School-Based Health Centers

Salina MendozaProgram Manager - Central ValleyCalifornia School-Based Health Alliance

About US

California School-Based Health AllianceWe are the statewide nonprofit organization helping to put more health services in schools. We were formerly known as the California School Health Centers Association (CSHC) until January 2014.

Our mission is to improve the health and academic success of children and youth by advancing health services in schools.

What Is a School-Based Health Center?

• Delivers primary health care and other health services in collaboration with a school

• Located on campus or near a school site• May also provide after school programs, clubs,

nutrition programs, parent groups, and more• Serve students and sometimes siblings, family

members and the community

School-Based Health Models• School-based health centers

(on school campus)• School-linked health centers (off campus but

with a strong relationship with the school) or telehealth programs

• Mobile health vans• Comprehensive school nursing• Oral health programs

California’s 231 School-Based Health Centers

What Services Are Provided?Service % of Centers

Medical Services 87%

Health Education 61%

Mental Health Services 64%

Reproductive Health – Screening & Education 70%

Reproductive Health – Clinical Care 55%

Nutrition & Fitness Programs 33%

Dental Services – Prevention 42%

Dental Services – Treatment 23%

Youth Engagement Programs 38%

Who Runs School-Based Health Centers?

• School Districts• Federally Qualified Health Centers• County health departments• Mental health providers• Community-based organizations• Hospitals

School-Based Health Centers Improve Student Behavior

• Mental health, low self-esteem and resiliency• Poor diet• Injuries and illness• Risky sexual behavior• Appropriate health care utilization• They also reduce emergency room and hospital utilization

Research Shows a Positive Impact on

Student learning:• Reduced absences and tardiness• Increased promotion to the next grade• Decreased dropout rates• Reduced disciplinary problems

School-Based Health Centers Redefine Health Care for Kids and Teens

They provide:• Convenient access to targeted pediatric and

adolescent health care• Expanded preventative services• Trusted, neutral source for referrals and resources• Improved chronic disease management• Increased immunization rates• Earlier detection, intervention for STIs• Reproductive education and care

How Is School-Based Health Care Financed?Space and utilities are typically contributed by the school

Third-party reimbursement: Child Health and Disability Program Family PACT Medi-CalHealthy Families

Public and private grants

Considerations for Developing Sustainable School-Based Health Care Programs

School-based health centers usually serve all students at a school even if they are:UninsuredEnrolled in a managed care plan that does not reimburse the school health center.

Reimbursement rates do not cover actual costs.

A significant portion of staff time is spent conducting education, outreach, and case management that is not generally reimbursable.

2011-2012 HRSA SBHC Grants

In California:• $30 million in grants were given for building and expanding

SBHCs• 70 HRSA grants• 57 organizations (school districts, health care entities, etc. )

received funding• 44 new SBHCs will be opened as a result of the grants• 15 SBHCs will offer dental services as a result of the grants

Population, AccessOutreach & Education (stepping stone)

SBHCs – opened new patient baseEnrollment EntitiesNavigatorsSpecial Enrollment

The Role of SBHCs

Spotlight: RHC-Sponsored SBHC in Fresno CountyAdventist Health Jefferson• Partnership – Adventist Health & Kings Canyon School District• Medical, Health Education, and Youth Engagement Services

in:• 15 Elementary Schools• 4 Middle Schools• 2 High Schools• Open to the Community

• HRSA capital grant funding

Advancing Equity in Education & Health Care, School Health Conference - May 1, 2015

Network with other children’s advocates, learn, and get resources to advance our collective mission to give all children an opportunity to succeed.

• The conference will feature workshops on timely school health topics, exhibits, networking, and a keynote address by California Assemblymember Shirley Weber.

• Learn more http://www.schoolhealthcenters.org/about-us/conference/2015-conference/

Vision to Reality: How to Build a School-Based Health Center From the Ground Up

Chapter 1: OverviewChapter 2: Community PlanningChapter 3: Youth EngagementChapter 4: SBHC Structure and StaffingChapter 5: Funding Chapter 6: Licensing and RegulationsChapter 7: Operations Chapter 8: FacilitiesChapter 9: Evaluation and Data Collection

Get Help!

What You Can Do Now

Learn more and see resources at www.schoolhealthcenters.org

ContactSalina Mendoza559-940-0157 smendoza@schoolhealthcenters.org