A culture of health choices.jan 2012
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  • Discuss how we all define Wellness differently.Discuss how our ideas about wellness for students may differ….depending on location, culture, SES of students.Ask for input about what this meansHas anyone provided wellness programs for your students? Have you participated in Wellness programs?Here is a definition for you to consider:It does not mean that you do not get ill. It also does not mean that someone with a disability or a chronic illness can not achieve wellness. It is taking what life has presented to you and making the most of each day with it. Wellness is about making healthy choices and making choices about moderation…moderation with eating habits, moderation with exercise habits. (can comment: Wellness is not about policing peoples activities to keep people from eating cookies or junk food but more about educating so that individuals can make the healthy choices naturally and not feel guilty when they may indulge if it is done in moderation).
  • Wellness is multi-dimensional. To better help understand all of the areas, Dr. Bill Hettler with the National Wellness Institute developed a wellness model.There are only a few models available for use and this model has been adapted by others. Some models have different dimensions or more dimensions.The point that I want to make is that Wellness is much more than physical activity and nutrition. But I believe so strongly in NPA that I focus on that small section today. ..to eat healthier, be more physical activity, reduce health risk and improve their quality of life and happiness factor.
  • Emphasis: Interdependence between others and nature. As you travel a wellness path, you'll become more aware of your importance in society as well as the impact you have on multiple environments. You'll take an active part in improving our world by encouraging healthier living and initiating better communication with those around you. You'll actively seek ways to preserve the beauty and balance of nature along the pathway as you discover the power to make willful choices to enhance personal relationships, important friendships, and build a better living space and community.
  • NPA wellness program: Employees selected area to improve. Testimonies of personal balance, finding time for friends and family, community serviceSocial – Recycle plastic and can containersEmotional- Build relationships (office meetings)
  • How you express your values through your involvement in activities that are gratifying for you. The choice of profession, job satisfaction, career ambitions, and personal performance are all important components of your path's terrain. Occupational wellness follows these tenets: - It is better to choose a career which is consistent with our personal values interests and beliefs than to select one that is unrewarding to us. - It is better to develop functional, transferable skills through structured involvement opportunities than to remain inactive and uninvolved.  
  • Recognizes one's creative, stimulating mental activities. A well person expands their knowledge and skills while discovering the potential for sharing their gifts with others. Using intellectual and cultural activities in the classroom and beyond the classroom combined with the human resources and learning resources available within the university community and the larger community, a well person cherishes intellectual growth and stimulation. Traveling a wellness path, you'll explore issues related to problem solving, creativity, and learning. You'll spend more time pursuing personal interests, reading books, magazines, and newspapers, while keeping abreast of current issues and ideas. As you develop your intellectual curiosity, you'll actively strive to expand and challenge your mind with creative endeavors. Intellectual wellness follows these tenets: >br />>br /> - It is better to stretch and challenge our minds with intellectual and creative pursuits than to become self-satisfied and unproductive. >br />>br /> - It is better to identify potential problems and choose appropriate courses of action based on available information than to wait, worry and contend with major concerns later.
  • The well person maintains satisfying relationships with others. Awareness of, and accepting a wide range of feelings in yourself and others is essential to wellness. On the wellness path, you'll be able to express feelings freely and manage feelings effectively. You'll be able to arrive at personal choices and decisions based upon the synthesis of feelings, thoughts, philosophies, and behavior. You'll live and work independently while realizing the importance of seeking and appreciating the support and assistance of others. You'll be able to form interdependent relationships with others based upon a foundation of mutual commitment, trust and respect. You'll take on challenges, take risks, and recognize conflict as being potentially healthy. Managing your life in personally rewarding ways, and taking responsibility for your actions, will help you see life as an exciting, hopeful adventure. Emotional wellness follows these tenets: - It is better to be aware of and accept our feelings than to deny them. - It is better to be optimistic in our approach to life than pessimistic.  
  • While traveling the path, you may experience many feelings of doubt, despair, fear, disappointment and dislocation as well as feelings of pleasure, joy, happiness and discovery - these are all important experiences and components to your search and will be displayed in the value system you will adapt to bring meaning to your existence. You'll know you're becoming spiritually well when your actions become more consistent with your beliefs and values, resulting in a "world view."
  • As you travel the wellness path, you'll strive to spend time building physical strength, flexibility and endurance while also taking safety precautions so you may travel your path successfully, including medical self-care and appropriate use of a medical system. The physical dimension of wellness entails personal responsibility and care for minor illnesses and also knowing when professional medical attention is needed. By traveling the wellness path, you'll be able to monitor your own vital signs and understand your body's warning signs. You'll understand and appreciate the relationship between sound nutrition and how your body performs. The physical benefits of looking good and feeling terrific most often lead to the psychological benefits of enhanced self-esteem, self-control, determination and a sense of direction. Physical wellness follows these tenets: - It is better to consume foods and beverages that enhance good health rather than those which impair it. - It is better to be physically fit than out of shape
  • MeetingsGreensboro grantAfter school and role modelsWork breaksChurch walk
  • Support in ChangesMaking self changes a reality takes support from the environment, the system, and policies.
  • Barriers to healthy behaviors are shared among the community as a whole. As these barriers are lowered or removed, behavior change becomes more achievable and sustainable. It becomes easier to "push the ball up the hill." The most effective approach leading to healthy behaviors is a combination of the efforts at all levels--individual, interpersonal, organizational, community, and public policy
  • Policy changes do not mean going to state capitol and lobbying Advocacy needed at all levels
  • Tools- we researched options. Worked closely with rehab and pilot agencies to create guidelines (Mim- worked closely with CDC to make sure NPA had what they needed in training and money and timeVisit with everyone- monthly face to face meeting with follow up by rehab to the vendors. Staff in=services with food tasting for each pilot, NPA discussions with monthly calls with cdcEveryone feels included- each set of minutes asked who else should be at the table? Follow up by phone. (Mim double checking with staff)Listen carefully to unspoken- Tried to listen to vendors, but trusted others to represent them. (Mim- trying to listen carefully to staffMake them feel safe- Mim completing the fed paper work, and talking with administration,
  • Mim now the bitch… advocateMemo to bossNeogations- pick your battles

A culture of health choices.jan 2012 A culture of health choices.jan 2012 Presentation Transcript

  • A Culture of Healthy ChoicesMiriam (Mim) Gaines, MACT, RD, LDNutrition and Physical Activity Division
  • A Culture of Healthy ChoicesObjectives• Give a definition of wellness• List venues to reach the public• Name solutions to barriers in wellness policy, environmental and systems changes.
  • Wellness as Compared to Healthy Choices A choice — A decision you make every day, every hour, every minute to move toward optimal health. A way of life — A lifestyle you design to achieve your highest potential for wellbeing. A process — An awareness that there is no endpoint, but that health and happiness are possible in each moment, here and now.
  • Overview of Adult Sickness• Obesity • Mississippi #1 • Alabama #2• Hypertension• Diabetes• High Cholesterol• Cancer• Etc.
  • A Healthy CultureWellness Prevention in a Treatment Medical Country
  • Healthy Culture Wellness is an active process of ◦ Becoming aware ◦ Making choices toward ◦ Having a more successful existence Nutrition and Physical Activity Vision: Alabamians of all ages to embrace a culture of healthy choices as their normal way of life.
  • Six Dimensional Wellness Model Helps Determine Approaches
  • ADPH Uses Wellness Model for Healthy Approaches  Helping the culture change  How actions fit into the model Examples focus on low cost and grant funded methods
  • Wellness Model:Social DimensionEncourages: Contributing to environment and community welfare over selfish desires Living in harmony with others and our environment rather than in conflict Addressing environmental health concerns
  • Social Dimension  Recycle plastics  Brewton  Lowndesboro  Bureau retreat  After school sites  Employee wellness program: selected areas to improve
  • OccupationalDimension Encourages:  Personal satisfaction and enrichment through work Contributing unique gifts, skills, and talents to work for personal fulfillment ADPH:
  • Intellectual DimensionEncourages: Stretching and challenging minds Identifying potential problems and appropriate solutions instead of waiting, worrying NPA:
  • Emotional Dimension Encourages: ◦ Recognizing, being aware of, and accepting feelings while acting responsibly ◦ Being optimistic in life yet realistic ◦ Coping effectively with stress ◦ ADPH
  • Spiritual Dimension Encourages: Searching for meaning and purpose of life Being tolerant of others beliefs Living each day consistent with personal values and beliefs NPA employee programs at work
  • PhysicalDimension• Encourages: Consuming foods and beverages that enhance good health Moving more Discouraging the use of tobacco, drugs, and excessive alcohol consumption Monitoring your own vital signs and understand your bodys warning signs
  • Proven Areas to Address Health Increase fruit and vegetable consumption Decrease sedentary activity Increase physical activity Breastfeeding
  • Physical Dimension Fun
  • Staff Gatherings Combine Several Components Fun staff meetings help when raises are no where in site.
  • Combining Components .  Statewide  Promotes lifestyle change  Rewards weight-loss  Starts in January  10-week contest  Adults  Operated at local level through employers, hospitals, health departments, etc.
  • SUPPORT TO MAKECHANGES COMES FROM The Environment, System, and Policies
  • Socio-Ecological Model Looking Beyond the IndividualWhat Factors That Influence Your Wellness?There is an interwoven relationship between the individual and their environment.
  • NPA Addresses Policy Opportunities• State level policies• State employee policies• Public policies- state and local• Local policies• Academia K- PhD• Businesses• Faith community• Medical• Family
  • Example of Policy toChange Culture at Work: Meeting Guidelines
  • ADPH Meeting GuidelinesServe• Lower calorie and lower fat foods• Fruits and vegetables whenever possible• Small portions• Low-fat or fat-free (skim) milk, 100% fruit or vegetable juice, water or calorie-free beverages
  • Serve foods • Baked • Broiled • Grilled • Steamed • Poached• Limit serving size of high fat, high sugar, low fiber items
  • ADPH Meeting Guidelines:Physical Activity in Meetings• Choose walkable• Stretch breaks during meeting• Overnight facilities offer areas or passes to local gyms
  • Meeting Guidelines Cont. A smoke-free environment Go paperless when possible Opt for pitchers of water instead of bottles Opt for re-usable plates, cups, and flatware rather than paper or plastic. Choose environmentally friendly facilities
  • Leadership Skills Required for Culture ChangesLeadership skills as compared to hosting a party1. Make sure guest have what they need… Provide tools, equipment, and support as needed2. Visit with everyone… Check on employees, network with partners3. Be sure everyone feels included and welcomed Team work and recognizing talents
  • Leadership Skills Required for Culture Changes 4. Listen carefully to the unspoken Active listening and negotiating when needed 5. Make them want to come back Have fun 6. Make them feel safe Cover their backs
  • Lessons Learned and Leadership Skills Used While Trying to Create a Healthy Environment for the Culture Change  Overview:  Vending machines will provide 50% healthy choices in state agency buildings.  Snacks are clearly marked  Vendors to get reimbursed for any loss  Employees tasted foods before implementation.
  • Leadership Skills Used in Vending Project Tools- Reports provided to partners Visit- Worked with Rehab before implementation on monthly basis, face to face meetings, minutes with next steps sent Feeling included- Staff and partners asked direct questions with follow up Unspoken- Tried to read between the lines Feel Safe- Asked for vendor’s input, NPA staff reports
  • Leadership Lessons Learned  Tools- Reports are not read or retained  Visit- Face to face worked well, but hard to get people to come to the meetings; Rehab finance not at the table  Feeling included- Staff and partners versus the vendors  Unspoken- Vendors felt unrepresented  Feel Safe- NPA felt discourage
  • Leadership in Projects May Be Crisis Style Leadership Vendors not paid timely Private vendor for expansion requires close follow up Negotiations changes ◦ 50% versus 30%
  • Expanding to Private and to Counties
  • Lessons Learned from Expansion Efforts Baptist Hospital had smoother expansion with in house champions and strong administrative support Gas topers- Public Health typical PR efforts versus general public Private vendors are supportive, but follow up may be harder
  • Why Continue? Train up the future generation that healthy eating is normal
  • Leadership Encourages Others to be Good Role Models• Public Health Employees are role models.• Who is in your world?• Who influences you and your family – state or local authorities, health providers, church leaders, etc. ?
  • Think Wellness“We are all faced with a series of great opportunities brilliantly disguised as impossible situations.” Charles R. Swindoll