Subcommittee on Childhood Obesity
State of Missouri Children’s Services Commission
Recommended Actions
for Childhood Obesity Prevention and Treatment
results of research, planning and community forums
Chairpersons
Sarah Hampl, MD
Children’s Mercy Hospitals & Clinics
Denise Wilfley, PhD
Washington University
Kansas City
shampl@cmh.edu
St. Louis
wilfleyd@psychiatry.wustl.edu
Missouri Council on Activity and Nutrition
Changing the Future of Childhood Obesity:
Aligning and Amplifying Statewide Efforts
April 21, 2015 | Columbia, MO
Subcommittee on Childhood Obesity
State of Missouri Children’s Services Commission
Subcommittee Purpose
1.
Review the issue of childhood obesity, the evidence for effective
approaches to prevent and treat, Missouri's current approaches,
and the gaps in services and resources.
2.
Compile recommendations to create a comprehensive approach
that includes access to treatment in Missouri that will fill identified
gaps and decrease prevalence of obesity.
3.
Present the report and recommendations to the Missouri
Children's Service Commission which will in turn, inform the
Governor and General Assembly.
Project Timeline
February 2014 Subcommittee held inaugural meeting
March-April
Prepared outline for report
May-Aug
Compiled preliminary recommendations
Meetings and conference calls
Sept-Oct
Held public hearing(s) for input on
recommendations - 122 people attended
Springfield (Sept 19), St. Louis (Sept 29), Columbia (Oct 1), Kansas City (Oct 7)
Oct-Nov
Subcommittee meeting and conference calls,
incorporated feedback, prepared executive summary
December
Present draft to Children's Services Commission
Jan-Mar 2015 Finalize report and release to stakeholders
subcommittee members
Graciela Couchonnal, PhD
Health Care Foundation of Greater Kansas City
Ann Davis, PhD, MPH, ABPP
Center for Children’s Healthy Lifestyles and Nutrition
University of Kansas Medical Center
Dawnavan Davis, PhD
KC Blue Cross Blue Shield
Johanna B. Derda
American Academy of Pediatrics, Missouri Chapter
Meredith Dreyer Gillette, PhD
Children’s Mercy Hospitals and Clinics, Kansas City
Janet E. Farmer, PhD
University of Missouri School of Health Professions
Sarah Hampl, MD, FAAP, Co-Chair
Children’s Mercy Hospitals and Clinics, Kansas City
Megan Klenke, MSW
Child Care Aware of Missouri, St. Louis
Donna Mehrle, MPH, RD, LD
Missouri Council for Activity & Nutrition (MOCAN)
University of Missouri Extension
Samar Muzaffar, MD, MPH
Missouri HealthNet
Missouri Department of Social Services
L. Carol Scott, PhD
Child Care Aware of Missouri, St. Louis
Member of Children’s Services Commission
Pat Simmons, MS, RD, LD
Missouri Department of Health and Senior Services
Amy Stringer Hessel, MSW
Missouri Foundation for Health
Aneesh Tosh, MD
University of Missouri School of Medicine
Denise Wilfley, PhD, Co-Chair
Washington University in Saint Louis
Timothy Kling, MD, FACOG
Missouri HealthNet
Missouri Department of Social Services
Deborah Markenson, MS, RD
Weighing In, Children’s Mercy Hospitals and Clinics, Kansas City
Ann McCormack, MPH, RD
Bureau of Community Food and Nutrition Assistance
Missouri Department of Health and Senior Services
project staff
Eric S. Armbrecht, PhD
Angela Lima, MBA, RD, LD
Emily Meissen-Sebelius, MSW
Stephanie Seger
Allison Yee, MPH
THANK YOU
Health Care Foundation of Greater Kansas City
& Missouri Foundation for Health
Funds provided by the Health Care Foundation of Greater Kansas City
and Missouri Foundation for Health have been used to support writing, research,
meeting facilitation and public forums per direction of
the volunteer members of the Subcommittee for Childhood Obesity.
Public Forum Hosts
Springfield-Greene County Department of Health
Missouri Foundation for Health
Columbia-Boone County Department of Public Health
Kansas City Health Department
Subcommittee on Childhood Obesity
State of Missouri Children’s Services Commission
Rationale and Context
•
Over the past 30 years, obesity rates have more than doubled for
children and quadrupled for adolescents
•
1 in 3 children are overweight or obese
–
•
much higher for children with Medicaid
Obesity as co-morbidity increases costs for other childhood conditions*
–
30% higher: analysis of MoHealthNet claims in 2012
–
Obesity co-morbidity with: asthma (42%), depression (50%), diabetes (54%), hypertension (80%)
•
Serious, direct health consequences during childhood and beyond
•
Research shows that adult obesity originates in childhood
•
Given current trends, Missouri will spend $12 billion annually on obesityrelated healthcare by 2030
* Edison, Greever-Rice et al 2014
guidelines
At the onset of this project, Subcommittee members
agreed to develop just a few priority action items
for recommendation to the Children’s Services Commission.
The Subcommittee sought to develop recommendations
that were consistent with these four guidelines:
Statewide. potential to achieve statewide reach
Impactful. supported by evidence
Actionable. by state legislature or government agencies
Feasible. reasonable to achieve in two years
State of Missouri Children’s Services Commission
Subcommittee on Childhood Obesity
Subcommittee on Childhood Obesity
State of Missouri Children’s Services Commission
Types of Recommended Actions
1. Prevention
2. Treatment
3. Infrastructure
State of Missouri Children’s Services Commission
Subcommittee on Childhood Obesity
Recommended Actions for Childhood Obesity Prevention and Treatment
prevention early childhood
Update child care licensing rules to align with the
latest evidence on nutrition, physical activity, and
screen time.
Train and support child care professionals
to meet new standards.
Missouri Council for Activity and Nutrition | April 21, 2015 | Columbia, MO
State of Missouri Children’s Services Commission
Subcommittee on Childhood Obesity
Recommended Actions for Childhood Obesity Prevention and Treatment
prevention schools
Establish an Office for Student Wellness to maintain
expectations for health and physical education curricula.
Modify school accreditation by creating and
maintaining a health and wellness component.
Train and support school staff to implement
best practices and school wellness policies
related to nutrition, physical activity and
physical education.
Missouri Council for Activity and Nutrition | April 21, 2015 | Columbia, MO
State of Missouri Children’s Services Commission
Subcommittee on Childhood Obesity
Recommended Actions for Childhood Obesity Prevention and Treatment
treatment reimbursement
Reimburse licensed professionals with specialized training
in evidence-based weight reduction programs through all
Medicaid plans. Reimburse services provided in health
care or community settings for children with a
body mass index (BMI)
at or above the 85th percentile.
Missouri Council for Activity and Nutrition | April 21, 2015 | Columbia, MO
State of Missouri Children’s Services Commission
Subcommittee on Childhood Obesity
Recommended Actions for Childhood Obesity Prevention and Treatment
infrastructure
centers of excellence
Establish Centers of Excellence across Missouri to provide
evidence-based weight management services; coordinate access
to treatment; train health care providers, school staff,
and others about screening,
treatment options, and referral
coordination; and train health
care and community agencies
on prevention strategies.
Missouri Council for Activity and Nutrition | April 21, 2015 | Columbia, MO
State of Missouri Children’s Services Commission
Subcommittee on Childhood Obesity
Recommended Actions for Childhood Obesity Prevention and Treatment
infrastructure
commission
Establish a Commission on Child Health and Wellness to
oversee implementation of the Subcommittee’s
recommendations, study effectiveness of obesity
prevention strategies, and provide an ongoing
forum for education and future actions.
Missouri Council for Activity and Nutrition | April 21, 2015 | Columbia, MO
Next Steps
Thank You