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Designed to Thrive: creating salutogenic environments
This document discusses the concept of salutogenesis, which focuses on designing environments to promote health and well-being rather than just prevent disease. It outlines five vital elements for salutogenic design: nature, authenticity, variety, vitality, and legacy. Examples of healthcare projects are provided that incorporate these elements through features like connections to nature, variety of spaces, and designs meant to leave a lasting positive impact on communities. The overall message is that environments should be "designed to thrive" by promoting health and well-being rather than just addressing pathology.
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Designed to Thrive: creating salutogenic environments
- 1. Designed to Thrive Creatingsalutogenic environments Tye Farrow B Arch, M Arch UD, LEED AP, FRAIC, AIBC, SAA, OAA, NSAA, NLAA, Assoc. AIA
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- 5. How does this environmentaffect us?
- 6. How will thisenvironment become un-acceptable?
- 7. . . .cause health? Thunder Bay Health Sciences Centre Salter Farrow Pilon Architects Inc., of which Farrow Partnership Architects is a successor firm
- 8. Our pathology-centric world Agendafor health How people (really) make decisions A way forward: Five Vital Elements Kaplan Medical Center Farrow Partnership in collaboration with Uzi Gordon Ltd. Architects and Town Planners
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- 12. We find whatwe look for : “ I learned a lot of pathology, & a lot about medicines. We were taught virtually nothing about health. ” Richard J. Jackson, MD, MPH Professor and Chair Dept. of Environmental Health School of Public Health, UCLA Former Director, U.S. Centers for Disease Control & Prevention
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- 15. Why do wehave a commonly-used term that refers to origins of disease: Pathogenic
- 16. Why do wehave a commonly-used term that refers to origins of disease: Pathogenic while the similar term meaning origins of health is relatively unknown:
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- 18. SALUTOGENIC . . .time to look for 8,000 ways to cause health.
- 19. . . .Causehealth
- 20. . . .Causehealth abnormalities . . .Cause health problems . . .Cause health risks . . .Cause ill health
- 21. . . .Causehealth abnormalities . . .Cause health problems . . .Cause health risks . . .Cause ill health . . .Cause Health?
- 23. Dr. Lester Breslow& Three Eras Public Health 1st: Communicable diseases 2nd: Non-communicable disease 3rd: Accelerating optimal health Salutogenesis Ray Pentecost
- 24. Communicable disease Mid 19thcentury to mid 20th century 1st
- 25. Urbanization & industrialization Communicabledisease: TB, cholera, malaria, yellow fever 1st
- 26. Example: London chorea outbreakof 1854 & Dr John Snows discovery of the source 1st
- 27. Central park &park movement Urban design set backs Public transportation Departments of sanitation Public health movement Results: longer life expectancy & rise of chronic disease 1st
- 28. Non-communicable disease Mid 19thcentury to mid 20th century 2st
- 29. Changes in our physicaland cultural environment have fueled this burden of chronic disease 2nd
- 30. Changes in our physicaland cultural environment have fueled this burden of chronic disease 2nd
- 31. Reduced daily-life physicalexertion Marketing & manufacturing of tobacco Changing food quality & distribution Car centric design suburbs Biological ability to avoid adverse health compromised 2nd
- 32. VALUE? The U.S. consumes $2.7trillion in ‘disease care’ spending 70% to 75% relates to chronic disease 2nd
- 33. 70% all deathsglobally from chronic disease 1/3 all deaths before sixty years of age . . . . one’s most productive years 2nd
- 35. “ . . .tell me your postal code I can tell you how long you will live First time in modern history that your children's life expectancy is shorter than yours ” 2nd
- 36. Chronic disease Common sourceepidemic 2nd
- 37. Reaction New Urbanism UN Noncommunicabledisease resolution (second health resolution in its history) NYC Department of Planning Active Design Guidelines 3nd
- 38. The evolution of“livability” criteria 1931 (U.S.A. ) - literacy rate - farm electrification rate - deaths from typhoid fever - number of lynchings - teacher’s salaries source: The Atlantic Cities
- 39. The evolution of“livability” criteria 2013 (U.S.A. ) - public transportation - access to hospitals - affordable housing - access to parks - quality of schools - infrastructure quality - low crime rate - social capital - air quality - walkability
- 40. DESIGNED to THRIVE Best we canbe Best of what we know Generic solution Replace Cope DESIGNED to SURVIVE
- 41. The evolution of“livability” criteria 2013 2030 - public transportation - integrated mobility? - affordable housing - health-causing housing? - quality of schools - cause health? - low crime rate - citizen engagement? - walkability - walk worthy? - access to hospitals - cause health? - parks - diversity of uses? - social capital - social capital?
- 42. DESIGNED to THRIVE Best we canbe Best of what we know Generic solution Replace Cope DESIGNED to SURVIVE cause health integrated mobility walk worthy diversity of uses public transportation quality of schools walkability affordable housing literacy farm electrification typhoid fever deaths lynchings
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- 44. Aaron Antonovsky coinedsalutogenesis Latin salus = health & Greek genesis = origin.
- 45. Aaron Antonovsky coinedsalutogenesis Latin salus = health & Greek genesis = origin.
- 46. Antonovsky saw acontinuum, rather than either / or. Pathogenic Deterioration Salutogenic Health activation
- 47. THE LEAP UPSTREAM PATHOGENIC ORIENTATION GOAL FOCUS NORMS RELIESON SALUTOGENIC ORIENTATION - better medical interventions - better quality of life - cure disease - cause health - paternalism, entitlement - self-reliance, public health - fixing parts of system - holistic approach
- 48. Aaron Antonovsky Father ofSalutogenesis Why do some people remain healthy, while some become ill?
- 49. The mind: Howyou feel “Sense of Coherence” regarding life and its challenges - comprehensibility - manageability - meaningfulness
- 50. The mind: Howyou feel “Sense of Coherence” regarding life and its challenges - comprehensibility - manageability - meaningfulness Alan Dilani’s work relating it to the built environment
- 51. Pathogenic: Disease prevention Salutogenic:Health activation
- 52. Pathogenic: Disease prevention Salutogenic:Health activation Cause Health
- 53. Occurrence Agent – Environment– Host Stopping something from happening or treating it after it occurs Pathogenic
- 54. Continuum: encourage healthto occur Filling environment with elements that accelerate health Salutogenic
- 55. “ …I had tobegin to learn less about disease and a whole lot more about the embedded health in the world around me if I was to make an impact. ” Richard J. Jackson, MD, MPH Professor and Chair Dept. of Environmental Health School of Public Health, UCLA
- 56. “ The function of protecting& developing health must rank even above that of restoring it when it is impaired ” Hippocrates
- 57. “ In the longrun, housing may be more important than hospitals to health ” Dr Lester Breslow
- 58. . . .Intentionally have created silos? Ministry of health Ministry of education Ministry of municipal affairs & housing Ministry of economic development 3nd
- 59. . . .Intentionally have created silos? Ministry of health Ministry of education Ministry of municipal affairs & housing Ministry of economic development Ministry of health, education, municipal affairs, housing & economic development 3nd
- 60. . . .You find what you look for? U.S. Centers for Disease Control & Prevention 3nd
- 61. . . .You find what you look for? U.S. Centers for Disease Control & Prevention U.S. Centers of Health Creation 3nd
- 62. Accelerating optimal health: Salutogenesis Startof 21st century 3rd
- 63. Living longer /greater expectations Life to full potential: designed to THRIVE Sense of Coherence: How environments make you feel . . . perform . . . & prosper 3nd
- 64. People make decisions basedon an emotion level.
- 65. Change what peopleSEE on an emotional level
- 66. The question: How healthyis this place? dis-ease health
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- 68. Salutogenesis: Designed toThrive Five Vital Elements Nature Authenticity Variety Vitality Legacy
- 69. 1. Nature Design that isinspired by the natural world
- 70. Credit Valley, FarrowPartnership
- 71. Credit Valley, FarrowPartnership
- 72. Credit Valley, FarrowPartnership
- 73. “ Give us something that’s alive! -Cancer patient survey response Credit Valley, Farrow Partnership ”
- 74. “ I am in good hands. ” CreditValley, Farrow Partnership
- 75. Credit Valley, FarrowPartnership
- 76. NOC, Port-of-Spain, Trinidadand Tobago Farrow Partnership and associate architects co-rd Limited
- 77. NOC, Port-of-Spain, Trinidadand Tobago Farrow Partnership and associate architects co-rd Limited
- 78. NOC, Port-of-Spain, Trinidadand Tobago Farrow Partnership and associate architects co-rd Limited
- 79. NOC, Port-of-Spain, Trinidadand Tobago Farrow Partnership and associate architects co-rd Limited
- 80. 2. Authenticity Design that drawson meaningful local influences
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- 82. St Mary’s On tackto be LEED Platinum & carbon neutral, completion November 2013 Farrow Partnership Architects in association with Busby Perkins + Will Architects
- 83. Farrow Partnership Architectsin association with Busby Perkins + Will Architects
- 84. Farrow Partnership Architectsin association with Busby Perkins + Will Architects
- 85. 3. Variety A range ofexperiences and a sense of discovery
- 86. Farrow Partnership incollaboration with Uzi Gordon Ltd. Architects and Town Planners Kaplan Medical Centre, Israel
- 87. Farrow Partnership incollaboration with Uzi Gordon Ltd. Architects and Town Planners Kaplan Medical Centre, Israel
- 88. Farrow Partnership incollaboration with Uzi Gordon Ltd. Architects and Town Planners Kaplan Medical Centre, Israel
- 89. Farrow Partnership incollaboration with Uzi Gordon Ltd. Architects and Town Planners
- 90. Farrow Partnership incollaboration with Uzi Gordon Ltd. Architects and Town Planners
- 91. Mission CRC Farrow PartnershipArchitects and KMBR Architects
- 92. Farrow Partnership Architectsand KMBR Architects
- 93. Farrow Partnership Architectsand KMBR Architects
- 94. Farrow Partnership Architects& KMBR Architects
- 95. Farrow Partnership Architectsand KMBR Architects
- 96. 4. Vitality Regenerative space facilitatesflow of people and ideas
- 97. Thunder Bay HealthSciences Centre w E Salter Farrow Pilon Architects Inc., of which Farrow Partnership Architects is a successor firm
- 99. Salter Farrow PilonArchitects Inc., of which Farrow Partnership Architects is a successor firm
- 100. Abundance State of mind- feel Knowledge era Optimistic Engage Captivate Overflow Entrepreneurial Salter Farrow Pilon Architects Inc., of which Farrow Partnership Architects is a successor firm
- 101. Salter Farrow PilonArchitects Inc., of which Farrow Partnership Architects is a successor firm
- 102. Salter Farrow PilonArchitects Inc., of which Farrow Partnership Architects is a successor firm
- 103. Salter Farrow PilonArchitects Inc., of which Farrow Partnership Architects is a successor firm
- 104. C B A Colchester East HantsHealth Centre, Canada WHW Architects and Farrow Partnership Architects
- 105. WHW Architects andFarrow Partnership Architects
- 106. WHW Architects andFarrow Partnership Architects
- 107. WHW Architects andFarrow Partnership Architects
- 108. WHW Architects andFarrow Partnership Architects
- 109. 5. Legacy Design that makesa lasting contribution to health
- 110. Protea Health PromotingLifestyle Centres, South Africa
- 111. Protea Greek god that wasable to change between many forms Protea Health Promoting Lifestyle Centres, South Africa
- 112. Farrow Partnership Architects,Clark Nexsen, Ngonyama Okpanum & Associates
- 113. Farrow Partnership Architects,Clark Nexsen, Ngonyama Okpanum & Associates
- 114. Centre of influence Versus Centreof Excellence Farrow Partnership Architects, Clark Nexsen, Ngonyama Okpanum & Associates
- 115. Legacy: Change theway people think about, see health Farrow Partnership Architects, Clark Nexsen, Ngonyama Okpanum & Associates
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- 125. SALUTOGENESIS “Design to Thrive”:environments that: do their best work connect with nature discover their strengths find shared meaning develop their capabilities communicate a sense of abundance build a legacy strengthen social networks
- 126. How will youcause health?
- 127. Tye Farrow B Arch,M Arch UD, LEED AP FRAIC, AIBC, SAA, OAA, NSAA, NLAA, Assoc. AIA
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