Introduction: Social risks adversely affect health and are associated with increased healthcareutilization and costs. Emergency department (ED) patients have high rates of social risk; however,little is known about best practices for ED-based screening or linkage to community resources. Weexamined the perspectives of patients and community organizations regarding social risk screeningand linkage from the ED.Methods: Qualitative interviews were conducted with a purposive sample of ED patients and localcommunity organization staff. Participants completed a brief demographic survey, health literacyassessment, and qualitative interview focused on barriers/facilitators to social risk screening inthe ED, and ideas for screening and linkage interventions in the ED. Interviews were conducted inEnglish or Spanish, recorded, transcribed, and coded. Themes were identified by consensus.Results: We conducted 22 interviews with 16 patients and six community organization staff. Threecategories of themes emerged. The first related to the importance of social risk screening in the ED.The second category encompassed challenges regarding screening and linkage, including fear,mistrust, transmission of accurate information, and time/resource constraints. The third categoryincluded suggestions for improvement and program development. Patients had varied preferencesfor verbal vs electronic strategies for screening. Community organization staff emphasized resourcescarcity and multimodal communication strategies.Conclusion: The development of flexible, multimodal, social risk screening tools, and the creationand maintenance of an accurate database of local resources, are strategies that may facilitateimproved identification of social risk and successful linkage to available community resources. [WestJ Emerg Med. 2020;21(4)964–973.]