Food Dignity COVID-19 Era: Challenge the Stigma, Change the Culture - May 3, 2021
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Food Dignity® COVID-19 Era:
Challenge the Stigma, Change the Culture
May 3, 2021
Bringing to life the dairy
community’s shared vision of a
healthy, happy, sustainable
world, with science as our
foundation
environmental stewardship goals for air, land
The New York Times Magazine
September 6, 2020.
Photos: Brenda Ann Kenneally
Today’s Speakers
Clancy Harrison, MS, RDN, FAND Theresa McCormick Lisa McCann, RDN
Founder Director of Programs & Healthcare Wellness Manager
Food Dignity Project Partnerships Midwest Dairy
Clancy@clancyharrison.com Second Harvest Heartland lmccann@midwestdairy.com
@ClancyCHarrison tmccormick@2harvest.org @LisaMcCannRD
@Schneitr
The Dairy Community’s Commitment to Fighting Hunger
Addressing food and nutrition security with dynamic partnerships
Local Efforts with Food Banks & Schools Across the United States
COVID-19 has impacted every facet of the food
system
Closure of schools across the Restaurant service was Loss of jobs has challenged
U.S. reduced channel that ~30 limited, so Americans are millions of additional Americans
million food-insecure children eating a lot more at home with food insecurity – putting
rely on for nutritious meals pressure on food banks to serve
every day many more clients/families
Work with Minnesota Food Banks
to Nourish Communities
$500,000 Food Bank donation across Midwest Dairy
• 5 Minnesota food banks
• 777,433 pounds of dairy products to food banks in MN
Undeniably Dairy Funding
• 27 Refrigeration coolers to MN Food Pantries
• Reach of 56,000 People
10Emergency Relief for Minnesota Schools
Donation of insulated cooler bags and barrel coolers to keep milk cold
Apple Valley/Eagan/Rosemount School District
Supporting 22 Minnesota School Districts Ashby Public Schools
Atkinson Elementary School
• 390 soft-sided milk crate cooler bags donated Battle Lake School
Belgrade-Brooten-Elrosa School District
Bloomington Public Schools
• 19 milk barrels donated Fergus Falls Public Schools
Fillmore Central School Division
Fountain Public Schools
Hinckley-Finlayson Public Schools
ISD 191 Metcalf Middle School
Howard Lake Public Schools
Mankato Public Schools
Pelican Rapids Public Schools
Pine City School District
Robbinsdale Public Schools
Rochester Public Schools
Roseville Area High School
Sauk Centre School District
Sibley East Elementary
11 Underwood School District
Westbrook-Walnut Grove SchoolsNourishing Children & Families
Together Feeding America & the dairy community have doubled the amount
of dairy distributed by Feeding America since 2016!
Milk to My Plate Grants 2019/2020
• Second Harvest Heartland -45 double sided reach in coolers
• Channel One - 9 double sided milk coolers
• Over 3.9 million pounds of dairy products tracked through the
cooler donations
Data sourced from: Annual Fiscal Year Total Distribution of Dairy (Donated,
USDA Government Programs, Purchased) Feeding America Supply Chain
Research.Milk Life Raising Gallons Campaign • Hunger Action Month Sept 2020 • Farmers partnering with NFL Players, Mascots, chefs, dietitians , Olympians • Part of the Great American Milk Drive program started in 2014 • 34+ Million Servings (8 oz) of Milk
Providing Support For School Meals
During COVID-19
Minnesota Stats
$20 M+
raised $228,620 funds
supporting
121 MN Schools
10,000 schools 66K students
www.GENYOUthNow.org/donateCOVID-19 and Food Insecurity
Theresa McCormick
Director of Programs and Healthcare PartnershipsHunger creates long-term costs for our communities, resulting
The Issue in health and physical development issues, poorer education
outcomes and a less productive workforce.
of Hunger
We believe no one should ever go hungry, as our region
produces more than enough food for everyone.Second Harvest Heartland • Among the nation’s largest, most effective and innovative hunger-relief organizations in the United States. • Our mission is to end hunger together. • We achieve our mission by finding creative solutions to connect the full resources of our community with our hungry neighbors. • We provide, on average, 84% of the food that is distributed by nearly 1,000 partners and programs in 41 counties in Minnesota and 18 counties in western Wisconsin.
How food gets to our hungry neighbors
The power of partnerships Second Harvest Heartland partners with nearly 1,000 food shelves, soup kitchens, shelters and other programs. These agency partners distribute food directly to their communities and into the hands of working families, children and seniors throughout a shared hunger relief network.
Programs to Expand
Hunger Relief
SNAP Outreach
School Meals
Commodity Supplemental
Food Program
FOODRx105 million meals distributed 63% of the food we distributed was fresh Nearly 20,000 volunteers packed more than 4.8 million pounds of food.
Hunger creates long-term costs for our communities,
The Impact
resulting in health and physical development issues,
poorer education outcomes and a less productive
of COVID-19 workforce.
We believe no one should ever go hungry, as our region
produces more than enough food for everyone.Hunger in the Heartland Many of our hungry neighbors make tough decisions between food and other necessities.
Responding to the Hunger Surge
Addressing Disparities
“
It feels good, as a mother, to
know your children will come
home from school, open the
fridge, find something there and
be able to eat when they are
hungry. ”
- AnjaFood Dignity®
A New Paradigm to Address Food Insecurity
Twitter: @ClancyCHarrison
FB: Clancy Harrison
#FoodDignityRecovering Food Elitist
I projected my personal food philosophy! ✓Car access ✓Types of stores ✓Abundance of food ✓Clients had $$$
Al Beech
West Side
Food Pantry
President
&
Founder, Food
Dignity®
ProjectMy Lessons → Social Entrepreneur ✓Not the expert in ‘everything’ nutrition (and I don’t have to be). ✓I am not the expert in someone’s life. ✓I challenge my judgments every single day. ✓I seek to understand other people before I want them to understand me. ✓My purpose is greater than my fear.
I was part of the problem, not the solution.
If we assume to understand a person’s barriers to food
access and do not ask the right questions, we potentially:
• Encourage the stigma associated with food assistance
programs.
• Increase the risk of 10 major chronic diseases.
• Exacerbate existing chronic diseases.
• Perpetuate the cycle of poor food access.
• Perpetuate food injustice and food racism.Most people living with FI are: • working • looking for work • disabled • ill (mental, physical, emotional) • single mothers • children • elderly • college students • veterans • COVID-19
Food Dignity Defined
✓Human right Food Dignity® recognizes that food
insecurity can affect anyone, so it does
✓Empathy not question or judge why someone
✓Trust needs access. It offers nutrient rich,
desirable, and culturally appropriate food
✓Pride through innovative platforms that
✓Respect preserve dignity and honor our shared
humanity.Food Security Definitions High Food Security “no reported indications of food-access problems or limitations….. access by all people, at all times to sufficient food for an active and healthy life.” Marginal Food Security “one or two reported indications- typically of anxiety over food sufficiency or shortage of food in the house.”
Food Insecurity Definitions Low Food Security “reports of reduced quality, variety, or desirability of diet. Little or no indication of reduced food intake” Very Low Food Security “ reports of multiple indication of disrupted eating patterns and reduced food intake.”
“It’s a feeling that one is not worth food.” -college student (JAND, 2019) JAND, 2019.
COVID 19 Impact Food Insecurity Rates in U.S.
35.2 M People → 50 Million People
11 M children → 17 Million Children
(1 in 7) (1 in 4)
Feeding America 2020Compared to March
2019: 150 people
to 2,000 people
A month’s worth
of food GONE
within 2-3 hours!Pregnant Women/Fetus/Newborn Same as the adult high risks plus the following: Anxiety & depression Birth complications Birth defects Gestational diabetes Iron deficiency Low birth weight Preterm birth Stress on fetus
Child Health Risks of Food Insecurity Anxiety and behavior disorders, depression Emotional distress Low Bone Density ADHD Iron deficiency Low nutrient intake Links to adult disease (DM, CVD) Low cognitive development illness, emergency room visits, and hospitalization Suicide ideation Higher rates of forgone medical care
Medical Coping Strategies
Forgo or postpone preventative or
needed medical care
Skip food needed for medical meal plans
Medication- skip, take less, delay filling
prescription, not taking with foodHigh Cost of Food Insecurity (FI)
$52.9 billion in U.S.
healthcare costs in 2019
caused by FINutrition Program Participation Hesitation
• Don’t qualify
• Stigma
• Treatment by staff or
volunteers (i.e.
racism)
• Office/work hours
• Lack of knowledge
• Technical difficulties
• Transportation
Access and Access Barriers to Getting Food Stamps: A Review of the Literature. February 2008.
ood insecurity, social capital and perceived personal disparity in predominantly rural region of Texas: an
ndividual-level analysis. 2011Levels of Collaboration =
Yourself & Institutional Community
Individual
Collective Efficacy
Collective efficacy is the capacity to make the changes necessary to better health and healthcare.Self-Collaboration Tips
✓ Be the student.
✓ Seek to understand before being understood.
✓ Define success from the client’s point of view, not yours.
✓ Step back for a clear view.
✓ Put yourself in unfamiliar situations.
We are the experts in food and nutrition but we are
not the experts in someone’s life.Are we asking the right questions?
The Hunger Vital Sign
1.“Within the past 12 months we worried whether our food
would run out before we got money to buy more.”
2.“Within the past 12 months the food we bought just didn’t
last and we didn’t have money to get more.”
Often true, Sometimes true, Never true
http://www.childrenshealthwatch.org/wp-content/uploads/FINAL-Hunger-Vital-Sign-2-pager1.pdfCode for Food Insecurity ICD-10-CM Diagnosis Code Z59.4 (lack of adequate food and safe drinking water) ICD-10-CM Diagnosis Code Z59.5 (extreme poverty)
Start where your clients are……
Poverty Middle Class Wealth
Food: Did you eat? Food: Did you like it? Food: Presentation?
Time: decisions Time: future is Time: decisions
based on survival Important made on tradition
Education: not a Education: to climb Education: necessary
reality the ladder for connections
Bridges to Health and Healthcare, 2014Tips to address hidden
rules
• Decisions will be made against
your way of thinking.
• Survival is a reactive skill- not a
planning skill.Food Negotiation Occurs with Surplus
We cannot help someone unless we understand
barriers to food access.
•Transportation- taxi, bus,
someone else’s car
•Location of grocery store (Dollar
store vs full-service grocery store)
•Cooking equipment
•Cooking skillsGrocery Store Talking Points/Solutions ✓What is your favorite store to buy food at? ✓What is the closest store from where you live? ✓I know a lot of my clients rely on a dollar store for their food. Do you ever find yourself in a pinch and running into a dollar store for convenience? ✓I love the 10 for $10 sales at the grocery store. Do you find the sales helpful?
Kitchen Equipment Talking Points ✓I run into so many problems with kitchen equipment in my home. Do you have the same issue? ✓What is your favorite way to cook food? If they say microwave, ask more questions- this might be their only method for cooking.
Transportation Challenges • Travel time is longer • Limited # of bags on public transportation • More planning is required • Various routes and stops
Understand Barriers
✓ Individual Barriers
✓ Shame
✓ Resources
✓ Childhood experiences
✓ Knowledge
✓ Community Barriers
✓ Transportation
✓ Technology challenges
✓ Time/WorkSurvey to Determine Barriers
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44222Long-Term Food Solutions Participants consume more milk, vegetables, protein food, and whole grains in the following programs: •SNAP Supplemental Nutrition Program •National School Lunch Program •The National School Breakfast Program •Afterschool Snacks and Meals •The Summer Food Service Program •WIC (Special Supplemental Food Program for Women, Infants, and Children)
Plant + Animal Protein = Win-Win • Affordable • Tasty • Nutrient dense • Easy/low skill level cooking • Convenient • Accessible
Milk’s Nutrition Profile is Tough to Match • Milk packs in 13 essential nutrients in every serving, including, protein, calcium, potassium, phosphorus, zinc, selenium, riboflavin, B12, pantothenic acid, niacin, iodine, vitamin A and vitamin D. • Milk is leading food source of 3 out of 4 nutrients of public health concern. (Ca, K, vitamin D) • Milk & milk products are recommended as a part of a healthy eating pattern. National Health & Nutrition Examination Survey 2003-2006, Nutrients 2013 NHANDES 2003-2006, Nutrients 2012 Dietary Guidelines for Americans, 2015-2020
You have the power to make dry milk powder
trendy, fun, unique, and a super food.
• Long shelf life
• Easy to add to recipes
• Increases nutrition in
foods
• Free at most food banksPrescribe Nutrition Programs
Tips to Boost Nutrition with Dry Milk
• Cooked cereals: add 1⁄2 cup dry milk to each cup of
cereal before cooking
• Mashed potatoes: add 1⁄4 cup dry milk for each cup of
potatoes
• Meatloaf, hamburger, taco meat: add up to 1 cup of dry
milk per pound of meat
• Quick breads: add 1⁄4 cup milk powder to each cup of
fluid liquidFollow Up – Document- Track • Address concerns from prior appointment unique to the person • Transportation • Receiving food assistance yet? • Taking medications as directed? • Following medical meal plan? • How has their food access improved?
Levels of Collaboration =
Yourself & Institutional Community
Individual
Collective Efficacy
Collective efficacy is the capacity to make the changes necessary to better health and healthcare.Know YOUR Strengths
What is it about
YOU that builds
capacity to mobilize
others?
What is your power
of influence?Effective collaboration
✓ Be a connector of
resources
✓ Don’t start something
new, strengthen another
program by adding your
expertise
✓ Know pain points
✓ Racially inclusive
✓ How can you connect your
outcomes to their
mission?Meet Kate Scarlata Kate Scarlata MPH, RDN Owner, For a Digestive Peace of Mind Website- www.katescarlata.com Twitter @KateScarlata_RD Instagram: @katescarlata
Meet Rebecca Garofano ✓ @veggiedoodlesoup ✓ graduate student in Nutrition Science at Syracuse University ✓ artwork throughout this presentation ✓ example of using passion and creativity to fight hunger with dignity.
Local Professionals ✓Guidance Counselors/Nurses ✓WIC RD ✓Feeding America Food Bank RD ✓School food service director ✓Director for Faculty Development and Diversity ✓HBCU (Historically Black College/University) ✓Interns/Service Learning Programs ✓Federal Work Study Programs ✓Career Links
Local Companies What businesses are suffering the most because of the COVID-19 shut down in your area? • Ask people what companies they feel comfortable with? • Do your collaborations mirror the populations being served or who must be served? Can you provide resource materials through HR or the business owner?
Pediatricians/Pantries
• 20 dyads in PA
• Food pantry/pediatrician office
• Pediatrician screens for FI
• Refers to food pantry
• VIP pass
• Sample of produce, baby food,
diapers
• 20 families coming to food pantryFresh Food Farmacy (Geisinger) • Screen FI • 5-day supply of food for entire household • Nutrition education • Cooking classes/recipes • Health coaches
3 Steps for Success
1. Prepare
• Download FRAC toolkit
• Educate, train
• Policy, system changes
• FI champion in office
2. Screen
• Sensitivity
• Hunger Vital Sign
• Code FI
3. Intervene
• Medical interventions (lab work, biometrics)
• Prescribe patients to food assistance programs
• Nutrition education
• Document, track, follow up
81Your Next Action Steps
✓Survey people to discover information and barriers
✓Adapt nutrition education strategies to bust barriers (transportation,
working equipment, types of food retail, food assistance
applications/identification)
✓Screen for food insecurity, code Dx, follow up, and document
✓Prescribe food assistance programs (SNAP, WIC, food banks)
Share Your
StoryJoin the Food Dignity® Project for ongoing
tools and resources!
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44222The ultimate measure of humanity is not where we stand in moments of comfort and convenience, but where we stand in times of challenge and controversy. –paraphrasing Martin Luther King, JR
Q&A
Please enter your questions into the chat window
85Additional Information & Resources 86
Food Resources
• SNAP Online Screening: free online screening tool, generates an automatic referral to
Second Harvest Heartland for SNAP application assistance
• SNAP FAQ
• Find Help Map
• SNAP in Schools Screening Toolkit
• Free Meals for Kids app
87Top 3 Food Categories Missing From Diet: Veggies, Dairy, & Fruit 2015-2020 Dietary Guidelines for Americans Dietary Intakes Compared to Recommendations. Percent of US Population Ages 1 & Older Who Are Below, At or Above Each Dietary Goal
Despite food insecurity and job loss, people still care about where
their food comes from and its impact on the planet
44%
50% of youth feel that
sustainability is now
even
of consumers say
pandemic has made more important
them more aware of post COVID
the environment
*1
82%
*2
88%
of consumers want to
of youth agree that see companies take
sustainability was the lead in developing
important to them more sustainable
packaging solutions
before COVID *3
*2
Source: 1. Kearny Consulting, 2. Ypulse, 3. The Hartman GroupU.S. Dairy is an
environmental
solution
environmental stewardship
goals for air, land
• Become carbon neutral or better
• Optimize water use while maximizing recycling
Click on Sustainability Video
• Improve water quality by optimizing utilization
of manure and nutrients
US Dairy Stewardship Commitment.
http://commitment.usdairy.comYou can also read
