The Medically Tailored Groceries and Mental Health Study

Depressive Symptoms as measured by Patient Health Questionnaire (PHQ-9) [Time Frame: 6 months]

The PHQ-9 is a standardized clinical tool to diagnose and monitor depression. The survey consists of 9 questions, each with four possible responses, and is scored from 0 to 27. Standardized scoring is as follows: 1- 4 minimal depression, 5 - 9 mild depression, 10 - 14 moderate depression, 15-19 moderately severe depression, 20 - 27 severe depression. Each study participant (both treatment and control groups) will have a baseline PHQ-9 assessment at the time of randomization and a second assessment at program end (within the last month of program enrollment). As part of the PHQ-9, if a participant reports any symptoms, then a follow-up question is promoted: "If you reported any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?" with responses ranging from "not difficult at all" to "extremely difficult".

Anxiety symptoms as measured by the General Anxiety Disorder (GAD-7) questionnaire [Time Frame: 6 months]

Investigators will use the standardized General Anxiety Disorder (GAD-7) questionnaire, which is also routinely used in clinical care. The survey is 7-question tool used to screen for generalized anxiety disorder and assess severity of anxiety symptoms over the last two weeks. Scores range from 0 to 21, with higher numbers describing more severe anxiety. As part of the GAD-7, if a participant reports any symptoms, then a follow-up question is promoted: "If you reported any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?" with responses ranging from "not difficult at all" to "extremely difficult".

Self-Reported MENTAL Health Status [Time Frame: 6 months]

The self-reported MENTAL health question is adapted from the Behavioral Risk Factor Surveillance System (BRFSS) and National Health Interview Survey (NHIS) surveys. This will assessed using: " Would you say that in general your MENTAL health is excellent, very good, good, fair, or poor?" The five response options range from "poor" to "excellent."

Self-Reported PHYSICAL Health Status [Time Frame: 6 months]

This self-reported PHYSICAL health question is adapted from the Behavioral Risk Factor Surveillance System (BRFSS) and National Health Interview Survey (NHIS) surveys. This will be assessed using: " Would you say that in general your PHYSICAL health is excellent, very good, good, fair, or poor?" The five response options range from "poor" to "excellent."

Food Insecurity, as measured by the Hunger Vital Sign [Time Frame: 6 months]

Investogators will use the 2-item Hunger Vital Sign, which is a validated screener used by Centers for Medicare and Medicaid Services (CMS) and most health systems that screen for food insecurity.

Program Adherence: Deliveries, as measured by number of food box deliveries per participant [Time Frame: 6 months]

This measure will report the number of food box deliveries for each participant during program participation.

Program Adherence, Self-Reported Consumption of Food [Time Frame: 6 months]

Self-reported consumption of food, as assessed by the following questions: 1. "How much of the food from the Community Servings' Grocery Boxes did you usually eat?" Responses range from "None of the food" to "All of the food." 2. If you didn't eat all of the food, what are the reasons why you didn't eat all of the food? Responses include, "I shared food with my family or friends; I didn't like some of the meals and ingredients; It was too much food for me; I had challenges cooking the food; If another reason, explain why \[open ended response\]".