Meeting the Dietary Needs of Older Adults Exploring the Impact of the Physical, Social, and Cultural Environment: Workshop Summary (2016) / Chapter Skim
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4 National Programs Addressing Dietary Needs of the Older Population
4 National Programs Addressing Dietary Needs of the Older Population
Pages 65-86
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From page 65... ...
Following the direction of President Obama's budget, two examples of what might occur as a result of the agreement are • $60 million in funding for programs covered by the Older Ameri cans Act (OAA) , and • $83.7 billion for the Supplemental Nutrition Assistance Program (SNAP)
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From page 66... ...
Its three largest programs are the congregate meals program, home-delivered meals, and the Nutrition Services Incentive Programs. The OAA provides meals, nutrition education, and socialization for its participants, and current funding levels allow for provision of 224 million meals to older adults every year.
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From page 67... ...
Better known as the "Farm Bill," the Agricultural Act of 2014 is an omnibus, multiyear piece of legislation that governs agricultural and food programs. The Bill, which was renewed for 5 years, includes several domestic nutrition programs for older adults.
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From page 68... ...
• The National Prevention Council announced that in the spring of 2016, it will release a Healthy Aging Action Plan to advance the National Prevention Strategy and will identify federal action steps to promote prevention and well-being among older Americans. Blancato noted that next steps following from the White House conference depend on the release of the final report and its ability to provide a roadmap for action.
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From page 69... ...
USDA NUTRITION PROGRAMS FOR THE OLDER POPULATION This presentation featured two speakers: Lura Barber, Director of H unger Initiatives at the National Council on Aging (NCOA) , and Kathryn Law of the USDA Food and Nutrition Service.
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From page 70... ...
. Barber noted that it is important to look at the big picture and create a balanced approach to the food security question, where SNAP is one key public benefit working synergistically with other benefit programs (see Figure 4-1)
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From page 71... ...
. Community-Based Assistance NCOA has been working on the Senior SNAP enrollment initiative in the field since March 2014.
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From page 72... ...
Barber also explained that building relationships and developing partnerships with state agencies, other community-based organizations, CSFP distributors, community organizing groups, domestic care workers, hospi FIGURE 4-2 Diverse partner organizations. NOTE: SNAP = Supplemental Nutrition Assistance Program.
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From page 73... ...
. NCOA also has pursued other policy options to streamline SNAP eligibility, such as partnering with aging organizations in state SNAP Outreach Plans, instituting broad-based categorical eligibility, setting up state call centers for application assistance, extending recertification periods, simplifying and combining applications for multiple benefits, instituting an online application, and creating a data bridge that allows counselors to track and flag their clients' applications.
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From page 74... ...
. This program provides food to low-income households, including older adults, living on Indian reservations, and to Native American families residing in designated areas near reservations and in Oklahoma.
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From page 75... ...
NOTE: BBCE = broad-based categorical eligibility; SSI-CAP = Supplemental Security Income Cap. SOURCE: Presented by Kathryn Law on October 28, 2015 (USDA, Food and Nutrition Service)
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From page 76... ...
Law noted that research on the reasons for nonparticipation by eligible older adults suggests multiple causes, such as lack of knowledge about their eligibility, unfamiliarity with the application process, a desire for personal independence, the perceived cost of applying and participating, the low benefit expected, and the stigma associated with program participation. BOX 4-2 USDA Pilot Tests to Increase SNAP Participation Among Older Adults Presented by Kathryn Law • 002-2004: Elderly nutrition pilots in six states that tested three approaches: 2 o Florida: Simpler eligibility determination rules, which required less docu mentation of income and expenses, and waiver of the eligibility interview.
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From page 77... ...
This authority would reduce the requirements that states must meet in order to implement Elderly Simplified Applications. In concluding, Law stated that some actions show promise in getting more older adults to participate in SNAP, including one-on-one application assistance, using a simplified site application that reduces verification requirements, and waiving the face-to-face interview in SNAP offices.
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From page 78... ...
Describing the lesson learned from this episode, DiMaria-Ghalili stated that translating nutrition guidance into patient care practice is critical in moving nutrition from a "support service" to a critical health intervention. She cited a recent statement from the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)
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From page 79... ...
Evidence to Support Nutrition During Care Transitions The ACA gave the Centers for Medicare & Medicaid Services (CMS) the authority to create several Health Care Innovation Awards programs.
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From page 80... ...
• Incorporate nutrition risk screen and assessment upon hospital dis charge and identify ways to incorporate nutrition into transitional care programs. CHALLENGES AND INITIATIVES IN AMERICAN INDIAN RESERVATIONS Kibbe Conti, Supervisory Dietitian at the Rapid City Indian Hospital, focused her talk on challenges and initiatives in American Indian reservations of the Lakota tribe, which is part of the great Sioux Nation in South Dakota.
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From page 81... ...
Food Distribution Programs Used by the Cheyenne River Sioux In the Cheyenne River Sioux communities where Conti works, the FDPIR, until recently, had higher participation rates than SNAP, but that is no longer true. She noted, however, that the FDPIR has greatly improved in recent years and now features updated warehouses, walk-in refrigeration units, and freezers.
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From page 82... ...
The Native Food Sovereignty Movement Conti closed her presentation by describing the exciting Native food sovereignty movement, which is gaining strength among the Indian tribes. This movement aims to eliminate food insecurity in Indian Country by strengthening food production and reclaiming and restoring former Native food systems.
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From page 83... ...
SOURCE: Presented by Kibbe Conti on October 28, 2015 (Northern Plains Nutrition Counseling)
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From page 84... ...
Another issue is trying to get funding from other private sources. Under some grants, healthy aging services networks 2 Medicaid waiver programs are designed to provide services to keep people who are at a nursing home level of care out of nursing homes and in their homes.
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From page 85... ...
In addition, the Alaska Native Tribal Health Consortium is developing a model program in which public health is working with traditional hunters and others to serve those foods in nursing homes. A traditional foods conference was held in Albuquerque in October 2015 and participants discussed these issues for Indian country across the nation.
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From page 86... ...
Arlington, VA: National Council on Aging. Pew Research Center.
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