Innovations in Healthy Eating for Child Care Settings

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Innovations in Healthy Eating for Child Care Settings Introducing Menu Planning & Supportive Nutrition Environments in Child Care Settings - Practical Guide November 16, 2017 12:00 1:00 PM The webinar will start at 12:00 p.m. Download presentation slides from Links and Materials pod. Share comments or questions into the Chat box. For technical assistance, chat with OPHA Host. The webinar is being recorded.

About the Nutrition Resource Centre Funded by the Ministry of Health and Long-Term Care One of 14 health promotion resource centres in Ontario Operated under the Ontario Public Health Association since 1999 Our Mission Strengthening the capacity of health promotion professionals and community partners involved with healthy eating and nutrition across Ontario.

About the Nutrition Resource Centre Team of Registered Dietitians and public health consultants: Expertise in nutrition, food and healthy eating (e.g., food environment, food literacy, food insecurity, etc.). Expertise in public health: applying evidence-based health promotion strategies, program planning, implementation, evaluation and policy development. Provide consultation and support services: KTE, training and educational services (e.g., resource development/review, facts sheets, toolkits, webinars, workshops, digital communications, etc.). Consultations to provide evidence synthesis, technical advice recommendations, and strategies. Offer group facilitation and coordination services, bringing together diverse practitioners and sectors. For more information about NRC s services, please contact: Candace Aqui, Consultant, caqui@opha.on.ca

Presenters Mélissa Cardinal is a Public Health Dietitian at Eastern Ontario Health Unit. For the past two years, she cochaired the child care working group (CCWG) of the Ontario Society of Nutrition Professionals in Public Health (OSNPPH). Marcia Dawes is a Public Health Nutritionist from the Region of Peel Public Health and has been collaborating with the OSNPPH child care working group since 2014. To support the development of the Practical Guide, Marcia along with her hard-working colleagues at Peel, has acted as a reviewer and is now actively promoting the document across the region of Peel.

Workshop Outline In this webinar you will: Discover the Menu Planning and Supportive Nutrition Environments in Child Care Settings - Practical Guide. Discover the Menu and Nutrition Environment Self- Assessment Tool for Child Care Settings. Hear updates about implementation and dissemination. Hear a story from the field. Participate in brainstorming ideas for implementation and overcoming barriers 5

About OSNPPH The Ontario Society of Nutrition Professionals in Public Health (OSNPPH) is the independent and official voice of Registered Dietitians working in public health in Ontario. Represent Registered Dietitians working in the 36 public health units. Child Care Working Group (CCWG) is a sub-group of OSNPPH and includes members who work closely with child care settings. 6

OSNPPH MEDU Collaboration In 2015, the Ministry of Education (MEDU) reaches out to the OSNPPH CCWG to : Enable licensing staff and child care providers to apply Canada s Food Guide within child care settings. Provide guidance on the quantity of food to offer children, by age group and by hours of attendance in child care. Provide guidance on the quality of foods and beverages to offer. Provide guidance on supportive feeding practices. CCWG Registered Dietitians, credible food and nutrition experts, develop draft Nutrition Recommendations (guidelines) for Child Care Providers in Ontario. 7

OSNPPH MEDU Collaboration In 2016, The Nutrition Recommendations for Child Care Providers in Ontario - Technical Document is officially recognized by the MEDU Child Care Quality Assurance and Licensing Branch as a resource for child care licensees, supervisors, staff, home visitors and ministry licensing staff. The MEDU and CCWG identify the need for a user-friendly version of the Nutrition Recommendations for Child Care Providers in Ontario - Technical Document. 8

OSNPPH MEDU Collaboration In 2017, The CCWG develops the Menu Planning and Supportive Nutrition Environments in Child Care Settings - Practical Guide to help child care settings meet the food and drink requirements under CCEYA and provide strategies to create a supportive nutrition environment. o MEDU includes the Practical Guide as a resource in the Child Care Licensing Manuals. The CCWG develops the Menu and Nutrition Environments Self- Assessment Tool for Child Care Settings to help child care cooks, chefs and providers assess their menus and nutrition environment. o This self-assessment tool complements the Practical Guide. 9

Practical Guide Content Categorization of food and beverage choices Guidance on reading labels Portion sizes for different age groups Menu planning strategies Sample menu Tips to create supportive nutrition environments 10

Practical Guide Food and Beverage Choices The Practical Guide categorizes foods into 3 groups: Serve most often Serve sometimes Do not serve Foods from Canada s Food Guide that naturally contain, or are prepared with, little or no added fat, sugar or salt/sodium. Serve at most meals and snacks. These choices tend to have higher amounts of added fat, sugar, or salt/sodium compared to foods and beverages in the Serve Most Often category. Serve no more than three items from this category per week. They contain few or no essential nutrients, or contain a lot of added fats, sugar or salt/sodium. 11

Practical Guide Portion Sizes Recommended portion sizes by age group Age group Portion size 12 to 24 months ¼ to ½ Food Guide serving 2 to 5 years ½ to 1 Food Guide serving 6 to 12 years 1 Food Guide serving Visuals with common objects Guidance on forecasting the amount of food to prepare 12

Practical Guide Menu Planning Information about the number of meals and snacks to offer based on the amount of time children are in attendance. Number of meals and snacks further broken down into number of food groups to offer. Simplified for child care providers into meal and snack patterns. 13

Practical Guide Nutrition Environment Best practice recommendations for creating and maintaining supportive nutrition environments are divided into 4 areas: Create positive mealtimes Model positive attitudes and healthy behaviours Practice responsive feeding Avoid the use of pressure to influence food intake 14

Self-Assessment Tool Content 5 Steps Portion size chart Menu Assessment Checklist o Meal Pattern o Snack Pattern o Food and Beverage Choices Supportive Nutrition Environment Checklist 15

Self-Assessment Tool Menu Assessment Checklist Meal Pattern and Snack Pattern tables are used to determine that the correct number of food and beverages choices are offered every day. 16

Self-Assessment Tool Menu Assessment Checklist The Food and Beverage Choices section is used to assess the quality of the food and beverages offered. 17

Self-Assessment Tool Menu Assessment Checklist The Response Guide helps users interpret the results of the menu assessment process. The number of boxes checked is associated with a standardized response. 18

Self-Assessment Tool Supportive Nutrition Environment Checklist This checklist is used to assess supportive nutrition environment criteria, by area (as per the 4 areas identified in the Practical Guide) 19

An example of collaboration with the child care sector Nutrition and Physical Activity in Child Care Settings (NPACC) Region of Peel - Public Health Region of Peel Early Years and Child Care Service? Child Care Providers

Region of Peel Menus and Nutrition for Child Health (MNCH) Region of Peel Menus and Nutrition for Child Health (MNCH) &

Next Steps 1. Promotion and dissemination: Social media messages (facebook and tweets) Letter to announce the Practical Guide to child care settings o o Available in English and French Available on the OSNPPH members website, CCWG Minutes & Reports page 2. Other promotional tools to come: Letter to caterers Parent newsletter inserts 22

Next Steps The Practical Guide and the Menu and Nutrition Environment Self-Assessment Tool will also be shared by CCWG with: Participants in the CCEYA consultation in March 2016 Association of Early Childhood Educators of Ontario (AECEO) Ministry of Education Program Advisors Public Health in the Early Years (PHEY) 23

For more information or to download your copies of the Practical Guide and the Menu and Nutrition Environment Self-Assessment Tool, visit our website at: www.osnpph.on.ca/child-care-resources. 24

Q&A and Brainstorming Session Overcoming potential barriers to implementation Please type your questions in the chat box 25

Thank you!