Question 1

What is the PRAPARE tool?

Accepted Answer

PRAPARE (Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences) was developed by the National Association of Community Health Centers. It includes 15 items covering personal characteristics, family and home, money and resources, and social and emotional health.

Question 2

Should SDOH screening be universal or targeted?

Accepted Answer

Evidence supports a hybrid approach: universal screening annually with more detailed assessment for those who screen positive. Universal screening reduces stigma while targeted approaches focus resources on highest prevalence populations.

Question 3

How should organisations respond when a patient screens positive?

Accepted Answer

Acknowledge the disclosure, provide immediate resource information, connect with a social worker for comprehensive assessment, track referrals, and monitor social needs over subsequent visits.

Question 4

What are the ethical considerations around SDOH screening?

Accepted Answer

Key considerations include informed consent, ensuring screening is paired with response resources, protecting sensitive information from legal proceedings, and avoiding stereotyping of marginalised groups.