Transcript www.idahohunger.org

Hunger in Oregon & the
Northwest
The Childhood Hunger Coalition’s
Screen & Intervene Project
Fall 2014
Key takeaways
KEY CONCEPTS
•
Food insecurity has proven health impacts
for children’s development & in prevention
& treatment of chronic disease.
•
Health care providers need information
about patient’s food insecurity in
assessment, diagnosis & treatment
•
Hunger can be mitigated through food
assistance & nutrition education.
CHILDHOOD HUNGER DISPROPORTIONATELY
IMPACTS CHILDREN
• Nearly 1 in 4 children in Oregon & Idaho in poverty
• 23% of children in Idaho experience food insecurity
• About half of Idaho children qualify for free/reduced
school meals
• Many families don’t know all the resources available
to them for food & other services
HUNGER IMPACTS HEALTH
•
Physical health, disease
resistance, overweight
•
Proper growth & development
•
Mental Health
•
Academic achievement,
classroom & other behavior
•
Proper nutrition is key
prevention for adult chronic
MANY FAMILIES NOT GETTING HELP
• Wages for most have been flat for last 20 yrs,
declined for many
• Food prices in same period increased by 58%, with
most substantial increases in price of produce and
protein
• About 1/3 of people eligible for SNAP not getting it
• 21% of families eligible for WIC not receiving it
• There are other food assistance resources in all
parts of the state but many are not aware of them
CHILDHOOD HUNGER COALITION
A program of Oregon Food Bank
• Formed in 2004 around hunger as a public health concern
• Health care providers, anti-hunger advocates
• Guided by a steering committee :
• Oregon Food Bank
• Kaiser Permanente, Providence Health & Services
• Partners for a Hunger Free Oregon
• Oregon State University Extension
• Oregon Health and Science University
• Oregon Health Authority
• Providence health Systems
ENGAGE/SUPPORT HEALTH
PROVIDERS
•
Providers uniquely positioned to
address hunger in practice; increase
in people in health care systems due
to ACA
• Drivers of American health care costs
are preventable chronic disease, most
start to develop in childhood & are
strongly tied to nutrition
• OR survey said providers supportive
of screening for hunger- time & lack
of information are barriers
TOOLS FOR PROVIDERS
•
Two validated questions
•
Children’s care algorithm
•
Research on best practices
•
Online Continuing Medical
Education at
www.childhoodhunger.org
•
Local food and nutrition, cooking &
gardening assistance resource info
PILOT
2013 PILOT AT OHSU
•
14% of families food insecure at
two “middle-class clinics”
•
Staff found easy to incorporate,
valuable in diagnosis &
treatment
•
Patients liked getting
information
•
Model can be tailored to each
clinic or system
FLEXIBLE IMPLEMENTATION
1. Basic: Add questions in writing to check-in process then provide
food insecure patients with resource handout
2. Supported: All of above, plus resource handout reviewed with
patients by a clinics staff who may also assist with resource access
3. Comprehensive: Food insecurity questions added to
comprehensive health assessment with resource information &
clinic staff follow-up
ON-GOING SUPPORT & COMMUNITY
OF PRACTICE
•
Current demands on health care system are tremendous
•
Launched Screen & Intervene campaign last spring to provide tools
& support with a goal of reducing overall demands on system
•
Screening & intervention will look different in each medical setting
•
To date, over 90 Oregon & S. Washington clinics implemented, OFB
shares best practices & works to link greater food assistance &
nutrition education resources with your clinic and patients.
CONTACT
Questions, ideas, problems?
Lynn Knox
Oregon Food Bank
Screen & Intervene Coordinator
503-548-7508
[email protected]
www.childhoodhungercoalition.org