1. Erie Family Health Center October 5, 2011 Food Insecurity 1

2. Food Benefit Resource Flow SNAP (Food Stamps) Therapeutic Diet Allowance GA-TA (What is this?) Women, Infants, and Children Nutrition Program (WIC) SNAP (Food Stamps) Therapeutic Diet Allowance 2

3. Therapeutic Diet Allowance: Medical Determinations Low ResidueDiabeticHigh-Protein/High- Calorie/High-Vitamin Ulcers Crohns Ulcerative Colitis Diverticulitis Hemorrhoids Abdominal / Intestinal Surgeries <1700 cal - Weight loss/low activity >1700 cal Cancer HIV/AIDS Burns Infections Wound healing Malnutrition Underweight Rapidly Losing Weight 3 Adults

4. Therapeutic Diet Allowance: Medical Determinations Children: 4 DiabeticHigh-Protein/High- Calorie/High- Vitamin All Cystic Fibrosis Poor-weight gain FTT Cancer

5. Instructions for Therapeutic Diet Allowance Applications: Your Patient Needs You! Physicians Letter DHS Form 146 Look in your folder for these resources! 5

6. How to apply for these programs For first time applicants: In person: DHS Family Comm. Resource Ctr. (2753 W North Ave) By mail: 2753 W North Ave, Chicago, IL 60647 By fax: 773.265.7829 Online: http://fspp.dhs.state.il.us/register/wb/wbHomePre.dohttp://fspp.dhs.state.il.us/register/wb/wbHomePre.do For denials, reductions, or termination of benefits: Refer to Health Justice Project 6

7. Other Sources of Assistance Food Banks: Greater Chicago Food Depository: chicagofoodbank.org America's Second Harvest: feedingamerica.org Illinois Food Bank Association: www.illinoisfoodbanks.org Supplemental Food for Children and Elderly Individuals: Low-income pregnant women, women with a child under one year of age, children under 6, and senior citizens (60 and older) Monthly food packages Contact Eliu Irizarry 773-378-6643 at Catholic Charities. 7

8. Social Causes of Food Insecurity Heat vs. Eat – Energy insecurity relates to food insecurity Food Deserts Poverty Low education, Low or no income Social Inequity Housing Insecurity 8

9. Review Be sure to screen your patients for food insecurity Encourage first time applicants to contact DHS For denials or reductions in benefits, refer to HJP Use the Internal Referral System via EMR or Contact Us: (Toll Free) 1-800-424-4839 (Local) 312-915-6470 (Fax) 312-915-6588 E-mail: healthjustice@luc.edu 9

10. In the Health Justice Project, doctors, social workers, lawyers and students of each profession are partnering to address the social and environmental causes like unhealthy housing conditions and improperly denied food stamps at the root of poor health. Emily A. Benfer, clinical professor of law, director of the Health Justice Project, Loyola University Chicago School of Law, Beazley Institute for Health Law & Policy Chicago Tribune, October 5, 2011 Health Justice Project 10