How often should screening for SDOH occur?

• A. Only once per patient.
• B. Only at new patient visits.
• C. Every patient, every encounter (not selectively).
• D. Only if a social worker is available.

Answer: (C)

Screening for social determinants of health should be done every patient, at every encounter. People’s social needs can change over time and from visit to visit, so asking about these factors repeatedly helps catch new barriers to care—like housing, food security, transportation, or safety—that could affect health outcomes. If you only screen once or only at the first visit, you’ll miss new or evolving needs that emerge later. Waiting for a social worker to be available also leaves many patients unscreened, undermining timely support and equity. By making SDOH screening a routine part of every encounter, you normalize the conversation, ensure ongoing assessment, and create opportunities to connect patients with resources promptly.