The Mariposa Healthy Living Initiative

143 Pages·2012·4.43 MB·English

ST HH THE MARIPOSA
ES HE HEALTHY LIVING
PI SC
INITIATIVE
October 2012, Version 1.0
Acknowledgements
Report Authors Juanita Vigil, La Alma/Lincoln Park resident
Primary Author: Amanda Gonzales, FRESC
Erin Christensen, Mithun Laurie Grosselfnger, Greenlee Elementary
Monica Buhlig, Kaiser Permanente
Contributng Authors:
Julie George, Livewell Colorado
Christan Runge, Mithun
Adriann Wycof, Metropolitan State University of Denver
Kimball Crangle, Denver Housing Authority
Oto van Geet, NREL
Lynne Picard, Denver Housing Authority
Ledy Garcia-Eckstein, Ofce of Economic Development
Susan Powers and Dana Fulenwider, Urban Ventures LLC
Rob Smith, Rocky Mountain Microfnance Insttute
Jack Pappalardo, The Art District on Santa Fe
Technical Advisors
Mark Raeburn, The Art District on Santa Fe
Peer Review Team:
David Griggs, The Art District on Santa Fe
Jessica Osbourne, Colorado Department of Public Health
Macy Dorf, The Art District on Santa Fe
and Environment
Katrina Aguirre, South Lincoln resident
Gretchen Armijo, Colorado Department of Public Health
Ronald Fields, Tapiz resident
and Environment
Elva Chavez, Tapiz resident
Jan Gascoigne, Ph.D., MCHES, CU Denver, Colorado
Molly Calhoun, University of Denver, The Bridge Project
School of Public Health
Annie Dowding, Youth Employment Academy
Dr. Jill Lit, Ph.D., CU Denver, Colorado School of Public
Health
Research Assistance
Jennifer Wieczorek, MPH, Denver Health and Hospital
Jan Gascoigne, Ph.D., MCHES, CU Denver, Colorado
Authority
School of Public Health; Adam Anderson, CU Denver,
Jaclyn Cheves, MPH, CHES, Denver Health and Hospital
Colorado School of Public Health; Max Gibson, CU
Authority
Denver, Colorado School of Public Health
Bill Sadler, Reconnectng America
Katherine O’Connor, Denver Ofce of Economic
Catherine Cox Blair, Reconnectng America
Development; Gretchen Armijo, Colorado Department
Narada Golden, YR&G
of Public Health and Environment, Tim Rehder, Region 8
Project Team members:
EPA; Jennifer Wieczorek, MPH, Denver Public Health
Shaina Olsen, Denver Housing Authority
Lili Farhang, Human Impact Partners
Communicatons and Outreach
Renee Martnez-Stone, Lisa Langer Perspectve 3
Community Advisors
Lynne Picard and Shaina Olson, Denver Housing Authority
Piep van Heuven, Bike Denver
Jan McIntosh, Catholic Charites
Report Design
Councilwoman Judy Montero
Kristen Bakken, Jen Cho, Christan Runge, and Mackenzie
Amanda Sandoval, City of Denver
Waller, Mithun
Mark Jacobson, Denver Police Department
Christopher Smith, Colorado Health Foundaton
Erin Brown, Denver Parks & Recreaton Funding and Sponsorship
Tim Rehder, EPA Denver Housing Authority
Jami Dufy, Flobots.org
Contents
Executve Summary .....................................4
1 Mariposa: A Healthy Living Community ...7
Background ............................................9
Community Snapshot ...........................18
2 Campaigns for Acton ............................. 27
Get Connected ......................................29
Healthy Places .......................................35
Healthy Eatng .......................................38
Healthcare & Wellness .......................... 41
Lifelong Learning ...................................44
3 Get the Facts.......................................... 47
Report Card ..........................................49
Featured Facts ......................................54
How Are We Doing? .............................58
4 Mariposa Healthy Living Toolkit .............65
Introducton ..........................................65
User Guide ............................................66
Toolkit ...................................................70
Measuring Progress ..............................94
Methodology ...................................... 102
Mariposa Healthy Living Tool History
& Adaptaton ......................................106
References & Citatons........................108
Appendices .............................................. 117
Glossary ..............................................118
Authorship & Sponsor .........................121
2012 Advisory Panel Workshop
Minutes ..............................................123
H+T Afordability Index Methods ........135
Executve Summary
Mariposa’s priority issues, to: increase physical actvity;
The Mariposa Healthy Living improve pedestrian and bike opportunites; increase
mobility and trafc safety; improve access to healthy
Initatve is an efort to foods; increase safety and security; and improve access
to health care. The Healthy Development Measurement
advance the health and quality
Tool also resulted in a series of recommended next steps
of life of residents through and actons. These steps included redevelopment and
services to help to improve health determinants for
redevelopment. residents, and policies that incentvize healthy behavior
and opportunites.
Denver Housing Authority and their partners will
redevelop nearly 900 new mixed-income housing units In
the three years since the master plan was adopted, the
in a community called Mariposa, located in the La Alma/
frst phase of constructon has been completed and two
Lincoln Park neighborhood near downtown Denver.
other sites are now under constructon. In 2012, a new
efort was launched to further integrate health into every
The Mariposa Healthy Living Initatve began in 2009, when a
spect of implementaton by monitoring progress, refning
the Denver Housing Authority and its master planning
recommendatons, and developing implementaton plans.
team established physical, mental, and community health A progress report has been completed that updates and
as a proxy to understand how redevelopment actons
refnes the previously used health indicators and tracks
would change the quality of life for residents. The Initatve
health focused initatves that have been completed to
recognizes that the built environment is a determinant
date. The progress report has informed priority initatves,
of health outcomes, which ultmately infuence the
that focus on what is important for the health of residents
quality and length of life for residents. The Initatve
now.
uses a responsive and rigorous approach to address
environmental and social determinants of health, which
include Healthy Housing, Environmental Stewardship, Progress to date
Sustainable and Safe Transportaton, Social Cohesion, Monitoring has shown positve trends in many of the
Public Infrastructure, and Healthy Economy. The Initatve indicators of a healthy community, such as the total
framework is intended to be a living implementaton tool crime rate, which has dropped from 246 per 1,000
for designers, developers, and practtoners. people in 2005, to 157 in 2011 for the La Alma/ Lincoln
Park and Auraria neighborhoods, or the average transit
In 2009, a rapid Health Impact Assessment was performed commute tme, which has dropped from 24 minutes
that examined the relatonship between health and the in 2010 to 20 minutes in 2012 for the La Alma/ Lincoln
built environment at the existng South Lincoln Homes, Park neighborhood, as compared to 27 minutes in 2010
and then established a baseline needs assessment for or 25 minutes in 2012 citywide. In the frst phase of
the public housing residents. As master plan optons development, Tapiz, a 100-unit mult-family building,
were developed, a customized version of the Healthy several elements were incorporated to improve health
Development Measurement Tool was used to evaluate of residents, such as the 8-story building integrated
those optons. The Tool was used confrm that the fnal mural that celebrates the cultural diversity and history
redevelopment master plan included strategies to address of the neighborhood, the community gardens available
4 EVIT AITINI GNIVIL YHT LAEH ASOPIRAM EHT Denver Housing Authority I Mithun, Inc.
EXECUTIVE SUMMARY
to residents to grow their own fresh foods in partnership 2. Healthy Places: Create vibrant places that encourage
with Denver Urban Gardens, and
Mariposa: A
Healthy Living
1Community
8 EVIT AITINI GNIVIL YHT LAEH ASOPIRAM EHT
BACKGROUND
Background
experts, and jurisdictonal ofcials, to guide our priorites,
incorporate their lived experience, and help identfy next
The Mariposa Healthy Living Initatve began in 2009, when
steps and actons.
the Denver Housing Authority and its master planning
team established physical, mental, and community health
as a proxy to understand how redevelopment actons Why Health?
would change the quality of life for residents. The Initatve We know that place maters – where you live has a
recognizes that the built environment is a determinant of dramatc afect on the length and quality of your life.
health outcomes, which ultmately infuence the quality and
length of life for residents. Building on the mission of the Denver Housing Authority
and the project goals for Mariposa, there is a tremendous
In 2009, a rapid Health Impact Assessment was performed opportunity to improve healthy opportunites, including
that examined the relatonship between health and the physical, mental, and social well-being 1 for residents.
built environment at South Lincoln Homes, and then Figure 2 shows the relatonship between health
established a needs assessment and baseline. As master determinants in the built environment and health
plan optons were developed, a customized version outcomes. Evidence of health impacts is not always
of the Healthy Development Measurement Tool was available, due to the complex pathways between the
used to evaluate those optons and ensure the adopted implementaton of a project or strategy, and the long-term
redevelopment master plan was designed to address health outcomes with many contributng factors.
priority health issues.
Therefore, the Mariposa Healthy Living Initatve focuses
Today, with the frst phase of constructon completed and decision-making and acton around health determinants,
two other sites under constructon, the goal of this initatve which are known to improve opportunity for beter health.
is to integrate health into every aspect of implementaton. Our approach to health in the built environment builds on
A progress report has been completed to update health the research and expertse of public health professionals,
indicators and track eforts completed to date. These and on the premise that there are multple factors which
have informed what the current priorites are, so that contribute to health and well being.
redevelopment and implementaton actons can focus on
what is important for residents now. The Mariposa Healthy To understand these pathways and efectve solutons, we
Living Initatve seeks to create informaton and tools that studied these areas to defne and measure the health goals
are accessible to a wide range of users, and to garner of the Mariposa Healthy Living Tool.
support for a few focused campaigns as we contnue to
transform Mariposa into a Healthy Living Community.
This efort has been largely shaped and infuenced by a
wide range of partners, partcipants, advisors, and experts.
1 Preamble to the Consttuton of the World Health Organizaton
In 2012, we worked with a Peer Review team of technical as adopted by the Internatonal Health Conference, N.Y., 19-22
experts and leaders to refne our tools, and with Advisory June, 1946; signed on 22 July 1946 by the representatves of 61
Panels of residents, community stakeholders, policy States (Ofcial Records of the World Health Organizaton, no. 2, p.
100) and entered into force on 7 April 1948.
THE MARIPOSA HEALTHY LIVING INITIATIVE 9
BACKGROUND
KEY TERMS
Determinants are conditons that afect the health status of a community, and that can help make people healthy
(e.g. access to parks). There is evidence or research showing that some determinants, or specifc conditons, do impact
intermediate and eventually long-term health outcomes. In the Mariposa Healthy Living Tool, we have grouped determinants
into several dimensions (i.e. public infrastructure), that refect a range of sectors or realms of decision-making.
Health Outcomes include the health status of a community or an individual, encompassing physical, mental and social
well-being (e.g. obesity rates). Health outcomes are long-term and caused by a range of factors, including: 1. Biology and
genetcs, 2. Individual behavior, 3. Physical environment, 4. Social environment, and 5. Health services2 The Mariposa Healthy
Living Tool primarily focuses on physical environment and social environment factors.
Indicators are a measure of success related to objectves (e.g. percent of residents within ½ mile walking distance to a
public park). The indicators represent the known facts about what helps make people healthy. Each indicator includes a
baseline conditon that existed prior to redevelopment actvites, a target describing the future desired conditon, and a 2012
status of current conditons.
Strategies include programs, projects, or policies that will likely positvely impact health determinants and can contribute
to improved resident health (e.g. build a new pocket park in an under served neighborhood). Strategies are things we can do
to improve conditons that make people healthy.

Campaigns are acton plans with a specifc mission and efectve strategies to guide what kind of development is
accomplished. Campaigns include “bundles” of strategies that are organized around a theme for the Denver Housing
Authority, organizatons, residents, and agencies to take acton and positvely impact health determinants.
2 U.S. Department of Health and Human Services, Healthy People 2020 Draf. 2009, U.S. Government Printng Ofce.
10 EVIT AITINI GNIVIL YHT LAEH ASOPIRAM EHT Denver Housing Authority I Mithun, Inc.
BACKGROUND