Arts–based social prescribing for holistic health: Theory and practice integration

of eight common SDOH domains, beginning in the emergency department (ED) and general pediatric mobile clinic, followed by outpatient pulmonology and endocrinology, inpatient wards, and a standing pediatric clinic.Each site determined their optimum workflow integration of the tool based on staffing and resources.We used descriptive statistics to report our findings.Results: Based on interviews, systemic pitfalls were (1) inconsistent reporting of social needs through a myriad of disparate SDOH screening mechanisms; (2) underutilization of collected SDOH data; (3) duplicative and siloed interventional design; (4) poor tracking of SDOH data for clinical use; and (5) inadequacies in intervention.A total of 419 families self-screened using the novel tool, with the majority (74%) accessing it in the mobile clinic.Seventy-three (17%) indicated urgent need, 50 (12%) non-urgent need, and 273 (65%) no need.Of those with urgent need, trouble paying bills, food insecurity, and a family member with mental health issues were most common.In this group, 77% completed a phone-based social work intervention within 3 days of screening.Most families rated high ease (96%) and comfort (68%) with self-screener completion. Conclusion:We demonstrate a collaborative approach to developing and implementing a workflow adaptable SDOH screening and intervention model across our healthcare enterprise that responds to common barriers of implementation.