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Weighing
In:
How one agency created a health & wellness plan for its
community By
Carolyn Knudtson
Director
City of San Leandro Recreation and Human Services Winter
2006
Volume 62, No. 1
Page 26
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The
Parks and Recreation profession is a key partner and critical
to the success of improving the health
of our communities. Healthy
Lifestyles is a core value of our profession and promoting Health
and Wellness is one of our missions according to the Creating Community
VIP Action Plan, the park and recreation profession’s statewide
strategic plan. As governmental entities, we have many resources
and relationships already in place. We have the infrastructure
to support programs and services with our parks and facilities;
trusted relationships with the community through positive personal
interactions in our programs and services; experience and ability
to successfully do community outreach; existing programs facilitate
improved health and wellness and an easy ability to infuse health
and wellness curriculum into existing programs; existing collaborations
with schools, counties, hospitals and other community health and
resource agencies and internal relationships with community development,
engineering and transportation and public works to work towards
improving the community’s physical environment to support
health and wellness. WOW! We can do so much! We are set to go!
Many
of us want to and know we should be part of the solution to creating
a healthier environment and healthier lifestyles, but
become frozen in place because we don’t know where to start.
The problems seem so overwhelming. On the global level, where do
we start? What can we do? On the local level, how do we engage
our staff? How do we get political support? How do we get support
from stakeholders and the community? How can we afford to promote
Health and Wellness when so many of us have been reducing our budgets?
Hopefully this article will give you enough recommendations and
resources that you will be inspired to move forward.
How
To Get Started
I
am going to share my experience with you and tell you how I got
started. It worked for the City of San Leandro
and it can work
for your agency as well! First, go to the CPRS Web site and
download the VIP Action Plan Tool “Leading to Promote Health and
Wellness” (www.cprs.org/membersonly/Health&Wellness.pdf).
Read through it. It’s a tool; take from it what works for
you. I will share the parts most useful to me in developing a
Health and Wellness Plan for the San Leandro Recreation and Human
Services department. The
Agency Vision
An
agency vision on health and wellness enables you to make
decisions that ensure your resources support
your
goal. When decisions are
being made about who to partner with, how to allocate staff
time, where to direct your minimal fiscal resources, it is
important
to go back to the vision and say, “does this support
where we want to go?” After reviewing and discussing
it with staff, we chose to use CPRS’ health and wellness
vision and adapt it for our department. Our health and wellness
vision
is:
The
San Leandro Recreation and Human Services Department will
be known as the agency that strives to educate the public
about
how
they can achieve health and wellness and as the provider
or
partner in developing programs that support health and wellness.
Each
agency is different and whether you adapt CPRS’ vision
or develop one for your agency will depend on what you and
the staff decide is best for your agency. I will reiterate
that having
a health and wellness vision is a good foundation and one
that staff and I go back to often to make sure decisions
are aligned
with our vision. Having the department determine a vision
together is the beginning of building ownership and commitment
from each
staff member for the department’s health and wellness
plan.
Determining
Your Assets
Two
of the most useful tools, and the starting point for getting
me to move forward on our department’s
Health and Wellness Plan, were the Healthy Agency Survey
and the Community Health
and Fitness Infrastructure Inventory; both found in the VIP “Leading
to Promote Health and Wellness” tool. Completing those
tools will identify your assets, and areas that need more attention.
Once you know the department’s program and service assets,
known partners and collaborations and the physical assets you
have to support health and wellness, you can determine what
you are doing, and more importantly, what you would like to
be doing
and develop a plan to make it happen.
The
Healthy Agency Survey
The
Healthy Agency Survey helps determine what you are doing
with programs and services and partnerships,
and
how you can
be more
health-oriented in serving the public. It is a great way
to acknowledge all that you are doing and brainstorm potential
partners. When
I took the survey myself (thinking I was representing the
whole
department), the score was in the 11-17 range; which translates
into “Be Encouraged.” However, when I had staff
complete it at a meeting, as a department we scored in the
29-36 range, “Looking
Good”, just one below “True Visionary.” I
was pleasantly surprised at how much we were doing as a department.
My staff felt very proud of themselves and each other and
encouraged about what we were already doing as a department.
It was a
great
start towards staff ownership of their role in developing
and incorporating health and wellness in their programs and
services
and how they
could expand that role.
The
Community Health and Fitness Infrastructure Inventory Tool
The
Healthy Agency Survey helps determine your program and
service assets as well as your community partnership
strengths
and limitations.
The Community Health and Fitness Infrastructure Inventory
tool identifies the physical assets you manage (and what
needs to
be improved), which can be marketed to the community,
policy makers
and potential partners in physical activities and wellness
facilities. Once again, to make sure you have the most
complete form and
to continue to build ownership with your staff, have
staff complete the form as a group.
Now
that you have determined your assets – what you have,
as well as your limitations – and know what you
need to successfully incorporate health and wellness
into what you offer, it is time
to do your outreach. Spread the good news of all of
the assets your department has and can offer to the
community
toward improving
healthy lifestyles. In the same letter state the areas
at which you are looking for expertise or facilities
in order to enhance
your ability to improve health and wellness in the
community. Also, in the letter, I included a statement
that I was “looking
to share assets and resources already established as
tight finances and the need for cost recovery makes
expanding services very difficult.” I
was looking at a win-win situation for little to no
cost.
Use
your assets letter as a marketing piece as well as a way
to encourage community partnerships.
Send
the letter
to all
policy makers, current and potential partners, stakeholders,
public
health
agencies and hospitals, schools, businesses, religious
institutions
(they often have gyms!), and the media. This letter
is letting everybody know of all of the great things
you
are doing to
support health and wellness in the community; what
you can offer to potential
partners and what you are looking for from potential
partners to enhance your programs and services. Our
response from
the letter
was incredibly positive in that many people and agencies
commented on not knowing all that we offered and
had available, and it
led to new programs and partnerships.
Launching
a Successful Partnership
One
of the strengths of our profession is our ability to network
successfully and work cooperatively
with other agencies. As a
profession we have learned (sometimes the hard way) that we
are not able to provide all services, and working in partnership
expands our resources and abilities to meet the needs of the
community. The “VIP Leading to Promote” tool identifies
many community resources to consider for health and wellness
partnerships as well as effective ways to evaluate the benefits
of a partnership, and how to set them up successfully.
According
to the VIP tool (page 18), some of the most pertinent things
to look at when considering a partnership include:
- Is
the prospective partner aligned with your agency vision
and mission, an opportunity rather than a threat and knowledgeable
and experienced in complementary health services?
- Can
the partnership help move projects and programs forward
by
providing access to funding and resources; access to legislative
process and policy making; stronger identity for our profession;
increased awareness of our profession’s role in health
and wellness; expanded networks and linkages to access target
audiences
and research and data that documents the value of parks and
recreation?
- Essential components of partnerships
are mutually agreed upon and clearly defined purpose; clearly
defined roles, responsibilities
and operating procedures, and mutual respect and trust.
Remember, the obesity epidemic is just as much a community issue
as it is a national and state issue. No single profession will
single-handedly come up with a cure or a solution. Every possible
resource and agency will need to work together to bring a myriad
of solutions to improve the health of individuals and the community.
Therefore, besides expanding resources and services for your agency
and those with whom you are partnering, partnering improves the
whole community’s potential success for improving the health
of the community.
Policies that Support Physical Activity and Nutrition
According
to the surgeon general, children need a minimum of 1 hour
of exercise per day and adults should work towards 30 minutes
of moderate activity most days of the week. Parks and recreation
agencies offer programs which have kids in programs 8-10 hours
a day, daily. What type of program policies or guidelines do
you currently have in place regarding the amount of physical
activity time? Our agencies commonly serve snacks in programs
and sell food at events and in vending machines. What type
of
nutritional guidelines do you have for your staff?
The
key to developing and implementing policies that support
physical
activity and nutrition is to include staff in the brainstorming.
What are we doing? Where can we incorporate new program ideas
that support physical activity and nutrition? How can we
enhance current
programs to include physical activity and nutrition information
and promote healthy choices? What supplies do we need? What
training does staff need?
After staff has completed a list, talk about the reality of
what can be done. Ask staff what policies are priorities and
which policies
they are willing to be held accountable for implementing. Make
a note to check back with the staff every six months and ask
how it is going. Be very specific about asking if a certain
policy
is working and, or being applied. Ask detailed questions. I
have been repeatedly pleasantly surprised to not only hear
that the
policies are being implemented, but other ways healthy choices
and information is being added and the great feedback from
staff and parents. Policies implemented by SLRHS staff and
incorporated
into our policies and procedures manual include:
Policies
that Promote Physical Activity
- For
1/2 day programs, a minimum of 45 minutes of active physical
activity was implemented (broken into no less than
15 minute segments)
- For
full day programs, a minimum of 75 minutes of active physical
activity will be implemented
(broken into no less than
15 minute segments)
During
the physical activity time that is the only activity being
offered. Traditionally staff offers a variety
of things at one time and let the children choose, but
for these specific
times
everybody goes outside and plays, or watches, alternative
choices are not made available. Hopefully staff will be
creative and
somehow get the children who are not comfortable with physical
activity
willing to participate in some way.
- Balls,
ropes, hula hoops, Frisbees, bats, nets, and all types of
equipment should be at all sites to encourage outside
play. If staff thinks of some type of equipment that would
inspire kids
to be more active and have fun, ask your Supervisor
if it is possible to purchase the equipment for their site.
Policies
that Promote Healthy Eating
-
The only choices made available for snack are healthy choices. The
best is fresh fruit and vegetables; nuts and
dried fruit; multi grain breads, tortillas and crackers; low
fat and no sugar spreads
such as hummus, ranch dressing, low-fat cheese
spreads are best.
- We
will bring in healthy snacks for our meetings and provide
healthy snacks when we provide food for meetings.
- We
encourage staff to bring healthy lunches if they have an
all day camp, or need to bring food to camp. For
example, we ask they not bring fast food and soda to
work, maintaining a
healthy image as role models.
- The
following chart gives guidelines for purchasing processed,
packaged
items when fresh fruit, vegetables
and non-packaged foods are not available:
| Quantity: |
37
grams |
| Calories: |
200 |
| Calories
from Fat: |
60 |
| Total
Fat: |
6
grams |
| Total
Saturated and Trans Fats |
2
grams (included with total grams of fat) |
| Sugar |
11
grams |
These are the “Not to Exceed” amounts,
it is hoped that great efforts will be made to stay below those
amounts as
much as possible. The ratios used to determine those amounts are
the calories from fat not to exceed 30% of total calories; calories
from saturated and trans fats not to exceed 10% of total calories
and calories from sugar not to exceed 30% of total calories. Snacks
that provide protein and fiber as well are desirable.
-
Each site will have containers of water. The only liquid
we are serving is water. Kids will have bottles with
their names on it that they can keep at the site and use
all day and
we’ll have extra in case they lose theirs.
- We
will use our programming as a time to incorporate information
regarding the benefits of physical activity and healthy
eating
in arts and crafts projects, games, cooking ideas, themes
and relays.
- Our
programming will consciously remove the rewarding of food
and high sugar/fat treats as prizes and move away from
making
projects out of food and treats with high fat and sugar.
Engaging
Your Staff
Inclusion,
mentoring and training are the top three words that comes
to my mind as being important in effectively
engaging the
staff. As in everything we do in our profession, we are only
as successful as our whole team. In the first stages of discussing
with staff our profession’s and agency’s role in
the obesity epidemic, I shared the scary statistics about youth
and teens. All of us recognize our role in providing healthy
opportunities and services for youth and teens and feel responsible
for helping develop strong, healthy children. It also kept
the discussion from being personal. It wasn’t about any
of us personally, it was all about the kids. But as we continued
to talk about what we could be doing for our youth and teens
we recognized we could do many of the same things for adults
and seniors. Then, internal changes started being made. Staff
felt that as a department we should try and be known as the
healthiest
department. Their excitement about that developed into the
City of San Leandro’s Walk for your Health program for
City employees.
Training
was held where staff learned about the health consequences
due to lack of physical activity and poor nutrition. Staff
incorporated
information from the trainings into their programs and every
week at staff meeting somebody would come up with a new idea
that they
thought would be GREAT to incorporate into our programs, written
information and, or office. I think one of the single greatest
motivators is positive feedback. Staff
was getting so much unsolicited positive feedback from parents
and participants
about the incorporation
of physical activity, healthy choices and other program enhancements.
They were surprised and motivated by the positive comments.
Many have made personal changes. One part-time person took
it upon
himself to change what we sell in vending machines at the
Community Center.
He has taken full ownership of it.
Staff
was included in the meetings, trainings and decision-making
throughout the process
(which is ongoing!). They became excited
and the success that our department has had regarding health
and wellness is due to the personal ownership each of the
staff feels.
They recognize and feel good about the impact they are
having on people’s lives.
Getting
The Word Out
As
one of our City Council members always tells me, “Let
people know the good things you are doing.” Sometimes we
are so busy doing our work we forget to share the good news.
For many agencies, the number one communication used is an Activity
Guide. I have used the “Director’s Message” for
the past two years to list the numerous ways our department is
working towards a healthier community. We want to be considered “Health
Headquarters” by the community. Every class or program
that is physically active or includes nutritional education lists
the
healthy outcomes from participating in the class. We use tag
lines listing the benefits of exercise and nutrition throughout
the guide.
The
assets letter lets everybody know who you are and what you
are doing. As I said, that letter is one of the most important
informational pieces your department will ever distribute.
Remember,
this goes to individuals, agencies, schools, stakeholders,
council members, commission members, local legislators, churches
and
the media. The paybacks are huge politically and throughout
the community.
A Health and Wellness Fair was developed by the San Leandro
Collaborative based on the school district stating that they
had read my letter
and they were working on health and wellness and thought it
appropriate to work together on a fair. Also, in response
to the letter,
people have called our department asking if they could teach
a classes
on nutrition for families and exercise for developmentally
disabled.
Share
resources with the participants in your programs. Send letters
home suggesting healthy snack ideas. Let parents
know
what is appropriate
for youth to bring for lunch and snack in order to encourage
healthy living. When you read information you feel would
be helpful for
families, adults and seniors, add a note from your department
and have it distributed throughout the appropriate classes
and programs.
Once again, people will be calling you unsolicited to thank
you for what you are doing in the community.
Continually
make contact with the media about the health benefits, individually
and community-wide, of the programs
and events
you are advertising. Include copies to the media of the
information
you are distributing. When our department won an NRPA award
for
the “Employee Walk for your Health Challenge,” we
put photographs in the paper to share the good news. The
Mayor and
other Council Members also participated in the Challenge
and they were thrilled that our City was recognized for
contributing to
the health of its employees.
Make
sure your Council Members hear about the great things going
on in your department.
San Leandro City Council members
are my
department’s greatest supporters. They recognize
the value of our programs and services. They are proud
of the good work we
are doing and the collaborative relationships we have in
the community. It was not difficult to build political
support because they want
the good things for the community that we want. They want
healthy programs for children, families, adults and seniors.
They want
facilities that offer opportunities for physical activity
and community gatherings that support health lifestyle
choices. We need to remember
to let them know what we are doing and how they can support
us, because that is what they want to do!
Resources
The “VIP
Leading to Promote” tool includes an extensive
list of resources. You will be amazed and overwhelmed by the
amount of information available. Culling the information
is a bigger job
than finding the information! Also, the CPRS website is a tremendous
resource for what is happening statewide and how to get involved.
In
conclusion, do something, anything! Print the “VIP
Leading to Promote” tool and begin your journey.
Use your assets; people, parks and programs, to become
part of the solution to a
healthier community. Should you have questions or concerns, you
are always welcome to contact me at cknudtson@ci.san-leandro.ca.us.
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