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Teacher Perspectives on School Based Health Clinics

Thesis Presentation by Whitney Newton April 29th 2010
by

Whitney Newton

on 29 April 2010

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Transcript of Teacher Perspectives on School Based Health Clinics

School Based Health Clinics (SBHC’s) Opened in Texas and Minnesota in the 1970’s
1700 currently in 45 states
Primary health care
Lab tests
Diagnosis & treatment
Immunizations
Gynecological examinations Birth control information and referral
Pregnancy testing and counseling
Referral for prenatal care
Nutrition education
Weight reduction programs
Counseling for substance abuse
General Health Education
Access (care and information) Increased student attendance In-class attention Affordability Confidentiality Early detection Services Benefits Thesis Presentation by
Whitney Newton
April 29th 2010 Teacher Perspectives on School Based Health Clinics Teachers and SBHCs Initial contact between a student and the SBHC Teachers are often a teen’s source of information on adolescent issues, even a confidant for privacy-seeking teens
Students may see teachers as an information resource, particularly on sexual health
Line of communication between school and parents is often through the teacher
Framing clinic positively to students – reduce stigma
Mountain of referrals – water down effect of SBHC staff and increase anxiety in SBHC staff
Inaccurate information to students – increase stress in students with health issues or needs
Role Effect Research Components School H.L. Harshman Middle School
7th & 8th traditional school in Indianapolis Public Schools
597 students in 2008-2009
72% receive free or reduced lunch
SBHC Learning Well Inc. Non-profit 84 clinics in Indianapolis Participants All school staff provided with survey 36 of 67 possible staff members responded to survey Survey Participants were asked 14 questions Survey to determine teacher knowledge of Harshman's SBHC services and procedures Preventative Care Treatment Education Referrals Home visits/Family Clinic Evaluations Lab Work Prescriptions Medications Patient Volume Data Collection Clinic Funding Clinic Hours Nurse Practitioner's answers were used as the key Survey Data Correct Answer selected 45% of the time
Minimum Score: 10%
Maximum Score 77%
Less than 1 in 4 respondents knew the clinic provides services for dental care (6%), obesity (14%), and medical exams for abuse/neglect (23%)
Less than 1 in 4 respondents knew the clinic provides education on HIV and AIDS (14%) and gun safety (9%)
Less than half of respondents knew the clinic provides referrals for HIV/AIDS services (46%)
At administrative request – surveys remained entirely anonymous (no demographic information on participants)
Data Interpretation and Conclusion Given less than half of participants were able to correctly identify the services, education and referrals provided by the clinic, there is a distinct deficit in staff knowledge of the SBHC at Harshman Middle School.
The nurse practitioner for Harshman’s SBHC stated the most significant statistic was that only 23% of participants knew the clinic could provide examinations for abuse or neglect
Teachers are often the first adults to notice any signs of abuse in a student Survey Reflections Demographic data would have been very revealing
Include questions about teachers’ beliefs about clinic
Wider data collection – more than 1 school
Could include student perceptions of teacher knowledge of SBHC
Compare different schools, across a district
Conclusion Deficit in staff knowledge of SBHC at Harshman
Could be easily corrected on a school level
meetings, emails, and professional development. If other schools showed a similar deficit
professional development
continuing education courses

first responder training pre-screening training extended training for emergencies increase early detection Does teacher knowledge affect SBHC efficacy?
Full transcript