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Component 3.2

Linkages to Social and Behavioral Services, Including Domestic Violence/ Mental Health/Substance Abuse


  • Consider screening all patients for domestic violence and distribute Safety Cards routinely (available from Futures Without Violence).1
  • Consider screening all patients for depression using the Patient Health Questionnaire (PHQ-2).2
  • Consider screening all patients for Substance Use Disorders using the SBIRT tool.3
  • If patients express difficulty in meeting basic needs such as food, housing, transportation or child care, refer them to 211 Info. Or help patients, if willing, to call 211 Info from the clinic.4
  • Identify key mental health, domestic violence and substance use treatment providers in the community
    • Maintain an up-to-date list of their contact information.
    • 211 Info can also be used for this purpose—clinicians can call to find out where to send patients in their community.4
  • When a social or behavioral health concern arises as part of the patient’s visit, document any referrals made or phone numbers/ contact information given to the patient.
  • Mental health, substance use treatment and domestic violence providers are usually restricted from communicating back with referring clinicians, to protect the privacy of the patient. Documenting that the referral was made is usually sufficient, although it is good practice to check back with the patient to make sure they received needed services.


  1. Futures Without Violence: http://www.futureswithoutviolence.org To order Safety Cards: https://secure3.convio.net/fvpf/site/Ecommerce/567623699?FOLDER=1133&store_id=1241
  2. Patient Health Questionnaire for depression screening: http://www.cqaimh.org/pdf/tool_phq2.pdf
  3. SBIRT tool and support for substance use screening: http://www.sbirtoregon.org
  4. 211 Info Family Resource line: http://211info.org