SEEK utilizes pediatric primary care as an opportunity to help address social determinants of health and to prevent child maltreatment in families who may have risk factors for child maltreatment. Most children receive this care and there are frequent visits in the first 5 years. Also, the generally good relationship between health professionals and parents offers an opportunity to identify and help address prevalent psychosocial problems. By addressing these problems, SEEK aims to also help strengthen families, support parents and parenting, and promote children's health, development, and safety.
SEEK begins with training professionals to play this role. Online videos and other materials are available on the SEEK website. Continuing Medical Education (CME) credit is offered as well as Maintenance of Certification (MOC) Categories 2 and 4 and Performance Improvement (PI) credits (through the American Board of Pediatrics and the American Board of Family Medicine). The revised SEEK Parent Questionnaire-R (PQ-R) is a tool to screen for the targeted problems: parental depression, substance abuse, major stress, intimate partner violence, food insecurity, and harsh punishment. It is completed in advance and given to the professional at the start of a regular checkup.
The trained professional then briefly assesses and initially addresses identified risk factors and makes necessary referrals to community resources, ideally with the help of a behavioral health professional. Principles of Motivational Interviewing have been incorporated into SEEK. SEEK Parent Handouts are available as adjuncts to advice offered in the visit.