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| Title | Author | Year | Subject Area | Publication Type | Location | Description | Affiliation | Body |
|---|---|---|---|---|---|---|---|---|
| Intra-Agency Barriers to Food Stamps: Maximizing Benefits for Elders and… | David Pope | 2006 | Chronic or Life Challenging Illness, Domestic Federal Nutrition Programs, Health, Nutrition and Hunger, Supplemental Nutrition Assistance Program (SNAP)/Food Stamps | Field Reports | Boston, Domestic, Massachusetts | Intra-Agency Barriers to Food Stamps: Maximizing Benefits for Elders and Persons with Disabilities in Massachusetts is a summary of suggestions from advocates on ways to improve enrollment… Read more | Emerson Fellow | Intraagency Barriers Food Stamps Maximizing Benefits for Elders and Persons with Disabilities Massachusetts report David Pope Emerson National Hunger Fellow February the United States Department Agriculture spent upwards billion Stamp Program serving million hungry peoplei Considered first line defense against hunger food stamps are available wide range Americans from elders need grocery money parents healthy baby But significant barriers still exist many American households especially Introduction have traditionally exhibited low national rates stamp participation study USDA found that only eligible elderly individuals participated program compared singleparent familiesii fact some estimate members leaving without assistanceiii portion these may not participate because stigma perceived benefit levels but advocates maintain most barrier application process state agencies Because special health care dietary needs dangerous Recent figures indicate more than twothirds multiple problems like heart disease diabetes worsen insufficient dietiv government half sample population over reported having hypertension condition exacerbated inadequate nutritionv should surprise lowincome who necessary financial assistance buy nutritious foods face increased complications Many dietrelated lack awareness information programs service options recent living Greater Plymouth area one seven frequently bed while four had make tradeoffs between paying utilities heating fuel Over surveyed said they were interested receiving small percentage actually received benefits nine out ten indicated could unaware how apply whether qualifiedvi And receive sufficient enough purchase diets November Boston neighborhood Brigham Womens Hospital color maximum would additional appropriate those fat high fruits vegetables whole grain productsvii Indeed mentioned above did responded their monthly lasted average three weeksviii For rely solely nutritional diet Programs Perhaps any other its troubles can best illustrate management implementation various administer stampsix worst nationx This was written legal providers social workers mind reviews The suggestions herein summary mainly feedback ideas during meetings coalitions presentations conferences across late early two sections trace intraagency persons disabilities applying Social Security Administration Transitional Assistance third section explores recommend policy changes through case medical expense deduction SSA Office Nationwide Supplemental Income SSI categorically stampsxi maintains updated records payees recipients simpler Offices fail assist mandates employees called Claims Representatives take applications where all Laws also require offices encourage completing understanding processxii Legal consistently disregard obligations Instead assisting clients simply refer office Others obligation recipient pertains particular times redetermination continuing eligibility Advocates shadowed discovered informing right time These violate Act Manchaca Chater ruling which court maintained offer Since antihunger ramped campaign get improve applicants including Negotiating create onepage form asks pertinent questions relating receipt air conditioning fees increase Encouraging issue guidance pure Monitoring enrollment Freedom Information informal surveys completed Even encouragement Combined Application response dwindling among Nutrition Service FNS has allowed certain states combined automatically enrolls applicant andor Historically earn fixed incomes pay fewer shelter costs live subsidized housing rarely screened expenses Bay State CAP allows enroll uses simplified calculation ensuring income preclude agency initially then sends electronically data exchange processed success depends upon coordination Enrollment easy During reassessment eligibly required ask few easily them However serve confusing being enrolled Antihunger identified types asked about personal status question formulated applicationMay your today been working One troublesome scenario this already regular realize new exists answer want submit another hesitant difficulty requires verifications interviews second major relates fully explaining SSAs manual explain enrollmentxiii honor under federal law own identify number steps consider help maximize Seek permission rephrase correct must corrected posing May elder receives advantages SSIfood higher level ease applicantrecipient See Attachment Would you better Fully describe reinforce accepting negative responses arise confusion associated ensure understand automatic interview proofs They advise applicantsrecipients provide know Ask standard amounts household pays less flat default cannot extends selfdeclare dollars rent month trapped lower Medical Expense Deduction person deduct nonreimbursed excess countable allotment managers DTA allowable Unfortunately overlook completely ignore underutilized deducted benefitsxiv amount substantially raise When Managers correctly example woman alone collects her manager screens different overthecounter aspirin bus fare dentists addition forms verification collateral contact drug store large possible deductible diverse procedures screen There coherent scope Unlike requirements regulations align promulgated neither include twentyfirst century nor revised newsletters included discussions properly trained following demonstrates change within aware updates DTAs formal policies Mass Law Reform Institute Managerial staff Field Operations Memo newsletter What follows here combination research correspondence recommendations clarify expand Chauncy Street Suite PHONE FAX wwwmlriorg January Phuoc Cao Director Policy Washington Dear writing begin discussion ways use seeking Commissioner Wagner noted his October testimony fraction AUs advantage Extensive documented critical good nutrition importance address capacity Congressional conducted numerous workshops organizations personally spoken dozens entitled calculated While greatly there either off getting contacted voiced concern clearly needed securing Few remember Manager claimed uninsured claim disallowed incurred understood transportation services counter medications Cody Scott James Ohls Reaching Out Elderly Evaluation Elder Demonstration Models Vol Mathematica Research Inc March Older Key Indicators WellBeing Federal Interagency Forum AgingRelated Statistics Government Printing Issuance field operations memo detailing Especially important highlighting alternative ancillary such postage communicate readily assume Toward end drafted annotated issued throughout country chart same client oriented screening given contain consideration endorsed similar tool developed Vermont promising practice Available wwwfnsusdagovfspgovernmentpromisingpracticesprescreeninghtm file future reminder BEACON enhancement scheduled incorporate into website brochure describes Attached flyer prepared direct mailing local Council Aging Independent Living centers Finally extend appreciation outlined allowing Medicare Part participants partial extra MPDDP participant correction wanted Pages incorrectly paid bills outofpocket bill rather instruct billed otherwise becomes due regardless when unit intends emphasis added CMR helpful Hotline Focus clarifying insisting proof payment very much appreciate opportunity discuss proposal convenience MLRI fellowship will ending mid next weeks Thank Sincerely Lauren Arms Patricia Baker Improvement Coalition Proposed Expanding Use Deductions deductions utilize Purpose purpose highlights medicallyrelated incur typically covered MassHealth private insurance III Important Tips related Alternative therapies provided licensed practitioner acupuncture chiropractic faith based healing therapeutic massage Dental dentures dental adhesives Insulin antacids prescribed herbal remedies treatments Private mileage rate currently cents per mileas well public transportationfor trips includes rehabilitative therapy pharmacy pick prescriptions supplies Costs handling mail order longdistance phone calls communication equipment deaf hard hearing Health adult diapers incontinence pads Purchase durable renovations home accessibility vehicles nonmedical conditioners dehumidifiers Characteristics Household Oct Farm Bill stated analysis our caseload indicates disabled All copays deductibles premiums recently described evaluated result ongoing sure inquire Unpaid prior certification period averaged remaining Anticipated estimated current Related Expenses Screen Transportation obtain treatment appointments supply business limited actual cost train subway rental car individual taxi cab driver using vehicle privately owned member mile retrofitting Remember Verification exceed normally charged Example Mary Smith drives once week prescription drugs round trip drive miles She physical therapist Smiths weekly equals questionable worker verify Deductible Kentucky fill medicine aides eye glasses sickroom OMTL Indiana driven prove Transitions vol June WAC medically modifications mobility repairs remodeling people ramps handrails Ohio Certification Handbook distance location pharmacist maps online map databases Mapquest Tom Jones neighbor him doctors every gives provides statement details makes CommunicationPostage add blind vision loss permits Incidental Longdistance Postage shipping Ongoing Special telephones amplifiers warning signals repair replacement TTY typewriter devises accept communications receipts listed package Jane Doe supplier confirm shipment medication Later she back request method shows sticker suppliers box copy itemized telephone both OvertheCounter Medications Care Supplies Regional Letter DeductionPostage Prescription Drugs August incidental lodging CFR dix North Carolina Virginia typewriters Regulations Herbal supplements routine foot creams powders shoe inserts skin ointments Diapers liners Lancet lancet devices diabetics Magnetic pain relief Batteries Henry doctor prescribes ibuprofen magnetic bracelets wrist arm spends disposable extrastrength brings manage Practitioners Treatments practitioners Examples Acupuncturists Naturopaths Massage therapists Christian Science healers Other nontraditional alterative herbs requirement regarding licensure Jason Browns acupuncturist alleviate Brown Volume Page insulin etc accordance Texas approved qualified professional iii allow medicallyneeded items statelicensed statecertified Wisconsin chiropractors acupuncturists sessions travel Equipment Accessibility Renovations Some alterations homes spaces Lowered countertops Grab bars Wheelchair Chair lifts Shower seats Transfer benches boards conditions purifiers Nonmedical invoice indicating acceptable Fred Bowman monitor environment chronic lives does cooling system Freds conditioner summer months give purchasing Note Heating SUA incurs electricity running Although primary responsibility providing shall unable requests Title Disability ADA denied accommodate disability renting considered definition secure reminded affirmatively recertification Enclosed elicit even apparent Offering provider Allowing collect selfdeclarations Providing interpreters Sign Language telecommunication Again unpaid reimbursed party unless delay deny reimbursement uncertainly unlikely claiming NOT type incurring plan changed since last Worker Responsibilities reasonable accommodation bii uncertain Tennessee Manual instructs Under statements made inconsistent known previous reverified Nor Allowable Statement source self declaration Medicinepills bottle label Itemized Insurance showing VII Calculation Onetime option requesting onetime difference each That remains balance Doctors visit Laboratory Bills purchaserental eyeglasses Hearing Pastdue South Dakota medicinepill bottles nurses homemakers New Hampshire Oregon select onemonth Supplement Any outstanding nonreimbursable notice collection used calculating show payments prediction what expects base professions extent coverage budget prospectively remainder chooses advised determining Dec provision past determine Look STATE SCOPE VERIFICATIONS CALCULATION CITATION Allows prosthetics purchasingrenting Also maintaining animal specially seeing dogs guide housekeeper monkeys quadriplegics via Family Services Individual Client Eligibility System httpwwwingovfssafamiliespdfpdf revenue tax pharmacies charge keep charges telephonic aids teletypewriter dentist aide Emphasis timely reporting Cabinet Operational httpmanualschfskygovdcbs_manualsDFSvoliivoliitocdoc chiropractor spiritual sex clinical pastoral counselor psychologist Human Sec httpwwwdhhsstatenhusFSM_htmNEWFSMHTM amplifies handicapped feet artificial limbs Requires total httpinfodhhsstatencusolmmanualsdsseimanFSshtmP_ computer printouts companies Explanation EOB DSS enter Medicaid pending lawsuits Stability httpjfsohiogovOFampdffoodprogramsmanualpdf authorized midwife physician skilled optometrist wwwstatesdussocialFoodStampsManualindexhtm AND obtained count credit card Instructs httpwwwstatetnushumanservfsmanpdf children adults Works httpwwwdadsstatetxusHandbooksArchivesTexasWorkstwPartAAtwaasp verified specific httpwwwdssvirginiagovfilesdivisionbpfspolicymanualppdf prevailing community allowance impaired item long naturopathic nonstandard covers wheelchairs walkers grab wheelchair lowered Administrative Code httpappslegwagovwacdefaultaspxcitefulltrue West Resources Maintenance httpwwwwvdhhrorgbcfpolicyimmnew_manualIMManualManual_PDF_FilesChapter_ch_pdf mailorder loans principal FoodShare httpwwwemhandbookswigovfshPolicy_Fileshtm Screening Form MEDICAL DEDUCTIONS SCREENING FORM COMPLETED THE MANAGER Name ______________________________ SSN TRANSPORATION FOR MEDICALLYRELATED TRIPS USE FOLLOWING LIST RECORD MILEAGE Public Feeweek _________ ________ Tripsweek Bus____ Subway____ Milesweek Car_________ milesweek Train____ Shuttle____ Taxi_________ feeweek Taxi____ Reimbursed mileweek Other____ COMMUNICATION ANDOR POSTAGE COSTS CHECKLISTS SCREEN POSSIBLE |
| The Food Security for Seniors and Persons with Disabilities Project | Brad Johnson | 2008 | Chronic or Life Challenging Illness, Emergency Food Network, Food Access, Health, Nutrition and Hunger, Housing, Income, Expenses, and Hunger | Field Reports | Domestic, Seattle, Washington | The Food Security for Seniors and Persons with Disabilities Project provides city-level data on food insecurity among seniors and persons with disabilities living in Seattle’s subsidized housing.… Read more | Emerson Fellow | Food Security for Seniors and Persons with Disabilities Project look Household Seattles lowincome housing February Executive Summary The was created provide baseline information food security among seniors persons disabilities who reside government subsidized report characterizes levels insecurity assesses barriers identifies strategies increase this populations access the emergency system Federal assistance programs banks congregate meal sites hot deliveries grocery church etc Abstract defined not having all times enough active healthy lifestyle due lack resources author used United States Survey Module sample population residing seven governmentsubsidized buildings Seattle Washington addition eighteen participated focus groups describe their households situation coping mechanisms One hundred three respondents from sampled were classified insecure including very low Coping included reducing variety cutting size meals skipping more than five widespread general Several policy changes are recommended decrease About Author Brad Johnson works Partners Caring Program Solid Ground Bill Emerson National Hunger Fellow Congressional Center Acknowledgments thanks following organizations individuals providing support guidance Shana McDavisConway Katherine Chen Resources Paul Haas Resource Development Director Language Bank American Red Cross King County Cecile Henault Senior Adult Services Trish Twomey Manager Housing Authority Residents Employees Irene Woo AntiRacism Coordinator Contents EXECUTIVE SUMMARY ABSTRACT ABOUT THE AUTHOR ACKNOWLEDGMENTS CONTENTS INTRODUCTION METHODS SAMPLING DATA COLLECTION RESULTS PREVALENCE FOOD SECURITY WHAT DOES VERY LOW MEAN FOCUS GROUPS Shopping Patterns Insecurity Cycles prevention Where turn other Barriers Emergency System DISCUSSION ECONOMIC INCENTIVE REDUCE INSECURITY RATE LIMITATIONS Sample Size Use Standard USDA Questions RECOMMENDATIONS APPENDIX ENGLISH VERSION QUESTIONNAIRE CHINESE SPANISH RUSSIAN VIETNAMESE EXAMPLE LETTER SENT RANDOM SAMPLE NUMBER UNITS SAMPLED PER HOUSING COMPLEX HUD CALCULATED SEATTLE AREA MEDIAN INCOME LEVELS REFERENCES Introduction Many struggle meet basic needs despite strong social intended act safety net Data published Department Agriculture estimates that some point life need recourse sources extraordinary behaviors Despite national statistics citing relatively high according Gilmore Research study nearly public highrises regularly missed same indicated those surveyed they shopping has shown dietrelated diseases such diabetes heart disease disproportionately affect Association Nutrition Agencies ANSA noted years link between poor nutrition health poverty response service agencies members use medicine approach alleviate these disparities Evidence suggests nutritious medically appropriate will improve conditions while also lowering cost care patients surgeries hospitalizations longterm However many face prevent them accessing local supermarkets demographics Box Terms Definitions Affordable Online Urban responsible delivering majority countrys affordable Subsidized term which financed whole part funding All units Section Projectbased building managed referred projectbased because section given specific tenants Methods primary goals ascertain degree experience hunger nutritional deprivation identify economic cultural factors contribute vulnerable residents Sampling conducted within city limits see Six designated LowIncome Public LIPHi earn less areas median income final complex buildingii Appendix Area There total occupied buildingsiii Responses needed obtain statistically significant dataiv researcher realizing would unwilling participate targeted each through random Each received letter details about survey days interview contact names project six LIPH Ballard House Beacon Tower Bell Green Lake Plaza Harvard Court Westwood Heights International iii number provided December completed Collection collected data facetoface interviews October measured using been developed tested module consists series questions andor known characterize trouble meeting measure condition behavior caused money does factor dieting loose weight includes Used Assess Householdsv status calculated foodinsecure conditionsbehaviors occurred any time during past months This instrument classifies previous only one tool translated into Chinese Russian Spanish Vietnamese native speakers then back test its accuracy assisted speaking interpreters interviewing nonEnglish Iwe bought just didnt last have get Was often sometimes never true youyour household IWe couldnt afford eat balanced since OctoberNovemberDecember did youyou adults your ever cut skip there wasnt YesNo yes Question How happenalmost every month but you felt should buy hungry Households reported securevi Respondents Foodinsecure broken two categories securityvii category multiple indications problems typically few reduced intake categorized disrupted eating patterns insufficient most respondent she year supplemented qualitative gathered held identified highest rate after surveys completion Participants overlapped participating larger questionnaire Conversations City Aging Disability Case managers bank directors Resident Councilviii participants group even mix first had During course asked patternsthe store stores whyand places community people might second whether getting what cope circumstances FoodInsecure responses almost question Nord vii Prior described without viii Council work resident quality satisfaction selfhelp initiatives enable create positive living environment families Results Prevalence Overall foodsecure Figure remaining falling twothirds avoided extensive disruptions mainly diet relying staples forty substantial could important remember average day occurrence much lower annual prevalence SeniorsPersons Disabilties Status Government FoodSecure Foodsecure uncertain unable acquire Low Very normal inadequate What mean habits recent skipped above eaten reporting indicator Hungry Ate Cut Could secure Source Calculated Fall Focus Groups Five emerged analysis shop usually large purchases Most cited close proximity items offered competitive prices major reasons Safeway closest Male Dix dont think Safeways reasonable considered homebound rely transportation travel depend taxis return home when traveling result stated forced make big trips fillin week small higher priced neighborhood offer block cheese normally around bucks supermarket owner sells Hes already told here thathis copout him too his jack price extremely retail feel bad trucking bus bags groceries wheelchair That really can But meant cripples like over come taxicab determined take advantage online delivery servicex Nowadays Spend fifty dollars theyll deliver Female coded female male represents person senior researched Seattleas EBT cards currently accepted form payment You know order coming call relative whatever down hassles lines cycles Typically correspond periods receive monthly benefitsSocial checks making full paycheck Ill quite weeks youre starving again said seasonal Although worried acquiring agreed threat worse winter fuel stay warm tough especially youve got holidays company family When faced difficulties obtaining changing buying well portioning Sometime portion out cook something itll least chicken roast debone thing ten play right Ive done With diabetic end sugar raw bag stand fall depleted stuff sitting cabinet cant mentioned facing changed types QFC manager specials things Sometimes meat greatest boil fry hard teeth seldom outside ground beef Meals Wheels distribution run become For reason qualify stamps lot medical bills single penny goes paying expenses nothing left fully dependent Basically source Even gone several different gotten frozen salmon patties utilizing vouchers realized churches services Vincents Church give thirty dollar bring canned goods pastas super desperate Like digesting live off Boost Ensure went gave voucher lunches throughout where Some main discussions foods always special dietary complained amount starches bread pasta rice sugary fruits candy bars soda Other limited chewing capacity shortage softchew cases believed decided sign program quit failed Theres theres Stuff vitamins fruit vegetables expensive fast grateful put fridge moldy gastric bypasses healthier own sort sweets nutritionally sound keep matter They seem leave milk margarine eggssometimes theyre sometime herejust ingredients doesnt stuck amounts noodles anything issues concern inhibited Countys Metro surrounding how picked say physically carrying foot took taxicabs restricted means attacked taking pretty bike everywhere weak state far And foodbut though able cart thats trip Its Can half now tomorrow physical prevented both preparing prohibited standing long coupled discouraged going place still troubles Not willing banksbut available line deteriorate arthritis body head toes hours waiting away gets cold bones hurt legs break apartment couple parts stove walk short distances problem length makes blow microwavexi mental leaving suffer agoraphobiaa type anxiety disorder fear being may difficult quicklyand feared negative effect depression ability aside pain drive anywhere agoraphobic street teenager afraid night dark earlier similar either wanting want whats sad found myself exacerbates dentist malnourished Panic arent certain calm rational agoraphobia door displayed knowledge existing help knew conventional pantries located example unfamiliar eligibility rules policies locations ton probably resource heavy cities America Almost twelve Discussion reveals complexes prevalent theory acting preventing experiencing demographic adequate current shortcomings knowing difficulty Secure State Average Comparison Residing Economic Incentive Reduce Rate Beyond moral obligation alleviating ANSAxii why our researchers reliable role reversing discrepancies ultimately expenditures effort reduce member therapy lifechallenging indepth assessments diagnosis counseling registered dietician individualized clients free charge costs organization per client homedelivered annually treat Nationwide roughly below risk developing common elderly dualeligible MedicareMedicaid resulting morbidity mortality hospital complications Diabetic spend Potential savings involving participation saved counterparts creates argument xii httpwwwaidsnutritionorg Mounting Medicine spends billions treating latestage Medicaid Medicare Specialized AIDS Drug Assistance Growing evidence indicates however treatments ineffective others minimized proper Furthermore alone predicts likelihood timely consistent reduces early management Immigrant Population scope analyze predictors Therefore formally collect links gender race ethnicity observe Asian constituted exhibited rates nonAsian expressed interpreter sentiments budgeting cheaper Much running diets ensure fail address identifying Limitations include immigrants Due allotted complete From According DSS authors margin error plus minus percentage points confidence level Questionnaire best immigrant encountered buildingsxiii drastically raising issue methodological backtranslated languages unsure interpretations differed English Also determine monetary xiii randomly nonmonetary cause foodinsecurefor offering culturally sensitive specifically Refer additional fails facefor mobility overclassify limitations established Agricultures comparable statewide findings Recommendations While answers easy solutions Create guide tailored zip code location accessible routes criteria served applicable mainstream listed Expand People alleviates prohibit weekly biweekly list evident expansion peoples allocate expand catered strict Toward successful More Chicken Soup Brigade serves powerful model creating cultureappropriate disability illness experienced interest microwavable oven ready turned fixed otherwise kind crazy steep thought maybe workgroup representatives Health education regarding choices Studies show incorrect perceptions avoid believe diabeticfriendly serving white breads ice cream contents dieticians whom spoke agree specialized smart ways diabetics better examples washing rinse sugars choosing grains wheat instead interventions encourage Registered Dietitian achieve Brooke Kidd Transportation Coalition area coalition basis Currently operates Americans Paratransit curbtocurb paratransit whose noncommuter route caseworkers becoming restrictive proposed supplement operated Jefferson Unitarian Golden Colorado great expanded conduct assessment Additional research build evaluating effectiveness infrastructure administering adequacy communitys production gardens communitysupported agriculture farmers adequately develop alterations expansions diminish Version November read statements made please tell statement monthsthat Often Never Know Refused Yes Skip ADa YES ABOVE ASK Only Examen para Adultos Sobre Seguridad Comdia los EEUU Las siguientes preguntas pertenecen alimento comida hogar las doce meces pasadas desde Octubre del pasado usted poda pagar por todo que necesita Voy leerte varias declaraciones personas hacan hecho sobre sus propias situaciones Por estas favor digame declaracin estaba verdad con frecuencia veces nunca ustedsu meses este primera yonosotros compro quedaba tenia dinero conseguir Esto Con Nunca rechazado Yonosotros puedo comidas balanceados otros adultos comer menos faltar porque Ignora como pensaba deba tena comprar hambre pero coma arriba pregunte Cuantos ocurri casi cada mes algunas solo una dos Casi Algunas Solo Thm Thc phm Hoa Nhng ngun thc gia trong thng qua trc nng tha nhu cho nhn ngi tnh trng Sau khi xin vui lng bit liu nhng thnh thong hoc khng bao bngia tin tichng mua mau thm Chuyn hay Thng Thnh Khng chi Tichng Trong bnthng vin phi gim khu phn Example Letter sent Random Apartment Avenue name Grounds trn xuyn providers greater independence wellbeing Your selected hoping ask concerning telephone minutes Why asking assessing availability hope necessary Please understand respect privacy remain confidential comments via email bradjsolidgroundorg President Thank forward talking soon sincerely yours Street Number Units Sampled Per Complex Surveys Completed Building Total Targeted TOTAL Effective date References Measuring Report Service Group HighRise Miner Josh Market incentives accord California power White Paper Brigit Adamus Cohen Andrews Kantor Community Assessment Toolkit Alexandria Mayo Clinic Staff April Agoraphobia introduction Retrieved January MayoCliniccom Web site httpwwwmayocliniccomhealthagoraphobiaDS McCall Sauaia Hamman Reusch Barton Are Diabetes Care Mark Winter Family Economics Review Jan httpwwwcnppusdagovPublicationsFENRVNfenrvnpdf Centers Disease Control Prevention Surveillance Atlanta Human Transit Metros ADA httptransitmetrokcgovtopsaccessibleparatransithtml North publicationssolidgroundorg bjohnsonhungercenterorg httpwwwsolidgroundorgAboutUsPublications |
| Impacts of Nutrition and Human Services Interventions on the Health… | Collin Siu | 2009 | Housing, Income, Expenses, and Hunger | Field Reports | Domestic, Seattle, Washington | Impacts of Nutrition and Human Services Interventions on the Health of Elderly and Disabled Persons in Public Housing evaluates the federally funded ROSS-Elderly and Persons with Disabilities… Read more | Emerson Fellow | Impacts nutrition and human services interventions the health elderly disabled persons public housing study HUD ROSSRSDM Elderly Persons with Disabilities grant funded programs Seattle Housing Authoritys Low Income Public program Collin Siu Congressional Hunger Center February Abstract This article presents results quasiexperimental effects certain federally outcomes seniors people disabilities The studied are those Department Urban Developments Resident Opportunities Self Sufficiency ROSS Service Delivery Models Funded include grocery delivery resource referral case management communal activities events wellness programming treatment control group were compared significantly increased social interaction among residents all age groups decreased percentage going without for conditions decrease evictions that result tenants having leave from community Additional findings high prevalence barriers accessing healthy foods low fruit vegetable intake rate chronic across secondary analysis clients service one main components versus nonclients shows vaccinations against influenza women years older who had mammography screening within past two visits emergency room isolation Keywords Development ______________________________ contents this report views author not necessarily reflect policies Solid Ground Inc nor University WashingtonSeattle Acknowledgements gratefully acknowledges involvement following individuals Without Paul Haas Branden Born Washington would have been possible Cathy Moray Authority Rose Marcotte staff Partners Caring furthermore invaluable resources Thank you Lauren Fitzgerald Jie Gao Maja Hadlock Benedict Han Nhan HuynhThi Nguyen Donna Johnson Kara Martin Yang Zhao City Aging Disability Services Martha Berry Andy Chan Heidi Grant Masako Komiyama Margaret Kramer Tom Trolio Winnie Tsai King County Health Sharon Farmer James Krieger Amy Laurent Erin MacDougall Michael Smyser Lin Song Anna Corbett Errol Flagor John Forsyth Bruce Garberding Kathleen Harris Sonko Frankie Jake LeBlanc Marsh Jennifer Sinclair Linda Todd Maria Usura Ellen Ziontz Aileen Carr Shana McDavisConway Dara Cooper Jonathan Wogman Neighborhood House Nathan Buck Community Psychiatric Clinic Reading Timothy Stephens Ugochi Alams Buchman Jamiee English Nazim Haji Elizabeth Reed Hawk Cecile Henault Maureen Jones Alison Maynard Claire Leamy Michelle Lucas Mary Kay Olsen Amie Sauls Priscilla Septiany Kelly Ward LifeLong AIDS Alliance Ania BeszterdaAlyson Renita Woolford Unaffiliated Adrienne Alexander Dang ShiangYu Lee Bettie Luke Stephen Mak Nhuan Sae Park Dennis iii Table Contents Executive Summary Introduction Linking Supportive Methodology Quasiexperimental Design Data Sources Measuring Impact RSDM EPD Analysis Discussion Comparison Outcomes Between Treatment Control Groups Grocery Users NonUsers Limitations Conclusions References Appendices Appendix Map SHA LIPH HighRise Communities Demographic Characteristics Group Survey Measures Which Evidence Programs was Found funds supportive communities through facilitate allow independent living three organizations received provide mental general translation Research Question What impacts examines impact design compares comparisons come proprietary survey conducted December January records critical incidents reports period respectively Study Highlights Major their proceedings tenant hisher unit proportion Cost most commonly cited barrier obtaining Onefifth shrinking portion sizes andor skipping meals obtain More than consume less half recommended daily fruits vegetables finds appropriately targets functional limitations users still struggle reduces increases vaccinated find evidence improve over several measures indicators However show experience inadequate Overall quality life live where available diminished according our examination paper examined five funding categories Federal Since has awarded threeyear grants authorities resident nonprofits around country These fund facilities fiscal year million city nonprofit recipients formerly Fremont Association All select highrise also receives EPPD SHAs Family Units amount Fiscal Year Organization Amount Source March provided intended Grants periods none provides similar focus medical help emphasis serving foreign languagespeaking primarily focuses its efforts illnesses concept linking new establishing Congregate Program CHSP Congress noted congregate coordinated offers innovative proven costeffective means enabling temporarily handicapped maintain dignity independence avoid costly unnecessary institutionalization Law currently contexts which under Coordinator SCP Coordinators replaces Whereas serves exclusively other serve nonelderly Government Accountability Office Despite claim firm research backing effectiveness upon review existing literature produces scant undergone evaluation but found studies onsite significant assisted goal helping them remain long Triangle Institute asked participants housework meal transportation inhome care homedelivered personal grooming majority indicated they satisfied pays salaries groceries Similar coordinators responsible connecting specific need continue independently KRA Corporation interviewed property managers whose buildings located determined positively physical emotional wellbeing access between reduced number required nursing home placements Sheehan more rigorous assessment coordinator model Her qualitative demonstration Connecticut Finance generally positive frail ability participation psychosocial twoyear made progress believe present first uses set strategies shown does reliance setting making position seemingly important connection thus contributes examining federal component parts before assessed sidebyside look Meals Assisted Living consists complexes scattered throughout See map approximate locations these highrises serviced October Bell Tower Jefferson Terrace Harvard Court Olive Ridge selected measured defined receiving excluding because organization resulting consisted matched each basis demographic characteristics Denny Capitol Cedarvale Lictonwood theorized affect outcome formed matches very language households racial composition While income normally considered differences controlled fact below level qualifying assistance Building size units selection yielding sized Lastly special nonROSS excluded consideration inclusion relied data sources primary Critical Incident Reports describe emergencies occurring eviction files collected Primary status preventative risk behaviors described availability presented Timeline Date Activity Time covered begins ends continues collection Evictions requested far back Client Files processes begun noncompliance violations governing behavior safety cleanliness nonpayment rent late payments notices issued given time request grievance hearing hearings officer may dismiss settle fails respond notice summons complaint served filed county court either proceeding legally repossess enter into agreement compliance Stipulations binding agreements offered discretion Information included type date issuance stipulation move out vacancy dismissal initiated recorded hand sometimes inconsistently employees occur involve damage injury death harmful dangerous situations could serious consequences Seattles Manual Operations measure incident obtained completeness questionable According reported Arrests Sexual assault Assault Shootingdrive Harassing Structural Bombexplosion Suicidesuicide threats Breakins Threats harm Death Vandalism DrugsAlcohol Vehicle accident Environmental spillsleaks Verbal abuse Firearson Vicious dog animal Homicide Weaponsdischarging firearm Injury Weapons work site Property page question designed modeled Interagency Forum Related Statistics Older Americans Key Indicators WellBeing see version translated Chinese Vietnamese Korean Spanish Polish after needs volunteer capacity Surveys distributed person boxes left Human Clear instructions how submit surveys posted lobby bulletin boards elevators retrieved Participation encouraged advertising eight gift cards local supermarket chain random drawings submitted returned henceforth variety levels Thus hypothesized might observable range stability Tests significance used establish statistically section details can summarized follows seem his her addition respondents difficulties whether variables did statistical reporting structures generated complete detailed yielded different vaccination part healthcare Indicator Access Healthy Foods diet essential maintaining good preventing onset diseases Agriculture Recent hunger reveals One third Gilmore said skip least some every month dont enough food insecure point builds asking what encountered overcome United States Agricultures definition insecurity uncertain unable acquire insufficient money lack Percentage encountering Barrier Pvalue None Cant walk Transportation cost greatest About both cite higher being able additional however difficulty small about using strategy Strategies Bus Chore worker Food Stamps Drive Ridecarpool Borrow familyfriends friends Shrinking Mitigation Skipping Other shrink order indication severity rely chore workers nine bank response Both same rates bus stamps ridecarpool borrow family Most driving carpooling just drive carpool difficult interpret understood exists contained table Diet Quality Poor major cause morbidity mortality People healthful disease including stroke cardiovascular diabetes cancers oral cavity pharynx larynx lung esophagus stomach colonrectum benefit recommend servings cups calorie consuming Daily Intake There difference consumes Moreover diets Social Interaction Bassuk engagement monthly visual contact relatives membership regular helps prevent cognitive decline Those ties six adjustment sex ethnicity education disability profile sensory impairment symptoms depression smoking alcohol use activity meeting building organized unorganized week frequency Frequency Rarelynever times rarely never appears neighbors almost meet Further old aged Chronic Conditions Sensory Impairments Oral prolonged nature illness pain suffering afflicted Cardiovascular heart cancer problems require They moreover factors developing Centers Disease Prevention Visual impairments often debilitating Measurements condition Condition Arthritis Asthma bronchitis emphysema Cancer Depression Diabetes Heart hypertension natural teeth Trouble seeing highneeds populations common trouble second arthritis pathways clear untreated Number indicating increase receive overall substantial only any Proceedings Eviction concern threatens immediate himselfherself puts jeopardy effect legal counseling baseline comparison during started resulted leaving Yes once forced lower must forceful sheriff vacating already engaged permitted stay entering Non connected whole extended compare nonusers should distinction valid Several operate Wheels Lifelong Alliances Chicken Soup Brigade Marys everyone qualifies limited Nonusers Compared indications correctly targeting non Even needy weekly fulfill nutritional supplement account Strategy With respect employ there usage except likely again probably causal Furthermore relatively equal mitigation surprising feed themselves indicate get worrisome fresh appear correlated say per Emergency Room Visits gone Once frequently decreases explained well Vaccination Against Influenza recommends place complications Committee notes highest hospitalization pneumonia influenzarelated hospitalizations last nonuser counterparts theorize Age Refining further Although Mammography detect breast early treatable stages Preventative Taskforce fair months strongest generalized facer highly effective increasing Tables when females screenings Again improving decreasing acknowledged limit generalizations regarding First purely duplicate legacy providers Saint Bank make Neither enthusiasm support daytoday Second hampered relating distribution instrument pretested usefulness surveying speakers languages known many translators Third assumed target isolated comparing suggests targeted focusing population better approach observing Finally began few elapsed Glass Berkman Disengagement Cognitive Decline CommunityDwelling Annals Internal Medicine Butler Davis Lewis Nelson Strauss Physical fitness Benefits exercise patient Geriatrics Report Surgeon General Atlanta Retrieved httpwwwcdcgovnccdphpsgrpdfsgrfullpdf httpwwwcdcgovtobaccodata_statisticssgrsgr_indexhtm Recommendations Advisory Immunization Practices ACIP Morbidity Mortality Weekly httpwwwcdcgovmmwRPDFrrrrpdf Overview httpwwwcdcgovNCCdphpoverviewhtm DeSalvo Bloser Reynolds Muntner Prediction Single SelfRated MetaAnalysis Journal Testimony David Wood httpwwwgaogovnewitemsdtpdf Author httpwwwagingstatsgovagingstatsdotnetMain_SiteData_DocumentsO A_pdf Residents Security Seniors Project Look Household lowincome httpsolidground orgProgramsNutritionResourcesDocumentsHungerFreeCommunityRe portpdf Evaluation Volume Findings httpwwwhuduserorgPublicationspdfHUDpdf Baseline HOPE Independence Demonstration httpwwwhuduserorgPublicationspdfBaselineCompRptpdf Offer Assistance httpwwwgaogovnewitemsdpdf Dietary Guidelines httpwwwhealthgovdietaryguidelinesdgadocumentpdfDGApdf announces selfsufficiency aid News release httpwwwhudgovnewsreleasecfmcontentprcfm nearly aimed aiding httpwwwfhasecuregovnewsreleasecfmcontentprcfm Announces Nearly Million Assist Disabled httpwwwhudgovofficespihprogramsphrossaboutcfm awards families Task Force Screening Breast Rationale Guide Clinical httpwwwahrqgovclinicrduspstfbreastcancerbrcanrrhtm Mean Median Total Years Very Foreign Language Households Caucasian Black African American Alaska Native Indian Asian Hawaiian Pacific Islander Blank bold immediately follow versions Was MeasureValues smoke engaging men others Less minutes poor excellent respondentassessed rating Fair Good Excellent spent night hospital staying Comparing North Street wwwsolidgroundorg Hall Suite wwwhungercenterorg Planning College Built Environments Avenue Gould wwwcaupwashingtoneduDeptsudpphp |
At CHC’s June 7, 2012, Congressional Awards Ceremony… Read more we will honor Senator Dick Durbin and Senator Roy Blunt. We invite
The goal of ending childhood hunger can be furthered effectively through alliances of anti-hunger advocates and partners from the education… Read more