This open roundtable and workshop will discuss a prototype and its ability to go beyond common practice. The intent is to explore new ground in three systems of resilience and community capacity-building: health, food systems and urban systems. We will present early findings on this approach we call Design + Health, and discuss how it impacts urban design through a pilot community project in the Delta region in Arkansas, USA. Additional discussion will focus on how a transdisciplinary perspective might integrate all three ecosystems (health, food, urban) and form a novel design approach for resilience capacity building.