Skip to main content

Advertisement

Log in

Assessing Food Insecurity in Individuals with Serious Mental Illness: A Pilot Training for Community Mental Health Providers

  • Brief Report
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

Food insecurity (FI), or limited or uncertain access to food, is a significant public health issue, especially for individuals with serious mental illness. As such, mental health providers should regularly assess FI and link individuals to resources. The purpose of this project was to create and pilot test a provider training on FI assessment at a community mental health center. Fifteen providers participated in the training and completed surveys at post-training and one-month follow-up. Results suggested success in delivering an acceptable training that conveyed the importance of FI and inspired confidence in assessment. Yet, it was not sufficient to modify providers’ FI assessment behavior. A brief training can effectively teach providers about FI and promote confidence in assessment; however, it is not adequate to change behavior. Future work should examine the provider training in a larger sample and wider variety of CMHC providers and explore ways to integrate FI assessment into existing practices to address implementation barriers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Ballard, T. J., Kepple, A. W., & Cafiero, C. (2013). Technical Paper. Rome, FAO. 2013. The food insecurity experience scale: Developing a global standard for monitoring hunger worldwide. Technical Paper., Rome, FAO.

  • Burgess, D., & Shier, M. L. (2016). Food insecurity and social work: A comprehensive literature review. International Social Work,61, 1–17.

    Article  Google Scholar 

  • Coleman-Jensen, A., Rabbitt, M. P., Gregory, C. N., & Singh, A. (2016). Household food security in the United States in 2015. Washington, DC: US Department of Agriculture Economic Research Service.

    Google Scholar 

  • Compton, M. T. (2015). Food insecurity. In M. T. Compton & R. S. Shim (Eds.), The social determinants of mental health. Arlington, VA: American Psychiatric Publishing.

    Google Scholar 

  • Davison, K. M., & Kaplan, B. J. (2015). Food insecurity in adults with mood disorders: Prevalence estimates and associations with nutritional and psychological health. Annals of General Psychiatry,14(1), 14–21.

    Article  Google Scholar 

  • Folsom, D. P., Hawthorne, W., Lindamer, L., Gilmer, T., Bailey, A., Golshan, S., et al. (2005). Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. American Journal of Psychiatry,162(2), 370–376.

    Article  Google Scholar 

  • Gundersen, C., & Ziliak, J. P. (2015). Food insecurity and health outcomes. Health Affairs,34(11), 1830–1839.

    Article  Google Scholar 

  • Gundersen, C., Engelhard, E. E., Crumbaugh, A. S., & Seligman, H. K. (2017). Brief assessment of food insecurity accurately identifies high-risk US adults. Public Health Nutrition,20(8), 1367–1371.

    Article  Google Scholar 

  • Hager, E. R., Quigg, A. M., Black, M. M., Coleman, S. M., Heeren, T., Rose-Jacobs, R., et al. (2010). Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics,126(1), e26–e32.

    Article  Google Scholar 

  • Hjorthøj, C., Stürup, A. E., McGrath, J. J., & Nordentoft, M. (2017). Years of potential life lost and life expectancy in schizophrenia: A systematic review and meta-analysis. Lancet Psychiatry,4(4), 295–301.

    Article  Google Scholar 

  • Jones, A. D. (2017). Food insecurity and mental health status: A global analysis of 149 countries. American Journal of Preventive Medicine,53(2), 264–273.

    Article  Google Scholar 

  • Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning,2(3), 197–207.

    Article  CAS  Google Scholar 

  • Lee, E. E., Liu, J., Tu, X., Palmer, B. W., Eyler, L. T., & Jeste, D. V. (2018). A widening longevity gap between people with schizophrenia and general population: A literature review and call for action. Schizophrenia Research,196, 9–13.

    Article  Google Scholar 

  • Mangurian, C., Sreshta, N., & Seligman, H. (2013). Food insecurity among adults with severe mental illness. Psychiatric Services,64(9), 931–932.

    Article  Google Scholar 

  • Martin, M. S., Maddocks, E., Chen, Y., Gilman, S. E., & Colman, I. (2016). Food insecurity and mental illness: Disproportionate impacts in the context of perceived stress and social isolation. Public Health,132, 86–91.

    Article  CAS  Google Scholar 

  • Muldoon, K. A., Duff, P. K., Fielden, S., & Anema, A. (2013). Food insufficiency is associated with psychiatric morbidity in a nationally representative study of mental illness among food insecure Canadian. Social Psychiatry and Psychiatric Epidemiology,48(5), 795–803.

    Article  Google Scholar 

  • O’Campo, P., Hwang, S. W., Gozdzik, A., Schuler, A., Kaufman-Shriqui, V., Poremski, D., et al. (2017). Food security among individuals experiencing homelessness and mental illness in the At home/Chez soi trial. Public Health Nutrition,20(11), 2023–2033.

    Article  Google Scholar 

  • Parpouchi, M., Moniruzzaman, A., Russolillo, A., & Somers, J. M. (2016). Food insecurity among homeless adults with mental illness. PLoS ONE,11(7), e0159334.

    Article  Google Scholar 

  • Shim, R. S., & Compton, M. T. (2020). The social determinants of mental health: Psychiatrists’ roles in addressing discrimination and food insecurity. Focus,18(1), 25–30.

    Article  Google Scholar 

  • Smith, M. D., Rabbitt, M. P., & Coleman-Jensen, A. (2017). Who are the world’s food insecure? New evidence from the Food and Agriculture Organization’s food insecurity experience scale. World Development,93, 402–412.

    Article  Google Scholar 

  • Teasdale, S. B., Samaras, K., Wade, T., Jarman, R., & Ward, P. B. (2017). A review of the nutritional challenges experienced by people living with severe mental illness: A role for dietitians in addressing physical health gaps. Journal of Human Nutrition and Dietetics,30(5), 545–553.

    Article  CAS  Google Scholar 

  • Weaver, L. J., & Hadley, C. (2009). Moving beyond hunger and nutrition: A systematic review of the evidence linking food insecurity and mental health in developing countries. Ecology of Food and Nutrition, 48(4), 263–284.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julia Browne.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Browne, J., Ponce, A. Assessing Food Insecurity in Individuals with Serious Mental Illness: A Pilot Training for Community Mental Health Providers. Community Ment Health J 56, 1110–1114 (2020). https://doi.org/10.1007/s10597-020-00593-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-020-00593-9

Keywords

Navigation