Podcast: Child Development Screening Part Two
Part two of our child development series is here! Emma and Stephanie talk about social and emotional development and why it’s important to pay attention to this area early in your child’s life.
Listen to part one for background before this episode!
Fighting Holiday Hunger
Written by Signe Burchim, WithinReach AmeriCorps Outreach & Enrollment Specialist
‘Tis the season where everything seems to revolve around food. If you feel like you don’t have enough food this season, WithinReach is here to help! Over the phone on our Family Health Hotline, we can help connect you to plenty of different food resources to put food on the table this holiday season. We do screening for basic food eligibility, basic food application assistance, as well help locate food banks and farmer’s markets in your area.
Our AmeriCorps in-person outreach team recently started going to the state of the art, newly located University District food bank. While we are still in the process of building trust and relationships with the patrons of the food bank, it has been really rewarding to get to know the people there and understand the specific needs of the diverse University District community. I recently met a client there that was going to a food bank for the very first time, and didn’t know anything about the process. The front desk staff at the food bank sent them back to me for information about enrolling in the basic food program. The client was certain that they would be over-income, but after a quick screening I determined they were likely eligible and assisted them as they filled out an application in about ten minutes. The client left the food bank with shopping bags full of groceries, and a bulk of new information on food resources to keep their family happy, and healthy. Many people are worried that signing up for Basic Food may take too long, or that it isn’t worth the hassle. The truth is the benefits far outweigh the ten minutes it takes to complete an application, and opens the door to access a number of food assistance options.
Let’s review some of the food options we have in Washington State!
Basic Food: The basic food program, which you may also know as SNAP, food stamps, or EBT, is a great resource for people looking to supplement their food supply. The basic food program can be used to purchase food items, and is widely accepted by many different grocery stores like Safeway, QFC, Trader Joe’s, and Target, as well as many small drug stores and local grocers with culturally competent food items. Most places that accept EBT benefits will have a sign outside!
Already on Basic Food and have a low benefit amount?: The good news is that your benefits roll over from month to month, and the holidays are a great time to save up some of your food benefits to use them for special occasions, like a big holiday dinner for you and your family/friends. A low benefit amount of $16 might seem like it doesn’t help much on a month to month basis, but when you’re planning ahead and saving your benefits, that $16 can easily multiply and make all the difference.
Fresh bucks: Another benefit of the basic food program is Fresh Bucks! Fresh Bucks is a program through the King County farmer’s markets that will match your basic food dollars (for every $2 you are willing to spend they will match it up to $10). This is a great way to get fresh, in-season vegetables this holiday season. Fun fact: broccoli, brussels sprouts, potatoes, squash, and cauliflower are all in currently in season and are a great addition to any holiday meal.
Food banks: Forget what you know about food banks: they have so much more than just canned green beans and spaghetti noodles. Food banks have a lot of the winter delicacies you’re looking for this holiday season. For example, the University District food bank has fresh flowers, greeting cards, egg-nog, and a wide selection of breads, meats, and vegetables. Most food banks will just require that you bring your photo ID along with proof of address from the last 30 days (this can be waived if you are homeless), so they can make sure you’re using the food bank meant for your neighborhood.
Why apply now?: Utilizing these programs that are available to you are a great way to save some extra money during the winter months. As the temperature goes down, heating bills and other expenses are on the rise. The more food you get on the table the more money you are able to save for a rainy day!
If you are interested in learning more about food resources and programs, or feel you are ready to complete an application – give us a call today on our Family Health Hotline at 1 (800) 322-2588. Our friendly staff is available from 8:00am-5:00pm Monday – Thursday, and Fridays from 8:00am-5:00pm. If you need help locating a food bank or farmers market near you, go to ParentHelp123.org
Podcast: Child Development Screening Part One
What, exactly, is child development screening (other than a free service that we offer to Washington families)? Stephanie is here to teach us all about it! This is part one, so stay tuned for the next episode when Stephanie and Emma dive into social and emotional development.
Podcast: Open Enrollment is here!
We’re talking about Open Enrollment for health insurance on this episode of the WithinReach Podcast. There’s a lot of information packed into this episode; here are some of the sites we referenced so you can learn more:
And as always, you can call our Family Health Hotline at 1(800) 322-2588 for assistance.
Teen parents connect in GRADS
The ASQ is one of many tools that the GRADS program uses to build confidence in teen parents; it works to empower them and make them the experts on their babies’ development. From a homeschooled teen in a small town to a confident Vancouver mother, Celeste tapped into GRADS and NFP to build her skill set and support network and to offer her son a healthy start. These students are a testament to the value of stable, positive investment in young parents.
We asked parents for feedback about Summer Meals–here’s what they had to say
Written by Annya Pintak, Community Partnership Associate, and Vinnie Tran, AmeriCorps VISTA/Summer Meals Promotions Specialist
Even though winter is almost upon us, WithinReach is already starting to plan for next year’s Summer Meals Program, a free meal program for kids and teens during the summer months. WithinReach serves as a point of contact for Washington families looking for local Summer Meals sites, and this past summer our Summer Meals VISTA and Community Partnership team partnered with the United Way of King County to further promote the Summer Meals Program.
In addition to promoting the program, our team took the opportunity to receive community feedback. We surveyed over 50 participants in Auburn, Tukwila and SeaTac sites, and conducted a focus group to further investigate on how to improve the Summer Meals and Basic Food (food stamp) program. In late August, WithinReach held its first focus group with a cohort of Auburn parents who we met at a Summer Meals site.
In the one-hour session that took place at the Auburn Library, the participants reviewed and provided feedback on current Summer Meals materials. Participants suggested concrete ways to improve the design and messaging of three Summer Meals flyers to better appeal to parents, especially Spanish-speaking individuals. They additionally stressed the importance of paper flyers and reaffirmed that schools were the best avenue to promote Summer Meals. A major concern parents indicated was the lack in consistent messaging and branding from different sponsors. Many of the parents indicated that this contributed to a common confusion among participants when visiting different Summer Meal sites in King County.
Participants of the focus group discussion were also asked to review various Basic Food (food stamps) materials. While we had a major focus on the Summer Meals program, we wanted to take the opportunity to gather community feedback on other food assistance programs as well. Many of the participants indicated materials that included visuals of cooked meals instead of plain vegetables were more appealing. Similar to the feedback on the Summer Meals materials, participants mentioned a concern with the inconsistent terms that various materials used to describe the Basic Food program; many materials use “Basic Food,” “food stamps,” and “EBT” interchangeably without clarifying that these terms all mean the same thing.
This focus group provided us with the opportunity to hear feedback from the community and to understand how we can better improve the promotion of the Summer Meals and Basic Food program. Hearing directly from the community is crucial to our work and we are looking forward to integrating their feedback into our future work and materials.
Stand up for breastfeeding moms
As a physician who provides obstetrical and newborn care, I have some control over the messages that my new mothers hear while in the hospital. Fortunately, I also have the ability to write orders which limit formula use for medical reasons only. Nurses can call me, and as a lactation consultant I can also stage appropriate and baby-friendly interventions.
However, many dietitians, community-based healthcare staff, and breast-feeding advocates do not routinely provide in-hospital care. I can only imagine how difficult it is to know that your patients and clients, whom you have worked so hard to educate and prepare for motherhood, may be exposed to contradictory messages about breastfeeding at such a vulnerable time.
As breast-feeding advocates, we hear messages about the potential consequences of just a single bottle of formula, but we have little ability to stop that single feeding at the times when that influence is most needed. However, I do think that there are many important points to remember with regard to breast-feeding promotion in the outpatient setting.
First, in the age of social media, it is important to remember that our clients and patients often turn to the Internet for guidance. Therefore, I would strongly recommend that as breast-feeding advocates we identify hospitals, physicians, midwives, internet groups, and web sites which consistently provide (and demand) baby friendly neonatal care, and make those comments in those places where our patients will see them. For example, does a medical clinic or hospital have a Facebook page? Make comments EVERY TIME you hear of a patient who had a good breastfeeding experience. We can help our patients select providers and hospitals which align with their goals, and OUR goals. Get the word out where our clients are looking.
In addition, as outside-hospital providers, I encourage you to put pressure on in-hospital staff to provide the quality of care that we expect. Perhaps it may be a phone call to a physician or midwife, or the director of the birth center at a hospital, to inquire as to why a patient, or several patients, may have received formula. The specific answer may not be available, or may be limited by HIPPA compliance, but it does demonstrate a vested interest in the well-being of our most vulnerable. Perhaps it may be an annual visit to a local medical clinic to explain the outsides services available to physicians that YOU provide. Consider also giving physicians, midwives, nurses, and in-hospital staff the appreciation that they deserve in very public ways. Never underestimate the value of personal contact. Market breastfeeding. Be deliberate and methodical.
Finally, I would encourage outside providers to discuss with their clients and patients the consequences of registering on various pregnancy and baby related websites and on in-store gift registries. The formula industry, as we all know, aggressively markets to our audience. We need to prepare our mothers for an inundation of formula-related material and samples. We need to tell them that it is OKAY to throw those samples and coupons away. They do not need to maintain a supply “just in case.” We need them to know that formula companies are unfairly playing to their insecurities at a time when they are most vulnerable. We need them to know that WE believe they can nurse their babies, and that they WILL make enough milk. We need to restore their confidence in themselves.
Dr. Jody Cousins is a family medicine and obstetric care physician at Fidalgo Medical Associates in Anacortes, WA. She is a member of the Skagit Breastfeeding Coalition and the recipient of the 2015 Breastfeeding Coalition of Washington MaryAnn O’Hara, MD Physician Leadership Award.
A response to KUOW’s “Why Seattle Moms Still Pump In Bathrooms”
By Chris Gray, Member- Breastfeeding Coalition of Washington
Finding appropriate accommodations for women to pump at work that are suitable for both mothers and employers continues to be a challenge. Though there are no state laws to support breastfeeding in the work place, Federal Law entitles hourly employees to reasonable break times and to a private, non-bathroom space to pump. And it is important to recognize that the Department of Labor encourages employers to provide breaks to all nursing mothers regardless of their status under the Fair Labor Standards Act (FLSA). Yet even with these laws in place, there is still a lot of room for employer interpretation and too often mothers find themselves with inadequate or inconvenient options. As we continue our efforts to normalize breastfeeding in our communities, how do we help employers–especially those with limited resources and space–normalize breastfeeding in their work place?
KUOW released an article on October 12th titled, “Why Seattle Moms Still Pump In Bathrooms” that brings to light some of the issues mothers face when trying to pump at work. Thank you to the companies and employers who have found a solution that supports their breastfeeding mothers’ need to pump at work. Thank you, KUOW, for prioritizing the creation of a new lactation room and supporting a mother’s desire to continue to breastfeed while at work. It is not impossible to find an appropriate space for pumping that works for both mother and employer; with a little creativity and determination, all employers can create private and secure spaces for their mothers to pump.
Here are a few resources that can help employers create quality spaces or improve the existing lactation spaces to better support their employees.
- Office on Women’s Health “Supporting Nursing Moms at Work: Employer Solutions”: Offers cost effective tips and solutions for any industry setting. It offers creative solutions to meet the time and space restrictions that some businesses face.
- The Business Case for Breastfeeding: Demonstrates how creating a nursing-friendly environment can actually support your business!
- Pregnancy Guidance: A resource page with fact-sheets for small businesses, Q&A from the EEOC, and best practices for employers.
- Employer Best Practices for Workers with Caregiving Responsibilities: Provides employers with information on how to create efficient workplaces that support employees with caregiving responsibilities.
- Local Chamber of Commerce in WA State: Federal and local breastfeeding resources have been shared with Chambers of Commerce to increase awareness of existing resources to support breastfeeding mothers in the workplace.
- Breastfeeding Coalition of Washington: Please join the BCW at our quarterly meetings as we focus on various issues in and around Washington, including normalizing breastfeeding in the workplace.
Back to (pre-)school partnerships
Over the last year and a half, the Bothell Family Co-op Preschool has partnered with Help Me Grow to expand use of the Ages and Stages Questionnaire (ASQ). The expansion includes working with preschool teachers and families to allow ASQ results to be part of the parent-teacher conversation, and for the results to inform and improve practices in the classroom. Since the trial run was so successful, we are excited to expand this service to other affiliated co-op preschools within the Shoreline Community College’s Parenting Education Program this fall.
Co-op Preschools Provide Optimal Environment for Parent Engagement
The cooperative preschool model brings parents and skilled educators together to provide a rich learning experience for children. Parents assist in their child’s preschool once a week and attend meetings on child development, kindergarten readiness, emotion coaching and more. Parents are active partners in their children’s learning and development. Educators are poised to help reframe developmental screening—once seen as a strictly diagnostic tool—as an educational strategy for optimizing child development that is suitable for all children.
The preschool teachers have unique insight into co-op families’ lives, and are trusted sources of information. To support this valuable dynamic, WithinReach offers its ASQ to preschool teachers to bring to their students’ families. The ASQ can spark important conversation with parents about their child’s development. Teachers are trained to present the tool and empower parents to observe their child’s skills. In addition to parent education, the results can inform how teachers plan their curriculum.
Help Me Grow
WithinReach’s Help Me Grow team equips teachers to present the ASQ and utilize the results. Teachers direct families to WithinReach’s free online ASQ, where parents complete and submit it. A WithinReach Child Development Specialist calls each parent to discuss their results, along with any community resources to foster child growth, e.g. Play & Learn groups or additional evaluation. With parent permission, WithinReach staff sends a copy of the results to the preschool teacher. WithinReach’s unique role involves lending parents a fresh ear, triaging families to community resources, and informing teachers of each child’s developmental status so that everyone can work together to create a positive learning environment.
We are excited about this partnership, unique population, and opportunity to expand access to developmental screening in a new and creative way.
For more information about the Help Me Grow program, call our WithinReach Family Health Hotline at 1-800-322-2588 or visit Parenthelp123.org
A Call to End Summer Hunger
In Washington State, roughly 1 in 5 of all families with children struggle to put food on the table regularly. During the summer, the problem is exacerbated particularly for children who rely on meals from the free or reduced school lunch programs.
In hopes of ending summer hunger and addressing summer learning loss, the Summer Meals Program provides healthy, FREE meals for kids and teens under age 18 during the summer months. There are no citizenship or income requirements, and registration is also not required. The sites are held in various locations such as schools, community centers, libraries, YMCAs, parks and apartment complexes. Some of these sites have enrichment activities for children to help prevent summer learning loss so children are prepared to jump back into school come fall. This low-barrier program is a great resource for all families looking for something to do during the summer.
In King County, WithinReach has partnered with United Way of King County to reach a goal of serving an additional 82,500 meals this summer. WithinReach assists in the promotion of Summer Meals and serves as the local point of contact for families looking to locate a site close to them. Since February, our Summer Meals VISTA and Community Partnership team has partnered with school districts, attended community events, provided presentations to network meetings, and distributed materials to community organizations to promote the Summer Meals Program. It is a highly-needed resource in the community, but is often underutilized due to lack of awareness.
To continue the momentum of promoting Summer Meals, WithinReach hosted two Summer Meals Phone-a-thons on June 23rd and July 8th with volunteers to connect families to their nearest Summer Meals site.
At each event, our dedicated volunteers spent two hours in the evening at WithinReach’s office to make calls to families that had previously been assisted by WithinReach staff. Our 14 volunteers collectively made 385 calls, sharing Summer Meals information and offering to connect clients to their closest sites. Of the families they spoke to, 98% had never accessed Summer Meals, and many families indicated their appreciation in receiving a phone call. In addition to connecting families to Summer Meals, volunteers also made referrals to other services such as Basic Food benefits, health insurance and affordable housing options. While these events were largely successful in reaching new families that have never accessed Summer Meals, it also revealed that there is much more work that can be done.
Due to the great success of the events and work of volunteers, we have created a new volunteer opportunity for anyone that is interested in conducting Summer Meals calls on a more regular basis during WithinReach’s office hours. If you are interested, please contact Anna Balser at firstname.lastname@example.org for more information.
To find your nearest Summer Meals site please click here or text MEALS to 96859.
Vaccine Education Across Language and Culture
By Judith Pierce, WithinReach Immunizations Graduate Intern.
From April 18-25, we’re celebrating National Infant Immunization Week. Did you know that routine childhood immunization in one birth cohort prevents about 20 million cases of disease and about 42,000 deaths? It’s pretty awesome. That’s why we work to ensure that all children in Washington have access to immunizations, and their parents have the information they need to make a good decision. Unfortunately, not everyone has the same access to health information. Below, our graduate intern, Judith Pierce, describes her work with us to help address one of these gaps.
In summer of 2014 I had just completed my first year of public health school, and was in search of a year- long project for my capstone requirement. I knew I wanted to practice skills in evaluation and data analysis, but I also wanted a project with content that would be able to hold my interest for a year. When I initially approached WithinReach’s Immunization program, I was really interested in their work with provider training and the Immunity Community, and assumed I would work on those projects. Instead, they gave me the opportunity to develop a community forum for Russian speakers. Through speaking with the Immunization team I learned that Russian speakers have the lowest childhood immunization rates of any population in Washington, and have had the lowest rates since 2008. This was incredibly interesting and I grew curious to learn more.”
Over ten months I researched the literature and spoke with key informants to better understand the historical context and social connections in Russian speaking populations that contribute to low immunizations rates. Much of the vaccine hesitancy we find in Russian speakers stems from confusion and frustration with the US immunization schedule, concerns of adverse reactions to the vaccines and an inability to find a Russian speaking provider to answer their questions. The Washington State Department of Health conducted a series of Russian speaking focus groups to identify major themes, and all four groups requested an event with a Russian speaking provider to address immunization concerns in a community forum. With help from Spokane-based health service providers, we were able to develop the community forum parents asked for. At the forum, parents expressed their frustration and fears about childhood immunizations to a Russian speaking pharmacist who was able to answer their questions and explain why the US immunization schedule is different from their home countries. At the end of the meeting, the majority of surveyed participants said they enjoyed the forum and were able to have their questions answered by someone they trusted. 40% said the forum changed their minds about immunizations.
With the measles outbreak at Disneyland and whooping cough on the rise in Washington, media pundits and bloggers often lay the blame squarely on a mythical homogenous anti-vaccination group. The reality is people have a variety of concerns, and those of us doing immunization work should not assume why a particular group has fears about vaccines. This project allowed me to not only develop skills and learn new content, but also develop an appreciation for programs, such as Washington State Department of Health’s focus groups, that actively seek to understand health disparities and find culturally appropriate ways to address concerns within a community.
For additional information on how to develop a community forum addressing vaccine concerns for Russian speakers, contact Sara Jaye Sanford, WithinReach’s Immunization Action Coalition of Washington Program Coordinator at: (206) 830-5175 or email@example.com.
Obstacles to Access: Tent City
Several residents of Tent City 3 shared that they were in need of dental care, but were having difficulty finding a dentist that would take their Apple Health insurance. We were able to use the WithinReach Resource Finder to pull up a list of providers for these clients to use; however, lack of regular internet and phone access makes finding accessible dental and health care an ongoing struggle.
Similarly, a woman enrolled in Washington Apple Health and Basic Food told us that she was unable to access her benefits because she had recently been a victim of theft. This is an issue that disproportionately affects the homeless, who often don’t have a secure place to store their belongings. Her cell phone and wallet were stolen while she was sleeping, leaving her without personal identification cards, insurance cards, Electronic Benefits Transfer (EBT) card, or a way to connect and replace these items. In this situation, simply contacting the various agencies in order to request replacement cards was a great challenge and a barrier limiting this woman’s access to health services and food.
Also that night, a 23-year-old woman we worked with was having difficulty accessing the prescription she needed to treat her bronchitis. People experiencing homelessness tend to be more susceptible to chronic illnesses, such as bronchitis, than those with stable housing. Without regular access to a mailbox, this young woman had not received her insurance card and had been denied prescriptions from her pharmacy, even though she has active coverage. We were able to offer suggestions about locations where she could receive mail in the future, and provided her with the phone numbers she needed to replace her insurance card.
Although the AmeriCorps team was able to offer short-term solutions to these clients so that they could access health and food resources, barriers to access, remain in place for the homeless population. These client interactions reminded me that simply signing a person up for benefits is often not enough; working around or removing barriers such as the lack of a mailbox or regular phone access is necessary for successfully connecting homeless clients. As we continue our outreach work with homeless communities, it is important to remember these common issues and try our best to work around them so that all of our clients can have access to health and food resources, no matter what their living situation is.
Need Shelter? Find Tent City sites here: http://www.sharewheel.org/Home/tent-cities
Tags: access AmeriCrops Basic Food Electronic Benefits Transfer (EBT) card Health care homeless communities ParentHelp123 resource finder Seattle Shelter Tent City 3 Washington Apple Health WithinReach