http://www.iowapolitics.com/index.iml?Article=194446
U.S. Sen. Harkin: Harkin, Klobuchar, Franken introduce bill to confront eating disorders in the U.S.
4/27/2010
FOR IMMEDIATE RELEASE CONTACT: Kate Cyrul / Bergen Kenny April 27, 2010 (202) 224-3254
WASHINGTON, D.C. – Senators Tom Harkin (D-IA), Amy Klobuchar (D-MN) and Al Franken (D-MN) introduced legislation today aimed at fighting and preventing eating disorders in the United States. The Federal Response to Eliminate Eating Disorders (FREED) Act is the first comprehensive legislative effort introduced in the Senate to confront the seriousness of these diseases and to jump start research as well as improve the prevention, screening, diagnosis and treatment of eating disorders. It expands federal research, improves tracking and recording of the actual numbers of people suffering and dying from these diseases, provides training for a wide array of health professionals and educators to better identify and screen for eating disorders, creates a new patient advocacy program to help patients get proper care, authorizes grants for eating disorder prevention programs and builds on the mental health parity and health care reform bills to improve access to treatment, particularly for teens covered by Medicaid.
“Eating disorders such as anorexia nervosa and bulimia nervosa are widespread, insidious and too often fatal diseases. And adolescent women are by no means the only people suffering from eating disorders; these diseases don’t discriminate by gender, race, income or age,” said Harkin, Chairman of the Senate Health, Education, Labor and Pensions Committee. “Sadly, these diseases touch the lives of so many of our families and friends. Nearly half of all Americans personally know someone with an eating disorder. We have got to do a better job at the federal level of investing in research, treatment and prevention and the FREED Act is a major step in the right direction.”
“The statistics on young people struggling with eating disorders are staggering,” said Klobuchar. “We must provide better resources for prevention and treatment to ensure that everyone has access to the help they need to treat and survive this often fatal disease. I want to thank the Westin family for their tireless efforts to raise awareness of the need to combat this disease.”
“I hear far too often from Minnesotans who have dealt personally with a loved one who suffers from an eating disorder. The fact is, we don’t know nearly enough about diagnosing, treating, and preventing these diseases. Today’s legislation is a major step forward in understanding eating disorders and how to stop them from destroying lives,” said Franken.
“It’s been 10 years since anorexia killed my daughter Anna. And eating disorders have killed thousands of Americans since then,” said Kitty Westin, an eating disorder awareness advocate. “It’s time for Congress to pass FREED as a critical first step in addressing this national emergency.”
It is estimated that at least 5 million Americans suffer from eating disorders such as anorexia nervosa, bulimia nervosa and other eating disorders. Because eating disorders so often go undiagnosed and untreated, the actual number of Americans suffering from eating disorders is closer to 11 million. Tremendous misperceptions about the severity of eating disorders impact the federal resources devoted to eating disorders. First, fatalities resulting from eating disorders are grossly underestimated because they are most often recorded by listing only the immediate cause of death (cardiac arrest, electrolyte imbalance, kidney failure, gastric rupture, pancreatitis or suicide) without reference to the underlying eating disorder. This underreporting is partially responsible for the fact that federal research dollars lag behind research of other diseases when measured by either the number of people affected or by the relative health consequences of eating disorders.
To confront the growing issue of eating disorders, the FREED Act will:
* Expand research on the prevention of and effective treatment of eating disorders: Coordinates research on eating disorders at the National Institutes of Health and across the federal government, and creates research consortia to examine the causes and consequences of eating disorders, and to develop effective prevention and intervention programs.
* Improve the training and education of health care providers and educators: Authorizes grants to medical, nursing, social work and other health professions schools to train health care providers in the identification and treatment of eating disorders, and grants to train teachers and other educators in effective eating disorder prevention, detection and assistance strategies.
* Improve surveillance and data collection systems for tracking the prevalence and severity of eating disorders: Tasks CDC with addressing the lack of accurate information on the incidence and severity of eating disorders. Requires the development of new methods to accurately collect, analyze and report epidemiological data to ensure that the incidence of eating disorders and related fatalities are better understood.
* Prevent eating disorders: Authorizes grants to develop evidence-based prevention programs and promote healthy eating behaviors and in schools, recreational sports programs and athletic training programs.
* Build on existing reform efforts to ensure that treatment is available and affordable: Creates a patient advocacy program to aid people suffering from these diseases and their families negotiate the health care system. Incentivizes states to ensure that adolescents covered by Medicaid are diagnosed and treated.
Friday, April 30, 2010
Thursday, April 29, 2010
Great Article on FREED in the Senate!
EDC's April Lobby Day was a great success. Please make sure to read this article about the FREED Act which was introduced in the Senate the very same morning the EDC was lobbying Capitol Hill.
Sunday, April 25, 2010
What the heck is "Lobby Day?"
My first response to that question is always, "It's not a dumb question, as no question is ever dumb. We learn by asking questions." My second response is, "No need to be embarrassed. Once upon a time I didn't know what Lobby Day was either!" And then I expound a bit on what Lobby Day is/means to me.
Because this 'Lobby Day season' I've seemed to receive more than the usual amount of emails asking this very question, I thought I'd write a blog about it. Of course, I haven't yet found a way to totally put it into words what Lobby Day means to be, but I do hope this helps you better understand what Lobby Day is all about.
If you have additional questions, please always feel free to email me: policyassistantEDC@yahoo.com.
~From the Hill, Kathleen
Even though I really had no idea what to expect from my 1st EDC Lobby Day (and to be frank, I was also totally nervous that I wouldn't know what to say in the meetings, and I was afraid that if I did open my mouth to speak, I'd for certain say the wrong thing) I knew deep within that what we 30+ advocates were doing that snowy DC morning was indeed going to have an impact and indeed we were going to make a significant difference in the lives of those affected by Eating Disorders.
It was also on that cold and snowy February morning in 2003, that for the first time in nearly two decades I felt like I shouldn't feel ashamed and embarrassed for having suffered with anorexia and bulimia. For the first time in nearly 20 years of my life I felt like I could make a difference in the way I was treated by society, medical professionals, friends and family, for suffering with a disease, not a "life-style choice". And for the first time in nearly 20 years of my life, I felt like I might finally have the chance to get back something I had long ago lost. Something that until that day in DC I hadn't even noticed was missing all those years while I suffered from "feeling fat". On February 26, 2003 I dared to dream that I could once again find a voice, my voice, and I dared to dream that Hope Exists and that hope is one of the most powerful expressions of being alive.
"What's hope got to do with it?"
Nearly a year before my first Lobby Day, in June of 2002, I had spoken at a Congressional Briefing that the Eating Disorders Coalition sponsored. The Briefing was entitled, "A Matter of Life or Death: A Congressional Briefing on Eating Disorders and Access to Care." That June I arrived in DC feeling very different than I did in February, 2003. In June of 2002, I felt like my entire life since the age of 12 (when my eating disorder took over my life) had been a waste of everyone's time. I felt devoid of happiness, of meaning, of significance, of worthiness to be alive, and I truly felt like I had no reasons left to live. I felt this way for many reasons, but mostly because after so many years of suffering without receiving proper and adequate treatment, I felt like I was alone in my suffering, and I felt like my eating disorder, and all the hell and suffering it brought to seemingly everyone who came in contact with me, was, of course, "my fault". Most significantly, I felt 100% devoid of hope. Because my eating disorders had taken such a toll on my emotional well-being over the years, I came to the very unhealthy conclusion that the suffering I had endured was meant to come to an end the day I came to speak at the Briefing in June, 2002. My 'plan' was to never make it home from the Briefing. My mal-nourished mind and my underfed soul thought it was best if I quietly faded away, succumbing to the disease that for so long I had held out hope would reward me with happiness for the thinness I sustained*. I thought everyone who knew me or who had once known me would be relieved once I was gone.
Much like my first Lobby Day in February of 2003, in June of 2002 I had no idea what to really expect when I set foot on Capitol Hill; the environment and the goings on were foreign and enigmatic to me. I certainly had no idea what to expect from this organization called The Eating Disorders Coalition for Research, Policy and Action, but I knew what not to expect: I knew not to expect help or hope from them. (Or at least that was what my eating disordered-self, after so many years of being told, "Snap out of it and eat already!", had decided I should not expect.) Little did I know that on that day in June of 2002 my eating disordered-self would be totally taken aback by the organization I knew relatively nothing about, and my life was about to change in ways I never ever imagined.
The Congressional Briefing that the Eating Disorders Coalition (EDC) hosted in June, 2002, was designed to educate Members of Congress and their staffers about the denial of insurance coverage those with eating disorders so oftentimes face when seeking treatment. I had often tried to seek out treatment during the course of my 16 year-long battle with anorexia and bulimia but I was always told, "Insurance doesn't cover this." In fact, shortly before going to Capitol Hill to speak at the Briefing, I had been searching online for residential treatment options at centers like Remuda and Renfrew, but neither place would be covered by my insurance. I was told repeatedly by my insurance company that "Eating Disorders are not a covered service." Being told that only reinforced my disordered thinking that it was "my fault" for being sick, "my fault" that I couldn't simply 'get over it!', and "my fault" for 'failing' at recovery. I honestly thought that after I finished my speech at the Briefing that the people in the audience would come up to me and say, "When are you going to realize you need to just get over it already!?"
In fact, quite the opposite happened.
What happened after I finished speaking was that I found something I'd been missing for nearly 20 years of my life; something that I didn't even know I was missing.
That something was: understanding.
The other speakers and the people in the audience didn't blame me. They didn't shame me. They actually told me they were "sorry" that I had suffered and that it "wasn't fair" that I hadn't been able to get treatment.
I really couldn't fully take it all in at the time --but somewhere deep within I knew their words were significant. I knew that their words, unlike the words that had been constantly repeated to me by my insurance company, were supportive and heartfelt.
I had the sense that the people who spoke at the Briefing, the people who organized the Briefing, and the people in the audience all believed that I deserved treatment. And because of that, that day,
The Eating Disorders Coalition, by providing an avenue for "the voice of advocacy" that day (including Kitty Westin who shared the story of her daughter Anna's death as a direct result of anorexia), gave me the first ounce of belief that I might be worthy of surviving the disease that I had only hours before planned to allow steal my life. In hearing Anna's story, I heard the reality of my suffering, and I heard the pain of a mother left behind to deal with the grief that comes when a young life is taken from this world prematurely due to the hell of eating disorders. In hearing Kitty's and Anna's stories I realized that I didn't want to follow-thru with my intended plan. It was the first time that day that I would realize, "I do not want to die from this."
In the audience that day were two parents who had come to the Briefing because they believed that eating disorders needed to be recognized for the deadly disorders that they are, and that those suffering DESERVE treatment. The parents were Ron and Sally George. In September of 2000, their precious daughter Leslie Ann died as a direct result of a hospital emergency room denying Leslie proper life-saving service. The hospital doctors discriminated against Leslie after she disclosed to them that she suffered with bulimia. The doctors actually told Leslie to go home and let her food come out the way it had gone in. Shortly thereafter, Leslie's stomach ruptured and the hospital spent hours (and nearly $140,000) trying to save Leslie's life. When Mr. and Mrs. George looked into my eyes that day and shared Leslie's story with me --it was the first time I realized that bulimia is a seriously deadly disorder and I was scared I was going to die. And it was the second time that day that I realized, "I don't want to die from this."
The Eating Disorders Coalition provided a network of advocacy, compassion, strength, researchers, treatment professionals, family and friends affected by eating disorders --it was like this 'dream world' I'd always longed for when I was sick: people working together to help those suffering from a disease that was killing me and millions of others. Without the EDC providing this avenue for advocacy, I can honestly say that I do not think I would be alive today.
I walked away from the Briefing not quite sure what had just 'happened' to me. But I knew that what had happened was not to be taken lightly. And I knew that I felt a twinge of something in my heart that I hadn't felt in nearly 20 years.
Shortly after the Briefing, while walking around DC's beautiful Botanical Garden, I began to place what I was feeling in my heart. The feeling was that of...hope.
Putting it altogether: hope and advocacy in action!
Shortly after the Briefing I started receiving email updates from the Friends and Family Action Council, the advocacy arm of the EDC. The email updates mentioned this thing called "EDC Lobby Day". I had no idea what "Lobby Day" meant in relation to me. I thought that drug companies, oil companies, or people like Michael J. Fox were "lobbyists" and therefore, the EDC Lobby Day was not really for me. But as I mentioned, in February, 2003, I took a chance and ventured into DC to see what this "EDC Lobby Day" was all about.
There was a group of about 30 people at the training. I felt sure they were all smarter and savvier than me. I felt sure they knew more about Lobbying and legislation than me and that I was not meant to be there since I was 'only' someone who suffered with an eating disorder, I wasn't a treatment professional or doing research in eating disorders for my Ph.D.. There was a part of me who wanted to sneak out of the building where "Lobby Day Training" was being held, trust me. But I stayed...and am I ever glad that I did.
Jeanine Cogan, EDC Policy Director, began our training with a few ice breakers. She asked us questions like, "What do you think of when you hear the term "lobbyist" and "politician"?" The answers people voiced, as I'm sure you can imagine, were made up of some less than flattering descriptors. But then there were some answers called out by people in the audience who had been to previous "EDC Lobby Days". Their answers were more positive and hopeful including: "advocate", "interested in the issues", "compassionate", "relationship building", "makes a difference". Hmm...that's an interesting twist, I remember thinking. Jeanine went on to share with us what it means to be an advocate lobbying on the Hill for a cause. She shared with us that our stories, our personal stories, do indeed make a difference. I remember thinking, "yea, not my story though, she means stories from treatment professionals, right?" Nope. Jeanine meant what she said, "There is power in your personal story and that is what the Members (of Congress) and their staffers need to hear. They need to hear how your life was impacted by lack of treatment, by inadequate treatment..." When Jeanine was telling us why our stories mattered, that is when I first realized that for so long I had been missing my voice. I had lost my voice for nearly 20 years to a disease that silenced my needs. On
Unfortunately, my motivated feelings lasted only a fleeting moment because then Jeanine moved on to talking about Legislation.
My new found voice suddenly grew weak in my own head and a feeble and familiar voice said, "You can't do this. You don't know enough."
Feelings of worry flashed over me. I started furiously taking notes on every single detail of the Legislation Jeanine was telling us about. I felt like I couldn't write fast enough. And again, I felt like exiting the training because I felt I wasn't 'qualified' to be speaking at the meetings later that day. Well thank goodness Jeanine was aware that I was (and many others I'd come to find out, were) feeling pretty petrified that I wouldn't remember all the nitty gritty details of the legislation. She put us all at ease by saying, "You don't need to, and you likely won't, remember all the details of what I just said, that's why we're going to practice now what it will be like in your meetings today."
HUGE sigh of relief!
So, sitting around our round table, 8 of us looked at each other with eyes wide open as if to say, "You go first!" After a few nervous laughs, we gathered our strength and began practicing our 'meetings'. We had one person act as the Staffer and the rest of us acted as "EDC Advocates". First we introduced ourselves to the Staffer. Then we took a few minutes to share with the 'Staffer' why were there on the Hill that day. After everyone had had a turn to share, the 'Staffer' thanked us for our time and encouraged us to follow-up with their office.
Pretty good practice round we thought --but let's do it again for good measure. So we practiced again, shortening our 'reasons why we're on the Hill today' to about three minutes each, which gave everyone a chance to share in the short time allotted for our meeting. The more we practiced, the more at ease I felt, the less scared I felt, and the more I felt like my story, my voice, was indeed worthy enough to be there.
Jeanine wrapped up training and we were given packets of information and a list of offices we'd be meeting with that day. Raring to go, we set off on our mission: Educate Members of Congress and their Staffers about Eating Disorders: They are deadly, but there is Hope!
Meeting after meeting our 'Lobby Day Team' improved the delivery of our message. We got more comfortable sharing our stories in the time we had allowed, and we got more comfortable tying our stories to the legislation at hand (back in 2003 we didn't have the FREED Act, but there was other legislation like Mental Health Parity that we were advocating for).
At the end of the day, though tired and feet a bit worn, I was beaming. Indeed we had all made an impact and indeed we had all begun to make a significant difference in the lives of those affected by Eating Disorders! I not only had hope, but I now believed in the power of hope.
We've come a long way since 2003. For the purpose of this blog, the achievements of the EDC's advocacy efforts and the accomplishments of the Eating Disorders and Mental Health community are far too many to list. But they are many. A few I want to highlight include: successfully helping to advocate for the passage of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, and perhaps most importantly: the creation of our 'dream bill', the FREED Act (HR 1193), the Federal Response to Eliminate Eating Disorders --the first ever comprehensive bill in the history of Congress! The Senate version of the FREED Act will come out in time for this Lobby Day,
It is hard now for me to go back and remember the darkness that once consumed me as a result of my eating disorders. It is not hard to do because the pain from that darkness is too great to revisit. No, it is hard to remember the darkness because after I met the EDC, and since I fully recovered, I have remained full of the conviction behind the "enigmatic power of Hope" that was instilled in me at my first Lobby Day back in February, 2003. Perhaps most importantly: I have found that where there is hope, there is no darkness.
When people ask me if I really believe that the FREED Act will pass, I get goose bumps as I share with them my most sincere and gleeful answer of, "ABSOLUTELY, 100%! I BELIEVE!" I really do believe that miracles, like the FREED Act becoming law, do happen. My recovery, and now my life, is proof that miracles DO indeed happen if you: work hard, believe, and...never ever give up on Hope!
Tuesday, April 6, 2010
Free Awareness Party of Dancing & Cocktails to benefit The Eating Disorders Coalition
Free Awareness Party of Dancing & Cocktails to benefit
The Eating Disorders Coalition for mental health rights,
healthy body imaging & eating disorders treatment
Support Lobby Day April 26-27 for
The Federal Response to Eliminate Eating Disorders Act
The FREED Act Bill H.R. 1193
It is your chance to buy and promote the
Lotus Love Gem Bracelet
also at www.lotuslovegem.com
your choice to make $100 donation & you
will receive this bracelet plus a full 3 course dinner of appetizer, entree, dessert and drinks
Tuesday April 20
TIME 6:30pm - 9:30pm
THE PLACE: The Hill
416 3rd Avenue between 29th and 30th St
no fee just Suggested Admission Donation $15
includes $5 Appletinis, Cosmos, Select Special Beers,
Raffle ticket for Lotus Love Gem, Free Subscription to
Rhapsody Music and Free appetizers
Friday, March 26, 2010
Action Alert Deadline: Midnight Tonight!! (March 26th)
In response to Mrs. Obama's campaign to address childhood obesity, the EDC has collaborated with a number of organizations urging her to reframe the conversation and focus on children's overall health rather than weight. In that vein the EDC is working with a Member of Congress who is writing a sign-on letter urging Mrs. Obama to do the same.
On March 19th, NEDA launched an action alert that included a link to submit comments on Mrs. Obama's Obesity Initiative. The EDC highly encourages you to join in!
Below is the information for NEDA's action alert, which supplies you with the link to the webpage where you can submit your comments. The EDC encourages you to submit your brief comments using our sample comments and talking points as a guide.
link to submit comments:
http://www.regulations.gov/search/Regs/home.html#documentDetail?R=0900006480abe53d
Sample Comments and Talking Points are below for your convenience.
Sample Comments:
To Whom It May Concern: As someone whose life has been directly impacted by weight and body image issues, I submit the following comments regarding Mrs. Obama’s Obesity Initiative. I applaud The First Lady’s intention to increase the overall health of our nation’s children, yet I am deeply concerned that the currently proposed initiative might also do harm by inadvertently causing eating and body image disorders.
I urge that as The First Lady works to address obesity amongst children, she also address the equally troubling issues of hazardous weight loss strategies and eating disorders that ravage the lives of millions of our nation’s youth. I have [included in my comments or attached] Talking Points developed by several eating disorder organizations in response to the First Lady’s Obesity Initiative. I urge you to consider these Talking Points as you revise the currently proposed Obesity Initiative. Thank you for your time. I welcome hearing from you.
Sincerely, ____(your name here)______________
Talking Points:
RESPONSE TO WHITE HOUSE OBESITY PREVENTION INITIATIVE
Goal:
Promote healthy lifestyle habits in all children through an initiative that focuses on environment and behavior, while reducing weight stigma and stereotyping.
Background:
Several organizations join forces to urge that the White House Childhood Obesity Prevention initiative to move away from an emphasis on weight and to focus on a broader definition of children and adolescents’ health. These organizations represent thousands of clinicians, researchers, educators and others concerned with the impact of eating disorders on children, adolescents and adults. They include: The Academy for Eating Disorders, the Binge Eating Disorder Association, the Eating Disorder Coalition, the International Association for Eating Disorder Professionals, F.E.A.S.T. (Families Empowered and Supporting Treatment of Eating Disorders), and NEDA (National Eating Disorders Association).
Rationale:
We favor efforts to promote healthy lifestyle habits in children and adolescents and applaud these White House objectives, announced Feb. 9 by First Lady Michelle Obama. However, the current version of this initiative neglects a critical aspect of our children’s environments, namely the social environment that includes harmful weight bias and stigma. We strongly urge the initiative’s programming to emphasize behavior rather than weight. We recommend that the White House initiative follow the guidelines developed by the Academy for Eating Disorders. The following points are based on the latest scientific evidence and best clinical practices:
Interventions should be health-centered, not weight-focused, as weight is not a behavior and therefore not an appropriate target for behavior modification. Children and adolescents across the weight spectrum will benefit from a healthier diet, and more opportunities for physical activity. Therefore, interventions should be weight-neutral, i.e. aim to increase healthy living at any size rather than promoting specific goals for weight change.
Prospective studies show that body dissatisfaction and weight-related teasing are associated with binge eating and other eating disordered behaviors, lower levels of physical activity, and increased weight gain over time. Therefore, constructing a social environment where all children and adolescents are supported in feeling good about their bodies is essential to promoting health in youth.
Programs should be careful not to use language that has implicit or explicit stigmatizing anti-fat messages, like “fat is bad,” “fat children and adolescents are not healthy,” or “fat people eat too much.” Interventions should focus not only on providing opportunities for appropriate levels of physical activity and healthy eating, but also promote self-esteem, body satisfaction, and respect for body size diversity.
There is ample scientific evidence that an environment focusing on weight and thinness is a risk factor for eating disorders. Moreover, a reliance on BMI as a proxy for health leads to many “false positive” assumptions of illness in healthy heavier children and adolescents, and many overlooked problems of disordered eating and harmful weight loss practices in average-weight children and adolescents.
The World Health Organization defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Consistent with this definition, interventions aimed at addressing weight concerns should be constructed from a holistic perspective, where equal consideration is given to social, emotional and physical aspects of children and adolescents’ health.
Requests:
We ask that all aspects of the initiative consistently reference the importance of health for all rather than being framed around weight.
We urge consideration of the social environment, including the elimination of weight stigma and stereotyping, and eating disorder prevention, be a central part of the “Let’s Move” initiative.
We ask that information about eating disorders and how to prevent them are included on LetsMove.gov. You can link to Office of Women’s Health eating disorders campaign athttp://www.womenshealth.gov/archive/bodyimage/kids/bodywise/.
We ask that eating disorders organizations and human rights organizations representing the citizens most at risk for harm from weight stigma be included in the ongoing design and implementation of “Let’s Move.”
__________________________________________________________
NEDA's Action Alert:
Dear Friends of NEDA,
Michelle Obama has announced that combating childhood obesity will be one of her primary missions as First Lady. As such, she has established a task force comprised of representatives from numerous government agencies. This task force has 90 days to make recommendations on the following goals:
(a) ensuring access to healthy, affordable food;
(b) increasing physical activity in schools and communities;
(c) providing healthier food in schools; and
(d) empowering parents with information and tools to make good choices for themselves and their families
The task force is seeking feedback from the community to assist them in this significant endeavor. This is our chance to ensure that eating disorders are heard! They are accepting public comments.
NEDA urges you to write to the task force today to educate them about the dangers of misinformed obesity prevention, to encourage programs that promote healthy behaviors and body satisfaction, and which incorporate the emotional aspects of eating and body image.
Click here for facts about the need for eating disorder informed obesity interventions. Click here for the Academy for Eating Disorders Guidelines for Childhood Obesity Prevention Programs. Click here for an article written by expert, Kathy Kater, on the dangers of misinformed "obesity prevention." These resources may be helpful to augment your comments.
To submit your comments to the task force, and for more information about the obesity initiative, please visithttp://www.regulations.gov/search/Regs/home.html#documentDetail?R=0900006480abe53d
Please contact info@myneda.org and let us know you submitted a comment!
Let’s make a difference! Act today to change the future!
On March 19th, NEDA launched an action alert that included a link to submit comments on Mrs. Obama's Obesity Initiative. The EDC highly encourages you to join in!
Below is the information for NEDA's action alert, which supplies you with the link to the webpage where you can submit your comments. The EDC encourages you to submit your brief comments using our sample comments and talking points as a guide.
link to submit comments:
http://www.regulations.gov/search/Regs/home.html#documentDetail?R=0900006480abe53d
Sample Comments and Talking Points are below for your convenience.
Sample Comments:
To Whom It May Concern: As someone whose life has been directly impacted by weight and body image issues, I submit the following comments regarding Mrs. Obama’s Obesity Initiative. I applaud The First Lady’s intention to increase the overall health of our nation’s children, yet I am deeply concerned that the currently proposed initiative might also do harm by inadvertently causing eating and body image disorders.
I urge that as The First Lady works to address obesity amongst children, she also address the equally troubling issues of hazardous weight loss strategies and eating disorders that ravage the lives of millions of our nation’s youth. I have [included in my comments or attached] Talking Points developed by several eating disorder organizations in response to the First Lady’s Obesity Initiative. I urge you to consider these Talking Points as you revise the currently proposed Obesity Initiative. Thank you for your time. I welcome hearing from you.
Sincerely, ____(your name here)______________
Talking Points:
RESPONSE TO WHITE HOUSE OBESITY PREVENTION INITIATIVE
Goal:
Promote healthy lifestyle habits in all children through an initiative that focuses on environment and behavior, while reducing weight stigma and stereotyping.
Background:
Several organizations join forces to urge that the White House Childhood Obesity Prevention initiative to move away from an emphasis on weight and to focus on a broader definition of children and adolescents’ health. These organizations represent thousands of clinicians, researchers, educators and others concerned with the impact of eating disorders on children, adolescents and adults. They include: The Academy for Eating Disorders, the Binge Eating Disorder Association, the Eating Disorder Coalition, the International Association for Eating Disorder Professionals, F.E.A.S.T. (Families Empowered and Supporting Treatment of Eating Disorders), and NEDA (National Eating Disorders Association).
Rationale:
We favor efforts to promote healthy lifestyle habits in children and adolescents and applaud these White House objectives, announced Feb. 9 by First Lady Michelle Obama. However, the current version of this initiative neglects a critical aspect of our children’s environments, namely the social environment that includes harmful weight bias and stigma. We strongly urge the initiative’s programming to emphasize behavior rather than weight. We recommend that the White House initiative follow the guidelines developed by the Academy for Eating Disorders. The following points are based on the latest scientific evidence and best clinical practices:
Interventions should be health-centered, not weight-focused, as weight is not a behavior and therefore not an appropriate target for behavior modification. Children and adolescents across the weight spectrum will benefit from a healthier diet, and more opportunities for physical activity. Therefore, interventions should be weight-neutral, i.e. aim to increase healthy living at any size rather than promoting specific goals for weight change.
Prospective studies show that body dissatisfaction and weight-related teasing are associated with binge eating and other eating disordered behaviors, lower levels of physical activity, and increased weight gain over time. Therefore, constructing a social environment where all children and adolescents are supported in feeling good about their bodies is essential to promoting health in youth.
Programs should be careful not to use language that has implicit or explicit stigmatizing anti-fat messages, like “fat is bad,” “fat children and adolescents are not healthy,” or “fat people eat too much.” Interventions should focus not only on providing opportunities for appropriate levels of physical activity and healthy eating, but also promote self-esteem, body satisfaction, and respect for body size diversity.
There is ample scientific evidence that an environment focusing on weight and thinness is a risk factor for eating disorders. Moreover, a reliance on BMI as a proxy for health leads to many “false positive” assumptions of illness in healthy heavier children and adolescents, and many overlooked problems of disordered eating and harmful weight loss practices in average-weight children and adolescents.
The World Health Organization defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Consistent with this definition, interventions aimed at addressing weight concerns should be constructed from a holistic perspective, where equal consideration is given to social, emotional and physical aspects of children and adolescents’ health.
Requests:
We ask that all aspects of the initiative consistently reference the importance of health for all rather than being framed around weight.
We urge consideration of the social environment, including the elimination of weight stigma and stereotyping, and eating disorder prevention, be a central part of the “Let’s Move” initiative.
We ask that information about eating disorders and how to prevent them are included on LetsMove.gov. You can link to Office of Women’s Health eating disorders campaign athttp://www.womenshealth.gov/archive/bodyimage/kids/bodywise/.
We ask that eating disorders organizations and human rights organizations representing the citizens most at risk for harm from weight stigma be included in the ongoing design and implementation of “Let’s Move.”
__________________________________________________________
NEDA's Action Alert:
Dear Friends of NEDA,
Michelle Obama has announced that combating childhood obesity will be one of her primary missions as First Lady. As such, she has established a task force comprised of representatives from numerous government agencies. This task force has 90 days to make recommendations on the following goals:
(a) ensuring access to healthy, affordable food;
(b) increasing physical activity in schools and communities;
(c) providing healthier food in schools; and
(d) empowering parents with information and tools to make good choices for themselves and their families
The task force is seeking feedback from the community to assist them in this significant endeavor. This is our chance to ensure that eating disorders are heard! They are accepting public comments.
NEDA urges you to write to the task force today to educate them about the dangers of misinformed obesity prevention, to encourage programs that promote healthy behaviors and body satisfaction, and which incorporate the emotional aspects of eating and body image.
Click here for facts about the need for eating disorder informed obesity interventions. Click here for the Academy for Eating Disorders Guidelines for Childhood Obesity Prevention Programs. Click here for an article written by expert, Kathy Kater, on the dangers of misinformed "obesity prevention." These resources may be helpful to augment your comments.
To submit your comments to the task force, and for more information about the obesity initiative, please visithttp://www.regulations.gov/search/Regs/home.html#documentDetail?R=0900006480abe53d
Please contact info@myneda.org and let us know you submitted a comment!
Let’s make a difference! Act today to change the future!
Thursday, March 25, 2010
Have you sent your comments to Mrs.Obama yet?
In response to Mrs. Obama's campaign to address childhood obesity, the EDC has collaborated with a number of organizations urging her to reframe the conversation and focus on children's overall health rather than weight. In that vein the EDC is working with a Member of Congress who is writing a sign-on letter urging Mrs. Obama to do the same.
On March 19th, NEDA launched an action alert that included a link to submit comments on Mrs. Obama's Obesity Initiative. The EDC highly encourages you to join in!
Below is the information for NEDA's action alert, which supplies you with the link to the webpage where you can submit your comments. The EDC encourages you to submit your brief comments using our sample comments and talking points as a guide.
The Sample Comments and Talking Points are below for your convenience.
Sample Comments:
To Whom It May Concern: As someone whose life has been directly impacted by weight and body image issues, I submit the following comments regarding Mrs. Obama’s Obesity Initiative. I applaud The First Lady’s intention to increase the overall health of our nation’s children, yet I am deeply concerned that the currently proposed initiative might also do harm by inadvertently causing eating and body image disorders.
I urge that as The First Lady works to address obesity amongst children, she also address the equally troubling issues of hazardous weight loss strategies and eating disorders that ravage the lives of millions of our nation’s youth. I have [included in my comments or attached] Talking Points developed by several eating disorder organizations in response to the First Lady’s Obesity Initiative. I urge you to consider these Talking Points as you revise the currently proposed Obesity Initiative. Thank you for your time. I welcome hearing from you.
Sincerely, ____(your name here)______________
Talking Points:
RESPONSE TO WHITE HOUSE OBESITY PREVENTION INITIATIVE
Goal:
Promote healthy lifestyle habits in all children through an initiative that focuses on environment and behavior, while reducing weight stigma and stereotyping.
Background:
Several organizations join forces to urge that the White House Childhood Obesity Prevention initiative to move away from an emphasis on weight and to focus on a broader definition of children and adolescents’ health. These organizations represent thousands of clinicians, researchers, educators and others concerned with the impact of eating disorders on children, adolescents and adults. They include: The Academy for Eating Disorders, the Binge Eating Disorder Association, the Eating Disorder Coalition, the International Association for Eating Disorder Professionals, F.E.A.S.T. (Families Empowered and Supporting Treatment of Eating Disorders), and NEDA (National Eating Disorders Association).
Rationale:
We favor efforts to promote healthy lifestyle habits in children and adolescents and applaud these White House objectives, announced Feb. 9 by First Lady Michelle Obama. However, the current version of this initiative neglects a critical aspect of our children’s environments, namely the social environment that includes harmful weight bias and stigma. We strongly urge the initiative’s programming to emphasize behavior rather than weight. We recommend that the White House initiative follow the guidelines developed by the Academy for Eating Disorders. The following points are based on the latest scientific evidence and best clinical practices:
Interventions should be health-centered, not weight-focused, as weight is not a behavior and therefore not an appropriate target for behavior modification. Children and adolescents across the weight spectrum will benefit from a healthier diet, and more opportunities for physical activity. Therefore, interventions should be weight-neutral, i.e. aim to increase healthy living at any size rather than promoting specific goals for weight change.
Prospective studies show that body dissatisfaction and weight-related teasing are associated with binge eating and other eating disordered behaviors, lower levels of physical activity, and increased weight gain over time. Therefore, constructing a social environment where all children and adolescents are supported in feeling good about their bodies is essential to promoting health in youth.
Programs should be careful not to use language that has implicit or explicit stigmatizing anti-fat messages, like “fat is bad,” “fat children and adolescents are not healthy,” or “fat people eat too much.” Interventions should focus not only on providing opportunities for appropriate levels of physical activity and healthy eating, but also promote self-esteem, body satisfaction, and respect for body size diversity.
(cont. below)
There is ample scientific evidence that an environment focusing on weight and thinness is a risk factor for eating disorders. Moreover, a reliance on BMI as a proxy for health leads to many “false positive” assumptions of illness in healthy heavier children and adolescents, and many overlooked problems of disordered eating and harmful weight loss practices in average-weight children and adolescents.
The World Health Organization defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Consistent with this definition, interventions aimed at addressing weight concerns should be constructed from a holistic perspective, where equal consideration is given to social, emotional and physical aspects of children and adolescents’ health.
Requests
We ask that all aspects of the initiative consistently reference the importance of health for all rather than being framed around weight.
We urge consideration of the social environment, including the elimination of weight stigma and stereotyping, and eating disorder prevention, be a central part of the “Let’s Move” initiative.
We ask that information about eating disorders and how to prevent them are included onLetsMove.gov. You can link to Office of Women’s Health eating disorders campaign athttp://www.womenshealth.gov/archive/bodyimage/kids/bodywise/.
We ask that eating disorders organizations and human rights organizations representing the citizens most at risk for harm from weight stigma be included in the ongoing design and implementation of “Let’s Move.”
NEDA's Action Alert:
Dear Friends of NEDA,
Michelle Obama has announced that combating childhood obesity will be one of her primary missions as First Lady. As such, she has established a task force comprised of representatives from numerous government agencies. This task force has 90 days to make recommendations on the following goals:
(a) ensuring access to healthy, affordable food;
(b) increasing physical activity in schools and communities;
(c) providing healthier food in schools; and
(d) empowering parents with information and tools to make good choices for themselves and their families
The task force is seeking feedback from the community to assist them in this significant endeavor. This is our chance to ensure that eating disorders are heard! They are accepting public comments.
NEDA urges you to write to the task force today to educate them about the dangers of misinformed obesity prevention, to encourage programs that promote healthy behaviors and body satisfaction, and which incorporate the emotional aspects of eating and body image.
Click here for facts about the need for eating disorder informed obesity interventions. Click here for the Academy for Eating Disorders Guidelines for Childhood Obesity Prevention Programs. Click here for an article written by expert, Kathy Kater, on the dangers of misinformed "obesity prevention." These resources may be helpful to augment your comments.
To submit your comments to the task force, and for more information about the obesity initiative, please visithttp://www.regulations.gov/search/Regs/home.html#documentDetail?R=0900006480abe53d
Please contact info@myneda.org and let us know you submitted a comment!
Let’s make a difference! Act today to change the future!
On March 19th, NEDA launched an action alert that included a link to submit comments on Mrs. Obama's Obesity Initiative. The EDC highly encourages you to join in!
Below is the information for NEDA's action alert, which supplies you with the link to the webpage where you can submit your comments. The EDC encourages you to submit your brief comments using our sample comments and talking points as a guide.
The Sample Comments and Talking Points are below for your convenience.
Sample Comments:
To Whom It May Concern: As someone whose life has been directly impacted by weight and body image issues, I submit the following comments regarding Mrs. Obama’s Obesity Initiative. I applaud The First Lady’s intention to increase the overall health of our nation’s children, yet I am deeply concerned that the currently proposed initiative might also do harm by inadvertently causing eating and body image disorders.
I urge that as The First Lady works to address obesity amongst children, she also address the equally troubling issues of hazardous weight loss strategies and eating disorders that ravage the lives of millions of our nation’s youth. I have [included in my comments or attached] Talking Points developed by several eating disorder organizations in response to the First Lady’s Obesity Initiative. I urge you to consider these Talking Points as you revise the currently proposed Obesity Initiative. Thank you for your time. I welcome hearing from you.
Sincerely, ____(your name here)______________
Talking Points:
RESPONSE TO WHITE HOUSE OBESITY PREVENTION INITIATIVE
Goal:
Promote healthy lifestyle habits in all children through an initiative that focuses on environment and behavior, while reducing weight stigma and stereotyping.
Background:
Several organizations join forces to urge that the White House Childhood Obesity Prevention initiative to move away from an emphasis on weight and to focus on a broader definition of children and adolescents’ health. These organizations represent thousands of clinicians, researchers, educators and others concerned with the impact of eating disorders on children, adolescents and adults. They include: The Academy for Eating Disorders, the Binge Eating Disorder Association, the Eating Disorder Coalition, the International Association for Eating Disorder Professionals, F.E.A.S.T. (Families Empowered and Supporting Treatment of Eating Disorders), and NEDA (National Eating Disorders Association).
Rationale:
We favor efforts to promote healthy lifestyle habits in children and adolescents and applaud these White House objectives, announced Feb. 9 by First Lady Michelle Obama. However, the current version of this initiative neglects a critical aspect of our children’s environments, namely the social environment that includes harmful weight bias and stigma. We strongly urge the initiative’s programming to emphasize behavior rather than weight. We recommend that the White House initiative follow the guidelines developed by the Academy for Eating Disorders. The following points are based on the latest scientific evidence and best clinical practices:
Interventions should be health-centered, not weight-focused, as weight is not a behavior and therefore not an appropriate target for behavior modification. Children and adolescents across the weight spectrum will benefit from a healthier diet, and more opportunities for physical activity. Therefore, interventions should be weight-neutral, i.e. aim to increase healthy living at any size rather than promoting specific goals for weight change.
Prospective studies show that body dissatisfaction and weight-related teasing are associated with binge eating and other eating disordered behaviors, lower levels of physical activity, and increased weight gain over time. Therefore, constructing a social environment where all children and adolescents are supported in feeling good about their bodies is essential to promoting health in youth.
Programs should be careful not to use language that has implicit or explicit stigmatizing anti-fat messages, like “fat is bad,” “fat children and adolescents are not healthy,” or “fat people eat too much.” Interventions should focus not only on providing opportunities for appropriate levels of physical activity and healthy eating, but also promote self-esteem, body satisfaction, and respect for body size diversity.
(cont. below)
There is ample scientific evidence that an environment focusing on weight and thinness is a risk factor for eating disorders. Moreover, a reliance on BMI as a proxy for health leads to many “false positive” assumptions of illness in healthy heavier children and adolescents, and many overlooked problems of disordered eating and harmful weight loss practices in average-weight children and adolescents.
The World Health Organization defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Consistent with this definition, interventions aimed at addressing weight concerns should be constructed from a holistic perspective, where equal consideration is given to social, emotional and physical aspects of children and adolescents’ health.
Requests
We ask that all aspects of the initiative consistently reference the importance of health for all rather than being framed around weight.
We urge consideration of the social environment, including the elimination of weight stigma and stereotyping, and eating disorder prevention, be a central part of the “Let’s Move” initiative.
We ask that information about eating disorders and how to prevent them are included onLetsMove.gov. You can link to Office of Women’s Health eating disorders campaign athttp://www.womenshealth.gov/archive/bodyimage/kids/bodywise/.
We ask that eating disorders organizations and human rights organizations representing the citizens most at risk for harm from weight stigma be included in the ongoing design and implementation of “Let’s Move.”
NEDA's Action Alert:
Dear Friends of NEDA,
Michelle Obama has announced that combating childhood obesity will be one of her primary missions as First Lady. As such, she has established a task force comprised of representatives from numerous government agencies. This task force has 90 days to make recommendations on the following goals:
(a) ensuring access to healthy, affordable food;
(b) increasing physical activity in schools and communities;
(c) providing healthier food in schools; and
(d) empowering parents with information and tools to make good choices for themselves and their families
The task force is seeking feedback from the community to assist them in this significant endeavor. This is our chance to ensure that eating disorders are heard! They are accepting public comments.
NEDA urges you to write to the task force today to educate them about the dangers of misinformed obesity prevention, to encourage programs that promote healthy behaviors and body satisfaction, and which incorporate the emotional aspects of eating and body image.
Click here for facts about the need for eating disorder informed obesity interventions. Click here for the Academy for Eating Disorders Guidelines for Childhood Obesity Prevention Programs. Click here for an article written by expert, Kathy Kater, on the dangers of misinformed "obesity prevention." These resources may be helpful to augment your comments.
To submit your comments to the task force, and for more information about the obesity initiative, please visithttp://www.regulations.gov/search/Regs/home.html#documentDetail?R=0900006480abe53d
Please contact info@myneda.org and let us know you submitted a comment!
Let’s make a difference! Act today to change the future!
Tuesday, March 23, 2010
Health Care Reform
Health Care Reform passed on Sunday, March 21, 2010 and is now going to the President for his signature.
The following provisions were included in H.R. 3590 that will
help millions of children and adults with mental disorders.
* Health insurance market reforms that prohibit pre-existing
conditions exclusions and annual or lifetime limits, provide guaranteed
issue and renewal requirements, and allow dependent young adults to
remain on parental coverage to age 26;
* Essential plan benefits that include mandatory mental health,
substance use, rehabilitation, habilitation, prescription drug and
preventive services;
* Mental health and substance use parity requirement for exchange
plans;
* Within the private health care system, integrating mental
health into primary care with the establishment of interprofessional,
interdisciplinary health teams to support primary care practices;
* Medicaid eligibility extension to individuals up to 133% of the
federal poverty level, including childless single adults;
* Chronic care coordination fostered through a Medicaid state plan
option allowing beneficiaries with one or more chronic conditions or
serious mental illnesses to designate a health home, and permitting the
designation of a community mental health center as an eligible health
home;
* Children's Health Insurance Program maintenance through 2019,
with states continuing to provide services or offering a providing a
procedure to provide for coverage through the exchange;
* Long-term services coverage through the new Community Living
Assistance Services and Supports national insurance program and
Community First Choice Medicaid Option to help individuals with
disabilities receive essential care at home or in the community;
* Workforce development through mental health and behavioral
health education and training grants to assist providers specializing in
and providing services to children, adolescents and adults and loan
forgiveness to child mental health professionals;
* Prevention and wellness services through community
transformation grants and enhanced services for special populations,
including people with disabilities; ensuring that the Substance Abuse
and Mental Health Services Administration is consulted on the
development of strategies pertaining to behavioral health and directing
the Clinical Preventive Services Task Force to consider best practices
presented by scientific societies in the development of clinical
preventive recommendations;
* Strengthening Medicare through an extension restoring
reimbursement cuts for psychotherapy services within the outpatient
mental health benefit and requiring Part D plans to provide full
coverage of six classes of clinically sensitive medications, including
anti-depressants, anti-psychotics and anti-convulsants;
help millions of children and adults with mental disorders.
* Health insurance market reforms that prohibit pre-existing
conditions exclusions and annual or lifetime limits, provide guaranteed
issue and renewal requirements, and allow dependent young adults to
remain on parental coverage to age 26;
* Essential plan benefits that include mandatory mental health,
substance use, rehabilitation, habilitation, prescription drug and
preventive services;
* Mental health and substance use parity requirement for exchange
plans;
* Within the private health care system, integrating mental
health into primary care with the establishment of interprofessional,
interdisciplinary health teams to support primary care practices;
* Medicaid eligibility extension to individuals up to 133% of the
federal poverty level, including childless single adults;
* Chronic care coordination fostered through a Medicaid state plan
option allowing beneficiaries with one or more chronic conditions or
serious mental illnesses to designate a health home, and permitting the
designation of a community mental health center as an eligible health
home;
* Children's Health Insurance Program maintenance through 2019,
with states continuing to provide services or offering a providing a
procedure to provide for coverage through the exchange;
* Long-term services coverage through the new Community Living
Assistance Services and Supports national insurance program and
Community First Choice Medicaid Option to help individuals with
disabilities receive essential care at home or in the community;
* Workforce development through mental health and behavioral
health education and training grants to assist providers specializing in
and providing services to children, adolescents and adults and loan
forgiveness to child mental health professionals;
* Prevention and wellness services through community
transformation grants and enhanced services for special populations,
including people with disabilities; ensuring that the Substance Abuse
and Mental Health Services Administration is consulted on the
development of strategies pertaining to behavioral health and directing
the Clinical Preventive Services Task Force to consider best practices
presented by scientific societies in the development of clinical
preventive recommendations;
* Strengthening Medicare through an extension restoring
reimbursement cuts for psychotherapy services within the outpatient
mental health benefit and requiring Part D plans to provide full
coverage of six classes of clinically sensitive medications, including
anti-depressants, anti-psychotics and anti-convulsants;
Jeanine Cogan, Ph.D., Policy Director
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