what’s happening with school-based health centers? brenda barron, director of field operations

What’s Happening with School-Based What’s Happening with School-Based Health Centers?Health Centers?

Brenda Barron,Brenda Barron, Director of Field OperationsDirector of Field Operations

School Health Initiatives Midwestern Regional ConferenceSchool Health Initiatives Midwestern Regional ConferenceJuly 23, 2008July 23, 2008

National Assembly on School-Based National Assembly on School-Based Health Care Health Care

National advocacy voice for over 1,700 SBHCs

Training and technical assistance Evaluation and quality Funded by cooperative agreements with

MCHB, BPHC, and CDC; foundation grants; donors, and members

NASBHC PrinciplesNASBHC Principles

Supports the School Responds to the Community Advances Health Promotion Activities Implements Effective Systems Focuses on the Student Delivers Comprehensive Care Provides Leadership in Adolescent and

Child Health

4N = 1709N = 1709

Where are SBHCs Located?Where are SBHCs Located?

Growing State Support Growing State Support

Michigan: $1million budget increase & mental health services reimbursement

Illinois: 3% cost of doing business Ohio: Legislative site visits Arizona: $200,000 budget increase Washington: Establishing state program

office

Mental health servicesMental health services

Fastest growing component of SBHCs First priority for program funding Mental Health Planning and Evaluation

Template (MHPET) School Mental Health Capacity Building

Partnership State policies

7

0 10 20 30 40 50 60 70 80 90 100

*Mental Health Diagnosis

*Grief and Loss Therapy

*Crisis Intervention

*Assessment

*Referrals

*Screening

*Skill-Building

*Conflict Res/Mediation

*Tobacco Use Counseling

*Brief Therapy

*Substance Use Counseling

*Case Management

*Psycho-education

*Long Term Therapy

*Medication Mngt/Admin With MH Staff

Without MH Provider

* P<.01* P<.01

8community typecommunity type

0 10 20 30 40 50 60 70 80 90

Pregnancy testing

Abstinence Counseling

HIV AIDS Counseling

Counseling for Birth Control

STD Diagnosis and Treatment

Chlamydia Screening

Gyn Exams

Sexual Orientation Counseling

Urine Based Chlamydia Screening

Follow- up of Contraceptive Users

HIV testing

Pap Smears

Prenatal Care

Reproductive health servicesReproductive health services

Origins “Under the radar” strategy Response: services reflect the community

needs Revised national policy statement Message development and Congressional

education Expertise and training on state adolescent

health care laws

The School-Based Health Clinic The School-Based Health Clinic Establishment ActEstablishment Act

Introduced in the Senate on February 14, 2007 Introduced in the House on November 17

Authorize a federal SBHC program Provide competitive grants to SBHCs

Outcomes Senate: Resulted in a SBHC cost effectiveness

study by the General Accounting Office (GAO) in the CHC reauthorization

House: Received a hearing on December 4, 2007

Healthy Schools Act of 2007 Healthy Schools Act of 2007

Ensure procedures for payment under Medicaid and SCHIP for services provided by SBHCs

Define primary health services

Outcomes SBHCs included in final SCHIP bill with language

that did not prohibit states from reimbursing SBHCs. President vetoed twice

Primary reasons for successPrimary reasons for success

State leadershipState leadership

Member action Member action

&&

What to look for in 2008-2009?What to look for in 2008-2009?

SCHIP: SBHC inclusion at national and state level

Reintroduce SBHC authorization Integrate SBHCs in federal and state health

care reform efforts/dialogue Address health inequities and quality of care

Contact Information Contact Information

Brenda BarronDirector of Field Operations666 11th St NW, Suite 735Washington, DC 20001202-638-5872 ext 213bbarron@nasbhc.orgwww.nasbhc.org