Mates - Northern Sydney Local Health District - NSW Government

Action4Health

2013-2014

Harbour 2 Hawkesbury

Health Promotion Action in Northern Sydney

Reality Check for ‘Mates’ You’re a parent, not a mate, was one of the confronting messages used in a new campaign to encourage the Northern Beaches community to take a stand against supplying alcohol to minors. The Stop the Supply campaign, developed by the Northern Beaches Community Drug Action Team (CDAT), with Health Promotion as a key driver, aimed to make parents, coaches and young people stop and think about the consequences of supplying or buying alcohol for someone under 18 years. “It also asks them to think about their responsibility to a young person in their charge,’ explained Health Promotion’s Melissa Palermo. “You’re the coach, not the team mate and Here’s your drink, it cost me $1100 are the other two messages designed to get everyone thinking,” said Melissa. Parents are the most common source of alcohol for 12-17 year old students according to the 2011 Australian Secondary Students' Alcohol and Drug survey1. This is closely followed by friends. Stop The Supply, launched in October, delivered a clear message that secondary supply of alcohol to a person under 18 years is against the law (unless you are the parent or guardian) and results in a minimum on the spot fine of $1,100 or fine up to $11,000 and/or 12 months imprisonment (NSW Liquor Act 2007).

“To get the message into the community we advertised on the back of 40 local buses and key bus shelters,” explained Melissa. “Our follow-up survey found that these were the most common ways people found out about the campaign and talking about the issue.” Overall, 80% of respondents felt the campaign is likely to make a difference to peoples’ secondary supply behaviour.

The Stop the Supply message was also promoted through:

x 50,000 bottle shop bags at 80 local liquor outlets

x Postcards distributed to services, business and networks

x Posters disseminated throughout the community and to local sporting organisations

x Parent workshops x The www.stopthesupply.org.au website

x Local media

The 2013-2014 Northern Sydney Health Promotion Service Annual Newsletter x Health Promo on: x Mul cultural Groups to x Go 4 Super Fun You can’t ignore the data! Get Ac ve x You Just Don’t Smoke x Don’t Lose to Booze x Opportunity Knocks! Around Hospitals x Ryde CDAT Relaunched x Munch Time x Planning for Health x Alcohol Fuelled Violence Forum x Stopping Traﬃc x Of Course (People are Northern Sydney Health Promotion loving our courses) x Get ‘APPY’ x Lifelong Healthy Living

(Continued overleaf)

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Health Promotion: You can’t Ignore the data The 2014 federal budget contained large cuts to key Health Promotion areas, including the NSW Healthy Children Initiative (HCI). Statements used to justify the cuts included:

x x x x

The next phase of the campaign will involve Police (Northern Beaches Local Area Command) undertaking an enforcement operation at liquor outlets, more back of bus advertising and a social media component to support the website. “As for the daring ‘reality check’ messages, our feedback indicates that Stop the Supply is hitting a chord in the local community and beyond,” said Melissa. For more information visit: www.nshealthpromotion or www.stopthesupply.org.au. Melissa Palermo

Reaching Out Due to the broad local, state and national exposure, the Stop The Supply campaign has received great interest from others: x The Office of Liquor Gaming and Racing OLGR) has negotiated with the Northern Beaches CDAT for Stop The Supply to be offered to all NSW Liquor Accords. x Stop the Supply has been highlighted, in the NSW Government’s response to the Social Policy Committee inquiry into provision of alcohol to minors, as one of the example projects to deliver a public education campaign to accompany the recommended amendments to the Liquor Act 2007. 2 AcƟon4Health

“We need to fix the budget” “Everyone has to contribute” “We must prioritise front line health services” “Health promotion must achieve measurable outcomes”

In response to the cuts, our NSW government scratched beneath the surface and discovered that each of the above statements actually justify increased investment in Health Promotion: 1. “Fixing the budget”: For every $100 spent on health services, Health Promotion receives just 39 cents. With this tiny investment, Health Promotion saves thousands of lives and billions of dollars every year. 2. “Everyone has to contribute”: Conservative modelling shows that every $1 invested in prevention will save health services $5 within five years. 3. “Prioritise front line health services”: Health Promotion is the front line that protects our Hospitals, General Practices and Community Health services from being overrun. 4. “Achieving measurable outcomes”: NSW Health is set to meet its HCI target of 90 000 fewer overweight children by mid-2015. Our NSLHD HCI team continues to work tirelessly with over 600 schools and childcare services. We have reached 114 000 NSLHD children and are exceeding state targets, with 10 000 fewer overweight children expected in Northern Sydney alone. Thankfully our NSW government has demonstrated foresight and common sense by continuing the Healthy Children Initiative and formally committing to a well-resourced and highly skilled Health Promotion workforce within our Local Health Districts. Paul Klarenaar Director Northern Sydney Health Promotion

Don’t Lose to

Booze

This is the message one St Leo’s Catholic College student has sent to fellow students, as part of the Responsible Service of Alcohol for Schools (RSA4Schools) initiative. The message, along with others the student used, was on a series of ‘alcohol risk’ posters created and hung in the school’s year 11 Homeroom after doing the course. This year, the RSA 4 Schools initiative offered 420 year 11 and 12 students the chance to complete TAFE’s Responsible Service of Alcohol (RSA) course at a greatly reduced cost. The strategy is aimed at improving young peoples’ understanding of alcohol and the laws related to its supply and consumption. They also receive an RSA certificate – a great way to enhance their employment opportunities. “Part of their commitment to the training requires the students to go back to their school and share what they have learned through the course with their classmates any way they like,” explained David Worsley, Health Promotion Officer. “That’s when we see their creative side come out like it did with our St. Leo’s student.” Many students use the Standard Drinks Kit, supplied to the schools, to run in-class activities. “It’s a useful way to get the ‘one standard drink’ concept across, as well as dispelling misconceptions young people have about the alcohol strength of different types of drinks,” said David. Other students delivered PowerPoint presentations using information from the USB provided. This lets fellow students hear first-hand about the course and the specific risks some young people take when they consume alcohol. After a merger of two locations of the initiative, it is now a partnership between Northern Sydney Health Promotion, Hornsby Community Drug Action Team, Ryde Community Drug Action Team, Ryde Council, Hornsby Council, Ku-ring-gai Council, 2Realise, Medicare Local, Northern Sydney Institute (part of TAFE NSW), Eastwood Gladesville Liquor Accord and Hornsby Ku-ring-gai Liquor Accord. It is estimated that, on average, each student feeds back to about 15 of their peers. In other words, this peer education process has delivered key alcohol messages to approximately 6300 young people.

TWO OF THE ST.LEO’S COLLEGE STUDENT’S POSTERS

The average age which 14-24 year olds first try alcohol in Australia is 15.7 years of age.1

David Worsley

Ryde CDAT Relaunched: It’s estimated that alcohol & other drug use costs Australian workplaces an estimated $6 billion a year, through lost productivity, absenteeism, injuries in the workplace and death. 1

In response to this and calls for a local community approach to drugs and alcohol the Ryde Community Drug Action Team (CDAT) was re-launched on the 17th June. Inactive for a number of years, Northern Sydney Health Promotion led the charge to get the CDAT back in action. As a result, eight local services are now on-board. Already the CDAT has received a $3100 grant from the Australian Drug Foundation Small Grants Scheme. The grant will be put towards helping the RSA4Schools Initiative and addressing youth-related alcohol issues. Northern NorthernSydney SydneyHealth HealthPromotion Promotion

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Alcohol Fuelled Violence Forum One of the most shocking recent examples of alcohol fuelled violence is that of 23 year old Michael McEwan, who was a victim of an alcohol-fuelled assault in Bondi in January. The assualt resulted in Michael undergoing emergency brain surgery and rehabilitation. On the 25th March, Michael’s father and sister retold their family’s experience of such violence at the Alcohol Fuelled Violence in Our Community Forum in Hornsby. The Forum was organised by the Hornsby Community Drug Action Team (CDAT), of which Health Promotion is a member. It was attended by over 150 concerned local community members, as well as others from as far away as Liverpool and the Central Coast. Also in attendance were Michael and Peter Christie, father and brother of 18 year old Daniel Christie. Daniel Christie was killed in a King’s Cross coward’s punch attack also in January. Michael was able to provide his valuable insights into the issue as part of the Q&A panel at the end of the evening. Keynote speaker, Paul Dillon gave an in-depth talk on alcohol issues in Australian society. Paul noted that it’s not that Australians are necessarily drinking more; they are now drinking it in a short space of time. A Q&A panel session with Michael Christie, Robert McEwan and representatives from Police, Headspace Chatswood, Northern Sydney Youth Health Promotion and a local MP allowed participants to engage in discussion about the issue and solutions.

THE HORNSBY ADVOCATE COVERS THE FORUM 27/03/14

Paul Dillon recommended focussing on areas where an impact can be made, such as making changes to the drinking environment. Some suggestions included:

x avoiding making people queue outside of licensed premises x providing easy access to food and water, in and around, licensed premises

x replacing drinking glasses with plastic x increasing public transport options and availability around licensed premises

x increasing lighting and CCTV

‘Get APPy’ Youth Health Promotion’s YouthSource App was showcased at the Get APPY-y forum held on the 24th March by NSLHD Mental Health Drug and Alcohol Service. The forum focused on using technologies safely and effectively to promote wellbeing and explored online-based engagement with consumers to deliver health promotion messages and support early intervention. YouthSource was presented as an existing technology that is being used to improve youth health and wellbeing in the region. Last November, the YouthSource app and website was presented at the Australian Association for Adolescent Health’s (AAAH) National Youth Health Conference in Fremantle W.A. A number of youth health professionals expressed their interest in YouthSource's innovation and functionality, and in replicating the model in their own regions.

Cath Ritter and Rachel Bienenstock Rachel Bienenstock

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Northern Sydney Health Promotion

Multicultural Groups to Get Active Bilingual workers from 63 Culturally and Linguistically Diverse (CALD) seniors groups across Northern Sydney have been consulted about their interest in increasing their ability to promote physical activity and falls prevention. “The bilingual workforce (of workers, group leaders and volunteers) is regarded as one of the major sources of health information for people from CALD backgrounds,” said Health Promotion’s Patricia Krolik. “Therefore, if workers have the skills and tools to help their members be more active, there can be an exponential health benefit for the community.” In the partnership project between Health Promotion and Multicultural Health Service, a total of 35 group leaders, representing 16 language groups, were interviewed. They were asked about their interest in being trained to give information on, and demonstrate, Health Promotion’s Staying Active Staying Safe – Basic Exercises to Help Prevent Falls resource. “We found that 29 groups were already doing exercise, or a movement activity, like Tai Chi and gentle exercise,” said Patricia. “Some groups were even already using the Staying Active Staying Safe resource.” However, 24 group leaders from 36 CALD groups (14 languages) expressed interest in receiving the training. Therefore, planning is now underway to work with the leaders to reach almost 1000 members with exercise, movement and falls prevention information. Patricia Krolik

Opportunity Knocks With over 2000 participants enrolled in our Healthy Lifestyle exercise programs every term, Health Promotion has taken the opportunity to also inform them about preventing a fall. A falls prevention information kit was assembled and distributed to 2063 participants during the year. As a result, all new people joining Healthy Lifestyle courses for the first time now receive the kit. “The response from participants has been very positive,” said Patricia Krolik, Health Promotion Manager. “We’ve received calls from participants thanking us for the information, as well as requests for additional copies for a friend.” The falls prevention kit includes:

x Staying active and on your feet (www.activeandhealthy.nsw.gov.au/print_resources) x Falls Prevention – Strength and Balance Exercises x Falls Prevention – Bone Health (www.cec.health.nsw.gov.au/programs/falls-prevention/falls-one-page-flyers)

Patricia Krolik


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Munch Time Most parents know how frustrating it is to get their children to eat vegetables or even try them. Don’t despair, as Redman House Early Learning Centre and KU Balamara may have an answer on how to get the children in their charge munching with the best of them. That’s because each service received one of the ten, Munch & Move project grants given during the year, which they promptly put towards projects to encourage healthy eating. For Redman House Early Learning Centre the answer has been a ‘vegetable’ break, where children get to taste a variety of vegetables as part of a daily activity.

The response to the project has been so positive, Balamara educators invited families to share their favourite healthy recipes which resulted in the production of Yummy, a recipe book that was given to families at the end of year “A great way to spread the healthy eating message!” suggested Nicole. Like Redman House, Balamara has also seen the value in a vegetable garden. They now have a small but productive potted garden to get the children involved in growing food they can eat. Nicole Tate

“Families were very happy when we implemented the vegetable break,” said Maryanne, the Centre’s Director. “Children were not eating many vegetables at home but were eating them at the Centre, or at least trying them.” Ask children about vegetables and the usual response is ‘yuck’. But now young Myah, who has a daily vegetable break, says, “it’s good, they are yummy!” The Centre has also re-established their vegetable garden. There’s nothing like getting the children involved in planting and harvesting vegetables to get them excited about eating them.

REVITALISED VEGETABLE GARDEN AT REDMAN HOUSE

Meanwhile, KU Balarama has expanded their Kids in the Kitchen project by purchasing extra cooking equipment like a frypan, wok and mixer. The children can now experience a whole new range of cooking experiences. “It’s not just the children getting extra time in the kitchen either,’ said Nicole Tate, Munch & Move Coordinator. “Balamara has also invited families to come in and cook up a storm with their kids.” Together they have made healthy and delicious Indian roti with zucchini, mint dip, beetroot leaf salad, ricotta pancakes, fruity French toast, wholemeal carrot pikelets, Spanish tortilla and avocado smoothies!

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Stopping Traffic Growth in Healthy Habits ‘Children who develop healthy eating and activity habits from a young age are more likely to continue these habits in the long term - contributing to ongoing health and wellbeing1,” said Munch & Move Coordinator Nicole Tate. “That’s the overall aim of the Munch & Move program – to get those habits established early.” Eight two per cent (82%) of Early Childhood Education and Care Services (ECECS) in Northern Sydney are now participating in Munch & Move.

Bike Week 2013 saw the return of the Manly Retro Ride, a traffic stopping event held in Manly to celebrate recreational cycling. The Manly Retro Ride, held on the 22nd September, is a stylish and fun event attracting toddlers through to seniors and gives participants and passers-by a sense of the cycling culture in many European countries. For lovers of bikes, cycling and fancy dress, this is the space to be. Over 150 bike enthusiasts from all walks of life attended the event, showcasing their retro attire and/ or retro bikes. For many of the local children, the Manly Retro Ride is a highlight event as they delight in following the escort led by Police. The Manly Retro Ride is an annual event organised by Manly Council and Health Promotion. Find out more information about the Manly Retro Ride at www.facebook.com/manlyretroride. Melissa Palermo

“We are reaching over 27,000 children and their families with the key healthy eating and physical activity messages,” explained Nicole. “Munch & Move is a wonderful program, the resources are simple and easy to understand, workshops are very practical - they provide good everyday strategies that become a natural part of your behaviour and so a natural part of the program,” said Andrea, KU Balamara’s Educational Leader. Nicole Tate

2014 2013 2012 2011

82% 70% 55% 41% % of ECECS in Munch & Move


Read a local rider’s blog (and check out the photos) of the 2013 Manly Retro Ride at tinyurl.com/RetroRide2013, or use your smart phone to scan the QR code to visit the blog.

Action Station Mona Vale Hospital staff can now take advantage of a Go Active 2 Work Hub organised by Health Promotion. The Hub has undercover parking for bikes and information on being active and healthy, including a Transport Access Guide (TAG) that shows active ways to get to work. AcƟon4Health AcƟon4Health 7 7

Lifelong Healthy Living “It renewed our awareness of the importance of teaching children about healthy options for lifelong healthy living.” This is the feedback from Nicola and Stephanie, teachers at Epping North Public School, on their experience of attending the Live Life Well @ School (LLWatS) Professional Learning Workshop in Term 3, 2013. Epping North Public School is one of the 144 (68%) Northern Sydney primary schools that have joined LLWatS since it started in 2008. As well as enhancing quality teaching in PDHPE, the program aims to support schools create environments which enable children to eat healthier and be physically active.

“As the program is now maturing into its 6th year, the focus is shifting towards ensuring that the advances made by the program are sustainable and have the support of the whole school community,’ said Susan Dumbrell, LLWatS Coordinator. “This sustainability in our schools will, as Nicola and Stephanie suggest, set children on the path for lifelong healthy living.”

And along the way, the program may just be contributing to a child’s academic achievements as well. Live Life Well @ School (LLWatS) is a ‘whole of school’ approach to physical activity and healthy eating. It is a joint program by the NSW Department of Education and Communities (DEC) and NSW Health. Susan Dumbrell

According to Australian Research a school that has, on average, high fitness levels will have, on average, higher literacy and numeracy levels. A major reason for this is the school culture that nurtures both physical and academic achievement.1

68

%

of Northern Sydney schools have joined Live Life Well @ School.

81

of participating schools have fruit, vegetable & water breaks.

68

of teachers are participating in professional learning to promote healthy eating & physical activity.

%

%

81

%

of schools have a school plan which includes healthy eating and physical activity.

EPPING NORTH PUBLIC SCHOOL’S NICOLA & STEPHANIE

My View One of the best parts of working on the Live Life Well @ School (LLWatS) program, is the ‘on the ground’, face-to-face work with teachers and schools. After meeting teachers at the workshops, we support them as they implement their action plans at school and it’s great to see what some of them achieve. This year, a highlight was the launch of Crunch&Sip® at Oakhill Drive Public School on a sunny morning in February. It was amazing to see that the veggie sticks, over fruit, were first choice for the students. Even more impressive was Kindy students saying they wanted to eat well to be able to work hard in the classroom and have enough energy for playing and for sport. Cath Ritter

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Schools in

Focus

Epping North Public School Since joining LLWatS Nicola and Stephanie have been very active integrating healthy eating and physical activity into their school. This has included:

x Involving parents, staff and students in ‘Nude Food Day’. The national event encourages people to eat well and live well, and eliminate unnecessary packaging and waste. Students were involved in waste audits to give them insight into the huge difference in waste generated between fresh products and packaged foods.

x Installation of bike racks to encourage active travel to school.

x Implementation of sport programs that target Fundamental Movement skills across K-6.

THE POPULAR NEW BIKE RACKS AT EPPING NORTH PUBLIC SCHOOL

Armenian Alexander School The Armenian Alexander School located in Terrey Hills joined LLWatS in Term 1, 2014. “We wanted to re-establish our vegetable garden which had been destroyed by local animals and build a chicken coup that would assist in providing students with an interactive learning environment that would promote healthy eating,” explained Martine Smith. With the involvement of parents and students, the school also used program funding to build a structure to protect the garden and coup from the natural environment. It also provides a valuable learning space for students for years to come.

x Implementation of Crunch & Sip to raise awareness among the school community about healthy eating.

x Accessing quality teacher resources that equip all staff to better teach concepts within PDHPE.

x New sport equipment. x Organised playground line markings to promote regular physical activity among students.

ARMENIAN ALEXANDER SCHOOL’S CHICKEN COUP

Lindfield East Public School At Lindfield East Public school, the community, parents and staff are working together to support healthy living initiatives. One of those initiatives is a program aimed at increasing the school community awareness of the issue of healthy eating and reducing food waste. To support the program, the P&C’s Nutrition and Wellbeing Subcommittee works in partnership with the school and Ku-ring-gai Council to implement ‘Love Food, Hate Waste’ initiatives and work towards encouraging a healthy canteen menu. NorthernSydney SydneyHealth HealthPromotion Promotion Northern

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Super ®

The Waist is Over! On average, Northern Sydney Go4Fun participants have:

x Reduced their body mass index by “We’ve made grocery shopping at the local supermarket ‘cool’ again,” declared Health Promotion’s, Sakara Branson.

0.60kg/m2

x Decreased their waist circumference by 1.5cm

“Well, perhaps not ‘cool’, but way more interesting than it used to be.” That’s because families attending Health Promotion’s Go4Fun program become ‘label reading detectives’. Participants learn how to read fat and sugar content on food labels, as well as checking ingredient lists to ensure products are made from healthy foods. “Families then don their detective hats and put their new found label reading skills to the test during a Supermarket Tour,” explained Sakara. These invaluable sessions empower both parents and children to make healthier decisions with their regular grocery shop. It’s also fun! Go4Fun parent, Kim Barwood, said that her daughter Emma has become the resident food detective at home. “Emma has a new found love of reading food labels,” explained Kim. “She delights in trying to find something ‘unfriendly’ in the cupboards so she can give me a lecture about exactly what makes that product unhealthy and why I should no longer purchase it.” “It has been wonderful to watch her gain and actually understand the knowledge that the program imparts.” Go4Fun is a free family program, coordinated by Health Promotion, for children aged 7-13 years who are above a healthy weight. The program has supported 250 families in Northern Sydney since it started in 2012.

x Decreased their recovery heart rate by 7.9 beats per min after a 3 min step test. Go4fun participants are also enjoying a lot more fruit and vegetables each day while decreasing their consumption of sugary drinks.

Healthy Information With the help of local councils and services, the Get Healthy Information and Coaching Service was promoted low income community groups, residents and services. This included:

x 3900 residents at Ivanhoe Estate and Link Housing via in-house newsletters

x 310 community service organisations in the Ryde, Hornsby & Ku-ring-gai areas

x 14 Link Housing Managers, managing 1200 properties in Northern Sydney

x Clients and customers of 19 organisations in the Ryde area.

Sakara Branson

Nurse Initiated NRT After a submission by Health Promotion, Nicotine Replacement Therapy (NRT) was added to the medication items in the North Shore Ryde Health Service’s Nurse Initiated Medications Procedure. This means that nurses in this service can now administer NRT to an adult patient, if appropriate, without a medical officer’s authorisation. GO4FUN SUCCESS REPORTED IN THE MANLYDAILY 31/1/14

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You just don’t smoke around hospitals... To help staff and services promote no smoking on hospital sites T-shirts and customised posters were added to the You Just Don’t Smoke Around Hospitals collection for World No Tobacco Day. The customised posters allowed departments to submit their department/service name to receive a poster with the name on it e.g. You Just Don’t Smoke Around Physiotherapy.

Next Stop, Regional NSW The You Just Don’t Smoke Around Hospitals message has caught the attention of other Local Health Districts in NSW. As a result, Western NSW and Southern NSW Local Health Districts have adopted the campaign for local use.

However, it was taken a step further at Royal North Shore Hospital; one of Northern Sydney Local Health District’s busiest. A pull up banner, You Just Don’t Smoke at Royal North Shore Hospital was produced for the annual World No Tobacco Day stall in the hospital foyer. As a result, the banner and similar ‘sandwich board’ signs are now strategically placed around the hospital. Darryn Piper

Planning for Health People living in walkable neighbourhoods are on-average 3kg lighter than those in non-walkable neighbourhoods1. That’s why Health Promotion was a key player in lobbying the local council to install a new crossing in Herbert St, just down from the Royal North Shore Hospital Community Health Building. It not only makes crossing the road safer, but also makes the journey to work a lot more walkable. This win for walkability was achieved through Urban Planning for Health (UP4Health) - a Health Promotion program that influences national, state and local government planning and development processes to maximise opportunities for communities to lead active, connected and healthy lives. A recent review of our submissions found that since the UP4Health program started five years ago, over 200 of our ‘healthy planning’ recommendations have been adopted. These recommendations have ranged from the provision of bike parking at local shops, extra cycleways, public seating, parenting facilities, smoke free public spaces and fewer liquor outlets. Check out recent UP4Health submissions at www.nshealthpromotion.com.au Northern Sydney Health Promotion

THE NEW CROSSING UNDERCONSTRUCTION IN 2014

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Of Course!

COMMITTEES & NETWORKS

(People are Loving our Courses) Our Healthy Lifestyle program received 8853 enrolments into the ten week physical activity classes during the year.

Over 4000 enrolments were received by our Childbirth & Early Parenting program.

The SteppingOn, falls prevention program, had 500 people undertake the course. For more information on our courses, visit www.nshealthpromotion.com.au

Health Promo on is a member of many local, state and na onal commi ees and networks. Our role varies from one commi ee to another (e.g. from informa on sharing, building partnerships to project planning and implementa on) however, in general it is to contribute a Health Promo on perspec ve to ini a ves. Being a member of these commi ees and networks at a local level is integral to the successful and reach of Health Promo on ac on.

REFERENCES Reality Check for ‘Mates’

Munch Time

1. Australian Government Department of Health & Ageing 2012. Australian secondary school students' use of tobacco, alcohol, and over-the-counter and illicit substances in 2011, Commonwealth of Australia, Canberra.

1. Making it Happen, Staff Development Kit ECTARC and NSW Ministry of Health, Australia. Viewed 9/9/14 at www.healthykids.nsw.gov.au

Lifelong Healthy Living

Don’t Lose to Booze 1. Australian Institute of Health and Welfare 2013. 2013 National Household Drug Strategy Household Survey.

Ryde CDAT Relaunched 1. Preventing alcohol and drug problems in your community: A practical guide to planning programs and campaigns. Australian Drug Foundation. Victoria, Australia. June, 2014.

1. Telford RD, Cunningham RB, Telford RM, Abhayaratna WP. Schools With Fitter Children Achieve Better Literacy and Numeracy Results: Evidence of a School Cultural Effect. PES Volume 24, Issue 1, February 2012; 24, 45-57.

Planning for Health 1. Ewing et al, Relationship Between Urban Sprawl and Physical Activity, Obesity, and Morbidity, American Journal of Health Promotion, 18(1) 2003, www.smartgrowthamerica.org/report/ JournalArticle.pdf

Northern Sydney Health Promotion Service www.nshealthpromotion.com.au | Follow us on Twitter @nshealthprom Ryde Hornsby Health Promotion Unit

Lower North Shore Health Promotion Unit

Northern Beaches Health Promotion Unit

Healthy Lifestyle (Courses)

The Lodge Macquarie Hospital Locked Bag 2220 North Ryde NSW 1670 Telephone: (02) 8877 5321 Fax (02) 8877 5310

Level 5 RNS Community Health Centre 2C Herbert St St. Leonards NSW 2065 Telephone: (02) 9462 9567 Fax: (02) 9906 7529

Bldg1, North Wing Manly Hospital PO Box 465 Manly NSW 1655 Telephone: (02) 9976 9531 Fax: (02) 9977 7531

The Lodge Macquarie Hospital Locked Bag 2220 North Ryde NSW 1670 Telephone: (02) 8877 5300 Fax (02) 8877 5339

Scan the QR Code with your smart phone to visit Northern Sydney Health Promotion.

NSLHD-HealthPromotion@health.nsw.gov.au

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