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School-based Health Centers

NURS 201
by

Lynn Leger

on 25 October 2012

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Transcript of School-based Health Centers

School-based Health Centers by: Lynn Leger What is it? A school-based health center is a clinic that provides comprehensive preventive and primary health care services to students on a school campus References http://www.ncbi.nlm.nih.gov/pubmed/16324934 School-based health centers generally operate as a partnership between the school district and a community health organization, such as a community health center, hospital, or the local health department General Characteristics of a SBHC Benefits Attends to unmet health care needs by placing health care where the kids are and when they need it.
Supports students by providing a safe place to talk about sensitive issues such as depression, family problems, relationships, and substance abuse
Supports the school environment by helping children stay in school and by identifying and addressing health problems that may intervene in the learning process
Supports families by allowing parents to stay at work while attending to their child’s routine health care needs
Saves money by keeping children out of hospitals and emergency rooms
Teaches students to be better health care consumers
Strengthens the connection between the community and the school Funding http://www.hrsa.gov/ourstories/schoolhealthcenters/ http://www.health.ri.gov/healthcare/providers/schoolbasedhealthcenters/ Rhode Island The Metropolitan Regional Career and Technical School
325 Public Street Providence, RI 02905
Bethany Baker, FNP 752-2695

Providence Community Health Centers, Inc.
444-0400

Thundermist Health Hut
John F. Deering Middle School
(Also serving West Warwick High School)
Webster Knight Dr. West Warwick, RI 02893
615-2900
Thundermist West Warwick Health Center 615-2800

Thundermist Health Center 767-4163 x3462 Federal grants
Community providers
School departments
Third party reimbursement from RIte Care Medicaid managed care and other health insurers
Some state legislative funds

The new health care reform legislation recently passed by the federal government includes opportunites for funding new school based health center sites History Located in schools or on school grounds.
Work cooperatively within the school to become an integral part of the school.
Provide a comprehensive range of services that meet the specific physical and behavioral health needs of the young people in the community.
Employ a multidisciplinary team of providers to care for the students: nurse practitioners, registered nurses, physician assistants, social workers, physicians, alcohol and drug counselors, and other health professionals.
Require parents to sign written consents for their children to receive the full scope of services provided at the SBHC.
Have an advisory board consisting of community representatives, parents, youth, and family organizations, to provide planning and oversight. Typical Services Primary medical care
Mental/behavioral health care
Dental/oral health care
Health education and promotion
Substance abuse counseling
Case management
Nutrition education http://www.nasbhc.org/site/c.ckLQKbOVLkK6E/b.7528935/k.84EA/About_SBHCs.htm SBHCs started in the 1970s with the first centers opening in Dallas, Texas and St. Paul, Minnesota. Stories NEW YORK CITY - Laura came to the clinic for her routine 12 year old annual physical exam. Like nearly 40% of US teenagers, because Laura was growing well and seemed healthy, it is unlikely that her mom would have taken her to her pediatrician for routine care. However, her SBHC recognizes that preventive care and screening are essential for early diagnosis and treatment. As part of Laura’s annual exam, she received a recommended screening blood count, which was positive for anemia. The nurse practitioner at her SBHC was concerned and had Laura return for a follow up visit, at which point the anemia was worse. Further testing in coordination with her primary pediatrician led to a diagnosis of Leukemia. Laura is now undergoing treatment and has an excellent prognosis due to this early identification. BUFFALO- An 8 year-old girl who was feeling sick was sent to the school-based health center. She was diagnosed with strep throat, but without health insurance her family could not pay for treatment. The center’s medical staff provided the child with the appropriate medical care, including a 10-day supply of medication. She got better, was able to stay in school learning and avoided the dire consequences of untreated strep throat. New York State Coalition 52 sponsoring organizations run 215 SBHCs in 26 of New York’s 62 counties.

Provide comprehensive health care to nearly 200,000 students.

3 Regional Chapters
Northern and Central Regional Chapter
Western Regional Chapter
Downstate Regional Chapter http://www.nystatesbhc.org/ Conclusion School-based health centers are clinics that provide primary care and preventative medicine to students in primary and secondary schools on school grounds
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