How Should Clinical Teams Integrate Findings From Social Needs Screenings Into Children's Care Plans?

Stephanie G Menko1, Michael J Luke2, Aditi Vasan3

  • 1Clinical assistant professor of pediatrics at the University of Pennsylvania Perelman School of Medicine and a pediatric hospitalist at Children's Hospital of Philadelphia.

AMA Journal of Ethics
|September 1, 2025
PubMed

Insights

Pediatric health systems face challenges in addressing children's unmet social needs. This commentary offers guidance on best practices for screening and resource referral, incorporating ethical principles and caregiver insights.

Area of Science:

  • Pediatric Health
  • Social Determinants of Health
  • Healthcare Ethics

Background:

  • Unmet social and structural needs significantly impact children's health outcomes.
  • Pediatric health systems in the U.S. are implementing social needs screening but lack clear response guidelines.
  • Effective clinical responses are crucial for improving pediatric health equity.

Purpose of the Study:

  • To provide guidance on best practices for clinical teams responding to unmet social needs in children.
  • To discuss ethical principles relevant to social needs screening and intervention.
  • To incorporate caregiver perspectives into the development of effective resource referral strategies.

Main Methods:

  • Case commentary analysis
  • Ethical principle review
  • Caregiver perspective integration

Main Results:

  • Lack of standardized protocols for addressing screened social needs in pediatric care.
  • Identification of key ethical considerations in social needs interventions.
  • Emphasis on the importance of patient-centered approaches and resource navigation.

Conclusions:

  • Clinical teams require enhanced frameworks for addressing pediatric social needs.
  • Ethical considerations and caregiver input are vital for successful social needs programs.
  • Improved screening and referral processes can mitigate negative health outcomes associated with social determinants of health.

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