Nutrition in Early Head Start and Head Start

Transcription

1 California Head Start Association Health Institute April 27, 2010 Nutrition in Early Head Start and Head Start Cris Cochran, Family and Community Partnership Specialist

2 Workshop Objectives Participants will: Have a greater understanding of the key nutrition Head Start Performance Standards Review strategies for identifying nutritional needs and developing the nutrition assessment Obtain resources and tools to ensure effective implementation of quality nutrition services

3 Agenda Welcome and Introductions Identification of Nutritional Needs The Nutrition Assessment Follow up: Staff, Families and Medical Providers Tools and Resources Closing and Evaluation 3

4 Performance Standards Services Child Health & Developmental Services Education and Early Childhood Development Child Health and Safety Child Nutrition Child Mental Health Family Partnerships Community Partnerships Facilities, Materials, Equipment 1308 Disabilities 1310 Transportation 4

5 What hat do you wear? Program Design & Management Family & Community Partnerships Early Childhood Development & Health Services 5

6 Nutrition Research Says: The prevalence of overweight in preschool children has more than doubled in the past two decades. Currently, a third of children in the United States are at risk of overweight, while 17% are overweight. Sheryl O. Hughes Children s Nutrition Research Center 2009 What can we do to make a difference? 6

7 Why Good Nutrition is Key Overweight children tend to remain overweight during follow up periods of up to 20 years, and increased risk for being overweight adults. Obesity in early life is associated with several risk factors for coronary heart disease and is predictive of coronary heart disease, hypertension, and diabetes in adulthood. Theresa A. Nickles Children s Nutrition Research Center

8 Nutritional Services Identification of nutritional needs Nutritional services Meal service Food assistance with nutrition Food safety & sanitation 8

9 Identification of Nutritional Needs (a)(1)(2)(3) Staff and families must work together to identify each child s nutritional needs: 1. Take into account staff and family discussions 2. Use relevant nutrition related assessment data 3. Information about family meal patterns, cultural preferences, special diets 4. Feeding requirements of infants and toddlers 9

10 Needs Identified What s Next? 1. Needs Identified: Nutrition information is collected on each enrolled child 2. Needs Assessed: A Nutrition Assessment is completed on each child as a result of identifying the nutritional needs 10

11 Sample Nutrition Intake Form 11

12 Sample Nutrition Intake Page 2

13 Identifying Nutritional Needs What might the family share with staff? What might the staff observe? 13

14 More Data EPSDT Periodicity Schedule 14

15 Nutrition Assessment What is it? A review of the child s eating and growth patterns How is it done? Completed by trained staff, usually with consultation from a nutritionist or dietician What does it include? Reviewof screening results from physical exam and/or staff hematocrit, lead, sickle cell, height, weight, head circumference (infants) Information from family discussions Information from staff observations 15

16 Nutrition Assessment Follow Up Follow up required if the Nutrition Assessment findings indicate: Inadequate diet Growth problems Anemia Special dietary needs Parent concerns 16

17 Nutritional Services (b)(1) Grantees must implement a nutrition program that meets the needs and feeding requirements of each child, including those with special dietary needs and disabilities. Each infant and toddler in center based settings must receive food appropriate to his or her nutritional needs, developmental readiness and feeding skills, as recommended in the USDA meal pattern or nutrient standard menu planning requirements. 17

18 Nutritional Services (b)(2)(3)(4) Home Based programs must provide appropriate snacks or meals and formula during socializations Center Based programs provide family style meals Parent involvement in planning, implementing, and evaluating the nutritional services Promote effective dental hygiene Infants & toddlers who need it must be fed on demand or at appropriate intervals 18

19 Dental Hygiene Nutrition Connection Bacteria collect and grow on a tooth surface Bacteria convert sugars to acids Acids dissolve enamel

20 Acid Attacks When we eat a sugar containing food, the bacteria on our teeth begin making acid

21 Acid Attacks Bottle with milk, formula, cola or juice Sippy cup with milk, formula, cola or juice Honey on a pacifier Frequent or constant snacking

22 Meeting Nutritional Needs An Activity 1. Read nutrition scenario as a small group. 2. Discuss scenario. 3. What next steps will staff take? 4. What next steps will the family be encouraged to take? How? 5. Report back to full group. 22

23 Meeting Nutritional Needs How are nutritional needs met? How does individualization occur? How can the program support the child/family nutrition needs at home? 23

24 Tools and Resources to Get the Job Done Performance Standards The Head Start Act December 2007 ECLKC: Nutrition Section, PI, IM, PC EHS NRC State and Federal Regulations: CCL, CACFP, EPSDT, Local Health and Safety Regulations Head Start Monitoring Protocol Health and Safety Checklist Region IX Health Listserv I Am Moving, I Am Learning American Dietetic Association WIC local, State, and National Local Breastfeeding Coalitions 24

25 ECLKC 25

26 Take Home Healthy Eating Habits Make a Difference in Your Own Health! Limit sugar intake Limit fat intake Increase water consumption Limit juice consumption Limit sticky food Increase fresh food consumption Increase whole grains Increase sit down and slow down family time Decrease fast food and convenience food 26

27 Sometimes Food Limit These 27

28 Healthy Everyday Foods 28

29 Questions Wrap up and Evaluation 29