TABLE 11-1.

Structural Vulnerability Assessment Tool Domains^a

Domain	Point of inquiry
Financial security	Determining whether the patient has enough money for food, housing, utilities, and other expenses to live securely
Residence	Assessing whether the patient has safe and stable housing in which to sleep and keep their possessions
Risk environments	Establishing that the places the patient spends time are healthy and safe
Food access	Assessing whether the patient has access to nutritious and healthy food
Social network	Verifying that the patient has family, friends, or others to assist them when they have needs
Legal status	Determining whether the patient has legal problems or concerns
Education	Assessing the patient’s functional and health literacy
Discrimination	Assessing whether the patient has experienced any form of discrimination, then determining whether the care team is able to provide care based on the patient’s experiences

^aData from Bourgois P, et al, Acad Med.⁶⁹