The Food Access Project

Report
THE FOOD ACCESS
PROJECT
By: Kathryn Allard, Stephania
Fenelon, Marlyn Frias, Emilie
Rider, & Carla Salvadore
BACKGROUND ON SNAP

“Supplemental Nutrition Assistance
Program”—Previously known as the
Food Stamp Program
Established to fight hunger and
malnutrition
 Eligibility for SNAP benefits depends on
income


Less than 185% of the federal poverty level
Benefits are used for food to be purchased
and prepared at home
 Currently SNAP benefits cannot be used to
purchase prepared meals

THE FOOD ACCESS PROJECT

Problem: Individuals that cannot store
and prepare their meals at home cannot
make use of their SNAP benefits.
Homeless
 Those without kitchens
 Elderly
 Disabled


Solution: Allow high risk populations to
purchase prepared meals with their
SNAP benefits.
PROJECT MISSION STATEMENT



“To decrease hunger and food insecurity
for homeless individuals and others who
do not have a way to prepare food in
Rhode Island.”
Short term goal: Access food for those
without kitchens and cooking facilities
Long term goal: Improve nutrition and
the health of the homeless population
PROPOSED PILOT PROGRAM

Two strategies to increase food access
to high risk populations:

Strategy 1: Outreach
Understanding health and nutrition problems
 Establish rapport between target population and
nursing students
 Key informant interviews
 Focus group meetings
 Health fairs


Strategy 2: Work with restaurants and
markets to establish contracts for use of
SNAP benefits
THE NURSING STUDENTS
5 URI senior nursing students
 Diverse backgrounds

Caucasian
 Native American
 African American
 Hispanic


Age range


22-26 years old
All female
WITH FUNDING FROM SOUTHERN RI
AHEC…
As a team we participated in focus
groups, analyzed data, conducted a
literature review, and organized health
outreach events.
 Agencies we worked with:






Warm Shelter
Rhode Island Center Assisting those in
Need (RICAN)
Welcome House
McKinney Shelter
Lucy Hearth
FOCUS GROUPS

Common Themes:
Transportation is a problem
 Primary source of food include soup
kitchens and food pantries
 Nutrition is important
 Access to water is a concern
 Salt intake was not a concern
 SNAP benefits do not help homeless people
because there is nowhere to prepare or
store foods
 Being able to get prepared food specifically
at subway with food stamps would benefit
people who are homeless

HEALTH PROMOTION


Blood pressure screenings
Risk assessment quizzes
Hypertension risk
 Skin cancer risk







Summer health tips
Hand hygiene
Blood glucose readings
Body mass index screenings
Dental hygiene
Nutrition education





Healthy eating on a budget
Provided nutritious snacks
SNAP outreach applications
Health related giveaways
Raffle
BLOOD PRESSURE SCREENINGS

Assessment quiz to determine patient’s
risk of developing hypertension
Exercise, diet, alcohol intake, smoking,
weight, age, medications etc.
 Prior history

Screened blood pressure
 Education






Pamphlet
Explanation of their reading
Lifestyle modifications
Referral to primary care provider
Answered questions
HEALTHY SUMMER TIPS

Skin cancer risk assessment
Sunscreen use
 Skin tone and color
 History of sunburns
 Family/prior history of skin cancer

Skin self assessment education
 Warning signs of skin cancer


Asymmetrical, irregular borders, color,
diameter, elevation, family history
Sun safety
 Prevention of vector-borne diseases

HAND HYGIENE

Described the importance of adequate
hand washing
The pathogens commonly found on hands
 When hand washing is necessary
 Adequate hand washing technique
 Alternate washing techniques

Alcohol gel
 Hand sanitizers


Gave out hand sanitizers for
participation
BODY MASS INDEX
MEASUREMENTS
Calculated BMI off of height and weight
using a chart from clinical guidelines
 Advised clients that BMI is a good
measurement for overweight and
obesity but has limitations
 Abnormal BMI

Informed them of normal values
 Obtained patient history
 Strategies to change lifestyle

NUTRITION EDUCATION

Nutrition pamphlet
Food pyramid guidelines
 Health benefits
 Tips to healthy snacking


Healthy eating on a budget


Advising clients on how to purchase
nutritious foods in discount supermarkets
and farmer markets
Gave out fruit for healthy snacks
EMPOWERING THE HOMELESS
POPULATION IN RI

Education, education, education!!!

Helps enhance their quality of life and
autonomy
Established rapport with vulnerable
populations
 Understanding nutritional opinions and
practices of the population
 Important for healthcare professionals
to assess the needs of homeless
“The best way to find yourself, is to lose
yourself in the service of others”
-Ghandi

REFERENCES









Algert, S.J., Reibel, M., & Renvall, M.J. (2006). Barriers to participation in the
food stamp program among food pantry clients in Los Angeles.
American Journal of Public Health, 96(5), 807-809.
Baggett, T., O'Connell, J., Singer, D., & Rigotti, N. (2010). The unmet health
care needs of homeless adults: a national study. American Journal of
Public Health, 100(7), 1326-1333.
Centers for Disease Control and Prevention (2009). Clinical growth charts.
Retrieved from http://www.cdc.gov/growthcharts/clinical_charts.htm.
Centers for Disease Control and Prevention (2010). Skin cancer. Retrieved
from http://www.cdc.gov/cancer/skin/basic_info/prevention.htm.
Centers for Disease Control and Prevention (2009). Travelers health.
Retrieved from http://wwwnc.cdc.gov/travel/content/mosquito
tick.aspx.
Dammann, K.W., Smith, C. (2009). Factors affecting low-income women’s
food choices and the perceived impact of dietary intake and
socioeconomic status on their health and weight. Journal of Nutrition
Education and Behavior, 31(4), 242-253.
Davis, L.R., Holleman, W.L., Weller, N.F., Jadhav, M. (2008). Dietary intake of
homeless women residing at a transitional living center. Journal of
Health Care for the Poor and Underserved, 19(3), 952-962.
Department of Health and Human Services (2010). Aim for a healthy weight.
Retrieved from http://www.nhlbi.nih.gov/health/public /heart/
obesity/lose_wt/index.htm.
Fournier, M., Austin, S., Samples, C., Goodenow, C., Wylie, S., & Corliss, H.
(2009). A Comparison of Weight-Related Behaviors Among High
School Students Who Are Homeless and Non-Homeless. Journal of
School Health, 79(10), 466-473.
REFERENCES











Rank, M., & Hirschl, T. (2005). Likelihood of using food stamps during the adulthood years.
Journal of Nutrition Education & Behavior , 37 (3), 137-146.
Rhode Island Coalition for the Homeless (2010). Street sheets. Retrieved from
http://www.rihomeless.org/Resources/StreetSheets/tabid/172/Default.aspx.
Rhode Island Department of Health (2010). Community heath centers in Rhode Island.
Retrieved from http://www.health.ri.gov/disease/primarycare/healthcenters.php.
Richards, R., Smith, C. (2006). The impact of homeless shelters on food access and choice
among homeless families in Minnesota. Journal of Nutrition Education and
Behavior, 38(2), 96-105.
Savage, C., Lindsell, C., Gillespie, G., Dempsey, A., Lee, R., & Corbin, A. (2006). Health
care needs of homeless adults at a nurse-managed clinic. Journal of Community
Health Nursing , 23 (4), 225-234.
Schwarz, K.B., Garrett, B., Hampsey, J., & Thompson, D. (2007). High prevalence of
overweight and obesity in homeless Baltimore children and their caregivers: a
pilot study. Medscape General Medicine, 9(1), 48.
Stergiopoulos, V., Dewa, C., Tanner, G., Chau, N., Pett, M., & Connelly, J. (2010).
Addressing the Needs of the Street Homeless: A Collaborative
Approach.International Journal of Mental Health, 39(1), 3-15. Retrieved from
Academic Search Premier database.
United States Department of Agriculture (2010). My pyramid. Retrieved from
http://www.mypyramid.gov/index.html.
Weiser, S.D., Bangsberg, D.R., Kegeles, S., Ragland, K., Kushel, M.B., & Frongillo, E.A.
(2009). Food insecurity among homeless and marginally housed individuals living
with HIV/AIDS in San Francisco. AIDS and Behavior, 13(5), 841-848.
Wicks, R., Trevena, L.J., Quine, S. (2006). Experiences of food insecurity among urban
soup kitchen consumers: Insights for improving nutrition well-being. Journal of
the American Dietetic Association, 106, 921-924.
Yousey, Y., Leake, J., Wdowik, M., & Janken, J.K. (2007). Education in a homeless shelter
to improve the nutrition of young children. Public Health Nursing, 24(3), 249-255.

similar documents