Caring for the Whole Person

1. Caring for the Whole Person Caring for the Whole Person A Paradigm of Holistic Integrated Care The Jesse Tree Resource Coordination & Chronic Conditions Management Program Training Serving the Ineligible and Unfunded

4. Caring for the Whole Person In the beginning…. • In 2000, The Houston Food Bank approached The Jesse Tree and other local providers to consider hosting a “Food Fair.”. Each event: • Provided up to 20 TONS of produce, • Attracted up to 500 individuals representing several thousand family members, • Created a “Farmer’s Market” style venue for healthcare screenings and social service information, • Required demographic data collection and reports.

5. Community Access Program • At the same time, The Jesse Tree and other local healthcare providers had embarked on The Community Access program (CAP) to expand services to the uninsured. At that time: • 38% of Galveston County residents were uninsured, • $40 MILLION in Food Stamp dollars and $200 MILLION Earned Income Tax Credit went unclaimed each year in Galveston County; 80% eligible seniors failed to apply for Qualified Medicare Beneficiary (QMB); 60% eligible women failed to enroll for Women, Infants, Children Program (WIC) – the numbers are staggering.

6. CAP – cont’d • The obstacles to enrollment : • Transportation; • Translation/Interpretation; • Lack of ID’s birth certificates, etc., • Complicated enrollment applications; 40% eligible applicants denied; • 80% of Food Fair attendees and their family members were uninsured; over 60% readily indentified at least one chronic medical condition (hypertension, diabetes, etc.) and most represented two-(low) income households, • Who cares for the “un-fundable? The ineligible?

8. on Services Added to Food Fairs • NUTRITION • Houston Food Bank-Produce distribution • Lone Star Legal Foundation Food Stamp Outreach Network • Texas A&M Cooperative Extension Service-Healthy cooking • MENTAL HEALTH/SUBSTANCE ABUSE • ADA Women's Center • Bay Area Council on Drugs and Alcohol (BACODA) • Pathways to Recovery • The Gulf Coast (MHMR) Center • TRANSPORTATION • Gulf Coast (MHMR) Center "Connect" - Countywide Medical appointments • The City of Galveston-Hurricane preparedness, Island Transit (citywide bus)

9. on Services Added to Food Fairs –cont’d • HEALTH & SAFETY • AIDS Coalition of Coastal Texas (ACCT) • American Cancer Society • American Heart Association • Bay Area Council on Drugs and Alcohol (BACODA)-Smoking Cessation • Cancer Coalition of Galveston County • CHIP (Children's Health Insurance Program) • Chris Jackson Insurance Agency & UTMB, Geriatrics- Medicare Part D • Coastal Area Health Education Center • City of Galveston Emergency Medical Services-Vital of Life • Enrollment Assistance • Galveston Beach Patrol-Water Safety • Galveston County Health District-Immunizations & Flu vaccines.

10. on Services Added to Food Fairs – cont’d • HEALTH & SAFETY – cont’d • Galveston Fire Marshal-Fire prevention & alarm programs • Gulf Coast Center-HIV testing • Holy Trinity Health Care, AMED & Genesis Home health agencies: • St. Vincent's Episcopal • House Clinic, UTMB School of Allied Health Sciences students, • Galveston County Health District, • Stark Diabetes Center, UTMB-Blood Pressure, Glucose and Cholesterol • screenings. • Maternal/Child Health/UTMB • St. Vincent's House WelCare Program and Clinic • Save Our Sisters Breast Cancer Coalition • Take Action Diabetes Education • Texas Society to Prevent Blindness-Vision Screenings

11. on Services Added to Food Fairs – cont’d • EMPLOYMENT • Christian Women's Job Corps • Sunshine Center-Employment for people with developmental disabilities • Texas Rehabilitation Commission • UTILITIES • Community Action Council-Energy Assistance Program • Community Outreach, UTMB-Energy Conservation, reducing utility bills • LEGAL SERVICES/CRIME PREVENTION/NEIGHBORHOOD IMPROVEMENT • Crime Stoppers of Galveston Inc. • Galveston Police Department-ID Theft • Lone Star Legal Foundation Food Stamp Network • Old Central/Carver Neighborhood Association • FINANCES • Consumer Credit Counseling Services • University Federal Credit Union

13. on Services Added to Food Fairs – cont’d • THE JESSE TREE PROGRAMS • Case Management, Chronic Conditions Management Classes, Diabetes Classes, Homeless • Management Information System (HMIS)-Enrollment • OTHER • Area Agency on Aging/Dickinson Hearing Aid Services • Ecumenical Network Participants-Blessing prior to food distribution • Galveston County Emergency Communications District • Galveston County Senior Services • Galveston Housing Authority-Section 8 Applications • Head Start-Early Childhood Education • Holistic CDC/Literacy Galveston/Live Musical Entertainment • Resource and Crisis Center-Crisis Intervention • Social Security Administration Office /The Luke Society/ • Veterans Services • Voter Registration & Congressional Region Information Services

15. Locations across Galveston Co. • Eventually, Food Fair hubs were established at 18 different locations across Galveston County; • Churches provide the venue and volunteers at no cost, • Trained coaches provide Chronic Conditions Management classes , • Jesse Tree provides electronic tools to screen, assess, create an adherence plan and begin enrollment on-site. Electronic, (wireless), case-management provides follow-up and maintains the files on each applicant. • “ETO Impact (Efforts to Outcome)” a software by Social Solutions a robust central location for all data with an emphasis on performance measure-ments.

17. The Houston Food Bank…

18. Address ALL Chronic Conditions Chronic Social Conditions: Chronic Medical Conditions:

19. Natural Disaster Then along came Hurricane Ike…and a $2 million dollar loss…..

20. “The Model Food Fair” The Houston Food Bank and The Jesse Tree are currently collaborating on the development of “The Model Food Fair” to serve as a site at which the integrated, holistic services can be observed and replicated. The project is called, “Cast your bread upon the waters…”

21. The Jesse Tree "We see people; not problems": (409) 682 6218 info@jessetree.net www.jessetree.net "A shoot will come up from the stem of Jesse; from his roots a branch will bear fruit." Isaiah 11:1