Our Senior Director of CalFresh and Advocacy, Amanda Schultz-Brochu, recently organized and moderated an eye-opening panel on screening for food insecurity at healthcare settings hosted by Be There San Diego as part of their University of Best Practices series. Amanda engaged experts in healthcare about their work related to food insecurity, the innovative programs they have launched to address this issue, and the impact their work has had on their patient’s health. The Hunger Coalition’s Rx for CalFresh report has served as a catalyst for screening for food insecurity at healthcare settings.
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Experts in the healthcare field are now better prepared to screen for food insecurity in their settings thanks to a presentation made by our CalFresh Outreach Director Amanda Schultz Brochu at this year’s California Food Policy Advocate’s CalFresh Forum.
The annual forum brings together hundreds of key stakeholders from across the state to identify opportunities and discuss strategies to improve the reach of CalFresh.
Amanda was a panelist with other public health and hunger experts presenting on models from their communities for identifying food-insecure patients in healthcare settings and connecting them to CalFresh and other food assistance programs. She presented on the San Diego Hunger Coalition's 2014-2016 work to integrate food insecurity screenings into healthcare settings in San Diego County, which included coordinating Rx for CalFresh pilots across six unique healthcare settings and developing a food security and healthcare curriculum in partnership with the UC San Diego School of Medicine. This work was the basis for our groundbreaking report Launching Rx for CalFresh in San Diego County: Integrating Food Security into Healthcare Settings.
Most of the San Diego pilots utilized the two-question screener developed by the USDA which has been scientifically validated to accurately identify individuals who are currently experiencing food insecurity. In a sample of 30,000 patients, the two-question screener identified 97% of food insecurity cases. Patients at participating healthcare providers were asked to answer “often true,” sometimes true,” or “never true,” over the last twelve months if:
1. We worried whether our food would run out before we got the money to buy more.
2. The food we bought just didn’t last and we didn’t have money to get more.
The San Diego pilots also helped identify the best options for enrolling patients in CalFresh ranging from referring patients to a local nonprofit providing application assistance, which can be a challenge for patients if the organization is not located within close proximity to where a client lives or works, to on-demand on-site assistance which has the best enrollment results but requires a full-time application assister. Clinics and hospitals that provide their own CalFresh application assistance often pair this with their existing Medi-Cal assistance program.
An important part of Amanda’s presentation were the lessons learned from our Rx for CalFresh pilots. These included training medical staff on the connection between food security and health outcomes, as well as how to pose what can be very sensitive questions. Integrating screenings into Electronic Health Records was also found to be key in evaluating the process and outcomes and creating replicable templates that make it easier for more healthcare settings to use.
Each panelist stressed the importance of being results driven and creating measurable action in order to get funding and effect policy as well as using a collective impact approach to share learnings and metrics with others in the hunger, poverty and healthcare fields.
As a result of Amanda’s presentation, Second Harvest Food Bank in Orange County has already reached out to a healthcare system in their area to explore integrating food security resources.
We're pioneering new ways for people to access CalFresh assistance - through their healthcare providers. On December 14th, more than 50 healthcare and food security stakeholders from across San Diego County gathered at the Price Charities Center to discuss best practices for screening and addressing food insecurity in patients.
Public Health Institute’s Holly Calhoun keynoted the Integrating Food Security into Healthcare Settings forum. She opened the session by illustrating the national landscape of innovative work already being done across the US.
Featured panelists from UCSD School of Medicine, Family Health Centers San Diego, Sharp Healthcare, Feeding San Diego, and 211 San Diego continued the conversation by describing their local efforts to identify and connect food insecure patients to CalFresh and food assistance. They highlighted how a provider's unique relationship with patients can ensure wellness through traditional healthcare as well as access to healthy food.
Forum participants were enthusiastic about the pilot programs' results. Many discussed how to strengthen evaluation measures to continue to capture data and learn from one another. Multiple healthcare organizations expressed interest in engaging in this work. See photos from the event here and read our research report, Launching Rx for CalFresh in San Diego County: Integrating Food Security in Healthcare Settings.
We look forward to continuing the conversation and collaborative work in 2017!