Exploring the need for a social prescribing pathway in an Australian paediatric allied healthcare intake service: a pilot feasibility and acceptability study
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Published on: June 6, 2020
Lauren Hamill1, Anna Kearns2, Amy Rogers3
1Sydney Children's Hospital, Randwick, NSW, Australia.
Insights
Identifying unmet social needs in paediatric care is crucial. The Routine Identification of Unmet Social Needs to Unlock Potential (RISE UP) model showed promise, with parents finding it acceptable, though staff integration requires further work.
Area of Science:
- Paediatric Allied Healthcare
- Social Determinants of Health
- Health Equity
Background:
- Social determinants of health (SDH) significantly impact child health inequities.
- Unmet social needs act as barriers to accessing paediatric Allied Healthcare services.
- Social prescribing is a potential solution but not widely adopted in Australia.
Purpose of the Study:
- To assess the need, feasibility, and acceptability of the Routine Identification of Unmet Social Needs to Unlock Potential (RISE UP) social prescribing model.
- To evaluate the RISE UP model within a paediatric Allied Healthcare intake setting.
Main Methods:
- A pilot study employed a mixed-methods approach.
- The study involved designing, implementing, and evaluating the RISE UP model of care.
- Data collection included parent/carer participation and staff feedback.
Main Results:
- 79.2% of parent/carers participated, with 64.9% reporting unmet social needs (childcare and employment most common).
- Increased child age and non-English speaking households were associated with higher risk of unmet needs.
- Parent/carer acceptability of RISE UP was high (97.2%), but staff acceptability (55.8%) and feasibility (64.3%) were mixed.
Conclusions:
- Identifying and addressing unmet social needs in paediatric Allied Healthcare intake is necessary and acceptable to families.
- Further efforts are needed to integrate social prescribing models into Australian Allied Healthcare systems.
- Addressing barriers to staff acceptance and feasibility is essential for successful implementation.
Background:
The social determinants of health (SDH) drive child health inequities. Adverse SDH are experienced at an individual level as unmet social needs. In a paediatric Allied Healthcare system, these unmet social needs are barriers to service access.
Evidence:
Social prescribing offers a promising solution. However, this practice is not routinely implemented in Australia.
Objective:
To determine whether the Routine Identification of Unmet Social Needs to Unlock Potential (RISE UP) social prescribing model of care is needed, feasible, and acceptable within a paediatric Allied Healthcare intake context.
Methods:
A pilot study using mixed-methods approach to design, implement, and evaluate the RISE UP model of care.
Results:
Most parent/carers, 114 of 144 (79.2%), agreed to participate in RISE UP, with 74 of 114 (64.9%), reporting one or more unmet social needs. Childcare (n = 54, 47.4%) and employment (n = 52, 45.6%) were the most common needs. Multivariable analysis showed that each additional year of child age increased the risk of unmet needs by 7% [adjusted relative risk (RR) 1.07, 95% CI 1.03-1.10, p < 0.001], and families speaking only non-English at home had a 40% higher risk compared to English-only speakers (adjusted RR 1.40, 95% CI 1.01-1.94, p < 0.05). RISE UP was acceptable to parents/carers (97.2%). Staff reported mixed acceptability (55.8%) and feasibility (64.3%).
Conclusion:
Unmet social needs identification and referrals pathways in paediatric Allied Healthcare intake services are needed and acceptable to parents/carers. However, further action is required to overcome challenges in integrating these models within existing Allied Healthcare systems in Australia.
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