Bernardin, Mary E. MD creator author. Zoellner, Danielle, MPH NRP author. Eichaman, Destri, BA;Bin MD MA author. McCarney,Isabella, BHS author. Castro, Mariana Mendoza author. Kendrick, Elizabeth BA, NRP author. Eubanks, Janisha author. EuDaly, Megan, PA-C,CAQ-EM author. Stilley Julie, PhD author. James, Alexandra, MD MPH author. Reken, Jennae, DO author. text monographic eng

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259-266 Illustration Bernardin et al. conducted a prospective cohort study in a rural pediatric emergency department to evaluate the implementation of social determinants of health (SDOH) screening and a post-visit remote intervention program. Caregivers of pediatric patients were screened across 11 SDOH domains, including food insecurity, housing instability, and access to transportation. Out of all participants, 42% screened positive for at least one social need, with food insecurity being the most prevalent. Among those with identified needs, 40% requested assistance when contacted after discharge. Of those who accepted help, 75% were successfully connected to community resources through remote follow-up (e.g., phone-based support). Statistical analysis showed that caregiver unemployment and Medicaid insurance were significantly associated with higher likelihood of SDOH needs. Conversely, families residing in rural areas were less likely to request assistance, suggesting potential barriers such as stigma, access, or resource awareness. The study demonstrates that ED-based SDOH screening combined with remote intervention is feasible and moderately effective, particularly for identifying unmet needs and linking families to support services. However, it highlights gaps in engagement among rural populations and calls for further research on improving uptake and long-term health outcomes. Danielle Zoellner, MPH NRP; Destri Eichaman, BA;Bin MD MA; Eichaman McCarney, BHS; Mariana Mendoza Castro; Elizabeth Kendrick BA, NRP; Janisha Eubanks ;Megan EuDaly, PA-C,CAQ-EM; Stilley Julie, PhD; James, Alexandra, MD MPH; Jennae Reken DO Health disparities rural community health social determinants of health social needs RA 421 .F35 [Frederick, Md., etc.], [Aspen Publishers] 2025- 0352026003042 0160-6379 (OSt)11220476 260505 20260521114055.0