Connecting Health Care and Healthy Food Access: Lessons Learned from - - PowerPoint PPT Presentation

Connecting Health Care and Healthy Food Access: Lessons Learned from the Food Rx

“Often” or “Sometimes” Worried About Whether Food Would Run Out

(Johnson & Wyandotte Counties, Kans. and Clay & Jackson Counties, Mo., Parents, 2015)

25.1% 25.7% 3.3% 36.9% 19.5%

0% 20% 40% 60% 80% 100%

Clay County Jackson County Johnson County Wyandotte County Total Service Area

“Often” or “Sometimes” The Food Didn’t Last and Didn’t Have Money

(Johnson & Wyandotte Counties, Kans. and Clay & Jackson Counties, Mo., Parents, 2015)

.

21.0% 21.2% 3.1% 27.8% 16.0%

0% 20% 40% 60% 80% 100%

Clay County Jackson County Johnson County Wyandotte County Total Service Area

CMH Food RX

• 2-question Food

Insecurity Screening within Primary Care Clinics

• “Ordering” of Food Rx

– $5 coupon to TMC Healthy Harvest Mobile Market – Schedule of market stops – Fit-Tastic! tip sheet on fruits and veggies

Results of Food RX

• 150 given at 2 WIC

clinics

• 462 given at CMH

Clinics

• Less than 5 percent of

people redeemed the coupon across the two settings

12 7 9 6 5 3 1 1 1 4 2 4 6 8 10 12 14 Forgot about it Too busy Transportation to (or locations) of mobile market Unsure how to access the mobile market Timing of the mobile market stops Didn’t understand what it was for Too difficult with kids with me Fruit/Vegetables are not a need Kids/I do not like fruits/vegetables Other Number of Responses

Barriers to redeeming the CMH food Rx coupon N=49 responses

What advice do you have for improving the Food RX?

• More mobile market stops (times and locations)
• Rx to grocery store
• Increase the coupon $
• Better explain the RX

Focus Groups

• 6 Focus Groups

– 4 English – 2 Spanish

• Parents/Caregivers of patients who received

“food prescription:”

– 30 parents/caregivers total participated out of 64 recruited – Provided incentive, childcare and meal – Three weekday evening, two weekday lunch and

• ne weekend morning
• Questions about concerns about food, challenges and facilitators to

accessing healthy foods and ideas for programs, services, interventions

Preliminary Themes

• Many shared about complex health

care and other needs of their children/families

• Children enjoy eating fruit, often hard

to have as much fruit as desired

• Barriers to eating healthy foods are

COST ST, transportation/location, quality and ability of food to “last”

• WIC was helpful, but many are no

longer eligible b/c children are older

• Broad themes about any program

include:

– Convenient/“part of my routine” – Engaging children in the effort – Addresses and targets many cultures – Using multiple CMH locations or

• ther familiar locations, such as

schools – Communication about the program must be consistent and done in multiple ways, multiple times

Role of CMH/Healthcare Provider

• Ideas have ranged from:

Interpersonal/Individual

• Fresh fruit baskets at clinics
• Engaging children at visits in healthy eating
• Cooking groups or nutrition/gardening
• pportunities

Policy:

• Advocacy for affordable housing/childcare

Organizational:

• Better connection to broad community

resources, more personalized approach