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Social Needs Screening Tool Comparison Table

The SIREN team compiles the content of several of the most widely used social health screening tools to facilitate comparisons. The table below summarizes characteristics for each tool, including information about the intended population or setting, total number of questions, social health domains covered, and domain-specific measures used. To view a specific screening tool in its entirety, click on the column heading. To compare questions used across different tools for the same domain (e.g. food security), click on the row heading. Scroll to the right to see the full table.

The table below includes screening tools either designed for older adults or that are not age-specific; click here to access a table comparing social needs screening tools developed specifically for pediatric settings.

A note on validity: Inclusion of a tool below does not necessarily mean that the tool or the questions contained therein has been “validated”. While some specific questions or tools have been studied,1-4 validity has many different dimensions (e.g., criterion validity [predictive, convergent], construct [structural]), and none of the tools below has been vetted through all steps of gold standard measure development or had all types of validity assessed. You can find more information about validity studies done on different social risk screening tools by watching this webinar, reading this paper, or visiting the Kaiser Permanente Washington Health Research Institute website on this topic. As we learn about new tool validation studies, we will add citations to the table below and the SIREN Evidence and Resource Library.

If you would like to suggest a tool for inclusion in this table, please contact us. For inquiries related to permissions or questions of a specific screening tool, please use the contact information listed in the table. 

Download the table (combining adult and pediatric tools) as an Excel file (last updated 9.6.24).

 AAFP-ToolAccess Health: SpartanburgAHC-ToolACORNArlingtonBMC-Thrive HealthBegins Health LeadsMLP IHELLPMedicare Total Health AssessmentNAM domainsNC Medicaid PRAPARE SINCEREStructural Vulnerability Assessment Tool WellRx Your Current Life Situation
Contact Informationhealthequity
@aafp.org
publications
@chcs.org
AccountableHealth
Communities
@cms.hhs.gov
 VHAACORN
@va.gov
 Michelle.Falinski
@bmc.org
https://healthbegins.org/contact-us/https://healthleadsusa.org/about-us/contact-us/nrahajas@gwu.edu contact@nas.edumedicaid.transformation
@dhhs.nc.gov
https://prapare.org/contact/ANDREA.WALLACE
@nurs.utah.edu
pbourgois@gmail.com jpage-reeves
@salud.unm.edu
See last page of screening tool for more information.
 # Social  Needs  Questions151019111111241010912111710371019
 # Non-Social  Needs  Questions028800040030120406110
 Patient or  Clinic  PopulationNSNSMedicare & MedicaidVeteransNSNSNSNSNSMedicareNSMedicaidCHCsNon-specificNSPCNS
 Reading  Level*7th grade5th grade8th grade4th grade10th grade7th grade11th grade6th grade8th gradeCollege6th grade5th grade8th grade4th grade6th grade2nd grade9th grade
 Reported  Completion  TimeNRNRNRNRNRNRNRNRNR10 - 20 min.NRNRNRNRNRNRNR
 Languages            Spanish, Arabic, Chinese, French, German, Swahili, VietnameseSpanish32 languages Spanish
 ScoringYNYNNNYNNNNNNNNNN
 CostFreeFreeFreeFreeFreeFreeFreeFreeFreeFreeFreeFreeFreeFreeFreeFreeFree
 Benefits        1     2  
 Caregiver  Responsibilities                1
 Childcare  Access &  Affordability1      1    11 11
 Civic  Engagement       1         
 Clothing              1  
Digital Needs   3             
 Disabilities  2              
 Discrimination               4 
 Education12111 13 1 2  111
 Employment1111 11 1   1 32 
 Financial  Strain1 1 1 2   1  13 1
 Food  Insecurity21231311 2 211113
 Health Care /  Medicine  Access &   Affordability 1   1 1    21  2
 Housing  Insecurity /  Instability /   Homelessness1 14122121 222212
 Housing  Quality1 1 1 1 11   21 1
 Immigration /  Migrant Status  / Refugee     Status      1 2   2 3  
 Incarceration            1 1  
 Income 1      3 1** 11   
 Interpersonal  Violence (IPV)4 4 2 4 3 431 123
Legal   1             
 Literacy 2     1      3 1
 Neighborhood  Safety      1     1 411
 Power of  Attorney /  Guardianship        11       
 Social Support  211 51 24 1 2 5
 Stress  1   1  21 1   2
 Transportation1 121111   111 12
 Utilities1 1211 1   121 11
 Veteran Status 2          1    
 Workplace  Safety              2  
 Desire for  Assistance /  Urgent Needs1 Integrated into some domains; see domain-specific questions 2Integrated into “food security” domainIntegrated into "civic engagement"; see domain-specific question2Integrated into "Immigration"; see domain-specific question1 2  Integrated into “Benefits” domainIntegrated into some domains; see domain-specific questions2
 Health  Behaviors /  Behavioral  Health /   Health Status  MH, PA, SU   DP, PA  AU,DP, HS, MH, PA, TUAA, MH, PA, TU    AA, SA 
*Reading level assessed using the consensus score obtained from http://www.readabilityformulas.com/free-readability-formula-tests.php.
**Geocoded

NS = Non-Specified; NR = Not Reported; AU = Alcohol Abuse, DP = Dietary Pattern; DU = Drug Use; HC = Health Confidence; HS = Health/functional status; MH = Mental Health (including depression), PA = Physical Activity, TU = Tobacco Use
1. Hager ER, Quigg AM, Black MM, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. 2010;126(1):e26-32.
2. Baer TE, Scherer EA, Fleegler EW, Hassan A. Food insecurity and the burden of health-related social problems in an urban youth population. J Adolesc Health. 2015;57(6):601-607.
3. Gundersen C, Engelhard EE, Crumbaugh AS, Seligman HK. Brief assessment of food insecurity accurately identifies high-risk us adults. Public Health Nutr. 2017;20(8):1367-1371.
4. Institute of Medicine of the National Academies Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records. Capturing social and behavioral domains in electronic health records: Phase 2. Washington, DC: The National Academies Press; 2014.
Publication year
Screening research
Yes
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