How to screen for social determinants of health

At Northwest Permanente, a Portland, Ore.-based medical group of more than 1,400 physicians, a 15-year-old female patient, “Jennifer,” visited the Kaiser Permanente Emergency Department 34 times in an 18-month period. Diagnosed with Type 1 diabetes, the girl had developed major depression. Suicide attempts took her to the ED twice, and her other visits were due to symptoms of uncontrolled sugars.

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