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Table 5 Evidence-based recommendations to screen for and address social determinants

From: Screening for social determinants of health in clinical care: moving from the margins to the mainstream

1. Canadian Task Force on Preventive Health Care

• Not applicable.

2. US Preventive Services Task Force

Intimate partner violence

• Screen women of childbearing age for intimate partner violence (IPV), such as domestic violence, and provide or refer women who screen positive to intervention services (Grade B)

Alcohol misuse

• Screen adults aged 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce alcohol misuse (Grade B)

3. NICE UK Clinical Guidelines

Violence, abuse and neglect

• Child maltreatment (CG89]

• Child abuse and neglect [NG76]

• Domestic violence and abuse [PH50]


• Alcohol-use disorders [CG115]

• Drug misuse in over 16s [CG15]

• Drug misuse prevention [NG64]

Complex social factors in pregnancy

• Pregnancy and complex social factors [CG110]

Social and emotional wellbeing

• The early years [PH40]

• In primary education [PH12]


• Reducing health risks from living in a cold home [NG6]

4. Guide to Community Preventive Services (The Community Guide)

Violence, abuse and neglect

• Early Childhood Home Visitation to prevent child maltreatment

• School-Based Programs

• Therapeutic Foster Care for chronically delinquent juveniles

• Cognitive-Behavioral Therapy to address psychological harm from traumatic events among children & adolescents

• Interventions to improve caregivers' parenting skills


• Excessive alcohol consumption - Laws prohibiting sales to minors

• Alcohol-Impaired Driving: Minimum legal drinking age laws

• Lower BAC Laws for young or inexperienced drivers

• School-based instructional programs

Education Programs to Promote Health Equity

• Full-day Kindergarten programs

• Center-based Early Childhood Education

• Out-of-School-Time Academic Programs – Math-Focused & Reading

• School-Based Health Centers

• High School Completion Programs


• Tenant-Based Rental Assistance Programs

  1. Adapted from the Canadian Task Force on Preventive Health Care [73], the US Preventive Services Task Force [74], the National Institute for Health and Care Excellence UK Clinical Guidelines [75], and The Community Guide [76]