Food banks and food pantries are expected to see a surge in demand due to increasing food insecurity. Photo by Ismael Paramo, Unsplash

Reduction of SNAP benefit deepens crisis of inflation, high cost of living, low wages

Starting this month, many of the estimated 3 million people in the CalFresh program – California's version of SNAP (Supplemental Nutrition Assistance Program) – will be facing hunger and making difficult decisions to meet their most basic needs. In late March, participants received the last of the pandemic-related emergency aid that significantly boosted their monthly benefits. The reduction varies by household size and income; for example, in April a single-person household could see a drop from $281 per month to $23.

“The emergency food allotments had a tremendous impact in our communities and across the nation,” said Shannon Klisch, academic coordinator for the Youth, Families and Communities Program for UC Cooperative Extension in San Luis Obispo and Santa Barbara counties. “One study estimated that these allotments kept more than 4 million people out of poverty across the U.S. in the last quarter of 2021, and reduced child poverty by 14%.”

SNAP increases during the pandemic made many Californians more food-secure, with some participants reporting that their allotments finally had been enough to feed their families for the month, according to Wendi Gosliner, a project scientist at the Nutrition Policy Institute (a program of UC Agriculture and Natural Resources). But, with the benefit reductions, food insecurity is emerging again as a serious concern.

“It is inconceivable that a nation this wealthy should have so many people experiencing hunger,” Gosliner said. “And here in California, with the high cost of living, ongoing inflation and extreme income and wealth disparities, people are being forced to explore every possible avenue just to feed themselves and their families.”

To help ensure they are receiving the maximum allotment, Klisch recommends that CalFresh participants – especially those who applied during the pandemic and are relatively new to the program – double-check their information.

“If the county doesn't have your most up-to-date information, call your county worker if you've changed your address, if you've experienced decreased income, if your housing costs have gone up, or if you have new expenses – like child or dependent care expenses or medical expenses – these can help you qualify for more CalFresh funds,” she explained.

For families with school-aged children, Klisch said they can stretch their food dollars and promote healthy eating by encouraging their children to eat breakfast and lunch at school through California's universal free school meals, and all families with children under 18 can watch for the next issuance of the P-EBT (Pandemic EBT) card, worth potentially hundreds of dollars.

In addition to these options for food assistance, Klisch pointed to programs that can help people save money on other household expenses, such as California Alternate Rates for Energy Programs (CARE) and Affordable Connectivity Program. Local food banks are also gearing up across the state to handle an expected surge in clients in need of emergency food; a list of California food banks can be found at cafoodbanks.org/our-members.

“We ask a lot of low-income families and workers to navigate and piece together various programs, applications, and benefits when we don't commit to a strong safety net,” Klisch said. “On the other hand, when people have enough money for food, everyone benefits through decreased health care costs and increased economic activity.”

Gosliner also said that people should look into their eligibility for WIC (Special Supplemental Nutrition Program for Women, Infants and Children), as well as the federal Earned Income Tax Credit (EITC) and CalEITC, poverty-alleviation benefits underused by Californians.

“People should make sure they are accessing all the safety net benefits for which they are eligible,” Gosliner said.

One way CalFresh participants can maximize their food dollars is to have their EBT benefits "matched" by a participating farmers market. Photo by Shannon Klisch

Market Match, other nutrition incentive programs can help

Through programs like Market Match, available at about 300 farmers markets across California affiliated with the Ecology Center, CalFresh participants can have their EBT benefits “matched” by their local market (usually up to $10 or $15 per visit).

“People are looking to get creative about how to stretch their food dollars, and Market Match is one way to do that,” said Klisch, who has led UCCE efforts to help promote the program along the Central Coast since 2017.

Striving to expand access to fresh fruit and vegetables and to support local farms, UCCE and CalFresh Healthy Living, UC worked with partners to increase CalFresh redemption at farmers markets in San Luis Obispo and northern Santa Barbara counties.

In 2017, about $48,000 in CalFresh and Market Match benefits were redeemed at farmers markets in the area. In 2022, the total was more than $207,000 – a 327% increase. According to Ecology Center figures for the entire state, CalFresh and Market Match spending at farmers markets jumped 161% from 2019 to 2021, up to $13 million.

Gosliner, whose research has shown that these nutrition incentive programs are associated with increased food security, noted that “the people who use Market Match absolutely love the program and feel it is incredibly helpful.” She also added that the California Department of Social Services is developing a pilot program that would offer match incentives for purchasing fruits and vegetables at larger food retailers.

Although the biggest of its kind, Market Match is just one of the programs across California that provide “matches” for healthy food purchases under the California Nutrition Incentive Program, which in turn is primarily funded by GusNIP (the nationwide Gus Schumacher Nutrition Incentive Program).

GusNIP dollars – and SNAP overall – are governed by the federal Farm Bill, typically renewed every five years and currently being negotiated by Congress.

Few primary care providers screened for food insecurity during the pandemic and screening rates were lower during virtual appointments, according to a UC Davis study led by Cooperative Extension specialist Cassandra Nguyen. (Getty)

Study finds even fewer screened during virtual appointments

As jobless rates rose during the COVID-19 pandemic, millions more Americans experienced food insecurity because they lacked consistent access to food. National health organizations recommend primary care providers screen patients for food insecurity, since not having access to enough food can lead to chronic diseases. 

But research from the University of California, Davis, finds that only 7% of primary care providers screened patients for food insecurity. If the appointment was virtual or telehealth, only 3% asked patients about their access to food. The American Journal of Preventive Medicine published the research.

“These rates are surprising and seem relatively small in comparison with what seems like a growing awareness of food insecurity during the pandemic,” said lead author Cassandra Nguyen, an assistant professor of Cooperative Extension in the UC Davis Department of Nutrition. 

She said the findings may indicate that health care providers were prioritizing emergency responses to COVID-19. The research showed that once people had access to COVID-19 vaccines, screening for food insecurity increased to 10%.

Barriers to telehealth screenings

Screening for food insecurity at telehealth appointments remained low even after vaccines became available. Nguyen said that may suggest telehealth appointments have unique barriers.

“One of those barriers could be a concern about privacy and whether the patient is alone or feels comfortable discussing a potentially stigmatizing experience such as food insecurity. This may deter a primary care provider from asking about it,” Nguyen said.

Screening might also be more difficult if patients aren't familiar with the technology needed or if there are technological disruptions during telehealth appointments. Nguyen said more study is needed about potential barriers given the increased popularity of telehealth appointments since the pandemic.

The research examined electronic health records and clinic data from a national network of more than 400 community health centers in 16 states. It examined encounters between March 11, 2020, and Dec. 31, 2021. Screening typically involves a primary care provider asking the patient to answer that either or both of the following two statements is often true or sometimes true: 

• Within the past 12 months we worried whether our food would run out before we got money to buy more. 
• Within the past 12 months the food we bought just didn't last and we didn't have money to get more.

Co-authors include Rachel Gold with OCHIN Inc. and Kaiser Permanente Northwest Center for Health Research; Alaa Mohammad, Dedra Buchwald and Clemma Muller with Washington State University; Molly Krancari, Megan Hoopes and Suzanne Morrissey with OCHIN Inc.

The National Center for Advancing Translational Sciences of the National Institutes of Health, and the National Institute of Diabetes and Digestive and Kidney Diseases supported the research.

UC Master Gardeners of Orange County, Monica Mehren Thompson and Robbie Prepas (middle), pose with Glennwood residents during their first Friday preparing lunch. All photos by Saoimanu Sope.

Along Pacific Coast Highway in Laguna Beach, atop a small hill, sits a residential community for adults with disabilities. When you get past the gate to Glennwood Houseand look beyond the parking lot, you'll immediately notice the quaint oasis of swinging benches enclosed by vegetables growing in large pots and along walkways.

The garden, which is maintained by the residents, was created in spring 2022 by Monica Mehren Thompson and Robbie Prepas, two UC Master Gardener volunteers of Orange County.

The UC Master Gardeners program is a public service and outreach program of University of California Agriculture and Natural Resources. Through the efforts of more than 6,000 Master Gardener volunteers across the state, the program is a unique driving force of change in local communities.

Thompson and Prepas completed their 16-week Master Gardener training in 2021 and quickly turned to Glennwood House for an opportunity to apply their newly acquired skills. Troy, Thompson's son, was a resident at Glennwood for nine years, making her decision to develop a garden on the grounds an obvious choice.

“This place is truly magical,” said Thompson.

Prepas agreed and shared that the residents play an active role from beginning to end. “We take the residents with us when we buy seeds so that they can choose what they want to grow,” she explained.

The garden has only experienced two plantings so far: spring and fall 2022. When it's time to harvest, the residents eagerly gather to taste the fresh vegetables and herbs. During the week, dinners are prepared by a professional chef, who incorporates ingredients pulled from the garden.

Monica Mehren Thompson (left) and Robbie Prepas (right).

This will soon change, however. Since the residents enjoy the hands-on opportunity to cook so much, they'll now be in charge of preparing lunch and dinner every Friday. To kick start this shift, the residents prepared a huge salad and spaghetti with vegetable marinara sauce. The meal was a big hit and the residents were so proud of their creation.

“This is an all-out, very sophisticated effort with the Master Gardeners,” said Faith Manners, Glennwood House CEO.

Glennwood House is unlike other residential communities for persons with special needs in that it is home to 46 residents. “It's one of the largest supported-living communities in the U.S.,” Manners said, adding that Glennwood has an enormous waiting list.

According to Janet Parsons, development and facility director at Glennwood House, Laguna Beach genuinely embraces Glennwood residents. “When we're out and about, you should just see how warm and welcoming the community is towards our residents. Everyone is always engaging and smiling,” she shared.

Recently, the Laguna Beach Garden Club caught wind of the community garden at Glennwood and made a $1,500 donation to help fund materials.

Janet Chance, president of the Garden Club, credited Glennwood as one of the few places that caters to adults living with disabilities, commending their ability to cultivate a sense of belonging and integrate them into the greater Laguna Beach community. 

While Chance regrets not having the time to become a Master Gardener herself, she attends some of the classes they teach in the Laguna Beach community. “The work they do is remarkable,” she said, adding that the club's recent donation was “one of the best” they have ever made.

Vegetables are planted along the walkways at Glennwood House in Laguna Beach.

Parsons said that it's important for the residents to feel independent. Therefore, the administration and the staff prioritize intentional programming. For example, instead of simple activities like coloring, Glennwood hosts advanced art sessions so that interested residents are learning techniques that will strengthen their artistic capabilities. 

The same idea applies to the “farm-to-table” experience Thompson and Prepas have established. 

“Just because the residents are living with a cognitive disability, it doesn't mean they're incapable of learning new things,” Parsons said. “They will tell you when something is boring or when they're not interested. So, we try to select activities or programs based on skills, personal interests and goals.”

While being recognized for the positive effect the gardeners have on the residents, Prepas quickly interjected that the real positive effect is the one that residents have on her. “I've learned so much from them,” she said. “They're incredible and so much fun to be around.”

Thompson, whose son lived at Glennwood until he passed away earlier this year, describes the Glennwood community as her family. Seeing Thompson's delight while gardening or cooking with the residents, it's easy to understand what she means.

“My husband has always supported philanthropy,” said Thompson. “But he says this feels like so much more than that. Because it is!”

To learn more about the UC Master Gardener program visit https://mg.ucanr.edu/.

Glennwood residents prepare a salad for lunch using ingredients from the garden.

In addition to a deeper understanding of Native foods and their nutritional properties, young people came away from the summer program with a binder of Native American recipes. Photo by Cailin McLaughlin

Program with Foothill Indian Education Alliance teaches healthy eating to young people of many tribes

More than a tutoring center, the Foothill Indian Education Alliance facility in Placerville also provides cultural activities for youth in El Dorado and Amador counties affiliated with a broad diversity of Native American tribes.

In addition to traditional crafts like drum- and jewelry-making, the center began offering a food component last summer, through a partnership with CalFresh Healthy Living, University of California – one of the agencies in the state that teaches nutrition to people eligible for SNAP (Supplemental Nutrition Assistance Program).

“A lot of the kids, because they don't live on a reservation or their family might not be connected to a local tribe, don't know a lot of their history or their foods,” said Cailin McLaughlin, nutrition educator for CalFresh Healthy Living, UC, based at the UC Cooperative Extension office in El Dorado County. “Food is a good way to explore any heritage because food is at the central point of a lot of cultures and customs – sharing meals and sharing stories behind it.”

Last spring, McLaughlin worked with Hal Sherry, the head tutor at Foothill Indian Education Alliance, to create a new, five-week “summer camp” during which youth would learn about and prepare Native foods in the center's kitchen, primarily with ingredients from its backyard garden.

One strength of the program is that CalFresh Healthy Living, UC nutrition educator Cailin McLaughlin empowered the youth to take the lead in preparing the dishes in the kitchen. Photo by Cailin McLaughlin

Sherry said that the experience provided the participants – 10 elementary school students and seven middle or high school students – an important perspective on the interconnectedness of all living things.

“Part of the objective of the program is for them to understand that each one of us is part of the natural order of things, and that we have to do our part to fit into that cycle,” he explained. “There's kind of an ecological lesson that's also being learned…and we don't want to put poisons in our bodies, and we don't want to put poisons in our environment.”

Program combines cultural lessons, nutrition information

For the summer program, McLaughlin selected a curriculum centered on garden-based nutrition, and infused it with elements of Indigenous food ways.

“We predominantly picked ingredients that had cultural significance to Native American communities, so things like blueberries, blackberries, pine nuts, squash, things of that nature,” she said. “So we could feed into the history of that ingredient, why it's important to the Indigenous communities – and then give (the students) the nutritional information about it.”

After the youth prepared chia seed parfaits – from a recipe that is part of a series developed by CalFresh Healthy Living, the California Indian Museum and Cultural Center, and the Center for Wellness and Nutrition – a Foothill Indian Education Alliance staff member shared that Native hunters would eat chia seeds for strength before a long hunt.

Many of the participants had never had chia seeds before, and the parfaits were an “absolute favorite,” in the words of McLaughlin.

“I wish we could have made them more often!” said Lacey, a fifth grader who participates in the center's programs year-round.

Participants tended to the garden at the Foothill Indian Education Alliance center, harvesting ingredients for their Native dishes. Photo by Cailin McLaughlin

In addition to working outside in the garden, Lacey said she also liked cooking in the kitchen during the summer camp – and the fact that the young people could take the lead.

“It was all the kids doing it, but (McLaughlin) was just supervising and making sure we were doing it right – it was really nice,” said Lacey, who identifies as Miwok.

Sharing within families, across tribes

Active participation by the young people is one of the strengths of the program, according to Sherry. He expressed admiration for McLaughlin's engaging teaching style, which eschews “lectures” and instead draws the participants into lively conversations about the nutritional content of the ingredients.

“Hopefully they're going to retain some of that knowledge and information and then remember: ‘You know what, yes, I think I would like to have some corn and some beans tonight, because that's going to help my bones grow strong and my eyesight get better,'” Sherry said. “That's really a big part of what we want them to come away with.”

At the end of the summer program, participants also came away with a binder of recipes from a cookbook of Native American dishes, “Young, Indigenous and Healthy: Recipes Inspired by Today's Native Youth.” James Marquez, director of the Foothill Indian Education Alliance, said he heard from students that they were bringing many of the lessons from the program back to their homes.

Part of a series developed by CalFresh Healthy Living, the California Indian Museum and Cultural Center, and the Center for Wellness and Nutrition, the "Chia of the Valley" parfait was a big hit with the students.

“I've heard the same kind of thing from parents and grandparents, who have said how wonderful that was and that kids come back home and have an interest in cooking and trying to serve nutritious meals to their families,” Marquez said.

That crucial sharing of knowledge also happens between and among staff members and students, as the center comprises members of many tribes, from South Dakota Lakota to Navajo.

“We serve Native people, we don't care what tribe they come from – they're all welcome,” Marquez said. “What we do represents a lot of different tribes, so we share information from one tribe to another, and that way people can appreciate everybody and what we have to bring to the table.”

Talia, a sixth grader who participated in the summer program, said that she enjoys that cultural sharing.

“I like how I can learn new things…and how I learn more about the people around me,” she explained. “It's also fun to learn about other people's cultures, and what Native American they are, too.”

McLaughlin went on to partner with Foothill Indian Education Alliance on a “Cooking Academy” program during this past fall, and is planning another spring/summer program for 2023, as well. The ongoing teaching and sharing of food ways is just one part of a long process to recover and rebuild Native American cultural traditions.

“Unfortunately, there was a very concerted effort to obliterate the Native culture on this continent; it was a very intentional, very deliberate effort to just stamp that culture out like it had somehow never existed,” Sherry said. “Now there's a much greater awareness of what a terrible thing that was, and so it's like trying to regrow a new garden over an area that was severely burned…and it's being done all over the country.”