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THE FUTURE OF FOOD IS MEDICINE:

New Research and Innovation Michelle Berger Marshall,

MS, RDN Managing Director,

Community Health and Nutrition

mbergermarshall@feedingamerica.org

1 NATIONAL OFFICE

Together we provide 3.7 billion meals each year

46M 200 MEMBER FOOD BANKS

60K FOOD PANTRIES AND MEAL PROGRAMS

people SERVED ANNUALLY

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Improving nutrition is critical to achieve our vision of a hunger-free America

DRAFT  

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Healthy  Diet   Health   Financial  Stability  

Food  Security  

•  Improved  diet  quality  across  the  lifespan  

• Ea7ng  healthy  is  a  social  norm  across  all  incomes  

•  Improved  health  and  well-­‐being  

•  Improved  physical,  emo7onal,  mental  health  outcomes  across  the  lifespan  

• Decreased  risk  of  diet  related  disease  

• Reduced  healthcare  expenses  

•  Increased  employability  and  opportuni7es  for  advancement  Reduced  compe7ng  demands  

• Decreased  income  vola7lity    

Healthy diets provide a foundational pathway towards food security

Focus  for  “Improved  Diet  Quality”  

• Consistent,  dependable  access  to  enough  food  for  all  household  members  for  ac7ve,  healthy  living  

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The Feeding America network tests, scale, and partners to help improve nutrition, health and food security •  Assumptions

Improving diet quality contributes to: –  Decreased risk for diet-related disease –  Improved management of existing disease –  Improved individual and population-level health outcomes

•  Approach –  Testing hypotheses and evidence building –  Piloting interventions:

•  food distributions •  healthcare partnerships and referrals •  screening and education

–  Disseminating and scaling effective elements –  Building the capacity of the food bank network to be

partners in health promotion

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Our exploration to determine how the food bank network can address diabetes through community-clinic partnerships

•  Pilot Project (2011-14) –  Three food banks (CA, OH, TX) –  687 participants –  Food, diabetes education, referrals, blood sugar testing –  Improvements in HbA1c, F/V intake, self-efficacy, and medication adherence

•  Randomized Controlled Trial: FAITH-DM (2015-17) –  Three food banks (CA, MI, TX) –  586 participants, randomized to either 6-month intervention or wait-list –  Food, diabetes education, referrals, blood sugar testing –  Results, including health care utilization analysis, due late 2017

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Our exploration continues to determine the role the food bank network can plan to prevent diabetes

•  Feeding America Diabetes Prevention Pilot (2016-19) –  1 food bank (CA), 200+ participants –  Food, referrals to YMCA DPP and healthcare –  Evaluating impact of food and community partnerships

•  Americares DPP (2017-19) –  3 food banks (FL, VA, SC), 125+ participants –  Partnerships with 3 free clinics –  Supporting clinic patients in DPP with healthy food

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New partnership models with the health care community

•  Pilot Project in Broward County, Florida, 2016 –  3 ContinueCare Clinics over 4 weeks –  369 patients Screened for Food Insecurity (Hunger Vital Sign™) & Health-

Related Quality of Life (Health Days) –  51% of all patients and 77% of Medicaid or Dual-eligible were Food Insecure –  Food Insecurity associated with higher rates of Mentally & Physically Unhealthy

Days

•  Phase 2 Randomized Control Trial –  Enrolling food insecure ContinueCare clinic patients into a year-long

intervention –  Mobile food distribution to create new access to healthy food –  Connection with other food pantries and community resources –  SNAP eligibility and enrollment assistance for long-term food security –  Results to include clinical outcomes and business metrics

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Food bank- health system collaboration focuses first on building new relationships and identifying win-win opportunities to work together

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Looking ahead at the opportunities to move from pilots to community based programs

•  Improving success for screen & intervene programs –  Referrals & “Food Rx” programs –  Data tracking and sharing

•  Assuring healthy food access through new on-site distribution and effective referrals –  Mobile Distribution –  Onsite Emergency food boxes & meals –  Onsite Food Pantries

•  Securing revenue through shared fundraising •  Incorporating processes to comply with

HIPAA •  Advocating for policies that help people who

are food insecure improve nutrition, health and food security

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Feeding  America:  Farm  Bill  Priori<es  

 

SNAP  Supplemental  Nutri<on  Assistance  Program  

 Protect,  strengthen  access  to  the  program  for  those  in  need  of  it  and  maintain  current  funding  levels.  SNAP  is  the  cornerstone  of  federal  nutri7on  programs,  providing  over  42  million  low-­‐income  par7cipants  with  monthly  benefits  via  a  grocery  debit  card.      

 

TEFAP  The  Emergency  Food  Assistance  Program  

 Provide  adequate  funding  to  support  TEFAP  and  TEFAP  storage  and  distribu7on.  This  funding  will  ensure  that  TEFAP  food  levels  remain  steady  throughout  the  food  assistance  network  and  con7nue  to  help  Americans  facing  hunger.      

 Ag  Surplus  

 

Provide  support  for  growers/producers  to  connect  excess  food  with  food  banks/communi7es  in  need.  Reduce  regulatory  barriers  to  food  dona7on.      

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TOGETHER WE CAN SOLVE HUNGER.

TM