Transcript The Evaluation of Clinical Services in SBHCs (CQI Tool)

16th Annual Maternal and Child Health
Coordinating Conference
February 20, 2002
School-Based Health Centers
As a Vehicle for Expanding Access for
Adolescents
Annette Ferebee, MPH
Deputy Director
The Center for Health and Health Care in Schools
16th Annual Maternal and Child Health
Coordinating Conference
Session A3
The State of Adolescent Health
in the District of Columbia:
A Vision for the Future
Wednesday, February 20, 2002
10:30 - 12 Noon
The Center for Health and Health Care
in Schools

Funded by The Robert Wood Johnson
Foundation

Established in February 2001

Housed at The George Washington
University
The Center for Health and Health Care
in Schools
What We Do:
 Test model programs
 Analyze options for organizing and
financing school health
 Research issues and publicize effective
programs
 Inform policymaker and the public
School-Based Health
Centers(SBHC) Today

1,400 SBHC nationwide

New York, Arizona and California

Urban, Rural, Suburban

Elementary, High School, Middle School
School-based Health Center Model




They are located in schools
Parents sign written consents
An advisory board of community
representatives, parents, youth and
family organizations
Clinical services are the responsibility of
a qualified health provider
School-based Health Center Model



The health center works cooperatively
with school nurses, coaches,
counselors, classroom teachers, and
school principals and their staff
A multidisciplinary team care for
students (NP, MSWs, MD, HE)
The health center provides a
comprehensive range of services
State of Adolescent Health Today



Adolescents (10-19) have the lowest
utilization of health care services of any
age group and are the least likely to
seek care at a providers office.
Adolescents are less likely to have
health insurance than other age groups
Risky behaviors are the leading threat
to the health of adolescents
State of Adolescent Health Today


Leading causes of death for
adolescents have changed from natural
causes to unintentional and intentional
injuries
Three quarters of those needing mental
health services do not receive them.
State of Adolescent Health in the
District of Columbia

20% or approximately 115,000 are under the
age of 18

Infant mortality rate rose to 15 deaths per
1,000 more than twice the national average

1.5 percent of children and youth under 20
were diagnosed with chlamydia, gonorrhea or
syphilis -about 1 in 65
State of Adolescent Health in the
District of Columbia

Percent of births to teenage mothers declined

New AIDS Cases diagnosed in children and
teens declined

Violent deaths to teens decreased
SBHC Policy Issues in the District
that Need to be Answered


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It is not clear if SBHC personnel can
legally diagnose and treat
Relationship between school nurses and
school-based health center personnel
needs to be addressed, and
How to measure performance and quality
to enable political and community
accountability
Resources

Center for Health and Health Care in Schools
web site
• www.healthinschools.org

D. C. Children’s Trust Fund
• www.dcctf.org or www.aecf.org

RAND Health Highlights
• www.rand.org