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Screening for Basic Social Needs at a Medical Home for Low-Income Children

Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, agarg{at}tuftsmedicalcenter.org

Arlene M. Butz, ScD, RN

Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland

Paul H. Dworkin, MD

Department of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut

Rooti A. Lewis, BA

Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland

Janet R. Serwint, MD

Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland

The goals of this cross-sectional study were to (a) describe the prevalence of 5 basic social needs in a cohort of parents attending an urban teaching hospital—based pediatric clinic, (b) assess parental attitudes toward seeking assistance from their child's provider, and (c) examine resident providers' attitudes and behaviors toward addressing these needs. Parents (n = 100) reported a median of 2 basic needs at the pediatric visit. The most common was employment (52%), followed by education (34%), child care (19%), food (16%), and housing (10%). Most parents (67%) had positive attitudes toward requesting assistance from their child's pediatrician. The majority of resident providers (91%) believed in the importance of addressing social needs; however, few reported routinely screening for these needs (range, 11% to 18%). There is great potential for assisting low-income parents within the medical home. Further practice-based interventions are needed to enhance providers' self-efficacy to screen and address low-income families' needs at pediatric visits.

Key Words: low income • basic needs • medical home • pediatrician

This version was published on January 1, 2009

Clinical Pediatrics, Vol. 48, No. 1, 32-36 (2009)
DOI: 10.1177/0009922808320602


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