Implementing an EHR-based Screening and Referral System to Address Social Determinants of Health in Primary Care

Background: Social determinants affect health, yet there are few systematic clinical strategies in primary care that leverage electronic health record (EHR) automation to facilitate screening for social needs and resource referrals. An EHR-based social determinants of health (SDOH) screening and referral model, adapted from the WE CARE model for pediatrics, was implemented in urban adult primary care. Objectives: This study aimed to: (1) understand […]

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Loss Of SNAP Is Associated With Food Insecurity And Poor Health In Working Families With Young Children

ABSTRACT: The Supplemental Nutrition Assistance Program (SNAP) helps working families meet their nutritional needs. Families whose earned income increases in a given month may have their SNAP benefits abruptly reduced or cut off in the following month. Using sentinel sample data from 2007–15 for families with children younger than age four, we investigated how SNAP […]

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Trends in Food Insecurity and SNAP Participation among Immigrant Families of U.S.-Born Young Children

Abstract: Immigrant families are known to be at higher risk of food insecurity compared to non-immigrant families. Documented immigrants in the U.S. <5 years are ineligible for the Supplemental Nutrition Assistance Program (SNAP). Immigration enforcement, anti-immigrant rhetoric, and policies negatively targeting immigrants have increased in recent years. Anecdotal reports suggest immigrant families forgo assistance, even […]

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Promoting Caregiver and Child Health Through Housing and Stability Screening in Clinical Settings

Within the health care sector, researchers, clinicians, and payers increasingly recognize the importance of the social determinants of health for improving maternal and child health. The article focuses on existing and emerging approaches to screening families for unstable housing circumstances. The authors describe how housing stability screening helps health care providers to better understand risks […]

Household food insecurity positively associated with increased hospital charges for infants

Originally posted by the Journal of Applied Research on Children, a publication of the Children at Risk Institute.  ABSTRACT Objective: To test whether household food insecurity (HFI) was associated with total annual hospitalization charges, annual days hospitalized, and charges per day, among low-income infants (months) with any non-neonatal hospital stays. Methods: Administrative inpatient hospital charge […]

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Homelessness During Infancy: Associations With Infant and Maternal Health and Hardship Outcomes

Abstract • Objective: Homelessness among children is correlated with developmental delays, fair or poor health, and high healthcare utilization (AAP, 2013). Associations of homelessness specifically among infants younger than 12 months, however, are unknown. This study evaluates homelessness during infancy as a risk for adverse infant and maternal health and hardship. • Methods: From May […]

Successes, Challenges, and Considerations for Integrating Referral into Food Insecurity Screening in Pediatric Settings

Food insecurity, lack of access to enough food for an active and healthy life, is associated with poor child health. Three pediatric clinics implemented a two- question food insecurity screening of 7,284 families with children younger than five years. Over one thousand (1,133, 15.6%) reported food insecurity and 630 (55.6%) were referred to a benefits […]

Emergency Department Experience with Novel Electronic Medical Record Order for Referral to Food Resources

The United States Department of Agriculture (USDA) defines food insecurity as “limited or uncertain availability of nutritionally adequate and safe foods, or limited or uncertain ability to acquire acceptable foods in socially acceptable ways”. Food insecurity is prevalent in the U.S., affecting 12.7% of the population in 2016. The impact of food insecurity can be […]

Unstable Housing and Caregiver and Child Health in Renter Families

OBJECTIVES: To evaluate how 3 forms of housing instability relate to caregiver and child health among low-income renter households. METHODS: Caregivers of children 0 to 48 months of age were interviewed in 5 urban medical centers from May 2009 to December 2015. Caregivers reported on the following: caregiver health, maternal depressive symptoms, child’s health, lifetime […]