TABLE 3.
SDOH Domains
| Screening Tool | Economic Stability | Education | Health and Health Care | Neighborhood and Built Environment | Social and Community Context | Family Context |
|---|---|---|---|---|---|---|
| SEEK PSQ17–19,26 | Food insufficiency | — | Smoke alarm needed | — | — | Parental intimate partner violence |
| Contact information for Poison Control needed | Parental depression | |||||
| Parental stress | ||||||
| Parental drug or alcohol problems | ||||||
| Tobacco use in the home | ||||||
| Gun in the home | ||||||
| Help with the child is needed | ||||||
| iScreen12,27 | Food insufficiency | Concerns the child is not getting needed services | No or inadequate health insurance | Concerns about physical conditions of housing | Concerns about immigration status | Violence toward the child in the household |
| Housing instability | Lack of child care | Difficulty getting health care for the child | Transportation difficulties | Drug or alcohol problems in the household | ||
| Difficulty paying bills | Concerns about the child’s behavioral or mental health | Threats to the child’s safety at school or in the neighborhood | Incarceration of a household member | |||
| Trouble finding a job or other job-related problems | Concerns about their own mental health or mental health care | Difficulty getting benefits or services | Problems with child support or custody | |||
| Disability interfering with the ability to work | No regular health care provider | Concerns about finding activities for the child after school or in summer | ||||
| Difficulty getting assistance from income support programs | Concerns about child exposure to tobacco smoke | |||||
| Concerns about pregnancy-related work benefits | Concerns about the child’s physical activity | |||||
| HealthBegins Upstream Risks Screening Tool28 | Food insufficiency | Parental education | Parental physical activity | Concerns about physical conditions of housing | Concerns about immigration status | Parental intimate partner violence victimization |
| Housing instability | Concerns about the child’s learning or behavior in school | Parental fruit and vegetable consumption | Transportation difficulties | Religious or organizational affiliation | Parental stress | |
| Difficulty making ends meet or meeting basic needs | Concerns about neighborhood safety | Parental social support | Parental marital status | |||
| Parental employment | ||||||
| FMI16 | Food insufficiency | — | — | — | — | Child physical abuse |
| Housing instability | Child sexual abuse | |||||
| Child emotional abuse | ||||||
| Maternal intimate partner violence victimization | ||||||
| Mental illness in the household | ||||||
| Substance abuse in the household | ||||||
| Parental separation or divorce | ||||||
| Family members feel close | ||||||
| ASK Tool23 | Food insufficiency | Parental education | — | Child witnessed violence | — | Child physical abuse |
| Housing instability or difficulty paying bills | Lack of child care | Child experienced bullying | Child sexual abuse | |||
| Parental employment | Parental mental illness or substance abuse | |||||
| Need for legal aid | Child separation from caregiver | |||||
| Adult in child’s life who can comfort the child when sad | ||||||
| IHELP29 | Food insufficiency | Concerns about the child’s educational needs | Concerns about the child’s health insurance | Concerns about physical conditions of housing | — | Violence in household |
| Housing instability | ||||||
| WE CARE survey instrument11,24,30 | Food insufficiency | Parental education | — | — | — | Intimate partner violence in the household |
| Housing instability | Lack of child care | Parental depressive symptoms | ||||
| Difficulty paying bills | Alcohol abuse in the household | |||||
| Parental employment | Drug use in the household | |||||
| FAMNEEDS25 | Food insufficiency | Parental education | Help needed in getting health insurance | Concerns about physical conditions of housing | Parental experience of discrimination | Parental experience of violence |
| Housing instability | Help needed getting child care or care for elderly adult | Transportation problems that prevent health care visits | Parental social support | Parental depressive symptoms | ||
| Difficulty paying bills | Health literacy | Parental tobacco use | ||||
| Difficulty meeting basic needs | Parental alcohol use | |||||
| Help needed in getting public benefits | Parental drug use | |||||
| Help needed in finding a job | ||||||
| Unfairly fired from job Need for legal aid | ||||||
| Child ACE Tool20 | — | Parental education | — | — | — | Child maltreatment is suspected |
| Intimate partner violence in the household | ||||||
| Mental illness in the household | ||||||
| Substance abuse in the household | ||||||
| Household member is incarcerated | ||||||
| Parental marital status | ||||||
| Social History Template of the Standard Well Child Care Form embedded in E-health Record21 | Food insufficiency | — | — | Concerns about physical conditions of housing | — | Parental depressive symptoms |
| Difficulty making ends meet | Parent and child safety | |||||
| Difficulty getting assistance from income support programs | ||||||
| Health-Related Social Problems screener22 | Food insufficiency | — | Parent and child health insurance status | Concerns about physical conditions of housing | — | Parental intimate partner violence victimization |
| Housing instability | No regular health care provider | |||||
| Difficulty paying bills | Problems receiving health care | |||||
| Use of income support programs | ||||||
| Parental employment | ||||||
| Household income |
ASK, Addressing Social Key Questions for Health; FAMNEEDS, Family Needs Screening Program; FMI, Family Map Inventories; —, not assessed.