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An Overview of the School-Based Health Center Model

An Overview of the School-Based Health Center Model. Presented for: Date: Presented by:. What is a SBHC?. SBHCs are health clinics located in schools that provide preventive and primary care to students

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An Overview of the School-Based Health Center Model

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  1. An Overview of the School-Based Health Center Model Presented for: Date: Presented by:

  2. What is a SBHC? • SBHCs are health clinics located in schools that provide preventive and primary care to students • Services provided are determined by the community, but most often include: health education, treatment of acute illnesses, management of chronic illnesses, and mental health services such as grief counseling, bullying, and suicide prevention • SBHCs require a signed parental consent form before students can be provided services

  3. What is a SBHC? • In WV, SBHCs are sponsored by community health centers (18) and hospitals (1) and receive funding from state, federal, private sources, in-kind donations and patient revenue • WV SBHCs follow a set of standards for care, including parental consent for enrollment and treatment

  4. What is a SBHC? • Most SBHCS consist of a waiting/reception area, lab area, exam room(s) and offices • Are typically staffed by a receptionist/data entry clerk, nurse, and a nurse practitioner or physician assistant with supervision/consultation from a physician • Work with, but do not replace, the child’s physician or school nurse • Link to or serve as the child’s medical home if they do not have one

  5. Snapshot of SBHCs • Nationally, the first SBHCs were created in the 1970’s…today, we have 1700 SBHCs in 45 states serving students in all grades • In WV, SBHCs were piloted in 14 schools in 1994…in 2005-06 there were 43 SBHCs providing services to 56 schools in 22 counties • Interest and commitment continues to grow in WV and across the states

  6. Yellow = new SBHC sites

  7. Benefits of SBHCs • Provide health care to children who may not otherwise seek care • Provide children with easier access to care • Promote prevention and early intervention • Help children stay healthy • Give all children an equal chance to succeed in school!

  8. Benefits of SBHCs Studies by John Hopkins University, Emory University,Health Foundation of Greater Cincinnati,and others show that SBHCs: • Decrease absenteeism & tardiness • Reduce school discipline and behavior problems • Save money by reducing the number of visits to the ER for the wrong reasons

  9. Principles of SBHCs • Respond to the community • Support the school • Promote collaborative relationships • Focus on the student • Advance health promotion • Provide leadership for adolescent and child health

  10. Why SBHCs? • 23% of WV public school children require regular and ongoing healthcare services during the school day • 55,000 students have IEPs • WV students have high rates of asthma, diabetes, and obesity • New focus on school-wellness at the national and state levels

  11. WV SBHCs: Extensions of Current School Health Services • Does not replace school personnel; augments school health programs • Brings the community’s resources to the school • Addresses unique developmental needs of youth • Serving children requires the expertise of all health, education & social service providers

  12. Part of Coordinated School Health Addresses most of the 8 components: • School Meals and Nutrition • Physical education • Health Services • Staff wellness • Counseling, psychology and mental health • Health education • School environment • Parent community partnerships

  13. Core Services • Comprehensive physical exams • Risk screenings : GAPs, Bright Futures • Diagnosis & treatment of minor injuries and illnesses • Management of chronic conditions • Lab tests • Immunization campaigns • Classroom/community health promotion • Behavioral health counseling

  14. WV’s SBHC standards include • Provider coverage at least three half-days per week • 24 hour back up • Parental consent • Services provided to all students, regardless of ability to pay • Compliance with all state, local, national regulations,laws, professional standards regarding health care services

  15. Planning • Look at the entire school system and county • Consider not only where the greatest need for services is but also where there is the feasibility of success and sustainability • Consider a “hub” model

  16. “Hub” Model • A full time SBHC located in a school with student population of at least 700 students that is fairly centrally located within the county • Would serve students from entire county • Part time services to other schools based on needs including: Immunization campaigns Well Child exams Oral health sealants/treatment

  17. Planning: A collaborative effort Identify key “stakeholders”: • Primary care center (FQHC/RHC) • Private medical community • School administration and staff • Behavioral health center • Local health department • Hospitals • Family Resource Network

  18. Four–Step Planning Method • Needs Assessment – is the need sufficient to justify the intervention? If “yes” -- • Feasibility Study: Does the community have the interest? Resources? If “yes” -- • Work Plan: Working committee outlines key steps • Evaluation: Early and on-going

  19. Funding Usually a combination of public and private sources: • Local School • County School System • Businesses/Corporations • Local Health Care • Foundations • Federal and State Be Creative !!!

  20. Lessons Learned • Think big – start small • Consider a county-wide SYSTEMS approach • Multi-agency planning is a challenge – remember to include all of your partners! • Establish trust • Respect different organizational cultures • Avoid turf issues • Remember the goal: Healthy Students!

  21. WV Resources

  22. Richard Crespo, PhD Director 304-691-1193 crespo@marshall.edu Linda Anderson, MPH Coordinator 304-523-0043 landerson@marshall.edu Stephanie Montgomery Data and Evaluation 540-776-7953 smontgom@marshall.edu Paula Fields, MSN, RN Clinical Issues 304-846-9739 pfields4@yahoo.com WV School Health Technical Assistance and Evaluation CenterRobert C. Byrd Center For Rural HealthMarshall University

  23. WV School-Based Health Assembly www.wvsbha.org Statewide membership organization working to advance comprehensive health care in school settings Eileen Barker Becky King Co-coordinator Co-coordinator 304-342-1330 304-757-5280 ewbarker@charter.net bk517@attglobal.net

  24. National Resources • National Assembly on School-Based Health Care: www.nasbhc.org • Center for Health and Health Care in Schools: www.healthinschools.org • Center for School Based Health, Bureau for Primary Health Care, HRSA: www.bphc.hrsa.gov

  25. Questions & Discussion

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