Prevention and Public Health Fund: Community Transformation Grants

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Prevention and Public Health Fund: Community Transformation Grants Overview of Los Angeles County Department of Public Health s Grant Award Summary LA Health Collaborative October 27, 2011

Background Two grants from the U.S. Health and Human Services and the Centers for Disease Control and Prevention s Communities Putting Prevention to Work initiative (awarded in March 2010) gave LA County $32.1 million over a two-year period for activities addressing the obesity epidemic and tobacco use.

Projects RENEW & TRUST The initiative provided $15.9 million for obesity, physical activity and nutrition projects, and $16.2 million for tobacco control and prevention projects:

CTG Award Summary In September, DPH was notified of a $9.85 million award from the CDC as part of the Dept. of Health and Human Services (HHS s) Community Transformation Grants (CTG) initiative. The grant funding was made available through the Affordable Care Act s Prevention and Public Health Fund Approximately $103 million in prevention funding has been awarded to 61 states and communities, distributed among state and local government agencies, tribes and territories, and state and local nonprofit organizations

CTG Priority Areas The funding will support the first year of a planned five-year initiative to prevent chronic disease and reduce health disparities in the county population through the following strategic directions: 1. Tobacco-free living 2. Active living and healthy eating 3. Clinical and other preventive services 4. Social and emotional wellness 5. Healthy and safe environments

Strategy 1: Tobacco-free living Support cities in LA County (LAC) in adopting comprehensive tobacco free policies in multi-unit housing and outdoor areas Support cities and unincorporated areas in LAC in adopting policies to reduce youth access to tobacco products and limit predatory marketing Partner with CBOs and businesses to establish systems, procedures and protocols to reduce exposure to secondhand smoke (SHS) and increase access to and utilization of effective tobacco cessation services

Strategy 1: Tobacco-free living (cont d) Implement a targeted social marketing and public education campaign to increase access to and utilization of effective tobacco cessation services among vulnerable populations Adopt and implement a standard protocol for tobacco use screening and referral to tobacco cessation services within large health care organizations Support teachers in providing tobacco-use prevention education and cessation resources at LAC schools with high rates of tobacco use among their students

Strategy 2: Active living and healthy eating Partner with hospitals servings low-income communities in LAC to develop policies that support breastfeeding among new mothers Work with LAC school districts in low-income communities to increase fresh preparation of school meals to improve nutrition and student participation Support teachers in implementing evidence-based physical education (PE) requirements in LAC schools

Strategy 2: Active living and healthy eating (cont d) Work with partners to increase transportation funding for pedestrian and bicycle infrastructure in LAC Adopt and implement food policies that increase access to healthy food and beverage options in LAC cities Increase the acceptance rate of CalFresh benefits among farmers markets across LAC Adopt food policies and implement healthy food procurement practices in businesses and public agencies in LAC

Strategy 3: High impact clinical and other preventive services Adopt and implement a patient-centered medical home or team-based care approach to promote standard protocols to deliver high impact clinical preventive services within large health care organizations in LAC in underserved communities Establish a practice-based learning network among health care organizations and health advocacy groups to promote sharing of lessons learned and dissemination of best practices on clinical preventive services in LAC

Strategy 4: Social and emotional wellness Adopt and implement standard protocols in targeted clinic sites in the Department of Health Services (DHS) Ambulatory Care Network to screen for depression and problem drinking among low-income patient populations

Strategy 5: Healthy and safe physical environments Adopt a health and wellness element in the City of Los Angeles general plan and develop transit-oriented district (TOD) plans Adopt and implement land use policies that promote active living and community safety in LAC cities Expand the Parks After Dark program to increase community safety and provide youth development opportunities, especially among youths affected by gang violence

Proposed Partners LAUSD (Physical Education & Tobacco Control) Safe Routes to School National Partnership City of LA - Dept. of Planning CA Food Policy Advocates NICHQ Collaborative CA Center for Public Health Advocacy Breastfeeding Task Force of Greater Los Angeles Pasadena Health Department American Diabetes Association City of LA - City Attorney s Office (Tobacco Control) LACOE Center for Tobacco Policy & Organizing Technical Assistance Legal Center Smoking Cessation Leadership Center CEO (Parks After Dark)

Contact information Please visit www.publichealth.lacounty.gov as more information regarding the CTG will be available in the coming weeks or for additional information, please email rmckenzie@ph.lacounty.gov. Michael Leighs 213-351-1901 mleighs@ph.lacounty.gov