Transcript presentation

“The Role of SBHCs through the Eyes of
Educators”
National Assembly on School-Based Health Care
June 30, 2007 Washington D.C.
KAREN BERG
JAIME DIRCKSEN
POLICY DIRECTOR
MANAGER OF FAMILY AND
ILLINOIS MATERNAL AND
COMMUNITY
CHILD HEALTH COALITION
PARTNERSHIPS
AND ILLINOIS COALITION
CHICAGO PUBLIC
FOR SCHOOL HEALTH
SCHOOLS
CENTERS
[email protected]
[email protected]
STEVE SMITH
JOHN DIVELY
Principal
EASTERN ILLINOIS
UNIVERSITY
MARION HIGH SCHOOL
[email protected]
[email protected]
Objectives
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Participants will gain an understanding of
educational policies related to academic success and
intersections with the mission of SBHCs.
Participants will gain an understanding of
professional educators’ perceptions of the
relationship between educational goals and health,
mental health and social service providers in the
context of SBHCs.
Participants will gain an understanding of common
purposes, positive messages and effective strategies
that can create and develop long-term relationships
between education entities and health providers
consistent with the goals of the SBHC movement.
Illinois Coalition
for School Health Centers
 Inclusion of education objectives in
strategic plan
 Successes
 Illinois
State Board of Education
 Professional organizations and publications
 Local partnerships and policies
 Engagement in policy efforts
Many conclude that persistent
achievement gaps must result from
wrongly designed school policies – either
expectations that are too low, teachers
who are insufficiently qualified, curricula
that are badly designed, classes that are
too large, school climates that are too
undisciplined, leadership that is too
unfocused, or a combination of these. In
some cases they may be right. However…
What’s needed:
 highly qualified teachers
 effective school leadership
 well designed curricula
 supportive school communities
 smaller class sizes
 school environments that are conducive
to learning
 programs to address educational needs
of entire school populations
Five major areas that are vital to closing
the achievement gap:
1. Greater Income Stability and
Equality—supporting incomes of lowwage parents
2. Stable Housing—national policy to
reduce mobility of low-income families
may do more to boost test scores than
many instructional reforms
3. Early Childhood Education
4. Summer/After School Programs
5. School-Community Clinics
that provide comprehensive
programs for school
communities especially for
those with high numbers of
disadvantaged children.
Marketing messages that appeal to
school communities
1. Close the Achievement Gap
2. Lower Student Absences
3. Lower Teacher Absences
4. No significant costs to the district
5. Completely separate…no
administrative oversight
6. Parents Don’t Have to Leave Work
7. Medications delivered
Another Reason Educators Should Consider SBHCs
(Illinois’ Illini Plan)
WHAT WOULD ALL THIS COST?
To close the achievement gap, it will
cost an additional $12,500 per pupil
over and above the $8,000 average to
provide these programs to low-income
students. A total of 156 billion annually
Which is 2/3 of the average annual tax
cuts approved since 2001 & less than ½
amount spent in IRAQ to date
What can/should we do to close the
achievement gap?
INFORM OUR VARIOUS
AUDIENCES ABOUT THE MANY
VARIABLES THAT CONTRIBUTE
TO THE ACHIEVEMENT GAP
2. ADVOCATE FOR POLICY CHANGES
THAT WILL ADDRESS THESE
NEEDS.
3. IN PARTICULAR TO THIS
DISUCSSION—WE NEED TO LOOK
FOR PARTNERSHIPS/INNOVATIVE
WAYS TO ADDRESS STUDENT
HEALTH NEEDS.
1.
Chicago Public Schools
Schools - Total: 623
(FY2006-07)
Students - Total: 420,982
(FY2005-06)
Elementary Schools (481)
Student Enrollment
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409 traditional elementary schools
39 magnet schools
16 middle schools
8 gifted centers
9 special ed schools
19,471 Pre-School
1,734 Pre-School special education
29,502 kindergarten
261,143 elementary (1-8)
109,982 secondary
High Schools (115)
Student Racial Breakdown
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37 general/technical
12 vocational/career schools
12 magnet schools
8 math & science academy
4 military academy
21 small schools
9 achievement academy
3 alternative school
9 special ed schools
Charter Schools (27)
31 Elementary campuses
16 High School campuses
48.6% African-American
37.6% Latino
8.1% White
3.2% Asian/Pacific Islander
2.4% Multi-Racial
0.1% Native American
Additional Student Information
85.6% of students from low-income families
13.7% are limited-English-proficient
92.1% citywide attendance rate
Coordinated School Health @ CPS:
Organization and Function
Office of Specialized ServicesCoordinated School Health:
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Physical Development & Health
–Comprehensive Health Education
–Family and Community Partnerships
–HIV/AIDS Prevention
–Occupational Therapy/Physical Therapy
–School Nursing
–Vision and Hearing Program
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Mental Health Services
–Avenues for Success
–Local Area Network (LAN)
–ICARE/Behavior Interventions
–Safe and Drug-Free/Title IV Programs
–School Psychology
–School Social Work
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Social & Emotional Learning
–Elementary Counseling
–Positive Behavior Interventions and Supports (PBIS)
–School Based Problem Solving
–Quality Assurance
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Crisis Intervention
Physical Health Requirements:
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Dental/Oral Health Examinations
Immunizations
Physical Health Examinations
Vision and Hearing Screenings
IEP/504 Related Services
Social/Emotional Learning Competencies:
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Self-awareness
Social Awareness
Self-management
Relationship Skills
Responsible Decision Making
Priority Health Behavior Areas:
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Alcohol and Other Drug Use
Injuries and Violence
Sexual Health Behaviors
Tobacco Use
Dietary Behaviors
Physical Activity
CPS School Health Centers
 21 currently operating
 +1
Mental Health Only
 2 to open in 2007-2008
 5 funded to open in 2008-2009
 4 closed due to County budget
3
will re-open in 2007-2008
 Project # of Centers in 2007-2008=26
Healthy Children are Healthy Learners
 One child in four -- fully 10 million -- is at risk of failure
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in school because of social, emotional, and health
handicaps.1
…data from Harvard University’s School of Public Health
Found a strong correlation between poor nutrition and
health and low achievement. 2
Poor children have twice the average rate of severe vision
impairment. 3
Untreated cavities are nearly 3 times as prevalent among
poor children than among middle-class. 4
Low income students, particularly those living in densely
populated urban areas have substantially higher asthma
rates. 5
Low income students have dangerously high blood lead
levels. 6
School Health Centers and CPS
Successes
 Development of Site License Agreement
 Development of Formal School Health
Center Establishment Process
 Cook County Health System
 Clinic
closures
 Chicago Mobilization
Tips for Success
 Believe in the Model
 Develop Strong relationships
 With State Funder/Certifier
 With Illinois Coalition of School Health
Centers
 Within the School System
 With the Community Health System
 Persistence and Responsiveness
Challenges
Big Systems=Lots of hands
Education Systems don’t
embrace Health
Time
Marion, IL - Community Profile
 Location: Rural southern Illinois
 Population: 17,100
 Demographics:
White non-Hispanic: 92%
 Black: 4.3%
 Additional Minority: 3.4%
 Employment Opportunity: Public Administration and
Healthcare
 College Educated: 23.1% (Bachelor degree or higher)
 Median Income: $30,364
 14.9% below poverty rate
 Median Age: 40 years old
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Marion Unit #2 District Profile
 Student Enrollment – 4065
 Faculty: 240
 Support Staff: 300
 Eight Buildings
5
Elementary
1 Middle School
1 High School
Healthcare Provider & Wellness
Center Partner
 Shawnee Health Service
 Not-for-profit
501(c)(3)
 Federally Qualified Health Center
 Serves the lower 13 counties of southern
Illinois
 10 service centers (Including Unit #2 Wellness
Center)
 Designed to ensure that income or lack of
insurance is not a barrier to quality health care
Idea To Implementation
 During the 2003-2004 school year, talks began between
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school administration and Shawnee Health professionals
Opposition was met from both community health
providers and high school administration
Timeline for start date did not allow sufficient time for
grant writing and funding
Start up funds and facility work all provided by Marion
Unit #2 and Shawnee Health
Resulted in the only school based health center in Illinois
that is not supported by federal or state grant $
Marion Unit # 2 Wellness Center
 Housed at Marion High School
 Converted classroom
 Approximately 900 square feet
 Staff
 1 PA
 1 LPN
 1 Dentist
 1 Receptionist
 Services
 Chronic and acute illness
 Minor injuries
 Routine physicals
 Health education
 Disease prevention
 Dental Services
 Serves Marion Unit #2 student, faculty, staff, and their immediate families
Wellness Center Survey
1.
If so, how many times have you used the clinic?
21%
52%
21%
6%
2.
Has the clinic reduced your absenteeism from work?
50%
50%
3.
0-20% Reduction
25-50% Reduction
55-75% Reduction
More than 75%
Do you see this as a benefit to working at Unit #2?
82%
5.
Yes
No
If yes, what % best describes your reduction?
54%
26%
10%
10%
4.
Once
2-5 times
6-10 times
More than 10
Yes
What is your perception of the impact the clinic has had on student
attendance in your classroom?
89%
11%
Increased attendance
No change
Serving Patients (Students & Staff)
Academic Year – 2004-2005
– High School – 335
– Jr. High- 93
– Elementary – 217
– Staff – 400
Academic Year – 2005-2006
– High School – 419
– Jr. High – 158
– Elementary – 340
– Staff - 608
Academic Year – 2006-2007
– High School – 584
– Jr. High – 221
– Elementary – 434
– Staff - 709
Faculty & Staff Attendance Record
(Sick Days)
 Academic Year 2004-2005
 Average Sick Days – 11.3 per employee
 Academic Year 2005 – 2006
 Average Sick Days – 10 per employee
 Academic Year 2006 – 2007
 Average Sick Days – 8 per employee
 Note: Reduction of 3.3 sick days per year per employee
saves the district: $119,000 per year (3 New Teachers)
Advantages to School and Community
(i.e. Marketing Message)
 Lower student absences
 Lower teacher absences
 No cost to the district
 No administrative oversight
 Parents don’t leave work to get child
treated
 Medication delivered on site
Contact Information
Stephen C. Smith,
Principal
Marion High School
Marion, IL 62959
618-993-8196
[email protected]
QUESTIONS
Bibliography
Rothstein, R. (2006) Reforms that could help
narrow the achievement gap. WestEd. Retrieved
September 15, 2006, from WestEd database, at
http://www.wested.org/online_pubs/pp-06
-02.pdf
Rothstein R. (2004) The achievement gap: A
broader picture. Educational Leadership. 62, 3,
40-43.
Rothstein, R. (2004). Using social, economic, and
education reform to close the black-white
achievement gap. New York: Teachers
College Press.