Transcript Slide 1
School-Based Health Centers Salina Mendoza Program Manager - Central Valley California School-Based Health Alliance About US California School-Based Health Alliance We 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-Cal Healthy 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: Uninsured Enrolled 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 The Role of SBHCs Population, Access Outreach & Education (stepping stone) SBHCs – opened new patient base Enrollment Entities Navigators Special Enrollment Spotlight: RHC-Sponsored SBHC in Fresno County Adventist 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/aboutus/conference/2015-conference/ Get Help! Vision to Reality: How to Build a School-Based Health Center From the Ground Up Chapter 1: Overview Chapter 2: Community Planning Chapter 3: Youth Engagement Chapter 4: SBHC Structure and Staffing Chapter 5: Funding Chapter 6: Licensing and Regulations Chapter 7: Operations Chapter 8: Facilities Chapter 9: Evaluation and Data Collection What You Can Do Now Learn more and see resources at www.schoolhealthcenters.org Contact Salina Mendoza 559-940-0157 [email protected]