Ending Hunger in Montgomery County

Though Montgomery County is listed as the 20th wealthiest county in the United States and has been ranked the 9th Best Place to Raise a Family by Forbes Magazine, it has seen an extraordinary increase in eligibility for food stamps. Such an increase suggests that families are struggling to pay for food and other basic needs. Food insecurity, known as the lack of access to enough food for an active and healthy life, is associated with an increase in developmental risk, risk of poor health, and poor school performance. Food insecurity is also associated with increased rates of maternal depressive symptoms, exposure to childhood violence, and stress disorders. This report provides a preliminary needs assessment regarding food insecurity and hunger for Montgomery County by utilizing multiple data sources, connecting with key stakeholders, and understanding the immediate and long-term needs of low?income families. It describes a variety of measures for food insecurity and food hardship, showing that approximately 16% of children were food insecure in Montgomery County in 2011. For potentially more severe forms of food insecurity, where people cut the size of their meal due to lack of money, the overall rate rose from 5.0% in 2004 to 8.6% in 2010. Increases in this rate were more pronounced in Pottstown and Norristown compared to the North Penn area. Clearly, efforts at protecting vulnerable citizens in the North Penn area have helped to limit the negative effects of the recession

Toxic Stress and Child Hunger Over the Life Course: Three Case Studies

The causes and contexts of food insecurity among children in the U.S. are poorly understood because the prevalence of food insecurity at the child level is low compared to the prevalence of household food insecurity. In addition, caregivers may be reluctant to admit their children may not be getting enough food due to shame or fear they might lose custody of their children. Based on our ongoing qualitative research with mothers of young children, we suggest that food security among children is related to adverse childhood experiences of caregivers. This translates into poor mental and physical health in adolescence and adulthood, which can lead to inability to secure and maintain meaningful employment that pays a living wage. In this paper we propose that researchers shift the framework for understanding food insecurity in the United States to adopt a life course approach. This demands we pay greater attention to the lifelong consequences of exposure to trauma or toxic stress—exposure to violence, rape, abuse and neglect, and housing, food, and other forms of deprivation—during childhood. We then describe three case studies of women from our ongoing study to describe a variety of toxic stress exposures and how they have an impact on a woman’s earning potential, her mental health, and attitudes toward raising children. Each woman describes her exposure to violence and deprivation as a child and adolescent, describes experiences with child hunger, and explains how her experiences have shaped her ability to nourish her children. We describe ways in which we can shift the nature of research investigations on food insecurity, and provide recommendations for policy-oriented solutions regarding income support programs, early intervention programs, child and adult mental health services, and violence prevention programs

Childhood Stress: A Qualitative Analysis of the Intergenerational Circumstances of Child Hunger

Adverse Childhood Experiences (ACEs), including abuse, neglect, and household instability, affect lifelong health and economic potential. While relationships between household food insecurity and caregiver’s childhood exposure to abuse and neglect are underexplored, preliminary evidence indicates that caregivers reporting very low food security report traumatic events in their childhoods that lead to poor physical and mental health. Building on this evidence, this study investigates how adverse childhood experiences are associated with the intergenerational transmission of household food insecurity

Earning More, Receiving Less: Loss of Benefits and Child Hunger

New research from Children's HealthWatch shows that increases in income that trigger loss of public assistance benefits can leave young children without enough food to eat. Families hat have been cut off from SNAP or TANF when their income exceeds eligibility limits are more likely to experience levels of food insecurity that require reducing the size or frequency of children's meals compared to those currently receiving benefits. Previous research has demonstrated that both SNAP and TANF reduce the likelihood of food insecurity. Income eligibility guidelines should be re-examined to ensure that a modest increase in income does not disqulaify a family from the benefits they need to keep their children healthy and well-fed. Families that successfully increase their earnings should not find themselves worse off due to a resulting loss of benefits

Children of Immigrants: Healthy Beginnings Derailed by Food Insecurity

Children of immigrants are the fastest growing child population in the United States. More than 20 percent of children under age six have immigrant parents; approximately 93 percent of these children are American citizens.Of the children who are non-citizens, two-thirds will grow up to become citizens, playing a critical role in our nation's future

Stable, Affordable Housing Supports Young Children's Health in Philadelphia

Children's HealthWatch researchers analyzed survey data collected from caregivers in Phildelphia between 2005 and 2011. In the sample of 4,500 families, Children's HealthWatch found that about 56% of families were housing insecure. Housing insecurity is associated with poor health outcomes in very young children. Short-and long term interventions that help stabilize families in affordable housing will improve the health and development of Philadelphia's youngest children

Politics, Poverty and Hunger: The Population Health Impact

Dr. Chilton is an Associate Professor at Drexel University School of Public Health and Director of the Center for Hunger-Free Communities. Dr. Chilton currently holds a congressional appointment with the National Hunger Commission. Chilton devotes much of her time to investigating the health impact of hunger and food insecurity among young children. She is the founder of Witness to Hunger, a participatory action study aimed at increasing women’s participation in the national dialogue on hunger and poverty. Her work has been featured in the Washington Post, the Philadelphia Inquirer, public radio, and CBS National News. Dr. Chilton’s Forum presentation will provide an overview of food insecurity and hunger while identifying the pathways in which food security has an impact on population health. She will also explain how public assistance and labor policy shape population health in the U.S. Dr. Chilton received her PhD from the University of Pennsylvania and a Master of Public Health in Epidemiology from the University of Oklahoma. Presentation: 50 minute

Co-enrollment for Child Health: How Receipt and Loss of Food and Housing Subsidies Relate to Housing Security and Statutes for Streamlined, Multi-Subsidy Application

In light of recent policy debates around funding food and housing subsidies, the combined influence of these programs on housing security (HS), defined as housing without crowding or frequent moves, remains unstudied. In a multi-city study of young children, federal nutrition and housing subsidies together increased the odds of HS, whereas loss of nutrition subsidies lowered the odds of HS even after controlling for housing subsidy receipt. Ensuring eligible families’ access to both nutrition and housing subsidies may sustain HS. The results of this study inform and support current efforts by states to streamline online applications for social services and remove statutory legal barriers to accessing these subsidies simultaneously

Trends in Household and Child Food Insecurity Among Families with Young Children from 2007 to 2013

Background: 2007-2013 spanned an economic downturn with rising food costs. While Supplemental Nutrition Assistance Program (SNAP) benefits increased during those years by 13.6% from the 2009 American Recovery Reinvestment Act (ARRA), the impact of these competing conditions on household food insecurity (HFI, household food insecure but child food secure) and child food insecurity (CFI, household and child food insecure) in households with infants and toddlers has not been investigated. Objective: To describe HFI and CFI in households participating in SNAP vs. households likely eligible but not participating (No SNAP). Design: Repeat cross-sectional Participants/Setting: 19,999 caregivers of childrenChildren’s HealthWatch survey in emergency and primary care departments in 5 US cities. Main Outcome Measures: The 18-item U.S. Household Food Security Survey (HFSS) measured HFI (≥3 affirmative responses on non-child-specific questions) and CFI (≥2 affirmative responses to eight child-specific questions). Statistical analyses performed: The sample was stratified by SNAP/ No SNAP. Multinomial logistic regression analyses examined the association between SNAP receipt and HFI and CFI. Results: Across the study period, controlling for confounders including year, households with SNAP were 17% less likely to experience HFI (AOR 0.83; 95% CI,0 .75, 0.91; p Conclusions: Receipt of SNAP vs. No SNAP was associated with decreased prevalence of HFI and CFI during much of the economic downturn; this impact waned as the buying power of the boost in benefit amounts during the ARRA period eroded

\u27It\u27s common sense that an individual must eat\u27: Advocating for food justice with people with psychiatric disabilities through photovoice.

BACKGROUND: People with SMI have often been excluded in advocacy efforts focused on physical health, health care and health and social policy. OBJECTIVE: Following a Photovoice project focused on barriers to healthy eating and physical activity in urban neighbourhoods, participant-researchers were invited to present their insights in community advocacy settings. The purpose of this study was to explore the feasibility and participant-researchers\u27 experience of these community advocacy activities. DESIGN: We held four focus groups with the eight participant-researchers after each community advocacy activity to explore their experience with public speaking, presenting their experiences and advocating. SETTING AND PARTICIPANTS: People with serious mental illness who were overweight/obese living in supportive housing. ANALYSIS APPROACH: Qualitative analysis of the focus group transcripts, using a modified grounded theory approach followed by structured coding focused on empowerment, participation and non-discrimination. RESULTS: Participant-researchers gave three oral presentations of their photographs at a variety of community-based programmes and settings and participated in a rally to advocate for SNAP benefits. Two themes emerged from analysis: (a) Empowerment (the level of choice, influence and control that users of mental health services can exercise over events in their lives) and (b) Barriers to Empowerment (obstacles to participation and well-being). CONCLUSIONS: This evaluation strengthens the evidence that it is feasible for participant-researchers in Photovoice projects to engage in robust advocacy activities, such as presentations and discussions with local policymakers. During focus groups, participant-researchers demonstrated realistic optimism towards their roles as change agents and influencers in spite of acknowledged systemic barriers