Northeast Valley Health Corporation (NEVHC) was selected by the Center for Care Innovations as one of seven community health centers to participate in Roles Outside Of Traditional Systems, or ROOTS, a one-year learning collaborative focused on the role of clinics in addressing patients’ adverse social determinants of health.

The ROOTS grant provided NEVHC the opportunity to build on a recent strategic emphasis on social determinants of health by developing a social needs screening and referral pilot. The organization chose to focus on screening and referring for food insecurity, a top social risk for its patient population, in patients 12 through 17 years of age at two of its clinical sites.


The following case study was prepared by the Social Interventions Research & Evaluation Network (SIREN) at the University of California, San Francisco.