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.
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
Agenda for 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
12. We find what we 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
15. Why do we have a commonly-used
term that refers to origins of disease:
Pathogenic
16. Why do we have a commonly-used
term that refers to origins of disease:
Pathogenic
while the similar term meaning
origins of health is relatively unknown:
20. . . .Cause health abnormalities
. . .Cause health problems
. . .Cause health risks
. . .Cause ill health
21. . . .Cause health abnormalities
. . .Cause health problems
. . .Cause health risks
. . .Cause ill health
. . .Cause Health?
22.
23. Dr. Lester Breslow & Three Eras Public Health
1st: Communicable diseases
2nd: Non-communicable disease
3rd: Accelerating optimal health
Salutogenesis
Ray Pentecost
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
33. 70% all deaths globally
from chronic disease
1/3 all deaths before sixty years
of age . . . .
one’s most productive years
2nd
34.
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
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
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
can be
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
46. Antonovsky saw a continuum,
rather than either / or.
Pathogenic
Deterioration
Salutogenic
Health activation
47. THE LEAP UPSTREAM
PATHOGENIC
ORIENTATION
GOAL
FOCUS
NORMS
RELIES ON
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
49. The mind: How you feel
“Sense of Coherence”
regarding life and its challenges
- comprehensibility
- manageability
- meaningfulness
50. The mind: How you feel
“Sense of Coherence”
regarding life and its challenges
- comprehensibility
- manageability
- meaningfulness
Alan Dilani’s work relating it
to the built environment
55. “
…I had to begin 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 long run,
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
63. Living longer / greater expectations
Life to full potential: designed to THRIVE
Sense of Coherence:
How environments make you feel . . .
perform . . .
& prosper
3nd
82. St Mary’s
On tack to be LEED Platinum & carbon neutral, completion November 2013
Farrow Partnership Architects
in association with
Busby Perkins + Will Architects
97. Thunder Bay Health Sciences Centre
w
E
Salter Farrow Pilon Architects Inc., of which
Farrow Partnership Architects is a successor firm
98.
99. Salter Farrow Pilon Architects 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 Pilon Architects Inc., of which
Farrow Partnership Architects is a successor firm
102. Salter Farrow Pilon Architects Inc., of which
Farrow Partnership Architects is a successor firm
103. Salter Farrow Pilon Architects Inc., of which
Farrow Partnership Architects is a successor firm
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