Category: News

Kansas’ breastfeeding journey: reflections and the road ahead

Posted on by Lindsey Fields

By Katie Schoenhoff, Director of Programs

Happy National Breastfeeding Month.

As we celebrate National Breastfeeding Month, we are reminded of the gains achieved and the work ahead in helping ensure that breastfeeding’s numerous health benefits are available to all mothers and children.

At the United Methodist Health Ministry Fund, we have worked to support breastfeeding for more than 15 years. In early years, we supported breastfeeding as a proven way to help prevent early childhood obesity. Since 2010, breastfeeding support has been a cornerstone of our strategic work, and the more we’ve gained understanding about the physical, emotional, and relational benefits that breastfeeding has for both a child’s and mother’s well-being, the more importance we’ve placed on this work.

A 2007 breastfeeding support grant to United Methodist Mexican-American Ministries (now Genesis Family Health) in western Kansas was a success in its own right, but also highlighted several challenges and opportunities that have guided our subsequent work.

One early learning was that mothers often face challenges which make it difficult to continue breastfeeding when returning to work. In 2010, we began supporting the Kansas Breastfeeding Coalition’s Business Case for Breastfeeding program, which illustrates the bottom-line benefits of supporting breastfeeding employees and simple, low-cost ways to do so.

We learned that supportive maternity facility policies and procedures, trained health care providers, and post-delivery/postpartum access to lactation support make a huge difference in initiating and maintaining successful breastfeeding. We also learned the importance and value of collaboration across the national, state, and local levels.

The Health Fund worked with the Kansas Breastfeeding Workgroup to develop the High 5 for Mom and Baby program that started in 2011. This program provides training, resources, and a framework to help Kansas hospitals and birth facilities implement five or more evidence-based practices proven to support successful breastfeeding, improving maternal and infant health outcomes while also reducing racial and ethnic health disparities.

To obtain High 5 for Mom & Baby recognition, facilities complete a voluntary, self-reported evaluation and follow five or more of the evidence-based High 5 for Mom & Baby practices.

In 2014, we co-sponsored the Kansas Health Summit on Breastfeeding with the Kansas Health Foundation (KHF). From there, we and KHF used the summit to inform a grant initiative where we co-funded 10 projects to work on physician education, lactation support services, regional coalition development, and more.

We’ve continued to work in partnership with the Kansas Breastfeeding Coalition and have long funded the organization’s leadership as well as various projects providing a continuum of care for women prenatally and throughout their breastfeeding journey.

Gaining experience through these projects, we have continued to adapt and modify our breastfeeding work as we saw more Kansas hospitals taking on maternity care best practices each year. Starting in 2016, we provided funding for five hospitals to work toward the rigorous Baby-Friendly designation, which all five have now achieved. We then partnered with Kansas Department of Health and Environment (KDHE) to co-fund another five hospitals. At this time, 10 Kansas hospitals maintain the Baby-Friendly designation, covering nearly 50% of births in our state.

While Baby-Friendly designation is the “gold standard” for supporting breastfeeding in maternity care settings, we recognized that many other hospitals are working to improve their goals and may not have the staffing or financial means to achieve the designation.

In 2020, we launched the High 5 for Mom and Baby Premier program. These facilities follow all 10 of the evidence-based High 5 for Mom & Baby practices. This spring we announced that 22 facilities had achieved premier recognition, which is the largest number of hospitals to earn the premier recognition since it was introduced.

Since we’ve entered the breastfeeding field, we have seen significant increases in breastfeeding initiation and duration rates for the state. In 2021, Kansas reached the top 15 states for all measures for the first time.

This is in part because multiple funding partners have worked together to support the field, including KDHE and KHF. So much traction has been gained and we have valuable leadership from the Kansas Breastfeeding Coalition and local coalitions across the state that have helped Kansas see significant gains in lactation support and policies within hospitals and communities. This work has led to more women receiving supports in various settings—local businesses, workplaces, places of worship, health departments, and more. All of us working together has made a significant difference for women and children across our state.

While there is much to celebrate, there is much left to do. Although the overall breastfeeding rates are improving, rates for Black and brown women–as was the case in 2007 and unfortunately remains true today–are not seeing as many improvements and these gaps need to be narrowed. In recent years, our work with the Kansas Breastfeeding Coalition has focused on working with coalitions led by women of color to support their communities. We continue to proudly support the work that the coalition is doing to amplify all voices.

During National Breastfeeding Month we should celebrate the work that has been accomplished, but we still must all come together and continue to help every Kansas family achieve their infant feeding goals to create the best outcomes for mothers and babies.  

About the series

This is the first in a multipart series on the state of breastfeeding in Kansas. Next week we’ll learn more from the Kansas Breastfeeding Coalition on how our state ranks in breastfeeding and how individuals and businesses can support breastfeeding mothers.

The full blog series includes:

High 5 for Mom & Baby Practices

The ten High 5 for Mom & Baby practices are based on the WHO/UNICEF Ten Steps to Successful Breastfeeding – evidence-based practices proven to increase breastfeeding success and reduce racial and ethnic disparities.

1. Facility will have a written maternity care and infant feeding policy that addresses all ten High 5 for Mom & Baby practices supporting breastfeeding 

2. Facility will maintain staff competency in lactation support

3. All pregnant women will receive information and instruction on breastfeeding

4. Assure immediate and sustained skin-to-skin contact between mother and baby after birth

5. All families will receive individualized infant feeding counseling

6. Give newborn infants no food or drink other than breastmilk unless medically indicated

7. Practice “rooming in” – allow mothers and infants to remain together 24 hours a day

8. Families will be encouraged to feed their babies when the baby exhibits feeding cues, regardless of feeding methods

9. Give no pacifiers or artificial nipples to breastfeeding infants

10. Provide mothers options for breastfeeding support in the community (such as a telephone number, walk-in clinic information, support groups, etc.) upon discharge 

Using Proven Early Childhood Interventions to Combat ACEs

Posted on by Lindsey Fields

This piece originally appeared in the Kansas Child summer 2022 issue. David Jordan is president and CEO of the United Methodist Health Ministry Fund.

It’s true what they say: children don’t come with an instruction manual. These days, many families are struggling to feel successful raising their children while also coping with the many demands and challenges of modern life.

Toxic stress and adverse childhood experiences (ACEs) are major influences on a child’s overall development — affecting school readiness, student success, physical and mental health, and other factors, including the ability to exercise self-control. ACEs include abuse, neglect, witnessing violence, mental health or substance use problems in the household, and instability in the household, such as separated parents, among other experiences.

ACEs are incredibly common. According to the CDC, approximately 61% of adults surveyed across 25 states reported that they had experienced at least one ACE, while 1 in 6 had experienced at least four. In Kansas, 39% of children have experienced an ACE, and 20% have experienced two or more ACEs.

The first step toward addressing toxic stress and supporting children’s physical health and social-emotional development is to screen early and regularly. Performing a developmental screening when a child first enrolls in early care and education can identify potential risk factors or barriers to success. In many cases, when these concerns are identified and addressed early, the interventions are less intrusive, and children reach developmental milestones more quickly.

Programs and Interventions

Caring and responsive relationships are critical for every child’s healthy development. A number of programs and interventions, including evidence-based home visiting models within the state, nurture caring relationships and positive childhood experiences.

For example, evidence-based early literacy programs promote stronger caregiver-child relationships. Programs like Reach Out and Read (ROR) engage parents, children, and health care providers. ROR’s Perry Klass notes that by reading to young children, parents and educators are teaching responsiveness and cultivating routines and structures that will help children feel safe. These relationships and routines will stimulate healthy brain development and foster a love of reading, leading to improved language skills and health outcomes.

For kids with significant needs, caring and responsive relationships mitigate the effects of toxic stress. Research shows that infants and toddlers who have experienced adversity can benefit from early intervention that focuses on building supportive adult relationships.

One strategy to counteract early adversity is the evidence-based Attachment and Biobehavioral Catch-up (ABC) program. Over the course of the 10-week program, parents increase their knowledge and skills in order to create secure attachments and help their children have better outcomes. While babies cannot verbalize their needs, parents can learn to recognize and respond to their child’s cues, which leads to strong and healthy relationships.

Through support for evidence‐based early childhood development programs, we can ensure that the youngest Kansans enjoy nurturing family environments that prepare them for healthy lives and academic success. Investing in proven early childhood interventions as a state will result in a more capable workforce, reduced health care and mortality costs, and reduced demand for public services. Kansas’ future depends on the children we invest in today.

Child Care Providers & Infant Mental Health

No one can say that caring for infants is simple work. Understanding infants and toddlers and making sure they receive appropriate behavioral health support is difficult.

According to the American Academy of Pediatrics, as many as 1 in 10 preschoolers are affected by emotional, relationship, and behavioral problems. A young child’s misbehavior may be due to mental health concerns. Ensuring that children receive age-appropriate support as early as possible is important for their future health and school readiness.

How can child care providers promote good mental health?

• Connect parents to local resources, such as early childhood development centers that specialize in home visiting and building parents’ caregiving confidence and skills.
• Provide age-appropriate screenings for children in your care. If you are not currently using screenings, you can attend ASQ trainings through the Kansas Technical Assistance System Network (TASN).
• Advocate for statewide policy changes that would benefit infant mental health, such as increased consultation services and the use of the DC: 0-5 diagnostic classification tool.

God’s Temple: Health and Holiness in the Body of Christ

Posted on by Lindsey Fields

Our health is strongly influenced by a combination of biological, social, and environmental factors beyond our control: the conditions in our communities, the schools in our neighborhoods, the availability of healthy food and good jobs, and how close we are to hospitals and clinics.

As we continue to explore what it means to be healthy, the United Methodist Health Ministry Fund has created a sermon guide that will go beyond the physicality of what health “looks” like and deeper into holistic wellness that includes our emotional, physical, social, and spiritual health.

By exploring health from these four perspectives, the “God’s Temple: Health and Holiness in the Body of Christ” sermon guide opens a wider conversation about health and wellness that integrates with the church’s call to live as the Body of Christ in the world.

To help guide this conversation, the sermon guide utilizes select passages from Paul’s First Letter to the Corinthians.

Week 1 explores emotional health in relation to Paul’s teaching that the Christian community is the temple of God, highlighting belonging as crucial to our emotional well-being as humans.

Week 2 addresses physical health as an individual and communal endeavor as Christians are called to use our bodies to glorify God.

Week 3 explores social health using Paul’s discussion of whether the Corinthian Christians should eat meat sacrificed to idols. Paul’s teaching emphasizes that social health means loving God and loving neighbor by glorifying God while also actively seeking not to be a stumbling block to our neighbors.

Week 4 concludes the series by exploring spiritual health as the cultivation of love as the church cooperates in using our gifts to grow and act as the Body of Christ in the world.

Downloads
Sermon Guide and Toolkit
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Resources

Nationwide Resources

Kansas Resources

Resources in this sermon guide

Week 1

We’d love to hear from you! Did you use the sermon guide and/or toolkit? Would you be willing to share your feedback and experiences? Questions or suggestions? Please email us at hcnews@healthfund.org.

Week 2

Week 3

Week 4

Social Media

Below are social media tiles to help you promote the series. We would love to know if you use the guide—please tag us on Twitter or Facebook (@umhealthfund).

Facebook

Twitter

Let the Little Children: The Body of Christ and Childhood Health and Well-Being

Posted on by Lindsey Fields

The Health Fund believes that investing in early childhood development leads to the best health outcomes and the greatest return on investment. Research has shown that well-designed early childhood interventions can provide the support necessary to foster healthy brain growth and buffer children from the effects of adverse childhood experiences. We have learned that with adequate safe, stable, nurturing relationships during the first five years of life, children are more likely to succeed in school, become productive workers, and contribute to society.

The well-being of children in our churches and communities is an issue of great significance for the health and flourishing of children, families, and neighborhoods across the country and around the world. In an effort to connect the science of early childhood development and proven public health interventions with the life and mission of the church, this guide offers a three-week worship series that highlights three of Jesus’ interactions with children during his ministry.

Week 1 establishes the foundation for how and why Jesus welcomes and embraces children as part of God’s kingdom and invites the church to live into Jesus’ example by recognizing our Christian responsibility to nurture the well-being of children in our community.

Week 2 uses Jesus’ healing of the spirit-possessed boy in Luke’s Gospel as a model for how the church can tend to the physical health of children in our communities, paying particular attention to insurance coverage, wellness vaccines, and food security.

Week 3 then turns to Jesus’ Community Discourse in the Gospel of Matthew to explore Christ’s call to childlikeness as an invitation to promote children’s mental health by removing stumbling blocks and providing the relationships and skill-building necessary for children to build resilience in the face of adversity.

Downloads
Sermon guide and Toolkit
Bulletin Insert 1
Bulletin Insert 2
Bulletin Insert 3

We’d love to hear from you! Did you use the sermon guide and/or toolkit? Would you be willing to share your feedback and experiences? Questions or suggestions? Please email us at hcnews@healthfund.org.

Resources

Nationwide Resources

Kansas Resources

Resources in this sermon guide

Week 1

Week 2

Week 3

Social Media

Below are social media tiles to help you promote the series. We would love to know if you use the guide—please tag us on Twitter or Facebook (@umhealthfund).

Facebook

Twitter

Sermon Workshop: Connecting Faith and Health

Posted on by Lindsey Fields

The Health Fund hosted a free online sermon workshop: “Connecting Faith and Health: A Sermon-Planning Workshop for Preaching with Impact.”

The Health Fund is dedicated to improving the health and wholeness of Kansans. Over the past year, the Health Fund has worked in partnership with Lisa Hancock, PhD, to develop a series of sermon guides that bring together Scripture, theology, and health to help congregations connect their faith to health.

Each sermon guide contains multiple weeks; each week includes a call to worship, hymn selections, children’s sermon, call to action, and benediction, in addition to an exegesis and sermon notes section based on the week’s scripture passage.

Lisa Hancock led the workshop. Watch the workshop recording to learn more about each guide, and leave with up to 25 weeks of your liturgical sermon calendar planned.

Workshop Recording

Workshop slides
Workshop notes sheets
0:00:00 Welcome
0:25:14 Overview of the Liturgical Year
0:44:58 Journey Toward Mental Wellness (Advent or Ordinary Time)
1:09:59 Naming Trauma and Practicing Resilient Love (Lent)
1:35:41 Tending the Civic Soil (Ordinary Time)
1:59:03 God’s Temple: Health and Holiness in the Body of Christ (Ordinary Time)
2:20:13 Wrapped in God’s Embrace: Maternal Health, Flourishing, and Building Communities of Care (Ordinary Time)
2:43:16 Let the Little Children (Ordinary Time)
2:59:17 Questions and Feedback
3:13:57 Closing Prayer and Benediction

Strengthening behavioral health access will help Kansans and address disparities

Posted on by Lindsey Fields

This commentary originally ran in the Kansas Reflector on June 2, 2022. About the authors: Dr. Tiffany Anderson, superintendent of Topeka USD 501, and Dr. Shannon Portillo, associate dean and professor at the University of Kansas, served as co-chairs of the Governor’s Commission on Racial Equity and Justice; David Jordan, president and CEO of the United Methodist Health Ministry Fund, chaired the subcommittee on healthcare.

The Governor’s Commission on Racial Equity and Justice repeatedly heard from community members, stakeholders, and those working in criminal justice about unmet behavioral health needs and how the lack of access to behavioral health care — both mental health services and substance use treatment — results in law enforcement encounters.

People with behavioral health conditions are three to six times more likely to be represented in the criminal justice system.

Additionally, data show racial disparities in the impacts of behavioral health systems on communities of color. For example, drug use rates are similar across racial and ethnic groups, but Black and Brown communities experience greater problems associated with substance use, such as legal issues, justice system involvement, and social consequences.

The commission examined behavioral health, seeking to understand how to address systemic issues that affect health outcomes, community vitality, crisis response and health care access. Behavioral health recommendations to address racial equity were included in the commission’s final report.

Law enforcement officers end up acting as de facto behavioral health providers. Investments should be made to increase the use of behavioral health trainings for officers to better prepare them to safely de-escalate and resolve emergency mental health situations.

Collaboration between local governments, law enforcement agencies and behavioral health providers can strengthen how law enforcement responds to behavioral health incidents. One successful model is the co-responder program, in which mental health professionals work alongside law enforcement to respond to mental health calls. Virtual models also show promise. This model contributes to positive outcomes and promoting treatment over incarceration for individuals experiencing mental health crises.

To address systemic behavioral health issues, we must invest in early interventions. Behavioral health services should be lifelong and more accessible to all.

Mental health services should target pregnant and new mothers so they can benefit from earlier diagnosis and treatment. We need to screen for and treat prenatal and perinatal depression to improve maternal and child health outcomes.

Kansas should utilize the DC: 0-5 diagnostic manual, which classifies mental health and developmental disorders for children ages 0 to 5 to enhance mental health professionals’ ability to accurately diagnose and treat mental health disorders and facilitate Medicaid reimbursement for appropriate treatments.

Children should be insured so that they can access behavioral health services. Kansas has a growing number of uninsured children. Between 2016 and 2019, the uninsurance rate for kids increased from 4.9% to 5.8%. In 2019, children who were racial and ethnic minorities were 3.6 times more likely to be uninsured than non-Hispanic white children. Implementing continuous coverage for children 0-5 would reduce the number of children who churn off Medicaid for administrative reasons.

Additionally, Medicaid should reimburse for evidence-based interventions such as home-visiting and early literacy programs that build safe, secure, nurturing relationships that improve health, educational and economic opportunities.

We need to ensure children are getting behavioral health services in early learning settings rather than being disciplined, which can have lifelong consequences. According to a Yale University study, preschool students are expelled more than three times as often as K-12 students. Expulsion rates were lower in settings where the preschool teachers had access to classroom-based behavioral consultants. The commission recommends increasing the availability of infant/early childhood mental health consultation services in the state to ensure children receive age-appropriate behavioral health support.

It’s important to improve behavioral health care access across educational settings. Possible initiatives include coordinating with local governments to ensure school-based services are available to the broader community, expanding hours of school behavioral health clinics, ensuring schools become Medicaid providers so they can directly bill and offering services in multiple languages.

Patients of all ages will benefit if behavioral health services are better integrated into our existing health care system and if the state supports the use of technology, such as telehealth or app-based providers, to make behavioral health services accessible

The current Medicaid eligibility limits are too low. Kansas should expand Medicaid, which would increase access to health care services and reduce uncompensated care — lowering costs for everyone. Hospitals and behavioral health treatment centers should automatically help eligible patients enroll in Medicaid upon discharge, increasing Kansans’ access to behavioral health services after release from treatment.

All levels of government can improve data tracking and coordination between systems within behavioral health, such as the criminal justice system. This should include maintaining race and ethnicity data on behavioral health incidents involving parents and young children to inform necessary interventions.

All Kansans would benefit from improved behavioral health services and access. To make these recommendations reality, we must urge our local and state representatives to support these changes that will improve the health of Kansans and address long-standing disparities.

About this series

In June 2020, Gov. Laura Kelly signed Executive Order 20-48, forming the Governor’s Commission on Racial Equity and Justice. The Commission studied issues of racial equity and justice across systems in Kansas, focusing first on policing and law enforcement and then on economic systems, education, and health care. The Commission developed recommendations for state agencies, the Legislature, and local governments. Through the end of 2022, commissioners will dig deeper into the recommendations in a monthly series.

Related resources

Governor’s Commission on Racial Equity and Justice reports
Governor’s Commission on Racial Equity and Justice webinar series
2022 opinion series on commission recommendations

GNE Alumni Opportunity

Posted on by Lindsey Fields

Healthy Congregations churches that have completed the Good Neighbor Experiment (GNE) are invited to continue their asset-based work in a new phase of GNE.

The Good Neighbor Experiment has created an opportunity for GNE alumni churches to continue their work of neighboring and strengthening communities. GNE is accepting applications for their FAN (Faith-Based Animator Network) program that is designed for individuals and groups interested in learning asset-based community development (ABCD) and deepening relationships with their neighbors. Participants who commit one year to the program and up to five hours of work each week (2.5 hours average) will receive:

  • an opening online workshop focused on ABCD
  • an immersive month building up to a community action plan
  • routine coaching calls to implement the community action plan

At the end of the program, participants can expect to have implemented an asset-based project in their community. The first cohort begins in July.

Applications due: June 15
Questions: Maddie Johnson, Program Director
Application form

Russell Child Development Center team receives Project of the Year award

Posted on by Lindsey Fields

Russell Child Development Center staff pictured from L to R: Shara Sater, Data Manager; Erika Garcia, LMSW, Early Interventionist, Social Worker and ABC Coach; Francisca Jimenez, BSN, Growing Together Home Visitor; Dannah Schatz, ABC Coach and Triple P Coach; Deanna Berry, Former Executive Director; Katrina Lowry, Early Childhood Programs Director; and Rebecca Clancy, Executive Director. Health Fund representatives from L to R: David Jordan, President and CEO; Dan Lord, Outgoing Board Chair.

Russell Child Development Center of Garden City was honored with the 2021 Janet Sevier Gilbreath Special Project Recognition Award at a May 3 celebration in Hutchinson.  The annual award, named in honor of the United Methodist Health Ministry Fund’s first chairperson, is given to one funded project each year best exemplifying the Fund’s vision of Christian health ministry and demonstrating scale, results, operational excellence, and social justice.

Russell Child Development Center (RCDC) was honored for its participation in the Kansas Attachment and Biobehavioral Catch-up (ABC) Initiative Grant, supporting implementation of an evidence-based home visiting model to build attachment and mitigate the effects of toxic stress in young children. RCDC joined the ABC initiative in 2017 and is serving 19 counties in Southwest Kansas: Seward, Greeley, Wichita, Scott, Lane, Ness, Hamilton, Kearny, Finney, Hodgeman, Stanton, Grant, Haskell, Gray, Ford, Morton, Stevens, Meade and Clark.

RCDC is known for setting high standards and working to further the project and overall initiative. They have supported multiple home visitors in achieving their certification. In 2020, two ABC home visitor staff members were trained to provide ABC-Infant (for children 6 to 24 months) and also furthered their certification to include the ABC-Toddler model (for children 2 to 4 years old). During 2021, another Spanish-speaking staff member began the ABC infant training, demonstrating RCDC’s continued commitment to serve more within their community.

When the COVID-19 outbreak reached our communities, RCDC was the first to rethink their strategy to serve families. RCDC became the first ABC site in the country to hold an ABC session via an online platform. The staff purchased earbuds and inexpensive tripods for families’ phones to make virtual visits easier and to allow the caregiver and child to be hands-free during the visit. At the time of enrollment, the RCDC staff mailed caregivers boxes of supplies that included a parent binder, copies of signed documents, and materials so the family had everything they needed for each session.

“We know who we are and why we exist. Families deserve equitable access to services no matter what is happening in the world. Our staff believes in the importance of building strong relationships with families; when you have a strong relationship with someone, you want what is best for them, you advocate for them, and you do everything in your power to help them thrive. So much of life is outside of our control, and this was harshly illustrated during the pandemic.

RCDC embraced what we could control and kept young children and families at the forefront of our decisions regarding how to best respond to the challenges presented. The young children and families in southwest Kansas deserve the best we have to offer; although not ideal, pivoting to digital services quickly and efficiently during COVID-19 ensured good things continued to happen.”
—Katrina Lowry, Early Childhood Programs Director, Russell Child Development Center

During the celebration, Rainbows United of Wichita, Inc., was recognized as the 2020 recipient of the Janet Sevier Gilbreath Special Project Recognition Award. Deanna Berry, former executive director of RCDC, was honored as the 2020 Kim Moore Visionary Leadership Award winner.

Webinar: Spring into Healthy Congregations

Posted on by Lindsey Fields

Spring is a time of renewal for our land, for our spirits, and for our Healthy Congregations program.

This live webinar was recorded on Thursday, April 28. We discussed the 2022 Healthy Congregations renewal process, innovative ways to use your annual grant, and special grant opportunities that could increase your congregation’s health ministry.

Speakers included:

Webinar: Navigating Vaccine Hesitancy with Families

Posted on by Lindsey Fields

Childhood vaccination is a sensitive topic. Whether you’re discussing wellness vaccines or COVID-19 vaccines, it’s important to meet people with empathy and active listening. This webinar on navigating vaccine hesitancy with families was recorded on Tuesday, April 26, 2022.

Speakers included Dr. Gretchen Homan, president-elect for the Kansas Chapter of the American Academy of Pediatrics and former Immunize Kansas Coalition chair; Erica McGinley, nurse consultant for Child Care Aware of Kansas; and David Jordan, president and CEO of the United Methodist Health Ministry Fund.

Navigating Vaccine Hesitancy with Families webinar slides

Health Fund resources specific to COVID-19 vaccines

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