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Select a classmate’s post and provide feedback on their chosen Social Determinant of Health. Offer an additional perspective or suggestion regarding the challenge mentioned in their post. How might healthcare providers overcome this challenge in practical ways? Suggest another strategy or intervention that could complement your classmate’s proposal. Explain how combining these strategies might improve health outcomes for pediatric patients affected by the SDOH. Similarly to adults, the different social determinants of health (SDOH) can affect a child’s growth and development in several ways. SDOH are defined as “the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.” Education access, availability of healthcare, neighborhood environment, economic stability, and social context can all influence the pediatric patient’s quality of life and have a significant impact on health care outcomes. The SDOH that I chose to explore is neighborhood and built environment; this element is known to correlate to access to healthy foods, crime and violence, environmental concerns, and quality of housing. Specifically in the pediatric black, hispanic, and american indian populations, 40% of children are experiencing higher rates of poverty, food insecurity, and housing insecurity, coupled with limited availability of early education, after school groups, and play areas that are safe. All of the factors listed can influence overall health, prevalence of disease, or recovery from surgeries in the pediatric patient. Homicide is the third leading cause of death in those aged 10-24, and the second most common cause of trauma related death in children who are admitted to a trauma center. This is a direct effect from the neighborhood environment that includes guns, violence, and crime. As health care providers, it can be difficult to address and monitor different SDOH when we do not have experience with it in our own lives. It can be challenging to understand exactly how a SDOH can affect our pediatric patients, and how we as providers can intervene when the problem is within the patient’s neighborhood. One potential solution is the safe environment for every kid (SEEK) movement. SEEK is a prevention model used to help prevent child abuse, neglect, and violence by strengthening parents or guardians in child safety and health. The program helps to address and identify other SDOH alongside the neighborhood environment, and determine if there is any harsh punishments, substance use, food insecurity, or partner violence in the child’s home. I believe this model is effective because it addresses the root problem and helps to prevent it moving forward; this can also help prevent recurrence of the issue. Previous implementation of the SEEK model resulted in a significant statistical decline in child abuse and neglect per Child Protective Services, and resulted in increased quality of health and health care for these patients.

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