1. Rachel Kwan, MPH, RD, LD Director of Strategic Initiatives, Feeding Texas Pam Castles, RN, MSN, CPE Wesley Nurse, Methodist Healthcare Ministries Sari Frankel Health Partnership Organizer VISTA, Capital Area Food Bank STAT! Addressing Hunger as a means to Improve Health

2. Intersection of Hunger and Health RACHEL KWAN, MPH, RD, LD DIRECTOR OF STRATEGIC INITIATIVES

3. 1 in 6 TEXANS LIVE IN FOOD INSECURE HOMES 2 million TEXAS CHILDREN ARE FOOD INSECURE

4. The Feeding Texas Network 2121 Member Food Banks 1 State Associatio n Partner Agencies 3,900 We lead a unified effort for a hunger-free Texas.

5. FOOD INSECURITY is the lack of access to enough food for a healthy, active life

6. Poor Nutrition Poor Health Increased Risk for the Development of Chronic Diseases Impaired Psychologic al and Cognitive Functioning Substandard Academic Achievement According to the Academy of Nutrition and Dietetics Food insecurity is linked to:

8. Feeding With Impact EVIDENCE-BASED INTERVENTIONS + HEALTHY FOOD DISTRIBUTION

9. HUNGER AND HEALTH Pamela Castles, RN, MSN, MASF Wesley Nurse, Parker Lane UMC

10. Maslow Copyright © Dutch Renaissance Press LLC. http://www.timvandevall.com/printable-maslows-hierarchy-of-needs- chart/ http://www.timvandevall.com/printable-maslows-hierarchy-of-needs- chart/

11. Is hunger a health issue?  Hungry people are 2.9 times more likely to be in poor health and have a higher likelihood of chronic conditions  Estimates put nationwide health care costs related to hunger at $130.5 billion each year  For every $1 spent on food and feeding an individual who is food insecure or experiencing hunger, approximately $50 is saved in Medicaid expenses  In 2011, 8.4% of households with seniors (2.5 million) were food insecure; this number is projected to increase by 50% when the youngest of the Baby Boom generation reach age 60 in 2025. The Alliance To End Hunger. (n.d.) Hunger is a U.S. Health Issue [Brochure]. Retrieved April 4, 2016 from http://www.alliancetoendhunger.org/wp- content/uploads/2014/04/3-Hunger-is-a-Health-Issue.pdf http://www.alliancetoendhunger.org/wp- content/uploads/2014/04/3-Hunger-is-a-Health-Issue.pdf

12. Is hunger a health issue?  30% of Feeding America households with seniors indicated they have had to choose between food and medical care and 35% have had to choose between food and paying utilities.  Adults experiencing food insecurity are at greater risk of developing Type 2 diabetes and more likely to experience mental and behavioral health problems, including higher levels of depression and anxiety. The Alliance To End Hunger. (n.d.) Hunger is a U.S. Health Issue [Brochure]. Retrieved April 4, 2016 from http://www.alliancetoendhunger.org/wp- content/uploads/2014/04/3-Hunger-is-a-Health-Issue.pdf http://www.alliancetoendhunger.org/wp- content/uploads/2014/04/3-Hunger-is-a-Health-Issue.pdf

13. Is hunger a health issue?  Among the elderly, malnutrition exacerbates diseases, increases disability, decreases resistance to infection, and extends hospital stays.  These linkages are important given the significant human and economic toll chronic diseases exact. Chronic diseases, such as diabetes, hypertension, depression, and heart and lung diseases affect nearly 1 in 2 Americans and consume more than 80% of what we spend on health care every year. Today, these illnesses cause 7 out of 10 deaths. The Alliance To End Hunger. (n.d.) Hunger is a U.S. Health Issue [Brochure]. Retrieved April 4, 2016 from http://www.alliancetoendhunger.org/wp- content/uploads/2014/04/3-Hunger-is-a-Health-Issue.pdf http://www.alliancetoendhunger.org/wp- content/uploads/2014/04/3-Hunger-is-a-Health-Issue.pdf

14. Methodist Healthcare Ministries’ Mission “Serving Humanity to Honor God” by improving the physical, mental and spiritual health of those least served in the Rio Texas Conference area of The United Methodist Church.

15. Wesley Nurses The Wesley Nurse program spans 80 sites throughout South Texas and is Methodist Healthcare Ministries’ largest geographic outreach program

16. Wesley Nurse Practice  The professional practice of the Wesley Nurse is not limited to the physical dimension of medical needs; rather, it includes a mind/body/spirit holistic approach  A key component of the Wesley Nurse role is providing health education, health promotion and facilitation of resources.

17. Wesley Nurse Program All Wesley Nurse programs are free and all members of the community are welcome. Examples of programs include: Exercise Classes Support Groups Blood Pressure Screenings Glucose Screenings Food Pantry Assistance Referral Assistance

18. Wesley Nurse Program Wesley Nurse services do not include: Dispensing or administering medication Diagnosing or treating medical problems Recommending medical treatments or medicines

19. Reference  Brilliant Nurse. (2015, January 25) The NCLEX Prioritization Questions and Maslow’s Hierarchy of Needs Theory. Retrieved April 4, 2016 from https://brilliantnurse.com/nclex- prioritization-questions-maslows-hierarchy-needs-theory/https://brilliantnurse.com/nclex- prioritization-questions-maslows-hierarchy-needs-theory/  The Alliance To End Hunger. (n.d.) Hunger is a U.S. Health Issue [Brochure]. Retrieved April 4, 2016 from http://www.alliancetoendhunger.org/wp- content/uploads/2014/04/3-Hunger-is-a-Health-Issue.pdf http://www.alliancetoendhunger.org/wp- content/uploads/2014/04/3-Hunger-is-a-Health-Issue.pdf

20. INTRODUCE ME AND INSERT A SNAZZY SLIDE ABOUT WHY HUNGER IS A PUBLIC HEALTH ISSUE Intersection of Hunger and Health TOGETHER WE CAN SOLVE HUNGER

22. 35% of adults 17% of children Obesity Food Insecurity 16% of population 21% of children

26. WHAT CAN CAFB AND PARTNER AGENCIES DO IMPROVE CLIENT HEALTH?

27. CAFB Food Insecurity Screening Initiative

28. What is the TOP CHALLENGE in staying healthy? □ Access to healthy and nutritious food □ Access to healthcare services (doctors, scheduling appointments, transportation, etc.) □ Being physically active □ Knowing how to make healthy choices □ Other _________________________________________________ Have you been diagnosed by a doctor or other health professional with any of the following conditions (Check all that apply): □ Prediabetes □ Type 2 Diabetes □ Hypertension (High Blood Pressure) □ Cancer □ Heart Disease □ None of the above □ Other ________________________________________________ Assessing Client Needs If you have any of these conditions, do you have trouble accessing any particular types of food recommended by your doctor or health professional? □ Yes □ No

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31. Questions?

32. Discussion  What health partnerships is your agency currently engaging in?

33. Discussion  What health partnerships is your agency currently engaging in?  What community health organizations are located in your county/area?

34. Discussion  What health partnerships is your agency currently engaging in?  What community health organizations are located in your county/area?  What are the barriers/challenges to making partnerships?

35. Discussion  What health partnerships is your agency currently engaging in?  What community health organizations are located in your county/area?  What are the barriers/challenges to making partnerships?  Can anyone share any successful partnerships?

36. Discussion  What health partnerships is your agency currently engaging in?  What community health organizations are located in your county/area?  What are the barriers/challenges to making partnerships?  Can anyone share any successful partnerships?  What is the best way to evaluate the success of a partnership?