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) 100% 80% 60% 36.9% 40% 25.7% 25.1% 19.5% 20% 3.3% 0% 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) 100% 80% 60% 40% 27.8% 21.0% 21.2% 16.0% 20% 3.1% 0% 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

Barriers to redeeming the CMH food Rx coupon N=49 responses Other 4 Kids/I do not like fruits/vegetables 1 Fruit/Vegetables are not a need 1 Too difficult with kids with me 1 Didn’t understand what it was for 3 Timing of the mobile market stops 5 Unsure how to access the mobile market 6 Transportation to (or locations) of mobile market 9 Too busy 7 Forgot about it 12 0 2 4 6 8 10 12 14 Number of 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 – one 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 • Broad themes about any program • care and other needs of their include: children/families – Convenient/“part of my routine” – Engaging children in the effort Children enjoy eating fruit, often hard • – Addresses and targets many to have as much fruit as desired cultures – Using multiple CMH locations or Barriers to eating healthy foods are • other familiar locations, such as COST ST, transportation/location, quality schools and ability of food to “last” – Communication about the program must be consistent and WIC was helpful, but many are no • done in multiple ways, multiple longer eligible b/c children are older times

Role of CMH/Healthcare Provider Ideas have ranged from: • Policy: • Advocacy for affordable housing/childcare Organizational: • Better connection to broad community resources, more personalized approach Interpersonal/Individual • Fresh fruit baskets at clinics • Engaging children at visits in healthy eating • Cooking groups or nutrition/gardening opportunities