Piloting a community–based intervention to reduce medication theft among people experiencing homelessness

operational and clinical leaders of food insecurity work and frontline staff (e.g., social workers, nurses, etc.) involved in food insecurity workflows.Qualitative data collection has included document review (e.g., emails, shared resources), semi-structured interviews, and focus groups with key informants.Guided by the socioecological model, a matrix analysis will be used to identify multi-level factors impacting SMCH workflows of screening and providing resources for food-insecure patients and families.Results: As of July 16, 2024, 32 key informants have participated through 10 interviews, 7 focus groups, and 7 email conversations and provided 18 documents for review.Preliminary results revealed limiting factors within all five levels of the socioecological model: individual (e.g., stigma as a barrier); interpersonal (e.g., screening biased toward families that "look" food insecure); institutional (e.g., metrics focused on patients screened not clinics that screen and manual hand-offs to social work); community (e.g., location of food banks not accessible for some families), and policy (e.g., some food-based resources only available with certain insurance carriers).Data collection will be completed October 2024.Conclusion: Understanding multi-level factors to food insecurity screening in a pediatric system is crucial to identifying best practices.Implementation of effective CMS SDOH screening and provision of resources must address factors beyond immediate healthcare workflows to promote equity.