Food Insecurity and the Nutrition Care Process: Practical Applications for Dietetics Practitioners

Published:December 06, 2017DOI:https://doi.org/10.1016/j.jand.2017.08.114
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      Food insecurity, defined as a household condition involving the “limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways,”
      • Bickel G.
      • Nord M.
      • Price C.
      • Hamilton W.
      • Cook J.
      Guide To Measuring Household Food Security, Revised 2000.
      affects one out of eight US households

      Coleman-Jensen A, Rabbitt MP, Gregory CA, Singh A. Household Food Security in the United States in 2015. US Dept of Agriculture; 2016. Economic Research Report 215.

      and exists in every county across the nation.
      • Gunderson C.
      • Dewey A.
      • Crumbaugh A.S.
      • et al.
      Map the Meal Gap 2016.
      Nutrition and dietetics practitioners working in clinical as well as community settings will likely encounter clients affected by food insecurity during their career. The Nutrition Care Process (NCP) is a systematic problem-solving method to guide critical thinking and evidence-based decision making for addressing nutrition-related problems experienced by individuals, groups, and communities, including food insecurity.
      • Swan W.I.
      • Vivanti A.
      • Hakel-Smith N.A.
      • et al.
      Nutrition Care Process and Model update: Toward realizing people-centered care and outcomes management.
      Beginning with an overview of food insecurity, including its nutrition implications and screening options for at-risk populations, this article describes how nutrition and dietetics practitioners can use food insecurity-informed critical thinking skills during each step of the NCP. Two case examples of nutrition and dietetics practitioners implementing these considerations in their daily practice with individuals and communities are presented to illustrate these applications, followed by dietetics-oriented action items to support the delivery of food insecurity-informed nutrition care.
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