In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health. We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also: - implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and - transform the way we deliver health care to ensure access to quality, affordable health care for all. Enjoy this Bright Spot presentation from Ron Davis, Police Chief of East Palo Alto, ST Mayer of the San Mateo County Health System, and Sarah Lawrence of the Warren Institute on Law and Social Policy, UC Berkeley, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health. To learn more about this event, please visit: http://calpact.org/index.php/en/events/leadership-conference Learn more about CALPACT: http://calpact.org/ Learn more about the CHL: http://chl.berkeley.edu/

1. Using
Public
Health
Strategies
to
Reduce
Crime
and
Violence
in
Hot
Spots
in
East
Palo
Alto,
California
Chief
Ronald
Davis,
East
Palo
Alto
Police
Department
ST
Mayer,
San
Mateo
County
Health
System
Sarah
Lawrence,
Warren
InsCtute,
UC
Berkeley
School
of
Law

2. Key
Partners
§ East
Palo
Alto
Police
Department
§ San
Mateo
County
Health
System
§ Nuestra
Casa,
Youth
United
for
Community
AcCon
(YUCA),
Mural
Music
&
Arts
Project
§ Ravenswood
Family
Health
Center
§ Warren
InsCtute,
UC
Berkeley
Law
School
Funding
generously
provided
by
The
California
Endowment
2

3. Mo-va-on
for
the
ini-a-ve
n East
Palo
Alto
has
high
rates
of
shooCngs
and
violence
n East
Palo
Alto
has
serious
public
health
challenges
3

4. Short-­‐term
goals
n Reduce
crime
and
violence
in
“hot
spots”
n Increase
outdoor
acCviCes
in
high-­‐crime
areas
n Increase
healthy
behavior
of
residents
in
designated
areas
n Improve
relaCons
between
police
and
community
4

5. Shoo-ng
incidents
from
ShotSpo:er
5,276
between
January
2009
and
October
2011
5

6. Hot
spots
iden-fied
as
focus
of
ini-a-ve
6

7. Highlights
of
ini-a-ve
n IdenCfied
smaller
Fitness
Improvement
Training
(FIT)
Zones
within
crime
hot
spots
n Established
community
councils
n Purchased
bikes
and
equipment
n Assigned
health
navigators
to
FIT
Zones
n Launched
outdoor
acCviCes
in
August
2012
n On-­‐going
research
and
evaluaCon
acCviCes
7

8. n Successes
¨ Sustained,
high-­‐levels
of
resident
parCcipaCon
since
August
¨ RelaConships
between
parCcipants
and
police
officers
seem
to
be
strengthening
¨ Sense
of
community
ownership
seems
to
be
increasing
¨ Early
crime
data
analysis
is
encouraging
n Challenges
¨ Engaging
a
diverse
group
of
residents
¨ Staying
focused
¨ TransiConing
from
iniCaCve
led
by
police
department
to
iniCaCve
owned
by
community
8

9. Lessons
learned
n Sufficient
Cme
was
allowed
at
the
beginning
to
build
partnerships
and
get
the
right
groups
involved.
n Police
department
staff
were
recruited
who
were
well-­‐
suited
for
this
innovaCve
effort.
n Types
of
outdoor
acCviCes
and
schedules
are
driven
by
parCcipants
and
community
advisory
councils.
n IniCaCve
to
date
has
maintained
focus
on
two
areas
and
did
not
get
too
big,
too
soon.
9

10. Context
of
other
East
Palo
Alto
ini-a-ves
n City
Recognizes
RelaConship
Between
Health
and
the
Built
Environment
¨ Safe
Routes
to
School
¨ Health
Impact
Assessment
¨ Cooley
Landing
¨ East
Palo
Alto
Health
Roundtable
n City
Focusing
on
Longer-­‐Term
Changes
to
Environment
¨ Health
and
Wellness
and
General
Plan
¨ Capital
Projects
10

11. Desired
longer-­‐term
outcomes
n Physical
changes
to
the
built
environment
n Sustained
reducCons
in
crime
and
violence
n Sustained
improvements
in
healthy
behavior
n Changes
in
“community
norms”
around
health
11

12. Chief Ron Davis
East Palo Alto PD
rdavis@cityofepa.org
ST Mayer
San Mateo County Health System
smayer@smcgov.org
Sarah Lawrence
Warren Institute, UC Berkeley School of Law
slawrence@law.berkeley.edu