Food Insecurity Screening & Referrals
Food insecurity screening and referrals are key steps in addressing hunger and malnutrition. By routinely asking patients about their access to food, health care providers can identify those at risk of food insecurity. Referrals to community resources, food banks, or nutrition assistance programs are then made to help individuals and families obtain the food they need. This process not only addresses immediate needs but also connects people to ongoing support, helping to reduce food insecurity and improve overall health outcomes.
Screening in a Health Care Setting
Food Insecurity Screening in Health Care
Food insecurity screening in health care is essential because food insecurity often has negative health impacts that aren’t immediately visible. Many patients may not express concerns about food access, leading to delayed intervention and potential progression to malnutrition or other related health issues. Screening allows healthcare providers to identify at-risk patients early, much like other health risk screens, and ensure they receive appropriate follow-up services.
These screenings can be performed by non-medical staff or self-administered, with more complex diet evaluations handled by licensed providers. Standardized screening not only helps address current food insecurity but also encourages patients to seek help in the future if food access becomes a concern.
Food Insecurity Screening Tools
Nutrition Screeners
The Tufts Friedman School of Nutrition Science and Policy is actively engaged in research related to nutrition screening tools. Many nutrition tools focus only on malnutrition such as the Malnutrition Screening Tool , which is currently being piloted in VT. Research is focused on the creation of practical, evidence-based solutions that can be used by healthcare providers to assess nutritional needs and improve patient care. UC Davis currently has a Food Behavior Checklist, that looks more closely at daily nutritional intake. These tools are not intended to replace the role of a Registered Dietician; however, they are intended to give healthcare professionals a standardized tool to help with knowing when to refer to a Registered Dietician. Some people may have access to food, but the food they have access to may not be healthy food.
Research Corner
Hunger Vital Signs (HVS) podcasts
The Policy in Plainer English podcast is a grant-funded program of Bi-State Primary Care Association, with each season exploring topics related to Vermont health care policy. This page includes archive from the two seasons focused on the food access and health care program. For the full list of episodes visit PlainerEnglish.Buzzsprout.com or search for the series on your favorite podcast player (such as Spotify , Apple Podcasts , or Amazon Music ).
Data & Resources
- CDC/ATSDR Social Vulnerability Index (CDC/ATSDR SVI): https://www.atsdr.cdc.gov/placeandhealth/svi/index.html
- CDC PLACES: Local Data for Better Health https://www.cdc.gov/places/index.html
- County Health Rankings & Roadmaps https://www.countyhealthrankings.org/
- HOPE Initiative Factors that influence health https://www.hopeinitiative.org/state/
- USDA Household Food Security Rates: https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/history-background/#annual
- Walk to Shop https://vtccc.w3.uvm.edu/walk-to-shop-program/
- Transportation in Vermont (Go! Vermont): https://www.connectingcommuters.org/
VT Community Health Worker (CHW) Survey Results
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Contact Us
Interested in learning more? Contact us at Bi-State Primary Care Association for more information.