10. Social Determinants

Question 1

____ of health are the conditions in which people are born, grown, live, work and age

Shaped by distribution of ____, power, and resources at ____, national and ____ levels

Mostly responsible for ____ - the unfair and avoidable differences in health status seen within and between countries

Answer 1

social determinants
money
global
local
health inequities

Question 2

Some social determinants of health:

• ____
• neighborhood/physical environment
• ____
• food
• ____
• health care system

Answer 2

economic stability
education
community and social context

Question 3

Trauma in Children… and What We Can Do to Help

What we can do in early intervention

• model ____ relationships for parents
• collaborate with caregivers and team to improve family ____ to healthy discipline, stress management and coping strategies

What we can do in schools

• advocate to bring trauma-informed practice to schools
• provide teachers with resources and support to facilitate ____ skill, self-regulation and essential life skill development

What we can do in the community

• raise ____ of prevalence and impact of trauma
• advocate and plan for safe community recreational activities to provide opportunities for positive ____ and ____

Answer 3

responsive
self-efficacy
social-emotional
awareness
adult modeling
peer socialization

Question 4

ACE > disrupted ____ > social, emotional, and cognitive impairment > adoption of ____ > disease, disability and social problems > ____

Answer 4

neurodevelopment
health-risk behaviors
early death

Question 5

Practical Implications in Practice - How Best to Understand Patient’s Social Determinants

• Questionnaire or ____ Ended Questions?

• Expand Chief Complaint and Health History Existing Questions with ____ Questions
—• What are ____ that make it easier or more difficult to control
your diabetes
—• How has your ____ affected you now

• Expand on Patient Initiated Topics
—• ____ me more

• Use ____ Listening and ____ Understanding

Answer 5

guided open
follow-up
factors
early life
tell
reflective
empathic

Question 6

Assessing Complementary Care Practices
• What is \_\_\_\_ patient is using?
• What is patient’s \_\_\_\_ and \_\_\_\_ for using it?
• What \_\_\_\_ is available?
• If product is \_\_\_\_, stop
• If \_\_\_\_, explain
• If \_\_\_\_, continue
• Power of placebo

Answer 6

product
reason
goal
research
harmful
harmless
helpful

Question 7

Best Practices with Pateints
Darby’s Cultural Assessment Guide

Ø \_\_\_\_ Habits, Customs & Behaviors 
Ø Communication Patterns
---Ø \_\_\_\_ & \_\_\_\_
Ø Health \_\_\_\_ and Practices
Ø \_\_\_\_ Factors
Ø \_\_\_\_, Sociologic and \_\_\_\_ Factors

Answer 7

valued
verbal
non-verbal
beliefs
nutritional
religious
psychologic