1 / 25

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

adeola
Download Presentation

An Overview of the School-Based Health Center Model

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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

More Related