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CHADIS questionnaires addressing social determinant of health

Social Determinants of Health Patient Specific Template (PST)

The SDOH PST helps busy clinicians address the “social determinants of health” – particularly those family risk factors known to be antecedents of child maltreatment, delayed development, behavior problems and a wide variety of chronic health conditions in adulthood.  

The following describes the SDOH PST:


Pre-visit Parent/caregiver completes a Family Assessment of Safety and Stress (FASS Plus)(a modified form of the SEEK) in CHADIS that, if positive, collects information about any barriers to getting help to inform a motivational interview (MI).
FASS screens for food insecurity, harsh punishment, severe parental stress, parental depression, intimate partner violence, and parental substance use.


An example follow-up question, collecting data in MI style, for a positive intimate partner violence FASS screen is noted below. 


Moment of visit – Teleprompter and graphics specific to the parent’s pre-visit data appear in the PST visible to the clinician to assist in completing the MI and showing empathy. ​

CHADIS family stress page

After the visit - PST generates individualized messaging and local resources for families and gives options for clinician education:

  • For families: PST automatically generates post-visit messages tailored to the parent’s challenges, printable handouts, and suggested local resources, all accessible to the parent online in the CHADIS MemoryBook Care Portal as noted below: 

  • For clinicians: PST facilitates documentation of clinician actions; provides clinician education in the form of tips and hints, electronic chapters, and videos with options for MOC-4 credit without the need for chart audit.


Want to see the Family Stress PST in action? Watch this introductory video:

Family Stress SEEK Video
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