Transcript Linkages to Learning: Making the Case for Community Schools

A conversation with:
•Marty Blank, President ,Institute for Educational Leadership, Director, Coalition for Community
Schools
•Joshua Rovner, Director of Policy and Advocacy, National Assembly on School-Based Health Care
•Marilyn Crumpton, MD, MPH Director, Growing Well Cincinnati
December 16, 2010
www.communityschools.org
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Vision: The Coalition for Community Schools believes that strong
communities require strong schools and strong schools require
strong communities. We envision a future in which schools are
centers of thriving communities where everyone belongs, works
together, and succeeds.
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Mission: The Coalition advances opportunities for the success of
children, families and communities by promoting the development
of more, and more effective, community schools.
www.communityschools.org
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A community school is both a place and a set of partnerships
between the school and other community resources. It provides
academics, health and social services, youth and community
development, and community engagement, and brings together
many partners to offer a range of support and opportunities for
children, youth, families, and communities. The school is
generally open for extended hours for everyone in the
community. Community schools may operate in all or a subset of
schools in an LEA. (Title I Guidelines, U.S. Department of
Education, Sept. 2, 2009)
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Foster strong partnerships
Share accountability for results
Align school and community assets and expertise
Set high expectations for all
Build on the community's strengths
Embrace diversity
www.communityschools.org
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Low birth-weight and non-genetic prenatal influences on
children;
Inadequate medical, dental, and vision care;
Asthma;
Physical activity;
Teen pregnancy;
Aggression and violence
Sources:
Berliner, David C. (2009). Poverty and Potential: Out-of-School Factors and School Success. Boulder and Tempe: Education and the Public
Interest Center & Education Policy Research Unit. Retrieved [date] from http://epicpolicy.org/publication/poverty-and-potential
Charles Basch, Healthier Students are Better Learners. AS Research Initiative of the Campaign for Educational Equity. Teachers College,
2009
www.communityschools.org
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Early Chronic Absenteeism
Tardiness
Safety
School discipline referrals
www.communityschools.org
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Engaging Academic Instruction
Comprehensive services: health, mental health, prevention services
and family support
Community-based learning (service, civic, experiential)
Adult education and workforce classes
Community building
Early child development
Increased learning time and enriched learning opportunities
Family and community engagement
www.communityschools.org
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Vision care
Mental health counseling (for students and families)
Dental care
Immunizations
Health education & programming (dance classes, health
eating, etc.)
Community gardens
Peer health promotion
www.communityschools.org
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Results driven
Joint planning
Coordination among partners
www.communityschools.org
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Tulsa, OK
Evansville, IN
Montgomery County, MD
Cincinnati, OH
www.communityschools.org
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Josh Rovner, Director of Policy and Advocacy,
National Assembly on School-Based Health Care
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Supports the school
Responds to the community
Focuses on the student
Delivers comprehensive care
Advances health promotion activities
Implements effective systems
Provides leadership in adolescent and child health
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Provide a comprehensive range of services
Nearly all are open during school hours
◦ 60% are open after the school day ends
◦ 49% open before the school day begins
◦ 36% are open during summer months
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Every SBHC is different
◦ 25% provide primary care only
◦ 75% have mental health counselors
◦ Other providers: health educators (19%), nutritionists (14%), dental
(12%)
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Resources
◦ NASBHC’s website: “SBHC Roadmap”
◦ NASBHC’s state affiliates
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The basics (1 of 2)
◦ Collaboration and community engagement
• Local health department
• Community or rural health center
• Community and/or teaching hospital(s)
• Mental health, substance abuse
and social service agencies
• Private physicians
• University faculty
•Elected officials
•Business and community leaders
•Faith community
•School superintendent or school board
•School administration and faculty
•Students
•Parents
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The basics (2 of 2)
◦ Needs assessment and evaluation
 Identify needs and resources in a community
 Determine gaps: What is, and what should be
 Establish priorities
◦ Funding and other resources
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Federal grants
State grants
Local funding
Community partnership contributions
Foundations
Patient Revenue
Mixing several or all funding sources
BPHC/FQHC (Section 330 of the
Public Health Service Act)
Title X of the Public Health
Service Act: Family Planning
School-Based Health Center Funding
Models
FEDERAL PUBLIC
GRANTS
Foundations that support
school-based health care
Robert Wood Johnson Foundation
KB Reynolds Charitable Trust
WKKF Kellogg Foundation
Welborn Foundation
McKesson Foundation
Duke Endowment
Health Foundation of Greater
Cincinnati
Visit the Grantsmanship Center at
http://www.tgci.com/ and the
Foundation Center at
http://fdncenter.org for other
foundation funding opportunities
FOUNDATIONS
STATE PUBLIC
GRANTS
LOCAL FUNDING/
COMMUNITY
PARTNERS
PATIENT REVENUE
SCHIP
Medicaid
Private insurance
Patient fees
Federal entitlement programs
administered at the state level
MCHB/Title V
CDC HIV/AIDS Prevention
SAMHSA/Title XIX (substance abuse
and mental health screening and early
intervention)
Title XX/ Soc Services Block Grant
(TANF, daycare, child neglect and
abuse)
State Funding
State General Revenue
Tobacco Tax/Settlement
Education
NCLB /ESEA (Title I improving
academic achievement of the
disadvantaged and Title IV safe and
drug free schools)
IDEA (health-related special education
services)
Local Funding
Public and private grants (e.g.,
universities, United Way)
City/county funds
Local businesses (e.g., banks,
insurance companies)
Community Partners
In-Kind Contributions from schools, hospitals,
health departments, community health
departments, and community agencies (e.g.,
staff, facilities, supplies)
Examples of Partners
Parents’ employers
Parents’ health insurance agencies
Local businesses
School districts
Universities
Poor health has a direct and negative impact
on student success
 Health and education are inexorably linked
 SBHCs decrease school absences
 SBHCs keep kids in their seats
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In Massachusetts, SBHC users had a 50% decrease in
absenteeism and 25% decrease in tardiness two months
after receiving school-based mental health and counseling
In North Carolina, African-American male SBHC users were
three times more likely to stay in school than their peers who
did not use the clinic.
A Dallas SBHC demonstrated that medical services helped
decrease absences by 50% among students who had three
or more absences in a six-week period
◦ Students who received mental health services had an 85% decline in
school discipline referrals
“We are thrilled that part of the [health reform] legislation calls
for an expanded footprint of school-based health clinics … I
can’t think of a better way to deliver primary care and
preventive care to not only students but their families
than through school-based clinics. So the Secretary of
Education and I have already talked about how we’re going
to leverage that money, how widely we can expand that foot
print, and how quickly we can get it done.”
--HHS Secretary Kathleen Sebelius, 2010 National Forum on
Community Schools, April 7, 2010.
Regulates private health insurance
Investments in prevention, wellness, primary care
Expands access to coverage through:
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III.
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b.
c.
Subsidies
Expansion of public insurance
Creation of health insurance exchanges
Cost containment strategies
IV.
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Improving quality/cost effectiveness
Marilyn Crumpton, MD, MPH Director,
Growing Well Cincinnati
Nationally
(n=1096)
Cincinnati, OH
•Cincinnati Health Dept.
•Health Foundation of Greater
Cincinnati
•Neighborhood Health Care
•Winton Hill Health & Medical
Center
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Combination model:
◦ Health Foundation Center of Greater Cincinnati
 Give start up funding
◦ Federally Qualified Health Center/Community Health
Center
 Provide sustainability in funding
www.communityschools.org
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Schools receive health support in 2 ways:
◦ SBHCs
◦ Public health nurse from the Department of Health
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This year:
◦ 12 schools will lose funding for public health nurse
www.communityschools.org
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SBHCs participation in school-wide
teams
Nationally (N=1096)
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Community Schools Learning Laboratory, Seattle, WA.
March 31-April 2, 2011. Click here for more info.
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2011 National School-Based Health Care Convention. June
26-29, 2011. Click here for more info.
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Community School Advocacy Day. May 2011. Stay tuned for
more info!
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WEBINAR: A Deeper Look into Ohio’s SBHC & Community
School System…Winter 2011
www.communityschools.org
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Martin J. Blank, President, Institute for Educational Leadership,
Director, Coalition for Community Schools, [email protected]
[www.communityschools.org]
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Joshua Rovner, Director of Policy and Advocacy, National
Assembly on School-Based Health Care, [email protected]
[www.nasbhc.org]
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Marilyn Crumpton, MD, MPH Director, Growing Well Cincinnati,
[email protected] [www.healthfoundation.org]
www.communityschools.org
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