Social Needs Screening Tool
Assessment Rating
Assessment Rating
Description / Purpose
Examines non-medical social needs or social determinants of health.
Target Population: Adults
Time to Administer: 10 minutes
Completed By: The screening tool can be self-administered or given via an in-person interview. However, individuals may be more likely to disclose sensitive information, such as interpersonal violence, when self-administered.
Available Modalities: Pen and paper
Scoring Information:
Hand scored
Training Requirements:
None
Availability:
Available on the internet at https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/hops19-physician-form-sdoh.pdf
Languages Available: English
Description / Purpose
Examines non-medical social needs or social determinants of health.
Target Population: Adults
Time to Administer: 10 minutes
Completed By: The screening tool can be self-administered or given via an in-person interview. However, individuals may be more likely to disclose sensitive information, such as interpersonal violence, when self-administered.
Available Modalities: Pen and paper
Scoring Information:
Hand scored
Training Requirements:
None
Availability:
Available on the internet at https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/hops19-physician-form-sdoh.pdf
Languages Available: English
Contact Information
- Agency/Affiliation: AAFP's Center for Diversity and Health Equity (CDHE)
- Website: https://www.aafp.org/membership/initiatives/diversity-equity-and-inclusion.html
- Email: healthequity@aafp.org
Contact Information
- Agency/Affiliation: AAFP's Center for Diversity and Health Equity (CDHE)
- Website: https://www.aafp.org/membership/initiatives/diversity-equity-and-inclusion.html
- Email: healthequity@aafp.org