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)(a modified form of the SEEK) in CHADIS and if positive continue the FASS Plus or SEEK Plus which begins 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.
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: