CHILDREN’S RX FOR NATURE – PARTNERSHIP FOR HEALTH

Dr. James Burkhardt, DOMedical Director for Miami County Public HealthKettering Physician Network

Amanda SmithMarketing AdministratorMiami County Park District

EXPERT

One with the special skill or knowledge representing mastery of a particular subject…

CONFLICTSOF INTEREST

§ Increase awareness of risks and long-term implications of childhood obesity, excessive screen use, poor nutrition, and inactivity

§ Review Children’s Rx for Nature program§ Provide tips on starting a health & wellness program (adults/children)§ Resources on how to encourage partnerships to help achieve your goals

PRESENTATION OBJECTIVES

Sugar Bears Video

Obesity means having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for his or her height.

OBESITY DEFINED

§ 17% of children age 2-19 are obese§ 14% are overweight§ Obesity has doubled over the past 30 years for preschoolers and adolescents§ Obesity has tripled for children ages 6-11§ The prevalence of obesity has increased in all income and education levels

CHILDHOOD OBESITY

§ 37% of high school students are obese or overweight

§ 29% of middle school students are obese or overweight

MIAMI COUNTY

ARCHIE GRIFFEN

CHART

BMI

The risk of becoming an overweight adult is two times as high for overweight children as for non-overweight children.

OBESE CHILDREN BECOME OBESE ADULTS

OBESITY RELATED ILLNESSES

§ Diabetes§ High blood pressure§ Sleep apnea§ Early heart disease§ Arthritis§ Inflammation and certain cancers

LET’S TALK DIABETES

OHIO’S DIABETES EPIDEMICApproximately 1,334,918 people in Ohio, or 13.5% of the adult population, have diabetes.§ Of these, an estimated 286,000 have diabetes but don’t know it§ In addition, 3,071,000 people in Ohio, 35.3% of the adult population, have

prediabetes with blood glucose levels higher than normal but not yet high enough to be diagnosed as diabetes

§ Every year an estimated 70,000 people in Ohio are diagnosed with diabetes

* American Diabetes Association

THE COST OF DIABETES

DIABETES IS EXPENSIVE:Diabetes and prediabetes cost an estimated $12 billion in Ohio each year§ People with diabetes have medical expenses approximately 2.3 times higher than

those who do not have diabetes§ Total direct medical expenses for diagnosed and undiagnosed diabetes,

prediabetes and gestational diabetes in Ohio was estimated at $9.1 billion in 2012§ In addition, another $2.9 billion was spent on indirect costs from lost productivity

* American Diabetes Association

The Economist December 11, 2003

LET’S TALK BRAIN DEVELOPMENT…

I was hoping for a battle of wits, but you appear to be unarmed.

A NEW NATIONAL SECURIT Y RISK…

PARKS & RECREATION AS PART OF THE SOLUTION

§ Part of Parks & Recreation’s history

PARKS & RECREATION AS PART OF THE SOLUTION

§ Part of Parks & Recreation’s history§ Parks, programs and facilities provide opportunities for a healthy lifestyle

PARKS & RECREATION AS PART OF THE SOLUTION

§ Part of Parks & Recreation’s history§ Parks, programs and facilities provide opportunities for a healthy lifestyle § Opportunity to reposition an agency’s communitywide benefit with a major

concern in the jurisdiction

PARKS & RECREATION AS PART OF THE SOLUTION

§ Part of Parks & Recreation’s history§ Parks, programs and facilities provide opportunities for a healthy lifestyle § Opportunity to reposition an agency’s communitywide benefit with a major

concern in the jurisdiction§ National Trends

CHILDREN’S RX FOR NATURE

NATIONAL TRENDS

CHILDREN’S RX FOR NATURE

LOCAL TRENDS

CHILDREN’S RX FOR NATURE

CHILDREN’S RX FOR NATURE

MIAMI COUNTY PUBLIC HEALTH COMMUNITY HEALTH ASSESSMENT (CHA)CHA provides valuable information on the state of public health in Miami County§ 72.5% of adults are obese or overweight§ 22.6% of adults have high cholesterol§ 28.2% have high blood pressure§ 14.4% have diabetes

CHILDREN’S RX FOR NATURE

DAYTON CHILDREN’S COMMUNITY HEALTH ASSESSMENT (CHA)CHA provides valuable information on the state of public health in Miami County§ 14% of children ages 0-11 were overweight§ 36% of children ages 0-11 were obese§ 9% of parents reported a child with asthma§ 8% of parents reported a child with ADD/ADHD

CHILDREN’S RX FOR NATURE

PROGRAM GOALImplement an awareness campaign targeting health care professionals (HCP) that effectively communicates the documented mental and physical health benefits of children spending time in nature§ Incorporate nature into treatment plans§ Inform HCP on resources and trends§ Develop a program that can be replicated in other communities

CHILDREN’S RX FOR NATURE

MESSAGINGThe benefits were broken down into three simple categories

CHILDREN’S RX FOR NATURE

MESSAGINGThe benefits were broken down into three simple categories

CHILDREN’S RX FOR NATURE

MESSAGINGThe benefits were broken down into three simple categories

CHILDREN’S RX FOR NATURE

PROGRAM IMPLEMEMTATIONInform physicians and provide a program easy to implement § Introduce white paper and research§ Doctors to incorporate information as:

ü a compliment to current treatment plans ü as preventive measures ü important part of healthy development and lifestyle

CHILDREN’S RX FOR NATURE

PROGRAM IMPLEMENTATION CONTINUED§ Write an Rx for nature play and give to patient§ Give a brochure and tip card to the patient/parent§ When possible follow up on the Rx at the next visit

CHILDREN’S RX FOR NATURE

PROGRAM MATERIALS§ Whitepaper

CHILDREN’S RX FOR NATURE

PROGRAM MATERIALS§ Whitepaper§ Poster

CHILDREN’S RX FOR NATURE

PROGRAM MATERIALS§ Whitepaper§ Poster§ Brochure

CHILDREN’S RX FOR NATURE

PROGRAM MATERIALS§ Whitepaper§ Poster§ Brochure§ Prescription pad

CHILDREN’S RX FOR NATURE

PROGRAM MATERIALS§ Whitepaper§ Poster§ Brochure§ Prescription pad§ Tip cards

WHEN IS A

STICK NOT

A STICK?

CHILDREN’S RX FOR NATURE

PROGRAM MATERIALS§ Whitepaper§ Poster§ Brochure§ Prescription pad§ Tip cards§ Animated videos

CHILDREN’S RX FOR NATURE

FUTURE PHASES OF PROGRAM§ Implement a version of program in the schools through the nurses and counselors§ Include city park locations on additional tip cards§ Expanding to include adults§ Prescription tracking system

Thanks for the info…

NOW WHAT?

Thanks for the info…

NOW WHAT?

CREATING A HEALTH & WELLNESS PROGRAM

ROADMAP TO SUCCESS§ Assess your agencies health & wellness goals§ Research community needs§ Inventory your agencies assets§ Find your inspiration§ Identify potential partners§ Explore funding opportunities

CREATING A HEALTH & WELLNESS PROGRAM

YOUR AGENCY GOALS§ Does your agency have health & wellness goals

üInternalüExternal

CREATING A HEALTH & WELLNESS PROGRAM

IDENTIFY YOUR LOCAL COMMUNITY HEALTH NEEDS§ Public health agencies at state and local levels

üCommunity Health Assessment (CHA)üCommunity Health Improvement Plan (CHIP)

§ Hospital systemsüCommunity health needs assessment (CHNA)

CREATING A HEALTH & WELLNESS PROGRAM

LIST YOUR ASSETS§ Recreation facility§ Sports leagues and public programming§ Playgrounds§ Cooking facility or farmers market§ Parks§ Trails§ Aquatics

CREATING A HEALTH & WELLNESS PROGRAM

RESOURCES FOR INSPIRATION§ Google.com§ ParkRx.org§ ChildrenAndNature.org§ neefusa.org/health-wellness§ nrpa.org/our-work/Three-Pillars/health-wellness/§ ParkRxAmerica.org§ KidsInParks.com

Collaboration divides the task and multiplies

the success

CREATING A HEALTH & WELLNESS PROGRAM

IDENTIFY POTENTIAL PARTNERS - COLLABORATE§ Public health agencies at state and local levels§ Public safety agencies§ Healthcare providers (dealing with physicians)§ Human service and charity organizations§ Education and youth development organizations§ Economic and philanthropic organizations§ Environmental agencies and organizations

CREATING A HEALTH & WELLNESS PROGRAM

IDENTIFY POTENTIAL FUNDING SOURCES§ Grants§ Sponsorships§ Cost recovery