Ramsey County Healthy Meals Coalition A coalition approach to improving nutrition in shelters and meal programs Saint Paul - Ramsey County Ramsey County population of 506,278 most densely populated county most racially diverse county Health in Ramsey County Health is closely tied to a person’s zip code Chronic conditions are widespread - Homeless population is at high risk for chronic disease Hunger-obesity paradox Sources: ‘Homeless in Minnesota’, Wilder Research, October 2010 ‘The Unequal Distribution of Health in the Twin Cities’ Blue Cross Blue Shield, 2010 Homelessness in Ramsey County Ramsey County one-night estimates: 2,312 Of homeless individuals those, 700 homeless children Food services [food stamps and hot meal programs] are very important to the homeless population Sources: ‘Homeless in Minnesota’, Wilder Research, October 2010 ‘The Unequal Distribution of Health in the Twin Cities’ Blue Cross Blue Shield, 2010 Issues Facing Meal Programs Lack of consistent source or quality food Food is procured from a variety of sources Increasing nutritional quality of meals served is an imperative to the populations meal programs served Meal Programs Menu analysis from Loaves and Fishes Project Homeless Connect survey Meal tracking at Dorothy Day Center Loaves and Fishes Nutrition Survey Why start a coalition? Shelters and meal programs face significant barriers to improving meals alone: Limited time, money and staffing Lack of communication between programs Little knowledge of available resources Ramsey County Healthy Meals Coalition Began in January 2011 Charter Agreement Elements defined so far Leadership Mission structure and vision Workgroups Internal Evaluation Mission Develop and implement practices that enable Ramsey County shelters and meal programs to provide healthy, culturally responsive, and cost-effective meals. Vision By 2015, the Ramsey County Healthy Meals Coalition will creative an effective, feasible, and replicable model for providing healthy, culturally appropriate and cost-effective meals for shelters and meal programs in Ramsey County. This model will embody a new, collaborative approach to distribution, menu development, volunteer training, food sourcing, and client health resulting in a healthier community. Successful Elements Establishing benefits and expectations for coalition membership Creating a shared mission and vision Building a sustainable leadership structure Networking between organizations Successful Elements Decision-making process Effective communication Goal-setting, monitoring and assessment Leverage resources like stakeholder event Tools & Resources Promising Practices Guide To be used by shelters and meal programs in Minnesota and across the country as a model for improving the nutritional quality of meals in these settings Promising Practices Guide Collaborative Coalition Building Process Meal Planning Tools Volunteer Training Tools Community Resources Future Tools Baseline Assessment Baseline Assessment Assessment was a way to both establish baseline and build support for the coalition Key informant interviews from (79%) identified meal programs Over 10,000 people served per year by Ramsey County meal programs Over 1 million meals served per year by Ramsey County meal programs Baseline Assessment Sourcing Meal planning and preparation Training Support Recommendations Engage in organization-based goal setting to commit to healthy changes Make nutrition the healthy default, not just the healthy choice Utilize coalition members and community resources Consolidate purchasing for cost savings based on collective power Recommendations Implement routine nutrition training for all who prepare meals Increase participation in Child and Adult Care Food Program (CACFP) Set standards for accepted donations Connect with larger initiatives Case Study Union Gospel Mission Menu Before Pre-cooked breaded chicken (deep fried) Cheezy Potatoes Canned Corn Donuts 2% Milk Koolaid (or other sugar/water drink) Menu After Chicken (oven cooked) Rice Vegetable Medley (frozen) 1% Milk 100% Juice Salad Bar Box of Apples/Oranges for dessert Challenges · Change · Buy-in · System Stakeholder Response · Client Response · Staff / Admin · Donors Impact of Coalition · Health / Nutrition Awareness · Menu · Momentum Role for Public Health Neutrality Sustainability Potential policy implications Next Steps for Ramsey County Healthy Meals Coalition Coalition goal-setting process Stakeholder meeting Steps for your community Discussion For more information Ben Johnson, RCHMC Co-Chair [email protected] Katie Wahl, RCHMC Executive Committee [email protected] Shirley Johnson,RCHMC Co-Chair [email protected] Emily Torgrimson, University of Minnesota School of Public Health [email protected]
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