Screening for Poverty and Poverty-Related Social Determinants of Health

Berman, Rachel Stein; Patel, Milani; Belamarich, Peter F.; Gross, Rachel S.

doi:10.1542/pir.2017-0123

Cited by 35 publications

(26 citation statements)

References 25 publications

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“…Encouraging strong family-school partnerships helps the ADHD management process, and addressing social determinants of health is essential to these partnerships. 145,146 Psychosocial treatments that include coordinating efforts at school and home may enhance the effects.…”

Section: School Programming and Supportsmentioning

confidence: 99%

“…It is also important for PCCs to be aware of health disparities and social determinants that may impact patient outcomes and strive to provide culturally appropriate care to all children and adolescents in their practice. 145,146,154,155 The accompanying PoCA provides supplemental information to support PCCs as they implement this guideline's recommendations. In particular, the PoCA describes steps for preparing the practice that provide useful recommendations to clinicians.…”

Section: Implementation: Preparing the Practicementioning

confidence: 99%

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Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

et al. 2019

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The guidance in this report does not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. All clinical practice guidelines from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Dr Holbrook was not an author of the accompanying supplemental section on barriers to care. This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors. All authors have filed conflict of interest statements with the American Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American Academy of Pediatrics has neither solicited nor accepted any commercial involvement in the development of the content of this publication.

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Section: School Programming and Supportsmentioning

confidence: 99%

Section: Implementation: Preparing the Practicementioning

confidence: 99%

Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

et al. 2019

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“…The American College of Physicians and the American Academy of Pediatrics (AAP) recommend universal screening for SDoH to connect families with local resources . In a randomized control trial, the Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education (WECARE) system utilized a self‐reported screening tool for SDoH to connect families with local community organizations that address the specific socioeconomic need identified.…”

Section: Introductionmentioning

confidence: 99%

Universal screening for social determinants of health in pediatric sickle cell disease: A quality‐improvement initiative

Power-Hays

Mensah

et al. 2019

Pediatric Blood & Cancer

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Background Social determinants of health (SDoH) are socioeconomic factors that influence health outcomes. Guidelines recommend universal screening for SDoH at clinic visits; however, models that do not require additional resources are limited in subspecialty clinics. Individuals with sickle cell disease (SCD) face the burdens of chronic illness and often racial disparities, both of which may increase their vulnerability to adverse SDoH. Hematologists can impact both quality of life and clinical outcomes for their patients by implementing screening and referral programs addressing SDoH. Methods Through prospective, quality‐improvement methods, we introduced universal screening for SDoH into our pediatric hematology clinic. The intervention was a paper screener followed by a referral to local community organizations for the specific needs endorsed. The aims of this study were to determine the feasibility of universal screening for SDoH in a busy subspeciality clinic using pre‐existing resources to identify the needs of our patients and to facilitate referrals between our patients and community organizations via this low touch intervention. Results Between August 2017 and November 2018, 156 screens were completed. Sixty‐six percent were positive for at least one unmet social need for which 80% were referred to a relevant community organization. Forty‐five percent of patients available via follow‐up phone call reached out to the community organization. Conclusions There is a high burden of SDoH in families of children with SCD. Universal screening at a pediatric hematology clinic with the subsequent connection of patients with SCD to community resources is feasible using existing clinic resources.

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“…5,18 -21 Establishing appropriate screening and referral processes for clinical staff is imperative to achieve routine SDOH screening and referral. 1,8,[22][23][24][25] To address this implementation gap regarding integrating SDOH screening and referral interventions, we performed a mixed-methods study in Boston community health centers (CHCs). The qualitative component is an implementation evaluation of the WE CARE screening and referral pilot, described elsewhere.…”

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confidence: 99%

Provider and Staff Feedback on Screening for Social and Behavioral Determinants of Health for Pediatric Patients

et al. 2019

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Introduction: Screening and referral for Social and Behavioral Determinants of Health (SDOH) are increasingly recommended in clinical guidelines and consensus statements. It is important to understand barriers and facilitators to implementation of standardized SDOH screening and referral practices, as well as the scope of current existing SDOH screening.Methods: We conducted a mixed-methods study to understand the current state of SDOH screening and to assess the barriers and facilitators to implementing a standardized SDOH screening and referral practice in Boston community health centers (CHCs) for pediatric patients. We requested all SDOH screening documents from 15 Boston CHCs and conducted provider and staff focus groups at intervention sites of an SDOH implementation pilot in Boston.Results: All CHCs screened in some form for SDOH, but there was no agreement on which domains to screen. Participating CHCs screened for a mean of 8 SDOH domains (range, 5 to 16). Overall, 16 SDOH domains emerged. From the focus groups, 5 themes emerged: 1) provider perspectives, 2) work flow, 3) prior experience, 4) site resources and staffing, and 5) sustainability. There was little agreement among participants within each theme, as all were seen as barriers and facilitators depending on the respondent.Discussion: This study highlights the various SDOH screening methods currently used in Boston CHCs, and the need for workflow and process individualization of SDOH screening and referral. Providers and clinical staff should be part of the discussion when implementing SDOH screening and referral procedures to ensure appropriate work flow, staff buy-in, and to maximize resources available. (J Am Board Fam Med 2019;32:297-306.)

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Screening for Poverty and Poverty-Related Social Determinants of Health

Cited by 35 publications

References 25 publications

Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

Universal screening for social determinants of health in pediatric sickle cell disease: A quality‐improvement initiative

Provider and Staff Feedback on Screening for Social and Behavioral Determinants of Health for Pediatric Patients

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