Reducing Food Insecurity through Personalized Interventions at the East Harlem Health Outreach Partnership

Abstract

Background: An individualized food insecurity protocol is defined as a comprehensive process of screening and set of interventions designed around the specific needs of an individual patient including but not limited to such factors as work schedule, place of living, and forms of identification. The aim of this project is to identify whether an individualized food insecurity protocol reduces food insecurity in the patients seen at the East Harlem Health Outreach Partnership (EHHOP), a student-run, attending-directed free clinic in East Harlem. 
 Methods: Twenty-one patients who had screened positive for food insecurity in the past year were enrolled in the study. Pre- and post-intervention scores based on responses to a modified version of the United States Department of Agriculture’s Six-Item Short Form of the Food Security Survey were recorded, compiled as aggregate data, and compared using the Wilcoxon signed-rank test. 
 Results: The results of this study demonstrate that an individualized protocol was successful in reducing food insecurity (p = 0.005). However, for certain groups, the protocol was not as effective, including patients with poor continuity of care and unstable living conditions. 
 Conclusions: These results showed that the individualized protocol was effective for many but not all participants. Patients may have compounding factors that require additional interventions to supplement this protocol. This protocol is low cost to implement and adaptable to other clinical settings.

Nutrition Assessment in Student-Run Clinics Serving Hispanic/Latinx Patients

“…Since, the Harlem clinic has worked to identify a plan of action for patients that indicate they are food insecure to tailor a plan that meets their needs. 31 The aforementioned studies show that each student-run clinic provides valuable insight into addressing social determinants of health in nutrition assessment that patients may face. Many free community clinics and student-run clinics likely address nutritional needs in several ways but often do not publish this information.…”

“…The patients of student-run clinics experience disproportionately high risk for chronic disease due to negative impacts of social determinants of health, including barriers to obtaining healthcare, ranging from lack of financial resources to fear of deportation. 1,2 In patients utilizing student-run clinics in the United States (US), 31.0% reported race/ethnicity as Hispanic/Latinx, however this percentage may have changed in the last several years. 3 The Hispanic/Latinx patients at student-run clinics, otherwise ineligible for healthcare coverage, are at risk for nutritionrelated diseases such as cardiovascular disease (CVD) and Type 2 Diabetes Mellitus (DM2) due to high rates of obesity and other comorbidities.…”