Harbor: Social Resources
Background
See below for a compilation of resources for Harbor patients facing social determinants of illness:
1. Food Pharmacy
2. Life Line Phones
3. One Degree
4. Whole Person Care
5. Violence/Trauma prevention
Evaluation
1. Evaluate for food insecurity via the Hunger Vital Sign questionnaire [1,2] (Positive if they answer Yes to either or both: “ Within the past 12 months we worried whether our food would run out before we got money to buy more.” “ Within the past 12 months the food we bought just didn’t last and we didn’t have money to get more.”) Also refer patients who have diet-related illness such as diabetes and CHF.
2. Patients are eligible for free Lifeline (Obama) phones + service if they are: a. low-income (by proof of income or OR have proof of a public benefits program e.g. Medi-Cal, Food Stamps/CalFresh) b. have a social security number.
3. One Degree is an online database of resources ranging from housing to education that is searchable by location. Would be ideal for patients who have access to the internet who could benefit from tailored resources. See: https://www.1degree.org/
4. see [[1]]
5. see [[2]]
Management
1. Food Pharmacy: Refer them to the Harbor Food pharmacy verbally (“Please come to the front of Harbor UCLA at the ED entrance Wednesdays at 10:00am. One box of fruits and vegetables per person, until supplies run out"). They do not need to bring any ID or be a Harbor patient (family members can pick up too). Encourage them to bring their food prescription if they have one.
2. Two vendors will be on campus from around 8am-6pm seven days a week outside of the S/E partners. The vendors are Assurance Wireless and American Assistance.
For full information about the program please go to: http://www.cpuc.ca.gov/General.aspx?id=2752#qualify
Disposition
1. Food Pharmacy: include a Prescription in the education page by going to [Discharge]--> [Patient Education] tab on --> Select "Departmental" --> Search "Food" or click on "Food Pharmacy-HAR (Spanish/English)" in the search results.
See Also
External Links
References
< [1] Hager, E. R., Quigg, A. M., Black, M. M., Coleman, S. M., Heeren, T., Rose-Jacobs, R., Cook, J. T., Ettinger de Cuba, S. E., Casey, P. H., Chilton, M., Cutts, D. B., Meyers A. F., Frank, D. A. (2010). Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity. Pediatrics, 126(1), 26-32. doi:10.1542/peds.2009-3146.
[2] Gundersen C, Engelhard EE, Crumbaugh AS, Seligman HK. Brief assessment of food insecurity accurately identifies high-risk US adults. Public Health Nutr. 2017;20(8):1367-1371. doi:10.1017/S1368980017000180"