# Presentation: 789576

## Slide 1

## State Health Agency Areas of Focus

**Diabetes **
**Obesity**
**Asthma**
**Nutrition**
**Physical Activity**
**Tobacco**

**Cancer **
**Heart Disease & Stroke**
**Alzheimer’s Disease**
**Steps to a HealthierUS ****(integrated approaches)**

## Steps to a HealthierUS: A key example

**Enable communities to reduce burden of chronic disease.**
**Implement community-focused programs that engage community sectors.**
- Schools
-  Community Organizations
-  Businesses
-  Faith-communities
-  Health Care Purchasers, Plans and Providers
-  Academic Institutions
-  Senior Centers
**Utilize an integrated approach.**** **

## Integrated Approach

**Addresses the leading causes of death and disability.**
**Addresses the major risk factors.**
**Reaches the general population and also targets high risk and priority populations in all the places in which members of the communities are found.**

## Integrated Approach

**Interventions:**
**Intertwined**
**Play off and promote each other**
**Impact multiple disease/risk factor area**
**Promoted by multiple partners and venues**
**Target people throughout the life span**
**Community-driven**
**Developed by a diverse team**

## Benefits of Integration

**Provides opportunities for programs to work together. **
**Promotes collective thinking and problem solving. **
**Supports working together in new ways so that the impact of all programs is improved.**

## Benefits of Integration

**Promotes partnerships.**
**Avoids duplication of efforts.**
**Maximizes resources.**
**Enhances coordination between systems.**
**Develops systematic identification of common problems and gaps and shares opportunities for addressing them.**
**Enables sharing of data and best practices.**

## Community Consortia

**Community engagement**
**Traditional and non-traditional partners**
**Community investment and ownership**

## Examples of NYS Steps Interventions

**Mission Meltaway**
**Community Gardens**
**North Country Steps Forward**

## Mission Meltaway

**8 week healthy weight management program**
**Lead: Broome County Office for Aging**
**54 community facilitators trained**
**50 sites**
**918 enrolled****	****      **
**556 completed**
**Over 900 free 8 week YMCA memberships distributed**

**Notes:**
Initially developed and tested in Senior Citizen Nutrition Sites, the program has been adapted to meet the needs of the specific populations and has been successful in worksites, faith based settings, primary care sites, schools, and other organizations. 
Memberships donated to date worth over $54,000.  In addition if a Mission Meltaway participant joins the YMCA the $50 joiner fee is waved.
Approximately 20% of participants have continued on as fulltime members of the YMCA.
80% of participants are categorized as being at high-risk for diabetes. 

## Mission Meltaway

**224 older adults enrolled**
**164 older adults completed**
**866 pounds lost**

## Community Gardens

**Lead: Northern Broome Senior Center**
**Over 40 gardeners**
**Participants reported:**
**↑ ****physical activity **
**↑ ****socialization**
**↑ ****access to fresh vegetables**
**↑ ****opportunities to learn new skills**

**Notes:**
2004
Garden began in late June, 2004 with 8 container gardens and 40 gardeners.
2005
In 2005, Senior Center took over the gardens and no Steps funds or resources were used.  A 9th garden was added.
Seniors harvested baskets full of vegetables.
Seniors participated in the local organic farmer’s market to sell excess vegetables, crafts, and baked goods.

## North County Steps Forward

- Lead: YMCA
- Individual/family pledge
- Community walks
- Mass media
- Schools and worksites open for walking

**Notes:**
Jefferson County Steps to a Healthier NY staff worked with the Northern New York Community Foundation, the Watertown Family YMCA, and the North Country Children’s Clinic to secure a one year $123,000 grant from the NYS Attorney General’s Office to widen the scope of the Steps physical activity and nutrition interventions to encompass a two county region and intensify activities.  
The grant,, includes a 
media campaign to mobilize 10,000 residents to pledge to achieve a healthy lifestyle by attaining daily physical activity through walking, and increasing consumption of vegetables, fruit, and low-fat dairy products.  
Four-pronged approach:
	1. Media
	2.  Community-wide walking campaign, 
	3.  Provider/clinician trainings and promotion of program
	4. Nutritionist- facilitated lifestyle improvement program.  

## North Country Steps Forward

**Over 7,900 participants**
**Over 3,000 participants are age 65 or older**
**12 facilities open for walking**
**240 hours per week open for walking**

## For More Information

**Steps to a HealthierUS **_[http://www.healthierus.gov/steps](http://www.healthierus.gov/steps)_