Background. It is unknown whether the medical home reduces the impact of adverse social determinants on low-income child health. Objective. To examine whether the medical home attenuates the association between unmet basic needs and health for low-income children. Design/Methods. Secondary data analysis of the 2011-12 NSCH restricted to <200% FPL children (n = 26 974). Multivariable logistic regression modeled child health with unmet basic needs to examine the effect modification of the medical home. Results. Low-income children with unmet needs had lower odds of “excellent/very good” health compared to children without unmet needs, regardless of the medical home [aOR = 0.78 (0.61-0.99) vs aOR = 0.77 (0.63-0.94), P = .01), respectively]. The medical home did not modify the negative association between unmet basic needs and “excellent/very good” child health ( P = .97). Conclusion. Having a medical home per parental report did not attenuate the negative relationship between unmet basic needs and lowincome child health.

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to screen for child care. In total, six adverse SDH (food insecurity, housing instability, lack of after school activities, lack of heat, lack of high school degree or college enrollment, and unemployment) were selected. Available community resources were also identified by a multidisciplinary care team; information sheets for adolescents with needs were accessible via the EMR. To vet the adapted screener, we interviewed adolescent patients over the course of three days in the adolescent clinic waiting room. The interviews assessed the face validity of the screener and adolescents reviewed the screener for understandability, ease to complete, feasibility, and acceptability. Participants' suggestions were incorporated into the final version. The study screener readability was at the third-grade level using the Flesh-Kincaid grade level formula. Overall, it took participants <2 minutes to complete the screener. The screener was then piloted with adolescents. Results: During the 3 day interview period (n¼27), 33% of adolescents reported at least one of the needs included in the WE CARE screener; 30% of adolescents also reported having a friend with at least one of those needs. The most common self-reported unmet needs were with food (22%) and housing (22%), followed by after school activities (19%), utilities (19), employment (15%), and education (3%). 100% of adolescents reported that the screener was easy or very easy to fill out. 89% reported that they felt somewhat comfortable, comfortable, or very comfortable filling it out. Lastly, 93% of adolescents reported that the screener was somewhat useful, useful, or very useful. Conclusions: The adaptation of the pediatric WE CARE screener to address the needs of adolescents in an urban clinic was feasible and acceptable. The adolescent WE CARE intervention identified patients' unmet needs and requests for help with SDH.