How do you address social determinants of health that impact patients (e.g., housing instability, food insecurity) but for which there are no immediate resources available?

This is a complicated answer that will vary from state to state, county to county, and overall, it is not a straightforward answer. I do wish we had better systems in the U.S. for managing the social determinants of health (SDOH), and I don't have all of the answers here.

Housing instability, food insecurity, and SDOH are key components of overall health and have become a crucial need for providers to address as they affect overall health outcomes, healthcare utilization, preventable disparities...

When social determinants affect my patient but resources are limited, I still address them proactively.

• Acknowledge & validate the patient’s challenge.
• Screen & document the SDOH issue.
• Engage social work/case management early.
• Use low-cost/community options (food pantries, hotlines, shelters).
• Adapt medical plan (simplify meds, cheaper options, telehealth, close follow-up).
• Safety planning for risk issues (housing, violence).
• Ensure follow-up and continuity so the issue stays on the radar.
• My ...