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) b. have a social security number. 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
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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.
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"