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School-Based Health Centers (SBHCs) 101: Service Delivery Models

School-Based Health Centers (SBHCs) 101: Service Delivery Models. SBHC Service Delivery Models. Primary Care Only Model. NP/PA/MD 1-5 days/week Full or part-time (FT/PT) coverage No Mental Health/Substance Abuse Services. Primary Care-Mental Health Model. PT or FT coverage

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School-Based Health Centers (SBHCs) 101: Service Delivery Models

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  1. School-Based Health Centers (SBHCs) 101: Service Delivery Models

  2. SBHC Service Delivery Models

  3. Primary Care Only Model • NP/PA/MD 1-5 days/week • Full or part-time (FT/PT) coverage • No Mental Health/Substance Abuse Services

  4. Primary Care-Mental Health Model • PT or FT coverage • Full Range of Prevention/Early Intervention Physical and Behavioral Health Services (age and developmentally appropriate, e.g. reproductive health) • Diagnosis, Treatment and Management of Minor Acute/Chronic Illnesses • Provision for after-hours care

  5. Staffing for Primary Care-Mental Health Model • Medical provider (NP/PA/MD) • School nurse (if present) • Mental Health provider (e.g.) • Clinical Social Worker, • Psychologist/Psychiatrist, • May include Substance Abuse Counselor if appropriate

  6. Primary Care-Mental Health PLUS Model • FT coverage if possible • Primary care and mental health plus: (one or more of the following) • Dental Services • Reproductive Health Services that include contraception dispensing/prescribing • Nutrition Counseling • On-site Substance Abuse Treatment

  7. Staffing for Primary Care-Mental Health PLUS Model • School Nurse • Medical provider (NP/PA/MD) • Mental Health provider • Dentist/Dental Hygienist • Addictions Counselor • Nutritionist • Health Educator • Social Worker

  8. SBHC Staffing Models(N=1235)

  9. Alternative ModelsServices and Staffing • School-Linked Health Centers • Can mirror the service and staffing patterns of primary care only, primary care-mental health, and primary care-mental health PLUS models • Mobile Health Centers • Can mirror the service and staffing patterns of primary care only, primary care-mental health, and primary care-mental health PLUS models

  10. What Services Do SBHCs Offer?

  11. Primary Care Services Provided by SBHCs (N= 1176-1259)

  12. Reproductive Health Services Offered to Adolescents on Site(n= 897-931 ) community type

  13. Contraception Prohibition(N=853) Other Don’t know State Policy School Policy State Law Health Center School District Who Prohibits Dispensing Contraceptives in SBHCs

  14. Mental Health Services in SBHCs With (n=805) and Without (n=388) Mental Health Providers * P<.01

  15. Examples of Commonly Raised Concerns and Issues The following are issues that typically arise when discussing SBHCs and being prepared to answer adequately is the best strategy. • Reproductive Health • Parental Consent • Cost • Why in a school setting – resources concern

  16. National Tools and Resources for Getting Started • NASBHC websitewww.nasbhc.org • Basics, • Training and Assistance, • Publications, and • Members Only Sections • National Association of Community Health Centers’ (NACHC) CD-Rom, How to Start a Successful School-Based Health Center $25 www.nachc.org

  17. Questions and Answers

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