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Add Joint Title SlideCollaboration is Key: Addressing Hunger as a Health Issue
presented by:
Gary VesselsProgram Analyst,
Stakeholder Relations
Barbara PeteeExecutive Director
&
Jason GromleyDirector of Operations
Our Mission
• The Mission of the Root Cause Coalition, founded in October 2015,
is to address the social determinants of health, with specific
emphasis on hunger as a public health issue, to improve the health
status of individuals and communities.
• We commission and engage in relevant RESEARCH on the
correlation of hunger to overall health.
• We ADVOCATE for relevant public policy.
• We develop and deploy effective strategies and programs that focus
on meeting the access, nutrition and EDUCATION needs faced by
individuals, communities and providers.
(Coleman-Jensen et al 2015)
0%
5%
10%
15%
Rural PrincipalCities
Suburbs Northeast South Midwest West
% FI by Metro Classification
FI National Average = 14%
0%
5%
10%
15%
20%
25%
30%
35%
More than1 adult,no kids
Includeselderlypersons
With kids With kidsunder age 6
Marriedwith
children
Headed bysingle
mother
Headed bysinglefather
% FI by Household Classification
FI National Average = 14%
(Coleman-Jensen et al 2015)
Hunger Exists in Every Community
(Gunderson et al 2015)
Hunger is a health issue, and food is the
best medicine
• We must have a strong safety net
• We must have local, state and federal
governments involved
• But, we must also recognize that community
partnerships and engagement are the most
sustainable long-term solution
USDA’s Food and Nutrition Service (FNS)Gary Vessels
April 20, 2016
About FNS
Our Vision:
To End Hunger and Improve Nutrition in America
Food and Nutrition Service Mission:
Increase food security and reduce hunger by providing children and low-income people access to food, a healthful diet and
nutrition education in a way that supports American agriculture and inspires public confidence.
About FNS
Over 14% of households in the U.S. report some level of food insecurity; highest rates are in rural America.
Over one-third of adults (34.9%) and approximately 17% of children in the U.S. are clinically obese.
FNS works to end food insecurity and obesity through the administration of 15 federal nutrition assistance programs including WIC, Supplemental Nutrition Assistance Program (SNAP), child nutrition programs, food distribution and food safety.
In partnership with state and tribal governments, FNS programs serve 1 in 4 Americans during the course of a year.
Supplemental Nutrition Assistance Program (SNAP)
The Food and Nutrition Act of 2008 states that the purpose of the SNAP program is:
“to provide for improved levels of nutrition among low-income households through a cooperative Federal-State program of food assistance to be operated through normal channels of trade…”
and “increase food purchasing power for all eligible households who apply for participation.”
By making a healthy diet more affordable, SNAP promotes nutrition and health, combats hunger, and supports the economy.
How Does SNAP Work?
Administered by State and local offices
E.g., Local Dept. of Social Service
Benefits provided on an EBT card (no cash)
Used for allowable foods
At authorized retailers
In 2015
45.2 million participants
22.3 million households
Eligibility for SNAP
No fee or cost to enroll but recipients must meet financial and non-financial eligibility criteria
Most households must meet both the gross and net income tests
Exceptions: all members are receiving TANF, SSI, or in some places general assistance or a household with an elderly person or a person who is receiving certain types of disability payments only has to meet the net income test
Income Limits
SNAP has two income standards based on household size:
Gross Income – Monthly non-excluded income before deductions
130% of the Federal Poverty Guideline
Net Income – Monthly income minus allowable deductions (e.g., shelter costs (rent/mortgage and utilities), dependent care, child support, and medical expenses for households with
elderly or disabled members.
100% of the Federal Poverty Guideline
Income Limits October 1, 2015 – September 30, 2016
SNAP Local Resources
SNAP benefits can be used at authorized farmers’ markets
http://www.fns.usda.gov/ebt/learn-about-snap-benefits-farmers-markets
SNAP application and local office finder
http://www.fns.usda.gov/snap/outreach/map.htm
SNAP Retailer Locator
http://www.fns.usda.gov/snap/retailerlocator.htm
Supplemental Nutrition and Safety Programs (SNAS)
The mission of SNAS is to ensure that individuals, tribes, community based organizations and schools across America receive the assistance needed in order to provide safe and healthy food for children and families and to support American agriculture.
Special Supplemental Nutrition Program for Women Infants and Children (WIC),
Food Distribution Programs,
Senior Farmers Market Nutrition Program,
WIC Farmers Market Nutrition Program,
USDA Foods for Schools,
TEFAP,
FDPIR and
Food Safety in Child Nutrition Programs.
WIC
Promotes healthy birth outcomes and early child development with food packages, health screenings and referrals, breastfeeding promotion and support, and nutrition education for low-income pregnant, breastfeeding and postpartum women, infants and children up to five years of age who are found to be at nutritional risk.
Administered federally by FNS, administered locally by State health departments and Indian Tribal Organizations (ITOs)
8 million participants (2015)
WIC Eligibility
Categorical
Income
Residential
Nutritional Risk
WIC Prescreening Tool: http://wic.fns.usda.gov/wps/pages/start.jsf
WIC Income
An applicant’s income must not exceed 185% of the poverty income guidelines per year.
States can set income guidelines lower at their discretion, but not lower than 100% of the Federal poverty income guidelines.
WIC Nutritional Risk
Medically-based (e.g., history of pregnancy
complications)
Dietary-based (e.g., inadequate dietary pattern)
Possibility of regression
Predisposing factors
About Child Nutrition Programs
FNS administers several programs that provide healthy food to children including:
National School Lunch Program,
School Breakfast Program,
Child and Adult Care Food Program,
Summer Food Service Program,
Fresh Fruit and Vegetable Program, and
Special Milk Program.
Administered by State agencies, CN programs help fight hunger and obesity by reimbursing organizations such as schools, child care centers, and after-school programs for providing healthy meals to children.
Summer Food Service Program (SFSP)
Summer Food Service Program (SFSP): Reimburses local organizations who combine a feeding program with a summer activity program for children.
Ensures that low-income children continue to receive nutritious meals when school is not in session.
Organizations, schools, local government agencies, and others serve free, nutritious meals at safe and convenient sites in communities
In 2015, over 22 million children received free or reduced priced meals during the school year
Only 3.8 million children participated in the summer meals program.
SFSP
Use your network to distribute nutrition assistance program and meal site information.
Encourage clinics/hospitals to post information on nutrition assistance programs, meal sites, farmers’ market sites.
Offer information on federal nutrition assistance programs when you suspect food insecurity.
Ways you can help
Sponsor a webinar focused on the problems of hunger.
Fund vouchers for food purchases at a hospital or clinic cafeteria, food pantry, or local farmers’ markets.
If you’re a hospital administrator, consider using your cafeteria services to vend meals to local meal sites sponsored by other organizations.
Ways you can help
Operate a site where meals can be served, working through a sponsor.
Be a sponsor of a meals program.
Provide activities/content on nutrition and healthier eating to feeding sites (At Risk, Summer).
Ways you can help
Sponsor farmers’ markets and/or provide funding for bonus incentives for SNAP customers.
Fulfill a community benefit by helping to fund schools and districts implementing the Community Eligibility Provision.
Train volunteers to assist clients with nutrition program benefit applications.
Help fund fruit and vegetable prescriptions.
Ways you can help
Arkansas Children’s Hospital
became a SFSP sponsor and provides free SFSP lunches to patients and their school-age family members.
In 2014 it began sponsoring USDA’s After School Meals Program.
http://www.archildrens.org/
Massachusetts General Hospital’s
Food for Families program identifies pediatric patients who have experienced food insecurity.
The program connects patients and families to food resources that ensure access to healthy foods.
http://www.massgeneral.org/
Success stories
Resources
Hunger hotline: 1-866-3-HUNGRY
FNS website: www.fns.usda.gov
FNS regional office contact information: www.fns.usda.gov/fns-regional-offices
SFSP resources: www.fns.usda.gov/summerfoodrocks
Identifying the Problem
• Through community partnerships, the link between
obesity and hunger becomes apparent.
– Many overweight/obese individuals lack access to
high-quality, nutritious foods at affordable prices
– Hunger induces irregular eating patterns which
can lead to being overweight and obese.
• Likewise, a strong link between hunger and health
exists across the age, economic and social spectrum.
Economic Impacts of Hunger
• Healthcare costs alone related to hunger nationwide are
$130.5 billion annually.
• The annual cost of hunger to every U.S. citizen is on
pace to amount to roughly $42,400 per citizen over a
lifetime.
Healthcare & Community Solutions:
• Community Health Needs Assessment
• Food Reclamation
• Healthcare Screening Questions for Social Determinants
• Food Pharmacy
• Community Farms
• Healthy Corner Stores
• Community redevelopment through improved access to healthcare,
education, transportation, housing, job skills, etc.
• Ebeid Institute for Population Health
• Research – CDC “Tackling Hunger to Improve Health in Americans”
That is where healthcare comes in…
• Often largest community employer
• Stability
• Respect
• Convening power
We Need You at the Table
• Diagnosis: Hunger
Western Regional Summit
– September 14, Loma Linda, CA
• National Social Determinant Conference
– December 5 - 6, Chicago, IL
Visit www.rootcausecoalition.org to learn more
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• Join ACHI June 5-11 to celebrate Community Health Improvement Week!• Daily events • Toolkit to support your CHI week celebrations• Release of a new guide on community engagement in the CHNA
process• And more!
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