FSNE to SNAP-Ed: PowerPoint Presentation, PPT - DocSlides

FSNE to SNAP-Ed:

How the Past Portends the FutureSNAP-ED 101

Susan B. Foerster, MPHEmeritusAssociation of SNAP Nutrition Education AdministratorsFebruary 8, 2016 Arlington, VA

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The Association of SNAP Nutrition Education Administrators

USDA Nutrition Timeline

Food Stamp Purchase Program established

National School Lunch Program startedFood Stamp pilot project signed into lawEFNEP established—peer education modelWIC Pilot Project authorizedFood Stamp Nutrition Education authorized as an administrative option (EFNEP model)Planning grants awarded for FSNE social marketing nutrition networks Farm Bill changed Food Stamps  SNAPHealthy, Hunger Free Kids Act (CNR) established SNAP-Ed in statute as a grant programFarm Bill called for pilot, demonstration and regulatory projects to improve the food environment.Child Nutrition Reauthorization

19331946196119691973198119952008201020142016

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The Association of SNAP Nutrition Education Administrators

SNAP-Ed History

1981

Food Stamp Nutrition Education (FSNE) authorized in Farm Bill as optional admin expense based on state cost-share/’match’ (EFNEP peer education model)1992 7 states did FSNE (~$750K); USDA commissioned a report on effectiveness of nutrition education (JNE ‘95)1995-97 USDA funded 22 state $100-200K planning grants to establish social marketing nutrition networks, create state plans, raise cost-share/match 1998 Association of State Nutrition Network Administrators established2004 50+ state agencies conducted FSNE @ ~$280M2005-2010 OMB conducted Program Assessment evaluations2008 Farm Bill changed Food Stamps to Supplemental Nutrition Program (SNAP)2010 Senate used the Healthy, Hunger-Free Kids Act to amend SNAP-Ed into Farm Bill but also capped funds through 2018 @ ~ $400M

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The Association of SNAP Nutrition Education Administrators

T

he Social Ecological Model Underlies Intervention and Evaluation

5 Spheres of Influence in Classic Model (‘SEM’)IndividualSocial networks and peers, interpersonalSingle channels/organizationsCommunities, multiple channels at onceSociety at large, including media and policy4 Spheres in Dietary Guidelines for Americans modelIndividualEnvironmental SettingsSectors of InfluenceSocial and Cultural Norms and Values

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The Association of SNAP Nutrition Education Administrators

Healthy, Hunger-Free Kids Act of 2010

Established SNAP-Ed as a program in the Farm Bill

Contained the Nutrition Education and Obesity Prevention ActAligned SNAP-Ed eligibility w/ means-tested programs <185% FPLAdded physical activity, community and public health approachesRequired evidence-based approachesReplaced Federal Financial Participation (cost share) with grants awarded through SNAP State Agencies, capped @ ~$400M through ’18, with 5-year reallocation schedule among states based in part on SNAP participation ratesAligned SNAP-Ed with science but cut total national effort in half!

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The Association of SNAP Nutrition Education Administrators

ASNNA

The Association of SNAP Nutrition Education Administrators

Nutrition Ed in SNAP, 2015

…any combination of

educational strategies

, accompanied by

environmental supports

,

designed

to facilitate the voluntary adoption of

of

food and physical activity choices

among…

SNAP

participants and other

eligibles

,

t

hose e

ligible for other

means-tested programs

, and

in

communities with significant low-income populations

…

Are delivered through

multiple venues

and involve

individual

, community and appropriate policy

levels.

Strategies …based on the

Dietary Guidelines for Americans

. ”

SNAP-Ed Stat’s, 2015

Eligible population: 95 million people, <185% FPL

124 State Implementing Agencies (SIA)—Extensions, SHAs, universities, non-profits, Indian Tribal OrganizationsReach in 2014: 6 million people received direct ed, reach of social marketing and indirect unavailableSites in 2015: 45,000+ low-resource community sites in ~ 20 different channelsFFY 2015 budget: $407M

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The Association of SNAP Nutrition Education Administrators

USDA Infrastructure for SNAP-Ed

Food and Nutrition Service Headquarters

7 Regional offices – Boston, Philadelphia, Atlanta, Chicago, Oklahoma City, Denver, San Francisco54 SNAP State Agencies (social service departments) administer annual grants124 State Implementing Agencies – Extensions, SHDs, universities, non-profits, ITOs??? Local Implementing Agencies/ sub-grantees???? Other subcontractors, including businesses

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The Association of SNAP Nutrition Education Administrators

USDA Oversight

Statute—2010 Healthy, Hunger-Free Kids Act

Interim RegulationsAnnual SNAP-Ed Guidance governs targeting, activities, allowable expenditures Annual approvals of state plan and its budget, with SMART objectives Approval of any mid-year amendmentsEducation and Administrative Reporting System (EARS)—semi-annual reportsAnnual reportRegular Management Evaluations (ME)

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The Association of SNAP Nutrition Education Administrators

Expect

More: OMB PART Rating‘Results Not Demonstrated’

2010 Follow-Up PARTNo standardized measuresMission and Goals not clearly establishedUnclear if funds spent efficiently

2007 Section RatingsProgram Improvement Plans: 100%Strategic Planning: 50%Program Management: 72%Program Results: 27%

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The Association of SNAP Nutrition Education Administrators

Methods in SNAP-Ed:

Direct and Indirect Education

Direct: Participants actively engage in the learning process with an educator and/or interactive media—may, or may not, include demographics (age, gender, race/ethnicity, SNAP or income status) – an unduplicated countIndirect: Information and resources, including mass communications, public events and materials – estimates of unduplicated count/venue

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The Association of SNAP Nutrition Education Administrators

Methods in SNAP-Ed:

Social Marketing

Application of commercial marketing techniques to programs to influence voluntary behavior for personal welfare and that of society…Commercial techniques: Market segmentation, formative research, advertising, PR, promotion, multiple forms of mass communication, education, integrated, synchronized efforts across channels/platformsPublic health techniques: consumer empowerment, community development, public/private partnerships, and PSEs

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The Association of SNAP Nutrition Education Administrators

Methods: PSE Changes in the

Public, Non-Profit and Business Sectors

Policy: Written organizational decisions or courses of action, resources, implementation, evaluation and enforcementSystems: Unwritten organizational decisions that can reach large numbers of peopleEnvironmental Change: Built or physical, visual, economic, social, normative or message environments

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The Association of SNAP Nutrition Education Administrators

RE-

AIM: Design and Evaluation of SNAP-Ed Interventions

Reach = People, impressionsAdoption = Organizations adopting a change/interventionImplementation= Organizations conducting the change as designed, with fidelityEffectiveness = Results associated with interventionsMaintenance = Sustained change over time and with little/no SNAP-Ed support

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The Association of SNAP Nutrition Education Administrators

Game-Changing Approach:

Collective Impact

Incremental climb up the ‘ladder of collaboration’: networking  communication  cooperation  collaboration  collective impact ‘conditions for success’:Common AgendaContinuous CommunicationsCoordinated ActivitiesShared MetricsBackbone Organization (s)

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The Association of SNAP Nutrition Education Administrators

Other Critical Initiatives

Childhood Obesity Prevention

through action, advocacy and research—Robert Wood Johnson FoundationAction for Healthy Kids—National Dairy Council and othersAlliance for a Healthier Generation—Clinton Foundation and othersExecutive Branch Initiatives—Let’s Move!, Healthy Food Financing Initiative, DOD workplace, GSA procurement, multiple healthy food incentive initiativesPartnership for a Healthier America—business and non-profit communityRegional and Local Initiatives—especially HMOs, health insurers, Community Benefits through ACA, economic development

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The Association of SNAP Nutrition Education Administrators

Terms Used in SNAP-Ed:

Delivery of SNAP-Ed Services

Sectors: public, non-profit, businessDomains: Eat, Live, Learn, Work, Play and ShopLevels: Local (neighborhood, city, county), regional (media market, multi-county), statewide, nationalSettings/Channels: Categories and sub-categories of similar institutions, or ‘venues’, for tailored interventions, e.g., food retail, education, employment, recreation, government Systems: Organizations w/in the channel, e.g., individual companies, school districts, Early Childhood Education, different industries that employ large numbers of low-wage workers, CBOsSites: individual store, school, worksite, public sector locations

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The Association of SNAP Nutrition Education Administrators

Leadership Resources in Transition

USDA SNAP-Ed Connections (searchable website)

StateGate links to all State Implementing AgenciesSNAP-Ed Strategies & Interventions: An Obesity Prevention Toolkit for States (annual)SNAP-Ed Evaluation Framework and Interpretive Guide for 51 Evaluation Indicators (April 2016)6 USDA Regional Nutrition Education Centers of Excellence (RNECE) – Land grant universities in CO, TN, IN, SC, NY, and KY

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The Association of SNAP Nutrition Education Administrators

USDA Funding for

Nutrition Education, 2013

Program, Pop’n Size

Nut Ed/Total Budget

SNAP-Ed (~95M, <185%)Child Nutrition (Team Nutrition) (~50M students)WIC (~7M <185%)

$342M/$82B (0.4%)$16M/$20B (0.08%)$406M/$7B (5.8%)

ASNNA

The Association of SNAP Nutrition Education Administrators

Programs Change with the Presidents

Food Stamp Purchase Program established -- Roosevelt

National School Lunch Program started -- TrumanFood Stamp pilot project signed into law -- KennedyEFNEP established—peer education model -- JohnsonWIC Pilot Project authorized -- NixonFood Stamp Nutrition Education authorized as an administrative option (EFNEP model) – Carter/ReaganPlanning grants awarded for FSNE social marketing nutrition networks --ClintonFarm Bill changed Food Stamps  SNAP – GW Bush Healthy, Hunger Free Kids Act (CNR) established SNAP-Ed in statute as a grant program -- ObamaFarm Bill called for pilot, demonstration and regulatory projects to improve the food environment -- ObamaChild Nutrition Reauthorization -- Obama

19331946196119691973198119952008201020142016

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The Association of SNAP Nutrition Education Administrators

How could SNAP-Ed change in the next Administration?

What needs to be done to realize its potential?

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The Association of SNAP Nutrition Education Administrators