Let’s Talk: Shared Risk & Protective Factors Economic Stability March 19, 2019

To strengthen the practice of injury and Safe States Alliance Our Vision To be the recognized leader and driving force in understanding and preventing injuries and violence Our Mission To strengthen the practice of injury and violence prevention

Safe States March 19, 2019

Welcome Jennifer Banyan, MSW R-Evolution Consulting jennifer@r-evolutionconsulting.com

Blueprint Steering Committee: 37 Members Arapahoe County Human Services Colorado Prevention Alliance Kaiser Permanente Benefits Data Trust Community Foundation of Boulder County Jefferson County School District Care & Share Food Banks for Southern Colorado Larimer County Human Services Consumers/Constituents Leever’s Supermarkets, Inc. Centura Hospital Covering Kids & Families LiveWell Colorado Children’s Hospital Colorado Denver County Human Services Metro Caring City and County of Denver Family Resource Center Association Mile High Health Alliance Colorado Center on Law & Policy Montbello Organizing Committee Feeding America Colorado Department of Education Office of Governor Hickenlooper Feeding Colorado Colorado Department of Health Care Policy and Financing Pitkin County Human Services Food Bank of the Rockies Share Our Strength Colorado Department of Human Services Food Policy Network Rocky Mountain Farmer’s Union Hunger Free Colorado Colorado Department of Public Health and Environment The Colorado Health Foundation The Denver Foundation Colorado Human Services Directors Association Weld Food Bank

Impacts of Food Security on ECE & Children Healthier babies, longer gestation, higher birth weights, lower infant mortality Improved educational outcomes; Higher test scores Improved early childhood development and higher long-term returns on human capital Significantly lower rates of obesity Secure attachments and better mental proficiency at 24 months of age Fewer school absences and fewer visits to the school nurse Much lower suicide rate among teenagers

Impacts of Food Security on Health Outcomes Reduced Obesity, Diabetes, and Malnutrition Lowered Risk for Heart Disease & High Blood Pressure Lower levels of stress and cortisol (improves overall mental health) Decreased depression in seniors Significantly lower rates of suicide in adolescents Decreased behavioral problems in youth

Food Security & Social Determinants of Health Food Security is key to the adoption of healthy behaviors Improves high school graduation rates by 18% Increases educational attainment for mothers that exponentially creates higher wage jobs and long term economic opportunies Food security reduces poverty SNAP lifted an average of 117,000 Coloradans (55,000 children) out of poverty every year between 2009-2012 SNAP provides low-income Colorado families, children, seniors, and people with disabilities with an average of $130 per person per month to purchase healthy, nutritious foods

Food Security & Seniors 50% less likely to be diabetic 5x less likely to suffer from depression Fewer limitations in their activities of daily living Food secure seniors are less likely to have hospitalizations Lower nursing home utilization Food security lowers Medicaid costs than food secure seniors

Food Security = Cost Savings Saves $1863/person in healthcare expenditures per year SNAP directly saves $1409 per person Significantly reduces emergency hospitalizations and days in the hospital Total estimate of direct and indirect health care costs of U.S. food insecurity in 2014 was $178.93 billion Reduces nursing home utilization among seniors WIC: Health care costs savings almost double program investment in 1 year; 4 times health care costs savings at age 18

CDPHE Innovation & Blueprint Alignment Erin Ulrich, MPH Director, Prevention Services Division, CO Dept. of Public Health and Environment erin.ulrich@state.co.us

Questions & Discussion

Up Next- Let’s Talk: Shared Risk & Protective Factors Education - April 2019 Access to Health Care – May 2019 Neighborhood & Built Environment – June 2019 Social & Community Connectedness – July 2019