Thursday Nov 29 th , 2018 - PowerPoint Presentation

Thursday Nov 29th, 2018LiveWell Colorado HEAL Summit Food as medicine…and health! “ The food you eat can be either the safest and most powerful form of medicine or the slowest form of poison .”  - Ann Wigmore , Natural Health Institute

AGENDA Welcome! State of the State: Key data on food security, consumption, and population outcomesFramework for the Role of Food in Health Local Farmacy Rx - Nurturing Farms and FamiliesA Prescription for Wellness: Improving Patients’ Health through a Clinic-Based Food PantryQ&A! Resources

Definition of Food Insecurity 3 | © Kaiser Permanente 2010-2011. All Rights Reserved. November 28, 2018 Food insecurity is a household-level economic and social condition of limited or uncertain access to adequate food. Hunger is an individual-level physiological condition that may result from food insecurity 1 in 8 Americans don't have enough to eat

Food insecurity todayApproximately 40 million Americans, or 12% of the population, are food insecure today. 21.5% of households of color are food insecureAbout 1 in 11 Coloradans struggle with hunger. 1 in 7 children in Colorado do Approximately 8% of Adams County residents are food insecure. 15% of Dolores County residents are

U.S. Food Insecurity Rate by Household Characteristics 5 | © Kaiser Permanente 2010-2011. All Rights Reserved. November 28, 2018 Coleman-Jensen, Household Food Security in the U.S. in 2016, Economic Research Report, #237, 2017

Fruit & Vegetable consumption 86% of adult Coloradans do not eat the recommended (4-5 cups) amount of fruits and vegetables.93% of Blacks and Latinos do not consume recommended amounts91% of those earning less than $15k per year     "It is easier to change a man's religion than to change his diet."   ― Margaret Mead, Amazing person

Food security, diet, and disease 7 Food insecurity is associated with: Poorer diet quality Higher prevalence of chronic illness Poorer management of chronic illness Higher healthcare costs Food is the #1 cause of poor health in the US, and now the #1 contributor to premature death and disease globally. Poor diet causes nearly half of all U.S. deaths due to heart disease, stroke and diabetes.  

Food insecurity and Chronic disease 8 Gregory C, Food Insecurity, Chronic Disease, and Health Among Working-Age Adults, ERR-235, U.S. Department of Agriculture, Economic Research Service, July 2017

The Costs Health care costs of food insecurity in the US are estimated at $160.7 billion per year.We spend about $32 trillion per year on health care… or almost $1,000 each month for every resident. Cardiovascular (diet-related) diseases alone result in about $200 billion in direct health-care spending and another $125 billion in lost productivity and other indirect costs. “ If we want to cut down on disease and achieve meaningful health care reform, we should make it a top nonpartisan priority to address our nation’s nutrition crisis.” Dariush Mozaffarian, Dean, Tuft’s Friedman School of Nutrition Science and Policy.

Food and Health Systems can Improve Health and Health Equity Food security, nutritious food consumption, improved health equity, sustainable food system Environmental impact Social Impact Health Impact Economical Impact

COMMUNITY ACCESS INDIVIDUAL TREATMENT

Local Farmacy Rx Nurturing Farms and Families through Health Education Emily Moen Eastham

What is it? • A cooking and nutrition program which provides assistance and education to families at risk of developing diet-related disease. • A partnership between nutrition educators, local food producers, and health care providers. • A program dedicated to increasing the consumption of local fruits & vegetables and improving the health of individuals.

Components

Objectives Reduce barriers to fruit and vegetable intake  Reduce BMI in overweight family members  Increase knowledge of fruits and vegetables nutritional value  Increase knowledge of how to cook and prepare fruits & vegetables   Increase sales of locally-grown produce   Increase the number of medical providers who prescribe f & v

The Montrose & Delta Communities Population Demographics Median Household Income Per Capita Income % Considered In Poverty % of Children considered In PovertyMontrose County Delta County 41,784 (2017) 30,568 (2017)76% White, 21% Latino81% White, 15% Latino $43,890$42,011$23,276 $24,261 16.4% 17.8% 24.2% 23.7%

Eligible Families

Class Logistics Biweekly over 12 weeks – June through October English or Spanish Volunteer cooking & nutrition instructors 2-hour class time: 1 hour cooking, 45 min nutrition/eating  Lessons include: nutrition, physical activity, shopping on a budget, food preservation Cooking Matters curriculum

Pre & Post Highlights 2018 Hosted 5 classes (4 in English, 1 in Spanish) Expanded into a 2nd county, serving 3 cities Participants reported a 105.4% increase in Fruit & Vegetable intake All 5 classes had 96% or higher attendance rate Overall BMI decreased

LFRx Outcomes (2014 - 2018) 13 Partnering Local Producers Over $43,000 reinvested into Local Producers 72% sustained increase in F & V consumption

The Future of Local Farmacy Rx Growth Geographical expansion Youth-specific programming Change Mobile-learning model Incorporate growing: Seed to Table

Thank You! Emily Moen Eastham Emily @ValleyFoodPartnership.org 970-249-0705 (ext. 3)

A Prescription for Wellness: Improving Patients’ Health through a Clinic-Based Food Pantry Lauren Rhoades, Programs Director

Overview

Why does Food Insecurity result in Poor Health? Poor Health Food Insecurity Negative Behaviors

Making Tough Choices Feeding America’s clients report that their household income is inadequate to cover their basic household expenses. 69% choose between UTILITIES and food 57% choose between housing and food 67% choose between transportation and food 66% choose between medicine and food Sources: Map the Meal Gap (2014) and Hunger in America (2014)

Healthcare / Food Bank Partnerships Over 85 food banks in healthcare partnerships Variety of healthcare partners Factors for success: Dedicated staff and champions Trust between organizations Clearly established goals and outcomes Dedicated funding stream

Northern Colorado Partnership Family Medicine Center (FMC): UC Health’s safety net clinic in Larimer County11,000 patients per year, 75% on Medicaid Full-spectrum family medical care Food Bank for Larimer County: Resource for over 100 other nonprofit programs Direct distribution to over 33,000 individuals Fresh meals for seniors and children

**Importance of immediate resources or referrals**

Opened June 12, 2017 Grant funding for setup Expansion January 2018 Average daily visits: 17 (1 st month) 32 (1 st 6 months) 52 (2018) FMC Pantry

Client Demographics Over 1,900 households served since openingRepresents over 4,600 individuals Average household size 2.4 people 69% female heads of household Older individuals visit more often:

Guest Outcomes Guests report high costs (58%) and transportation (24%) are barriers to accessing healthy food Health outcomes as a result of shopping at FMC pantry: 90% More fruits and vegetables 74% Better diet 29% More energy 23% Better focus

Future Plans At this pantry: more nutrition education resources At the Food Bank for Larimer County: Referrals to Health District and other resources for healthcare coverage assistance Potential future partnerships with other healthcare providers Would love your suggestions/ideas!

Thank You! Lauren Rhoades LRhoades@foodbanklarimer.org 970-493-4477

Your Questions & Comments!

Resources Contact Us!Lauren: lrhoades@foodbanklarimer.org Emily: emily@valleyfoodpartnership.org Wendy: wendymoschetti@livewellcolorado.org Health Care Without Harm – Healthy Food in Hospitals Feeding America: Hunger & Health Root Cause Coalition Food as Medicine Advocacy ToolkitFood is Medicine: Integrating Food & Nutrition Services into Healthcare through Policy and Advocacy Join the CO Food Policy Network Food Systems-Health Systems Work Group!Contact Wendy!