/2013/nc/all/_parec1.html. Accessed April 14, 2015.
Implementing Strategies that Work Walking and biking to school - Safe Routes to School - Active Routes to School Community and transportation plans that support walking and biking www.pedbikeimages.org/laurasandt
NC Department of Transportation NC Division of Public Health Connecting people and places safely and efficiently, with accountability and environmental sensitivity to enhance the economy, health and wellbeing of North Carolina. NCDOT S Mission Statement (2012)
North Carolina s SRTS Program NC apportionment = $30 million Announced $28 million 70% towards infrastructure 30% towards non-infrastructure $20.5M infrastructure awarded $7.5M non-infrastructure announced and awarded 100 plus SRTS projects currently funded
Where it s safe, get kids walking and biking SRTS Project Goals Where it s not safe, make changes Where there is an opportunity, educate, encourage, and work with local user groups such as PTAs, Law Enforcement, etc. The primary reason is safety as well as promoting and improving pedestrian and bicycle travel for the supported school and community
A Partnership between NC Department of Transportation & NC Division of Public Health
Active Routes to School Project Goal Increase the number of elementary and middle school students who safely walk and bike to school.
Active Routes to School Regions Cherokee Graham Clay Swain 1 Macon Madison Yancey Watauga Wilkes Mitchell Avery 2 Burke Catawba Haywood McDowell Buncombe Jackson Rutherford Henderson Polk Transylvania Alleghany Ashe Surry Stokes Rockingham 3 Caldwell Alexander Davie Iredell 4 Yadkin Rowan Lincoln Cabarrus Cleveland Gaston Mecklenburg Forsyth Guilford Davidson Randolph Stanly Montgomery Caswell Person Warren Vance Granville Orange Alamance Durham Wake Chatham Johnston Lee Harnett Moore Cumberland Union Hoke Anson Richmond Sampson 5 6 Scotland Robeson Bladen Franklin 8 7 Nash Wilson Wayne Duplin Northampton Gates Hertford Halifax Bertie Edgecombe Martin Greene Pitt 10 Lenoir Craven Jones Onslow 9 Washington Beaufort Carteret Tyrrell Hyde Dare Pender Columbus New Hanover Legend Brunswick Active Routes To School Lead Health Departments Counties Regions Last updated: 06/23/14
Active Routes to School Partnership NC Department of Transportation and NC Division of Public Health Administered through local NC health departments in 10 regions Alignment NC Safe Routes to School initiatives Local, regional and state community safety and health initiatives
Project Activities Awareness-Raising Events Increase one-time awareness events about the importance of Safe Routes to School Ongoing Programs Increase the number of ongoing programs that encourage walking and biking to school Trainings/Workshops Increase the number of trainings on how to implement Safe Routes to School-related activities Policy Changes Increase the number of policies that support walking and biking to school Built Environment Changes Develop a plan for an infrastructure issue statement to identify a physical improvement to local infrastructure for future exploration
Physical activity behavior What can we learn? - Parents, caregivers, students, siblings School Readiness - What are schools interest and level of engagement in walking and biking to school? What works in supporting school s walking and biking efforts
Is It Working? Active Routes to School Starts 2014 Active Routes to School Starts 2014 Source: Schools registered on www.walkbike.org. Accessed 5/11/15
Project Outcomes Project outcomes reported by Active Routes to School Coordinators between September 8, 2014-April 10, 2015. Activity Intervention Strategy Description Number of Events Number of Participants Walk to School Day One-time Awareness Raising Event Walk to or at school events 92 25,185 Ongoing Walking/Biking Programs Ongoing Programming Walk/bike programs that encourage walking and biking to or at school on an on-going basis 28 8,807 Let s Go! NC Training (teachers/community organization staff) Training Training on the Let s Go NC! curriculum administered to teachers or community organization staff to train K-5 students 11 193 Let s Go! NC Training (students) Training Training on Let s Go NC! curriculum for K-5 students 112 6,226 Bike and/or Pedestrian Training Training Training on bike and/or pedestrian safety skills, including bicycle skills clinics 31 3,112 Safe Routes to School Training Training on safe routes to school elements 18 297
Making the connection: How can YOU engage with Active Routes to School? Community and neighborhood site development incorporate elements that support bicycle and pedestrian activity and connectivity to schools Planning committees include Active Routes to School Coordinators on your committees (e.g., bicycle and pedestrian plans) Support and promote Walk to School Day, Bike to School Day and on-going Active Routes to School Programs in your area
Project Coordinators Region 1 Coordinator: Jackie Moore arts@jacksonnc.org Office: 828-587-8226 Cell: 828-506-7722 Region 2 Coordinator: Mary Smith activekidswnc@gmail.com Office: 828-669-1997 Cell: 828-460-7328 Region 3 Coordinator: Elisabeth Fornadley-Johnson bethf@apphealth.com Cell: 828.964.8119 Region 4 Coordinator: George Berger george.berger@cabarrushealth.org Office: 704.920.1270 Cell: 704-941-7322 Region 5 Coordinator: Jennifer Delcourt jennifer.delcourt@wakegov.com Office: 919-212-8465 Cell: 919-610-5760 Region 6 Coordinator: Rebekah Edens redens@hokehealth.org Cell: 910-985-7388 Region 7 Coordinator: Jaime Pearce jaime.pearce@johnstonnc.com Office: 919-209-8315 Cell: 919-588-9253 Region 8 Coordinator: Shahnee Haire Shahnee.Haire@hth.co.robeson.nc.us Office: 910.671.6233 Region 9 Coordinator: Leah Mayo Acheson mariel.mayo@arhs-nc.org Cell: 252-506-2327 Region 10 Coordinator: Stefanie Keen Stefanie.keen@vidanthealth.com Office: 252.847.1402 Cell: 252.412.9992 Project Manager: Danielle Hewson Danielle.Hewson@dhhs.nc.gov Office: 919.707.5219
Resources Community and Clinical Connections for Prevention and Health Branch, NC Division of Public Health - Active Routes to School www.communityclinicalconnections.com/activeroutes www.saferoutesinfo.org NCDOT Division of Bicycle and Pedestrian Transportation Safe Routes to School www.walkbiketoschool.org http://www.ncdot.gov/bikeped/ National Center for Safe Routes to School www.saferoutesinfo.org Walk Bike to School www.walkbiketoschool.org
Thank you Ed Johnson, RLA, ASLA Assistant Director, NC Department of Transportation, Division of Bicycle and Pedestrian Transportation, Safe Routes To School Coordinator erjohnson2@ncdot.gov 919.707.2604