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Full Project HEAL Health Impact Assessment 2017 HEALTH IMPACT ASSESSMENT HEALTH IMPACT ASSESSMENT HEALTH IMPACT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT HEALTH IMPACT ASSESSMENTHEALTHASSESSMENT IMPACTASSESSMENT HEALTH IMPACT HEALTH IMPACT ASSESSMENTASSESSMENTASSESSMENT Primary Authors: Theo Edmonds, JD, MHA, MFA, IDEAS xLab, Chief Imaginator, Artist Prasanthi Persad, JD, MPH, Louisville Metro Department of Public Health & Wellness, Health Impact Analyst Author of “Monitoring and Evaluation” section of HIA: Monica Wendel, DrPH, MA, Commonwealth Institute of Kentucky, Director Associate Dean for Public Health Practice, School of Public Health and Information Sciences | University of Louisville In addition to members of the Smoketown Community and leaders of other Project HEAL partner sites, we gratefully acknowledge the support and contributions of the following individuals in the writing and research of this document: Ayelet Aldouby, IDEAS xLab, Curator Susan Buchino, PhD, OTR/L, Center for Art + Health Innovation Yu-Ting Chen, MPH, MS, Epidemiologist, Office of Policy, Planning & Evaluation at Louisville Metro Department of Public Health & Wellness Hannah Drake, IDEAS xLab, Artist Tasha Golden, MA, Center for Art + Health Innovation, Artist Brandy Kelly Pryor, PhD, Director of Center for Health Equity at Louisville Metro Department of Public Health & Wellness Josh Miller, MBA, IDEAS xLab, Artist Sarah Moyer, MD, MPH, Director of Louisville Metro Department of Public Health & Wellness ShawnNika Queen, IDEAS xLab, Community Health Champion Chris Radtke, IDEAS xLab, Artist Lynn Rippy, YouthBuild Louisville Fairouz Saad, PhD, MPH, Director of Office of Policy, Planning & Evaluation at Louisville Metro Department HEALTH IMPACTof Public Health & Wellness.HEALTH IMPACT ASSESSMENT ASSESSMENT HEALTH IMPACT HEALTH IMPACT HEALTH IMPACT ASSESSMENT ASSESSMENT ASSESSMENT FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMINGFRAMINFRAMINGG FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING FRAMING AMIN AMINAMIN P HEAL Note: The primary audience of this HIA is decision-makers and funders in 3 sectors: Community Development, Arts/ AMINCulture, and Health. Preface: Convergence of Culture, Community, and Science Project HEAL (Health. Equity. Art. Learning.) is a cultural blueprint for creative, just, healthy communities AMINand a model that could potentially be replicated across America. It is guided by the unifying principle that health is culturally created. Project HEAL’s arts and culture design for community health development is AMINinformed by a Health Impact Assessment (HIA). Communities have their own best solutions for wellbeing. Science tells us that increasing civic engagement toward better policy is the most efficient way to create large-scale improvement in community health. AMINProject HEAL activates the untapped potential of a community’s arts and culture assets to become the catalyst for increasing government access and driving more equitable policymaking in order to positively impact health and wellbeing at population levels. Evaluation over time will be necessary to determine to what extent. Policy is an imagining of the future. This is one of the core domains of all artists and an activity that is AMINfundamentally cultural. To be sustainable, health and community development policies must find ways to become embedded in local cultures (Hangzhou International Congress on Culture and Sustainable AMINDevelopment, 2013). After prototyping Project HEAL in Louisville, Kentucky (the focus of this HIA), IDEAS xLab and its partners are now raising funds to expand Project HEAL into a groundbreaking, 7-site pilot at the intersection of arts, AMINcommunity development and health. The Project HEAL pilot strives to bring together diverse communities with businesses, government, organizations, entrepreneurs and researchers dedicated to a holistic approach to health and wellbeing. This work will involve a nascent national network of creative community health pioneers and foster a AMINculturally responsive ecosystem of assets that help communities thrive. Project HEAL is unfolding as a proclamation of connection and social justice, that seeks to establish the AMINcare and celebration of one another as the highest priority of arts in America. AMIN AMIN AMIN What is Project HEAL? AMINWho is behind it? AMIN AMIN AMIN Developed by a team of artists, curators, community activists, social innovators, health professionals and scientists, Project HEAL brings together people, research, tools and resources of three sectors: (1) Arts/ AMINCulture; (2) CommunityAMIN Development; and, (3) Health/InformationAMIN Sciences. AMIN Project HEAL is led by artist-innovation group, IDEAS xLab, and a team of public health researchers who AMINAMINuse solid methods from severalAMIN disciplines to evaluate the results throughAMIN science. AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN 1 AMIN AMIN AMIN AMIN Where is it located? The focus of this Health Impact Assessment is on Project HEAL’s urban prototype in Louisville, Kentucky. There is also a rural prototype operational in Natchez, Mississippi. Once funding is in place (target date of January 2018), IDEAS xLab and its national network of partners are prepared to expand the prototype into a 36-month, 7-site pilot in Kentucky, North Carolina, Mississippi, Louisiana, Delaware and California. How does it work? Project HEAL deploys an artist-activated, social-lab process that uses various types of humanities-based approaches, artistic expression, media, and other strategies to explore both symptoms and root causes of local health challenges, identify leverage points, and create actionable policy initiatives and sustainable community development strategies that positively impact health and wellbeing. Key Milestones & Activities Timeline (Months 1-6) • IDEAS xLab provides on-site training in Project HEAL model for community leaders, artists, cultural organizers, and health professionals at each location. • Through an innovative partnership with the City of Santa Monica’s Office of Civic Wellbeing (CA), IDEAS xLab works with each site’s Project HEAL team to create a “wellbeing index” for their community. This includes assessing 5 factors (data, impact, equity, culture, policy) of community readiness for change across 5 dimensions: Community; Place + Planet; Learning; Health; Economic Opportunity. AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN AMIN Project HEAL artists Greg Acker and Hamidou Koivogui lead drum circle in Smoketown as artist Cynthia Brown dances. AMINPhoto by TyroneAMIN Turner, courtesy of Robert Wood Johnson Foundation.AMIN AMIN AMIN AMIN AMIN AMIN 5-Step Process for Arts Program Development A full list of activities, milestones and examples of arts interventions available. Mental Opportunity Imagine New Foundation Transformation Mapping Prototyping Narratives Strengthening I D E A S IDEATE DISCOVER ENGAGE ACTIVATE HOPE SHARE Months 0-6 Months 6-12 Months 12-18 Months 18-24 Months 24-36 Community Scan Community Priorities Validate Priorities With Validated Community Policy Work Continues. Historical Policies Revealed Through a Community Members. Priorities Are Turned Into Scale Community Cultural Toxins (Personal) lens of Culture: Reframe Health Challenges Policy Initiatives Using Arts Identified Growth Plan for Cultural Toxins (Structural) Ideas, Symbols and As and Culture Approaches. Wellbeing: Dominant Media Narratives Spaces Growth Opportunities Arts and Culture Transition Social Dominant Research Narratives Based On Community From Discovery Tools to Economic Assets. Advocacy Tools. Rapid (HIA) Environmental Researchers and Political Conducted on Proposed Leaders Engaged in Co- Policy Change. Development. Advocacy Work Initiated. Timeline (Months 6-18) • Project HEAL community designs and implements a series of arts and culture events, artist residencies and other cultural strategies designed to discover community priorities in three categories of health: social, environmental, economic. • Supported by IDEAS xLab, Project HEAL sites develop a policy initiative and culturally relevant community development strategies from the discovered priorities. • To inform months 18-36, a 60-day rapid Health Impact Assessment (HIA) is conducted in each community on their emerging Project HEAL policy initiative and strategies. • A culminating cultural event featuring performance, exhibition and visioning report is produced as an artistic method of sharing the community-designed Project HEAL policy initiative and development
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