Identifying And Addressing Childhood Food Insecurity In Healthcare And Community Settings

This salient resource offers clinicians a comprehensive multi-tiered framework for identifying, addressing, and reducing food insecurity among children and their families. Reinforcing the importance of food insecurity as a key social determinant of health, this monograph reviews the epidemiology and presents in-depth guidelines for screening for food insecurity and hunger. Recommendations for screening in a busy clinical setting as well as the strengths and limitations of widely-used instruments are discussed. The monograph also outlines a variety of clinic-level interventions, potential community-based resources, and opportunities for clinical-community partnerships to improve families’ food access and security. Further, contributors provide workable plans for large-scale advocacy through greater engagement with professional and community resources as well as policymakers. The monograph concludes with an outline of the critical steps to implement a food insecurity screening process and the key components to train the next generation of provider-advocates. Included in the coverage: Epidemiology and pathophysiology of food insecurity Screening tools and training Scope of interventions to address food insecurity Creation and evaluation of the impact of food insecurity-focused clinical-community partnerships on patients and populations Development of an action plan to fight food insecurity Identifying and Addressing Childhood Food Insecurity in Healthcare and Community Settings will find an engaged audience among physicians and other clinicians who want to address food insecurity in their healthcare and/or community setting. Institutions that are starting to address social determinants of health, including food insecurity, will find guidance on screening tools, processes and evaluation of impact.

Each year, Advances in Family Practice Nursing focuses on providing current clinical information on important topics in primary care aimed aimed at the family care nurse practitioner. Dr. Geri Reeves and her editorial board, comprised of top experts in the areas of pediatrics, adult/geriatric, and women's health have assembled authors to bring the following topics to publication in this year's edition: Falls in Older Adults: Prevention and Assessment of Risk in Primary Care; Challenges of Treating Extended Spectrum Beta-Lactamase (ESBL) in Long-Term Care; Serious Illness Conversations with Older Adults in Primary Care; The Role of the Primary Care Nurse Practitioner in Work-Up and Management of Parkinson’s Disease; Irregularly Irregular: Atrial Fibrillation for Primary Care; Insights into the Management of Older Adults with Type 2 Diabetes; Sexual violence screening for women across the lifespan; Self-management Apps for provider or patient use; Hypertension disorders in pregnancy; Caring for women with circumcision: A primary care perspective; Brief behavioral therapy for insomnia; Teens and Vaping: What you need to know; Autism for the PC Provider: Importance of Early Intervention; Human Trafficking: Identifying and Helping Victims; Encopresis Management in Primary Care; Childhood Obesity: Management and Evaluation for Primary Care; and HPV: How to Address Prevention and Vaccine Hesitancy. Readers will come away with the clinical information that supplements their professional knowledge so they can make informed clinical decisions that improve patient outcomes in pediatric, adult/geriatric, and female patients.

Food for the Future: Stories from the Alternative Agro-food Movement is about different foods, the stories they contain, and most of all the people in the stories. John Brueggemann interviewed dozens of farmers, chefs, non-profit managers, consumers, teachers, and healthcare providers. He argues that their individual stories point towards larger patterns that have shaped the alternative agro-food movement, and that other factors, including the environmental movement, farms, lifestyle movements, and consumers have all played a crucial role in its rise. The author concludes that the alternative agro-food movement is providing a countervailing force relative to mainstream market culture, and that instead of efficiency, profit, consumption, individualism and short-term thinking, the alternative agro-food movement emphasizes meaning, need, creation, community, and long-term thinking.

A new introduction to public health's most elemental topic Food is baked in to most things that public health is and does. But for a field charged with carrying torches as divergent as anti-hunger and anti-obesity, it's unlikely, even impossible, to shape a unified approach to complex concepts like food environment, food access, or even nutrition. Food and Public Health offers a contextualized, accessible introduction to understanding the foundations (and contradictions) at the intersection of these two topics. It distills the historical, political, sociological, and scientific factors influencing what we eat and where our food comes from, then offers actionable insights for future nutritionists, social workers, dietitians, and researchers in public health. Guiding the reader through more than a century of food-focused regulation, policy, and education, Food and Public Health is an essential introduction to: · food production and availability on a global and neighborhood scale · dietary guidelines, agricultural subsidies, rationing, and other attempts by governments to shape their citizens' diets · best practices in health promotion and chronic disease prevention · food insecurity and its paradoxical role as driver of both hunger and obesity Enriched with real-world examples and case studies, Food and Public Health offers a crucial link between kitchen tables and populations for the classroom.

With U.S. health care costs projected to grow at an average rate of 5.5 percent per year from 2018 to 2027, or 0.8 percentage points faster than the gross domestic product, and reach nearly $6.0 trillion per year by 2027, policy makers and a wide range of stakeholders are searching for plausible actions the nation can take to slow this rise and keep health expenditures from consuming an ever greater portion of U.S. economic output. While health care services are essential to heath, there is growing recognition that social determinants of health are important influences on population health. Supporting this idea are estimates that while health care accounts for some 10 to 20 percent of the determinants of health, socioeconomic factors and factors related to the physical environment are estimated to account for up to 50 percent of the determinants of health. Challenges related to the social determinants of health at the individual level include housing insecurity and poor housing quality, food insecurity, limitations in access to transportation, and lack of social support. These social needs affect access to care and health care utilization as well as health outcomes. Health care systems have begun exploring ways to address non-medical, health-related social needs as a way to reduce health care costs. To explore the potential effect of addressing non-medical health-related social needs on improving population health and reducing health care spending in a value-driven health care delivery system, the National Academies of Science, Engineering, and Medicine held a full-day public workshop titled Investing in Interventions that Address Non-Medical, Health-Related Social Needs on April 26, 2019, in Washington, DC. The objectives of the workshop were to explore effective practices and the supporting evidence base for addressing the non-medical health-related social needs of individuals, such as housing and food insecurities; review assessments of return on investment (ROI) for payers, healthy systems, and communities; and identify gaps and opportunities for research and steps that could help to further the understanding of the ROI on addressing non-medical health-related social needs. This publication summarizes the presentations and discussions from the workshop.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Encyclopedia of Food Allergy, organized in 10 sections, with ~200 chapters, and written by world-renowned clinician-scientist authors, is the most comprehensive resource for food allergy ever compiled. With online and physical presence, intuitive and easily accessible organization of information, the reader can quickly access overview and general topics as well as detailed information to inform solutions to clinical or research questions. Research topics provide the necessary background for the novice as well as the details required for those in the field. Clinical topics provide comprehensive and practical information, with generous use of tables, figures, and key points/clinical pearls, to inform clinical decision-making, and promote evidence-based management decisions. Food allergy may affect up to 10% of the population in developed countries and appears to be increasing in prevalence worldwide, with many food allergies proving life-long, severe and potentially fatal. The last decade has witnessed a sea change response to the impact of food allergy through basic science research on the immunology, food science research on the triggers, clinical approaches to daily management, treatment and prevention, and an increasing understanding of the psychosocial and societal implications and how to address them. With the expanding breadth and depth of the field, there is no existing comprehensive resource available for those professionals interested in learning about or contributing to food allergy research and clinical care. This is a complete resource covering broad and detailed aspects of food allergy and adverse food reactions for clinicians, researchers, regulators, food industry, students and other stakeholders who need and will benefit from a rich resource with in-depth and practical information. Presents in-depth, comprehensive coverage from an outstanding international author base of domain experts Ideal for new researchers and clinicians who will have a single resource that includes general topics to get them started Includes access to detailed information in their areas of work AND for many related topics that will help improve their research or clinical care