Turning great ideas into healthier communities

Program

Health in All Policies

PHI is recognized nationally and internationally as a leader in the field of Health in All Policies. The team partners closely with California state government, as well as other jurisdictions and organizations, to facilitate collaborative and innovative approaches to health equity and racial equity, working across the social determinants of health.

Program Director(s)

Julia Caplan

Program Site

http://sgc.ca.gov/programs/hiap/

Projects

California Health in All Policies (HiAP) Task Force

The HiAP team has built the California HiAP Task Force from the ground up, in partnership with the state Department of Public Health and Strategic Growth Council. The team assists departments as they integrate health, equity, and sustainability into programs and policies including transportation, urban forestry, parks, violence prevention, food, land use, and economic opportunities. As the first state-level initiative of its kind in the US, this it has become a national and international model.

Capitol Collaborative on Race and Equity (CCORE)

The Capitol Collaborative on Race and Equity (CCORE) supports California state entities to learn about, plan for, and implement activities that embed racial equity approaches into institutional culture, policies, and practices. This initiative was launched in 2018 and has helped over 20 departments and agencies advance racial equity through organizational commitments, stakeholder engagement practices, workforce development, program planning, and other priorities within their departments.

Health in All Policies Consultation, Training, and Presentations

The HiAP team provides tailored workshops and keynote addresses for a range of audiences including local and state health departments, universities, and nonprofits. Topics include using a HiAP approach to promote health, equity and sustainability; strategies for cross-sectoral partnerships; influencing existing government processes; and defining healthy, equitable public policy. Workshops are highly interactive, and engage community members, government officials, and cross-sectoral partners.

Outcomes-Based Contracting

PHI is partnering with Social Finance and the Center for Health Care Strategies to explore how government can define measurable goals, strategically deploy and coordinate resources, and evaluate the results of its programs. This has included developing and piloting workshops on outcomes-based contracting for state government agencies including Social Services, Public Health, and Housing, and exploring how to promote the value of prevention in driving better health outcomes.

Violence Prevention and Resilience

PHI supports the California HiAP Task Force to address risk and protective factors for domestic violence through education and narrative change, breaking down siloes between sectors, providing subject matter expertise, and engaging and activating stakeholders. This includes liaising with a wide range of state government initiatives, including Essentials for Childhood, Department of Public Health, Office of the Surgeon General, and Master Plan on Aging.


Here's How We're Making a Difference

Changing the Way Governments Do Business

PHI's HiAP team built the California Health in All Policies (HiAP) Task force from the ground up, partnering with twenty-two state agencies and working in collaboration with the California Department of Public Health to promote healthy and equitable communities. It is the most extensive HiAP initiative within a state government anywhere in the country. Our Health in All Policies guide has been viewed 60,000 times, and is used as a primer by local, state, federal and international organizations seeking to institute a HiAP approach where they live. 

Embedding Health and Equity into California Programs, Policies and Decision-Making

In 2017, PHI's Health in All Policies (HiAP) staff partnered with the Strategic Growth Council and the California Department of Public Health (CDPH) to convene the California Health in All Policies Task Force and embed health and equity into programs, policies, and decision-making processes at the state level. The HiAP team engaged local and regional agencies, along with other diverse community stakeholders across California, to ensure that Task Force activities were responsive to community needs.

In addition to convening the Task Force, staff built the capacity of CDPH, Office of Health Equity, and the California Health and Human Services Agency to promote a system of prevention and a culture of health and equity through collaborative work related to the social determinants of health. These governmental multi-agency group meetings covered topics such as: Land Use, Schools, and Health workgroup, Childhood Trauma Prevention workgroup, Housing Siting and Air Quality workroup, and Violence Prevention workgroup. And to support the Health in All Policies approach broadly, staff provide educational tools, trainings, and technical assistance to local entities throughout California, including a "Health Equity 101" workshop for over 200 CDPH staff, as part of a new initiative to build health equity capacity within CDPH.

This work also led to the development of two new Task Force workplans (Equity in government practices and Parks, greening, and places to be active), as well as an ongoing collaboration with the Air Resources Board and CDPH Climate Change and Health Equity Program to provide input on the Caltrans Benefits/Costs Tool, including a new Active Transportation section.

Increasing Access to Parks and Active Transportation with Health in All Policies

Many of California's greatest health challenges are highly complex and often interrelated. Solutions to these problems require collaboration across sectors to address social determinants of health, such as transportation and green and open spaces like parks and urban tree canopy.

Working with members of California's Health in All Policies Task Force, PHI staff helped to support active transportation, increase urban and community greening, and improve access to parks. Staff supported Task Force members to incorporate health and equity into key state-level transportation policy guidelines, including the California Transportation Plan 2040, the Regional Transportation Plan Guidelines, and Caltrans internal planning processes to increase bike, pedestrian and transit trips. Staff also provided guidance in grant-making programs and metrics to increase the likelihood of state resources reaching those communities with the greatest need. Together, they generated recommended collaborative actions state agencies can take to promote community greening and access to parks throughout California.

Systematizing Racial Equity Planning in Government

The lives of California's residents are shaped in part by decisions at the state level. So PHI's Health in All Policies (HiAP) team's work with the Government Alliance for Race and Equity (GARE) Capitol Cohort, a racial equity capacity building project for California's state government, holds the potential to bring greater justice and equity to each of its 39 million residents. 19 state departments—including public health, education, corrections and rehabilitation, and housing—prepared Racial Equity Action Plans, focusing on areas such as workforce development, budgeting, community engagement, results-based accountability, and program development. 

"Participating in GARE provided CDPH with an opportunity to be purposeful and explicit about finding solutions to racial inequities that may be perpetuated through our institutional processes, operations and policies," said Dr. Karen Smith, Director of the California Department of Public Health.

In April of 2019, California's Strategic Growth Council (SGC) officially unanimously adopted an historic Racial Equity Action Plan, developed through their participation in the GARE Capital Cohort. The California SGC—which represents sectors including transportation, health, agriculture, housing, natural resources, and environment—is the first state cabinet-level body in the country to adopt a racial equity plan, and reflects an endorsement that is multisectoral and from the highest levels of California state government. Learn more.

Training Health Departments To Advance A Health In All Policies Approach

PHI staff have provided tailored Health in All Policies workshops for local health departments across California, including Fresno, Merced, Monterey, Ventura and Tulare, designed to match health departments' community readiness and needs. Topics have included: learning how HiAP promotes health, equity and sustainability; strategies for building cross-sectoral relationships; avenues for embedding health and equity into existing government processes; government mechanisms; and defining health public policy. These workshops often include community members, local government officials, and cross-sectoral partners.