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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Feasibility of an Emergency Department-based Food Insecurity Screening and Referral Program.

Victor Cisneros1, Ian Dennis Capo Olliffe2, Marco Santos Esteban2

  • 1Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California.

The Western Journal of Emergency Medicine
|June 25, 2025
PubMed
Summary
This summary is machine-generated.

Emergency department screening effectively identifies food insecurity (FI) and referrals reduce participant FI scores. Addressing barriers like transportation and time is key to improving engagement with food assistance resources.

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Area of Science:

  • Public Health
  • Health Services Research
  • Nutrition Security

Background:

  • Food insecurity (FI) affects over 12.8% of US households, disproportionately impacting marginalized urban populations.
  • Emergency departments (EDs) are potential hubs for addressing FI due to their broad reach.
  • This study investigates the feasibility of an ED-based FI screening and referral program in an urban academic hospital.

Purpose of the Study:

  • Assess the prevalence of FI among urban ED patients.
  • Evaluate the feasibility of a 3- and 6-week follow-up for FI assessment.
  • Examine barriers to resource utilization among food-insecure ED patients.

Main Methods:

  • A single-center, observational study conducted in an urban academic ED (2018-2024).
  • Validated two-question survey for initial FI screening, followed by the USDA Adult Food Security survey for positive screens.
  • Three- and six-week follow-up calls to assess changes in FI status and identify barriers.

Main Results:

  • 16.9% of 6,339 participants screened positive for FI, with higher rates in Black non-Hispanic (24.7%) and Spanish-speaking (28.7%) individuals.
  • Of enrolled participants, 7.6% completed the 6-week follow-up, showing a significant decrease in mean FI scores (6.67 to 4.25, P < 0.001).
  • Key barriers included time constraints, transportation issues, and misplacement of referral materials, limiting engagement.

Conclusions:

  • An ED-based FI screening and referral program is feasible and effective in reducing food insecurity.
  • Addressing patient-identified barriers is crucial for enhancing program engagement and impact.
  • Systematic support, including universal screening and personalized assistance, can improve accessibility of food resources.