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Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health (2019)

Chapter: Appendix: Social Need Screening Tools Comparison Table

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Suggested Citation: "Appendix: Social Need Screening Tools Comparison Table." National Academies of Sciences, Engineering, and Medicine. 2019. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health. Washington, DC: The National Academies Press. doi: 10.17226/25467.

Appendix

Social Need Screening Tools Comparison Table

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TABLE A-1
Social Need Screening Tools Comparison Table


	AHC-Tool	HealthBegins	Health Leads
Number of social needs questions	19	24	10
Number of non-social needs questions	8	4	0
Patient or clinic population	Medicare and Medicaid	Non-specific	Non-specific
Reading level	8th grade	11th grade	6th grade
Reported completion time	NR	NR	NR
Additional languages
Scoring	Y	Y	N
Cost	Free	Free	Free
Benefits^a
Caregiver responsibilities^a
Child care access and affordability^a			1
Civic engagement^a		1
Clothing^a
Disabilities^a	2
Education^a	1	3
Employment^a	1	1
Financial strain^a	1	2
Food insecurity^a	2	1	1
Health care/medicine access and affordability^a			1
Housing insecurity/instability/homelessness^a	1	2	1
Housing quality^a	1	1
Immigration/migrant status/refugee status^a		1
Incarceration^a
Income^a
Interpersonal violence^a	4	4
Literacy^a			1
Neighborhood safety^a		1
Power of attorney/guardianship^a
Social support^a	2	5	1

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MLP IHELLP	Medicare Total Health Assessment Questionnaire	NAM Domains	PRAPARE	WellRx	Your Current Life Situation
10	9	12	17	10	19
0	30	12	4	1	10
Non-specific	Medicare beneficiaries	Non-specific	Community health centers	Primary care	Non-specific
8th grade	College	6th grade	8th grade	2nd grade	9th grade
NR	10–20 min	NR	NR	NR	NR
			Spanish	Spanish
N	N	N	N	N	N
Free	Free	Free	Free	Free	Free
1
					1
			1	1	1

			1

1		2	1	1
1			1	2
		1			1
	2		1	1	3
			2		2
2	1		2	1	2
1	1				1
2			2
			1
3		1^b	1
3		4	1	2	3
					1
			1	1	1
1	1
	2	4	1		5

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	AHC-Tool	HealthBegins	Health Leads
Stress^a	1	1
Transportation^a	1	1	1
Utilities^a	1		1
Veteran status^a
Health behaviors/behavioral health/health status	MH, PA, SU	DP, PA
Desire for assistance/urgent needs	Integrated into some domains; see domain-specific questions	Integrated into “civic engagement”; see domain-specific question	2 stand-alone questions

NOTE: AA = alcohol abuse; AHC = Accountable Health Community; DP = dietary pattern; HS = health/functional status; MH = mental health (including depression); MLP IHELLP = Medical-Legal Partnership Patient Screening Tool; NAM = National Academy of Medicine; NR = not reported; PA = physical activity; PRAPARE = Protocol for Responding to and

Assessing Patients’ Assets, Risks and Experiences; SA = substance abuse; SU = substance use; TU = tobacco use.

^a Number refers to number of screening questions about the specified social need.

^b Geocoded.

SOURCE: UCSF (University of California, San Francisco). SIREN: Social Interventions Research and Evaluation Network. 2019. https://sirenetwork.ucsf.edu (accessed April 4, 2019). Used with permission from Laura Gottlieb and Caroline Fichtenberg.

REFERENCES

Baer, T. E., E. A. Scherer, E W. Fleegler, and A. Hassan. 2015. Food insecurity and the burden of health-related social problems in an urban youth population. Journal of Adolescent Health 57(6):601–607.

Gundersen, C., E. E. Engelhard, A. S. Crumbaugh, and H. K. Seligman. 2017. Brief assessment of food insecurity accurately identifies high-risk U.S. adults. Public Health and Nutrition 20(8):1367–1371.

Hager, E. R., A. M. Quigg, M. M. Black, S. M. Coleman, T. Heeren, R. Rose-Jacobs, J. T. Cook, S. A. Ettinger de Cuba, P. H. Casey, M. Chilton, D. B. Cutts, A. F. Meyers, and D. A. Frank. 2010. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics 126(1):e26–e32.

IOM (Institute of Medicine). 2014. Capturing social and behavioral domains and measures in electronic health records: Phase 2. Washington, DC: The National Academies Press.

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MLP IHELLP	Medicare Total Health Assessment Questionnaire	NAM Domains	PRAPARE	WellRx	Your Current Life Situation
	2	1	1		2
			1	1	2
			2	1	1
			1
	A, DP, HS, MH, PA, TU	A, MH, PA, TU		A, SA
Integrated into “immigration”; see domain-specific question	1 stand-alone question			Integrated into some domains; see domain-specific questions	2 standalone questions