Integration of the Safe Environment for Every Kid (SEEK) model across primary care settings

Clin Pediatr

This project sought to assess the generalizability, barriers, and facilitators of implementing the Safe Environment for Every Kid (SEEK) model for addressing psychosocial risk factors for maltreatment across multiple primary care settings, including a pediatric practice, federally qualified health center, and family medicine practice. The SEEK model includes screening caregivers for psychosocial risk factors at well-child visits age 0 to 5 years, brief intervention incorporating principles of motivational interviewing to engage caregivers, and referral to treatment. All practices successfully implemented SEEK, with screening completion rates from 75% to 93% and brief intervention rates from 61% to 81%. Major parental stress (14%) and food insecurity (11%) were the most common risk factors. Providers found SEEK worthwhile for improving their knowledge, skills, and ability to address psychosocial concerns and provide whole person care. Barriers included limited time and resources, incomplete resource knowledge, and lack of follow-up. Facilitators included on-site support staff to assist with communication and referrals.

Eismann EA, Theuerling J, Maguire S, Hente EA, Shapiro RA. Integration of the Safe Environment for Every Kid (SEEK) model across primary care settings. Clin Pediatr (Phila). 2018:9922818809481.PMID: 30371116. DOI: 10.1177/0009922818809481.

Publication Year: 
2018
Resource Type: 
Peer Reviewed Research
Study Design: 
Pre-post without Comparison Group
Other Study Design
Outcomes: 
Health & Health Behaviors
Patient Experience of Care
Provider Experience of Care
Screening Research: 
Yes
Keywords: