Amanda Parsons

TL;DR: Less than half of households reported successful referrals, which suggests the need for additional research and an opportunity for further program optimization, have implementation implications for programs aiming to address social needs in practice.

TL;DR: The experience suggests that screening for social needs at well-child visits is feasible as part of routine primary care as well as leveraging resources, obtaining provider buy-in, and defining program components to sustain activities.

TL;DR: There are important differences in the prevalence of overall and individual social risks by subgroup among primary care patients routinely screened in a large urban health system in the Bronx, NY and these findings should be considered to inform clinical care and social risk screening and interventions.

TL;DR: Significant opportunities for expansion include training allied health staff, providing patient incentives, increasing master trainer capacity, offering DPP to employees, and securing reimbursement.