an overview of the school-based health center model presented for: date: presented by:
TRANSCRIPT
An Overview of the An Overview of the School-Based Health Center ModelSchool-Based Health Center Model
Presented for:Presented for:
Date:Date:
Presented by:Presented by:
What is a SBHC?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
What is a SBHC?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
What is a SBHC?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
Snapshot of SBHCsSnapshot 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
Yellow = new SBHC sites
Benefits of SBHCsBenefits of SBHCs
Provide health care to children who may not otherwise seek care
Provide children with easier access to carePromote prevention and early interventionHelp children stay healthyGive all children an equal chance to succeed in
school!
Benefits of SBHCsBenefits 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
Principles of SBHCsPrinciples 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
Why SBHCs?Why SBHCs?
23% of WV public school children require regular and ongoing health care 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
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
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
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
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
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
“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
Planning: A collaborative effortPlanning: 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
Four–Step Planning MethodFour–Step Planning Method
1. Needs Assessment – is the need sufficient to justify the intervention? If “yes” --
2. Feasibility Study: Does the community have the interest? Resources? If “yes” --
3. Work Plan: Working committee outlines key steps
4. Evaluation: Early and on-going
Funding 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 !!!
Lessons LearnedLessons 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!
WV ResourcesWV Resources
WV School Health Technical Assistance and Evaluation Center
Robert C. Byrd Center For Rural HealthMarshall University
Richard Crespo, [email protected]
Linda Anderson, [email protected]
Stephanie MontgomeryData and [email protected]
Paula Fields, MSN, RNClinical [email protected]
WV School-Based Health Assemblywww.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
National ResourcesNational 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
Questions & DiscussionQuestions & Discussion